摘要
脑外伤后综合征是神经外科常见病、多发病,是脑损伤后神经功能方面遗留的多种症状。目前,研究显示本病涉及神经解剖和病理学、创伤力学、神经生物化学、脑血流动力学等领域,治疗主要采用药物、高压氧及心理治疗等,但疗效尚不满意,针对基层医院,简便、低廉、安全的针灸疗法更值得重视。该文对近10年的文献进行检索,总结发现本病的针灸治疗方法包括针刺疗法、耳穴疗法、放血疗法和灸法,针灸作用机理主要有改善脑循环、脑代谢,改变神经递质、细胞因子等方面,而改善脑循环、增加脑血流量可作为针灸治疗本病的研究方向,针灸治疗本病还需要进行针刺的标准化和评价指标的客观化。
Post-traumatic brain syndrome is a common disease in neurosurgery department, referring to a variety of neurological symptoms after brain traumas. Currently, research shows that this disease involves the fields of neurologic anatomy, pathology, trauma mechanics, neurobiochemistry, cerebral hemodynamics, etc, and the treatment majorly includes medication, hyperbaric oxygen, and psychotherapy, but they don＇t work so well. In primary hospitals, the convenient, low-cost and safe acupuncture-moxibustion therapy should be paid more attention. By retrieving literatures during the latest 10 years, this article has concluded that the acupuncture-moxibustion treatments for this disease covered acupuncture, auricular acupoint therapy, bloodletting therapy, and moxibustion, and the action mechanisms were mostly the improvement of cerebral circulation and cerebral metabolism, and the change of neurotransmitters and cytokines. The improvement of cerebral circulation and increase of cerebral blood flow can be taken as the future direction in the research on acupuncture-moxibustion for this disease. However, in the treatment of post-traumatic brain syndrome with acupuncture-moxibustion, it still requires the standardization of acupuncture and the objectification of evaluation indexes.
出处
《上海针灸杂志》
2017年第7期881-885,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药(中西医)重点学科项目(2012-XK-D20)
关键词
针灸疗法
脑损伤
脑外伤后综合征
作用机制
综述
Acupuncture-moxibustion
Brain damage
Post-traumatic brain syndrome
Action mechanism
Review
