针刺治疗脑卒中后痉挛性偏瘫临床研究

Clinical Study on Acupuncture in the Treatment of Spastic Hemiplegia after Stroke

世卫组织研究表明,2019年中国卒中发病、患病和死亡人数分别占全球的32.26%、28.48%和33.42%。随着物质生活水平的不断提高,国家的脑卒中疾病负担越来越重,痉挛性偏瘫为脑卒中恢复期临床常见并发症,脑卒中肢体痉挛表现出以痉挛为基础的异常运动模式,具有明显的肌张力增高,上肢的伸肌群和下肢的屈肌群瘫痪的特点,影响患者康复治疗进程,严重者明显降低患者运动功能及日常生活,给患者及其家属带来巨大心理压力和经济负担。因此,如何有效地提高痉挛性偏瘫病人生活质量的问题是迫切需要解决的。作者查阅近年来相关文献,系统梳理脑卒中后痉挛临床有效研究方法、针刺等治疗方法以及临床疗效评价等,进行系统综述分析,为临床治疗脑卒中后痉挛性偏瘫提供了一定临床依据。

Who research shows that in 2019,the number of stroke onset,illness and death in China accounted for 32.26%,28.48% and 33.42% of the world respectively.With the continuous improvement of material living standards,the burden of stroke disease in the country is becoming heavier and heavier.Spastic hemiplegia is a common clinical complication in the recovery period of stroke.Stroke limb spasm shows an abnormal movement mode based on spasm,with obvious increase of muscle tension and paralysis of extensor muscles of upper limbs and flexor muscles of lower limbs,which affects the process of rehabilitation treatment of patients,In severe cases,the motor function and daily life of patients are significantly reduced,which brings huge psychological pressure and economic burden to patients and their families.Therefore,how to effectively improve the quality of life of patients with spastic hemiplegia is an urgent problem to be solved.The author consulted the relevant literature in recent years,systematically combed the effective clinical research methods,acupuncture and other treatment methods and clinical efficacy evaluation of post-stroke spastic hemiplegia,carried out systematic review and analysis,and strive to provide a certain clinical basis for the clinical treatment of post-stroke spastic hemiplegia.