针刺治疗脑损伤后的痉挛状态研究概述

Research review on acupuncture treatment of post-brain injury spasmodic state

脑损伤后痉挛状态是脑损伤引发的,以大脑皮层为主的高级中枢丧失调控随意性运动的能力,产生由低级中枢控制的肌张力增高及协调能力失常的异常运动模式。脑损伤是世界范围内发病率和死亡率较高的疾病,而脑损伤后的痉挛状态是一种常见的并发症,严重影响患者的生活质量,且尚无有效的神经保护药物,而针刺具有促进神经重塑及缓解痉挛的作用,为临床治疗脑损伤提供一种可行方法。研究已证明各类针刺方法对脑损伤后痉挛状态有积极作用。该文将阐述脑损伤后痉挛状态的发病病机,不同针刺方法对脑损伤后痉挛状态的改善作用,并对目前存在的问题及未来研究方向进行展望。

Post-brain injury spastic state is a neurological sequelae caused by the cerebral cortex loses the control of voluntary motor function,resulting in the abnormal motor pattern of increased muscle tension and abnormal coordination ability under the control of the lower center.Brain injury is a disease with high morbidity and mortality worldwide,and spastic brain injury is a common complication,which seriously affects the quality of life of patients.No effective neuroprotective drugs have been found,and the effect of acupuncture on nerve remodeling and relieving spasm provides a feasible method for clinical treatment.Studies have proved that various acupuncture methods have positive effects on spasticity after brain injury.The pathogenesis of the spastic state after brain injury,as well as the improvement of spasticity after brain injury by different acupuncture methods is stated,and the existing problems and future research directions are forecast.