针刺治疗脑卒中后偏瘫的临床研究进展

Clinical Research Progress of Acupuncture in the Treatment of Hemiplegia after Stroke

摘要: 脑卒中后偏瘫是脑卒中的严重后遗症，是由于运动中枢或负责传导运动的纤维束受到损害，导致同一侧上下肢、面肌和舌肌下部的运动功能障碍，严重危害患者的身心健康，影响患者生活质量，甚至丧失独立生活能力。临床上，针刺治疗脑卒中后偏瘫方法多样化且疗效显著，作者通过查阅近年来的相关文献，系统综述了头针、体针、电针、温针、火针、针刺联合康复，中药等治疗脑卒中偏瘫的临床方法与疗效，并且指出了针刺治疗在研究机制、创新等方面的不足及今后的发展方向，以期更好地服务于临床。

Abstract: Hemidiplegia after stroke is a serious sequelae of stroke, due to the damage to the motor center or the fiber bundle responsible for conducting movement, resulting in movement disorders in the lower part of the upper and lower limbs, facial muscles and tongue muscles on the same side, seri-ously endangering the physical and mental health of patients, affecting the quality of life of patients, and even losing the ability to live independently. Clinically, acupuncture in the treatment of hemi-plegia after stroke is diversified and curative, the author reviewed the relevant literature in recent years, systematically reviewed the clinical methods and efficacy of head acupuncture, body acu-puncture, electroacupuncture, warm acupuncture, fire acupuncture, acupuncture combined reha-bilitation, traditional Chinese medicine and other treatments for stroke hemiplegia, and pointed out the shortcomings of acupuncture treatment in terms of research mechanism and innovation and future development direction, in order to better serve the clinic.