针刺对缺血性脑卒中后认知及躯体运动功能障碍康复研究进展  

Research Progress of Acupuncture Therapy on Rehabilitation of Cognitive Function and Somatomotor Dysfunction after Ischemic Stroke

作　　者：郑斯嘉 尤红[2] 张敏[2] 赵容瑞 吴平平 孙维霞 姚硕 ZHENG Sijia;YOU Hong;ZHANG Min;ZHAO Rongrui;WU Pingping;SUN Weixia;YAO Shuo(Gansu University of Chinese Medicine,Lanzhou 730000,Gansu,China;Gansu Provincial Peoples Hospital,Lanzhou 730000,Gansu,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃省人民医院,甘肃兰州730000

出　　处：《中华中医药学刊》2025年第4期225-229,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：甘肃省科技计划项目(21JR11RA194)。

摘　　要：缺血性脑卒中是临床常见心脑血管疾病,目前在我国的发病率处于高速上升阶段,超过了全球平均增长水平,发生的分子机制复杂,预后效果较差,且经规范化治疗后患者仍可能遗留多种后遗症,主要为认知功能、躯体运动功能障碍,可严重威胁人类健康。现代康复疗法在缺血性脑卒中患者中应用效果有限,且康复过程长、起效缓慢,增加了配合难度,患者获益有限。气血逆乱、阴阳失调是脑卒中后遗症的总病机,针刺是中国传统医学的重要组成部分,弥补了现代医学治疗短板,可通过经络、腧穴的传导作用以及特定的操作手法进行治疗,经治疗后患者的认知功能及躯体运动功能障碍均有不同程度的改善。回顾当前针刺对缺血性脑卒中后的认知功能及躯体运动功能障碍康复的促进作用,并进一步阐明针刺在缺血性脑卒中患者中的相关作用机制,揭示针刺多靶点、多层面、多通路的作用特点,同时指出当前研究存在的问题与缺陷,为今后患者的康复治疗提供理论依据与方法参考。Ischemic stroke is a common clinical cardiovascular and cerebrovascular disease.At present,the incidence of ischemic stroke in China is at a rapid rising stage,exceeding the global average growth level.The molecular mechanism is complex,and the prognosis is poor.After standardized treatment,the patients may still leave a variety of sequelae,mainly including cognitive function and physical motor dysfunction,which can seriously threaten human health.The application effect of modern rehabilitation therapy in patients with ischemic stroke is limited,and the rehabilitation process is long and the effect is slow,which increases the difficulty of cooperation and the benefit of patients is limited.The disorder of Qi and blood and the imbalance of Yin and Yang are the general pathogenesis of sequelae of stroke.Acupuncture therapy is an important part of traditional Chinese medicine,which makes up for the shortcomings of modern medical treatment.It can be treated through the conduction effect of meridians and acupoints as well as specific manipulations.This article reviewed the promotion effect of acupuncture on cognitive function and rehabilitation of physical motor dysfunction after ischemic stroke,further clarified the relevant mechanism of acupuncture in patients with ischemic stroke,revealed the multi-target,multi-layer and multi-pathway characteristics of acupuncture,and pointed out the existing problems and shortcomings of current research so as to provide theoretical basis and method reference for the rehabilitation treatment of patients in the future.

关 键 词：针刺 缺血性脑卒中 认知功能 躯体运动功能 康复 研究进展 

分 类 号：R246.6[医药卫生—针灸推拿学] R277.749.13[医药卫生—中医临床基础]