针刺百会、神庭穴治疗卒中后认知障碍机制研究进展

Research Progress on the Mechanism of Acupuncture at Baihui(DU20)and Shenting(DU24)in the Treatment of Post-stroke Cognitive Impairment

卒中已成为我国首位致死性疾病,其中约有三分之一卒中人群会伴有卒中后认知障碍(PSCI),甚至将进一步发展为血管性痴呆,严重影响患者生存时间与生存质量,然而其发病机制及临床用药尚无统一标准。近些年中医针刺治疗卒中后认知障碍的临床与实验研究均取得了较好的进展,其中百会、神庭穴作为针刺治疗该疾病的常用穴位,具有操作简单、临床效果显著等特点,近年来对其相关的机制研究不断深入但仍缺乏系统总结。文章通过回顾近年研究,将现代研究与中医基础理论结合,对百会、神庭穴治疗卒中后认知障碍的作用机制及临床应用进行了整理、分类与总结阐述,旨在为这一疗法提供科学的理论依据,为今后临床应用针刺百会、神庭穴治疗卒中后认知障碍提供参考支持。

In China,stroke has become the first fatal disease,among which about one-third of stroke patients will be accompanied by post-stroke cognitive impairment(PSCI).What's more,these symptoms will further develop into vascular dementia,which seriously affects patients'survival time and quality of life.However,there is no unified standard for its pathogenesis and clinical medication.In recent years,the clinical and experimental studies on the treatment of cognitive impairment after stroke by acupuncture have made good progress.Among them,Baihui(DU20)and Shenting(DU24),as the common acupuncture points for the treatment of this disease,have the characteristics of simple operation and remarkable clinical effect.However,in recent years,the related mechanism of the research has been in-depth,but there is still a lack of systematic summary.By reviewing recent research,this article combines modern research and the basic theory of TCM.In addition,this article sorts out,classifies and summarizes the mechanism of action and clinical application of Baihui(DU20)and Shenting(DU24)in the treatment of post-stroke cognitive impairment,which has provided a scientific theoretical basis for this therapy,and provided reference support for the future clinical application of acupuncture of Baihui(DU20)and Shenting(DU24)in the treatment of post-stroke cognitive impairment.