Hirudotherapy in the treatment of cerebrovascular disease: Past and present
https://doi.org/10.18705/1607-419X-2018-24-2-217-222
Abstract
The article summarizes and presents data on the historical experience of medical leeches, numbering more than 30 centuries. The paper reviews the historical and empirical basis of hirudotherapy in the clinical practice worldwide. The peculiarities of hirudotherapy in different countries (USA, Europe, Russia) have been studied at the present time. The therapeutic effects of hirudotherapy in clinical practice are due to the well-investigated saliva content of the medical leech, as well as the local and systemic reflex action on the body in response to the bloodsucking and hemorrhage. We analyze pathogenesis mechanisms of hirudotherapy. Hirudotherapy can reduce ischemia, hypoxia and normalize microcirculation. Hirudotherapy is effective in different groups of patients with cerebrovascular diseases. A number of studies confirm the effectiveness of hirudotherapy in the treatment of patients with essential hypertension, chronic impairment of cerebral circulation, acute stage of ischemic stroke, as well as in post-stroke rehabilitation. There is sufficient evidence for the use of hirudotherapy in cases of cerebrovascular disease for complementary method in the complex treatment and for the prevention of acute cerebrovascular events.
About the Authors
M. L. Pospelova
Almazov National Medical Research Centre, St Petersburg
Russian Federation
MD, PhD, DSc, Leading Researcher, Research Laboratory of Cerebrovascular Diseases, Research Department of Neurology and Neurosurgery
Russian Federation
MD, PhD, DSc, Leading Researcher, Research Laboratory of Cerebrovascular Diseases, Research Department of Neurology and Neurosurgery
V. A. Sorokoumov
First Pavlov State Medical University of St. Petersburg, St Petersburg
Russian Federation
MD, PhD, DSc, Professor, Neurology Department
Russian Federation
MD, PhD, DSc, Professor, Neurology Department
T. M. Aleкseeva
Almazov National Medical Research Centre, St Petersburg
Russian Federation
MD, PhD, DSc, Head, Department of Neurology and Psychiatry
Russian Federation
MD, PhD, DSc, Head, Department of Neurology and Psychiatry
N. E. Ivanova
Almazov National Medical Research Centre, St Petersburg
Russian Federation
MD, PhD, DSc, Professor, Head, Scientific Department
Russian Federation
MD, PhD, DSc, Professor, Head, Scientific Department
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Review
For citations:
Pospelova M.L., Sorokoumov V.A., Aleкseeva T.M., Ivanova N.E. Hirudotherapy in the treatment of cerebrovascular disease: Past and present. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2018;24(2):217-222. (In Russ.) https://doi.org/10.18705/1607-419X-2018-24-2-217-222
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