摘要
针灸在改善大脑认知功能方面,多选取具有温阳通脑,生髓益脑功效的经穴,可加速缺血半暗区灌注,减缓神经元进一步损伤,加快代谢,促进大脑的修复,对患者的认知功能、日常生活能力及社会行为能力有明显的提高。可采用针灸并用、针药结合、针灸配合康复训练等疗法治疗。目前,针灸治疗血管性痴呆还存在许多问题:VD的诊断还不够及时,诊断标准不一致,过分依靠主观的临床表现,缺乏客观的病理学、生化、影像学指标。针灸治疗临床疗效评价标准差异较大,不具有可比性和可重复性。纳入标准不统一,不能客观把握疾病的发展阶段,存在一定程度的差异性,在今后应加快血管性痴呆的基础实验研究,用大量分子生物学指标支持临床,为临床治疗血管性痴呆提供科学的理论依据。
In terms of improving the cognitive function of the brain,acupuncture and moxibustion mostly select acupoints with the function of warming yang and dredging the brain,generating marrow and benefiting the brain,which can accelerate the perfusion of ischemic penumbra,slow down the further injury of neurons,accelerate metabolism,promote the repair of the brain,and improve the cognitive function,daily living ability and social behavior ability of patients.Combination of acupuncture and moxibustion,combination of acupuncture and medicine,combination of acupuncture and rehabilitation training and other therapies can be used.At present,there are still many problems in the treatment of vascular dementia(VD)by acupuncture and moxibustion:The diagnosis of VD is not timely enough,the diagnostic criteria are inconsistent,excessive reliance on subjective clinical manifestations exists,there is lack of objective pathological,biochemical and imaging indicators.The evaluation criteria of clinical efficacy of acupuncture and moxibustion treatment are quite different,and they are not comparable and repeatable.Inclusion criteria are not uniform,the development stage of disease can not be objectively grasped,and there is a certain degree of difference.Therefore,in the future,we should speed up the basic experimental study of VD,support the clinical practice with a large number of molecular biological indicators,and provide scientific theoretical basis for the clinical treatment of VD.
作者
张旭龙
王明威
谢西梅
ZHANG Xu-long;WANG Ming-wei;XIE Xi-mei(Shaanxi University of TCM,Xianyang,Shaanxi,China,712046;Xi'an Hospital of TCM,Xi'an,Shaanxi,China,710021)
出处
《河南中医》
2019年第8期1275-1278,共4页
Henan Traditional Chinese Medicine
基金
西安市科技计划项目[SF1321(6)]
陕西中医药大学西安附属医院院内项目(2014G02)
关键词
血管性痴呆
针刺疗法
艾灸疗法
康复训练
认知功能损伤
vascular dementia(VD)
acupuncture therapy
moxibustion therapy
rehabilitation training
cognitive impairmen
