中医药治疗出血性卒中研究进展  

Research Progress of Chinese Medicine for Hemorrhagic Stroke

作　　者：余剑媛 周惠芬[1] 郭建文 何昱[1] 万海同[1] YU Jianyuan;ZHOU Huifen;GUO Jianwen;HE Yu;WAN Haitong

机构地区：[1]浙江中医药大学心脑血管病研究所,浙江杭州310053 [2]广州中医药大学第二附属医院省部共建中医湿证国家重点实验室,广东广州510120

出　　处：《新中医》2022年第23期29-33,共5页New Chinese Medicine

基　　金：广东省重点领域研发计划资助项目(2020B1111100009);国家自然科学基金项目(81974559);省部共建中医湿证国家重点实验室(广州中医药大学第二附属医院)项目(SZ2021ZZ06)。

摘　　要：出血性卒中是高死亡率、高致残率疾病,严重危害生命健康。大量研究发现中医药治疗出血性卒中具有一定优势。中医认为出血性卒中的病机与毒损脑络、髓虚毒损及瘀血停留、水瘀互结等有关,临床常以平肝熄风、活血化瘀、通腑、破血化瘀、填精补髓等方法治疗。研究发现中医药可通过调控炎症、细胞凋亡等不同途径来减轻脑水肿,改善血脑屏障及神经功能发挥脑保护作用。笔者总结了中医药治疗出血性卒中相关研究内容,为出血性卒中的临床治疗提供新方向。Hemorrhagic stroke is a disease with high mortality and disability rate,which seriously endangers life and health.A large number of studies have found that Chinese medicine has certain advantages in treating hemorrhagic stroke.According to Chinese medicine,the pathogenesis of hemorrhagic stroke is related to toxic damage to the brain collateral,marrow deficiency and toxic damage,retention of static blood,and binding of water and stasis.Clinical treatment is often carried out by calming the liver and extinguishing wind,invigorating blood and dissolving stasis,unblocking the bowels,breaking blood and dissolving stasis,and supplementing essence and boosting marrow.Studies have found that Chinese medicine can protect the brain by reducing brain edema and improving blood-brain barrier and neurological function through the ways like regulating inflammation and apoptosis.The authors summarize the research contents of Chinese medicine in the treatment of hemorrhagic stroke,and provide a new direction for the clinical treatment of hemorrhagic stroke.

关 键 词：出血性卒中 中医药 病机 研究进展 

分 类 号：R74[医药卫生—神经病学与精神病学]