电针疗法治疗急性脑梗死的研究进展

Research progress of electro-acupuncture therapy in the treatment of acute cerebral infarction

急性脑梗死是我国发病率最高的脑血管病,常表现为偏瘫、失语、口齿含糊、吞咽困难、饮水呛咳等,药物治疗的效果多欠佳,常预后不良.针灸治疗急性脑梗死在我国已有几千年历史,被证实为治疗急性脑梗死安全、有效、可靠的方法.而电针疗法是现代电刺激与针灸疗法相结合的产物,能有效改善急性脑梗死患者的神经功能缺损情况,改善患者的预后,因此能有效治疗急性脑梗死.但采用电针疗法治疗急性脑梗死,该如何选择针刺方法、针刺穴位,何时启动针刺,如何选择电针波形及频率尚无共识.本文将针对上述问题逐一进行阐述,并对电针疗法治疗急性脑梗死的作用机制进行探讨,对目前存在的问题进行归纳,对未来进行展望.

Acute cerebral infarction is the most common cerebrovascular disease in China.It often manifests as hemi-plegia,aphasia,vague mouth,dysphagia,cough in drinking water,etc.The curative effect of drug treatment is poor,and the prognosis is often poor.Acupuncture and moxibustion treatment of acute cerebral infarction has a history of thou-sands of years in China,which has been proved to be a safe,effective and reliable method for the treatment of acute cerebral infarction.Electro-acupuncture therapy is a combination of modern electrical stimulation and acupuncture therapy,which can effectively improve the neurological deficit and prognosis of acute cerebral infarction,so it can ef-fectively treat acute cerebral infarction.However,there is no consensus on how to choose acupuncture methods,acu-points,when to start acupuncture,and how to choose the waveform and frequency of electro-acupuncture in the treat-ment of acute cerebral infarction.This article will elaborate the above problems one by one,and discuss the mechanism of electro-acupuncture therapy in the treatment of acute cerebral infarction,summarize the existing problems,and look forward to the future.