遗传性共济失调针灸治疗概况  

Overview of acupuncture and moxibustion therapy for hereditary ataxia

作　　者：周梦媛 杜鑫[1] 王桂玲[1] ZHOU Mengyuan;DU Xin;WANG Guiling(Department of Acupuncture and Moxibustion,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;College of Acupuncture and Massage,Changchun University of Chinese Medicine,Jilin Province,Changchun 130117,China)

机构地区：[1]首都医科大学附属北京中医医院针灸科,北京100010 [2]长春中医药大学针灸推拿学院,吉林长春130117

出　　处：《中国医药导报》2020年第36期53-56,共4页China Medical Herald

基　　金：国家中医药管理局中医药循证能力建设项目(2019XZZX-ZJ002);国医大师贺普仁传承工作室;全国中医临床优秀人才研修项目(国中医药人教发〔2017〕24号);针灸神经调控北京市重点实验室(BZ0437)。

摘　　要：遗传性共济失调(HA)是一类具有高度临床和遗传异质性、病死率和病残率较高的遗传性神经系统退行性疾病。该病在全球各族人群中均有较高发病率,临床症状严重,预后差,严重影响患者生活质量,西医多采用营养神经、解除痉挛、抗癫痫等对症治疗以减轻症状和延缓进展,但治疗效果较差。针灸治疗本病取得了很好治疗效果,具有一定优势。本文从疾病的中医针灸治疗现状如单纯针刺、针药结合及针刺配合艾灸、放血拔罐、康复训练、经颅重复磁刺激及西药等综合治疗方面进行了总结分析,以了解中医针灸治疗HA的最新进展及目前存在的不足,为中医诊治此病和进一步科学研究提供思路。Hereditary ataxia(HA)is a class of hereditary neurodegenerative diseases with high clinical and genetic heterogeneity,mortality and disability rates.The disease has a high incidence in all groups of people in the world,with severe clinical symptoms and poor prognosis,seriously affecting the quality of life of patients.Western medicine mostly uses symptomatic treatment such as nourishing nerve,relieving spasm and anti-epilepsy to alleviate symptoms and delay progress,but the treatment effect is poor.Acupuncture and moxibustion treatment of this disease has achieved a good treatment effect,has a certain advantage.This paper summarizes and analyzes the current situation of traditional Chinese acupuncture and moxibustion in treating HA,in order to understand the latest progress of traditional Chinese acupuncture and moxibustion in treating HA,such as simple acupuncture,acupuncture combined with medicine and moxibustion,bloodletting and cupping,rehabilitation training,transcranial repeated magnetic stimulation and Western medicine,and to provide ideas for TCM diagnosis and treatment of this disease and further scientific research.

关 键 词：遗传性共济失调 中医 针灸治疗 头皮针 腹针 放血 综述 

分 类 号：R744.7[医药卫生—神经病学与精神病学]