摘要
意识障碍的促醒是临床亟待解决的难题之一,针灸已成为促醒治疗的常用疗法。本文归纳近10年针灸治疗意识障碍的相关研究,从中医病因病机、临床应用(针灸临床疗效、腧穴配伍及手法)、作用机制等方面进行论述。结果表明针灸对改善意识障确有疗效,以百会、井穴及交会穴为主,醒脑开窍针法是主要的促醒针法,针灸通过改善脑血流灌、激活全脑多网络、降低炎症介质水平、改善脑水肿、影响脑神经递质释放水平等途径发挥促醒作用。本研究结果以期为针灸治疗意识障碍的临床应用与基础研究提供参考。
Arousal promotion in patients with disorders of consciousness(DOC) remains one of the pressing challenges in clinical practice,and acupuncture and moxibustion have become commonly used therapies for awakening interventions.This paper summarizes studies from the past decade on acupuncture and moxibustion treatment for DOC,discussing aspects such as traditional Chinese medicine(TCM) etiology and pathogenesis,clinical applications(including therapeutic efficacy,acupoint selection,and manipulation techniques),and mechanisms of action.The results indicate that acupuncture and moxibustion are indeed effective in improving DOC.The most frequently used acupoints include Baihui(GV20),Well points,and crossing points,with the “brain-awakening and orifice-opening” acupuncture method being the predominant technique.Acupuncture and moxibustion exert its awakening effects through various mechanisms,such as enhancing cerebral blood flow,activating multiple brain networks,reducing inflammatory mediators,alleviating cerebral edema,and influencing neurotransmitter release.The findings aim to provide a reference for the clinical application and basic research of acupuncture and moxibustion in the treatment of DOC.
作者
潘亚辉
孙延镇
刘西通
杨继国
PAN Yahui;SUN Yanzhen;LIU Xitong;YANG Jiguo(Shandong Provincial Hospital Affiliated to Shandong First Medical University,Ji′nan 250000,China;Ji′nan Hospital,Ji′nan 250000,China;Shandong University of Traditional Chinese Medicine,Ji′nan 250000,China)
出处
《世界中医药》
北大核心
2025年第6期1052-1055,1060,共5页
World Chinese Medicine
基金
国家自然科学基金青年科学基金项目(81804201)
山东省中医药科技计划重点项目(Z-2022091)。
关键词
针灸
昏迷
促醒
意识障碍
中医
作用机制
综述
Acupuncture and moxibustion
Coma
Arousal promotion
Disorders of consciousness
Traditional Chinese medicine
Mechanism of action
Review
