血管性痴呆的康复治疗研究进展

Research progress on physiotherapy in the treatment of vascular dementia

血管性痴呆的临床治疗多以药物为主,但其疗效不稳定且部分存在不良反应。近年来,临床上开发出认知康复训练、经颅磁刺激治疗、经颅直流电治疗、针刺/电针及经皮穴位电刺激等康复治疗手段,对治疗血管性痴呆疗效甚好,但其治疗机制尚不明确,所以针对血管性痴呆的病因和康复治疗机制方面正在展开较多的基础研究。本文就血管性痴呆发病机制和康复治疗手段及治疗机制,尤其是经皮穴位电刺激治疗血管性痴呆的研究进展进行综述。

The clinical treatment of vascular dementia is mostly based on drugs,but its efficacy is unstable and some side effects exist.In recent years,clinical cognitive rehabilitation training,transcranial magnetic stimulation,transcranial direct current stimulation,acupuncture treatment/electric acupuncture and transcutaneous electrical acupoint stimulation have been developed.It is very effective in the treatment of vascular dementia,but the mechanism of treatment is still unclear.Therefore,more basic research is being carried out on the etiology and rehabilitation treatment mechanism of vascular dementia.This article reviews the research progress of vascular dementia pathogenesis,rehabilitation treatment methods and treatment mechanisms,especially the treatment of vascular dementia with transcutaneous electrical acupoint stimulation.