脑卒中后上肢功能康复的中西医研究进展

Research Progress of Traditional Chinese and Western Medicine on Functional Rehabilitation of Upper Limbs after Stroke

脑卒中具有致残率高的特点,与下肢相比,上肢功能障碍发生率更高,病程迁延,恢复难度更大,严重影响患者的日常生活质量。治疗脑卒中后上肢功能障碍的理论基础主要来源于颅内神经的可塑性和功能重组,临床多采取外周神经干预疗法、中枢神经干预疗法、中医针刺疗法、穴位埋线等康复方法。此文总结脑卒中后上肢功能障碍的中西医康复治疗方法,并对穴位埋线结合重复经颅磁刺激治疗脑卒中后上肢运动功能障碍进行探讨,以期为后续临床及科研提供参考。

Stroke is characterized by high disability rate.Compared with the lower limb,upper limb dysfunction has a high morbidity,long course,great difficulty in slow recovery,and seriously affect the quality of life of patients.The theoretical basis for the treatment of upper limb dysfunction after stroke is mainly derived from the plasticity and functional reorganization of intracranial nerves.In clinical practice,peripheral nerve intervention therapy,central nerve intervention therapy,acupuncture therapy,acupoint catgut embedding and other rehabilitation methods are often used.This article summarizes the rehabilitation treatment methods of Traditional Chinese and Western medicine for upper limb dysfunction after stroke,and discusses the treatment of upper limb dysfunction after stroke by acupoint catgut embedding combined with repetitive transcranial magnetic stimulation,in order to provide reference for clinical treatment and scientific research.