针灸结合现代康复治疗卒中认知障碍研究进展

Research Progress of Acupuncture Combined with Modern Rehabilitation in the Treatment of Cognitive Impairment after Stroke

认知障碍是脑卒中后的常见并发症,不仅影响患者的康复进程,而且加重患者家庭和社会经济负担,寻找卒中后认知障碍的有效治疗方法已成为迫在眉睫的事情。针灸可以有效地活血通络、补益气血、调节阴阳,是有效治疗卒中后认知障碍的方法。近年来的研究表明,针灸结合各种现代康复技术比单一的针灸或康复治疗手段有更好的临床治疗效果。本文检索了近10年以来的中英文文献,对该领域的临床研究和基础机制研究进行综述,旨在为后期研究者探寻治疗卒中后认知障碍的最佳联合治疗方案以及相关基础机制研究提供研究思路。

Cognitive impairment is a common complication after stroke.It not only affects the rehabilitation process of patients,but also aggravates the burden of family and social economy.It is urgent to find an effective treatment for cognitive impairment after stroke.Acupuncture and moxibustion can effectively promote blood circulation and dredge collaterals,replenish Qi and Blood,regulate Yin and Yang,and it is an effective method to treat post-stroke cognitive impairment.Recent studies have shown that acupuncture combined with various modern rehabilitation has better clinical therapeutic effects than single acupuncture or rehabilitation treatment.In this review,the Chinese/English literature in the past 10 years was retrieved,and the clinical efficacy and basic mechanism of this field were reviewed,in order to provide research ideas for later researchers to explore the best combination therapy for the treatment of post-stroke cognitive impairment and related basic research.