中风后痉挛性瘫痪的针刺取穴研究与手法研究概述  

Acupuncture point selection and manipulation on patients with spastic paralysis after stroke:an overview study

作　　者：谢青 顾力华[2] 王世弥 钱家锋 刘玉凤 XIE Qing;GU Lihua;WANG Shimi;QIAN Jiafeng;LIU Yufeng(The Department of Rehabilitation of Affiliated Hospital of Guizhou Medical University,GuiYang 550000,China)

机构地区：[1]贵州医科大学附属医院康复医学科,贵阳550000 [2]昆明市中医医院康复科 [3]彝良县中医医院康复科

出　　处：《环球中医药》2022年第1期159-164,共6页Global Traditional Chinese Medicine

基　　金：贵州省中医药管理局中医药、民族医药科学技术课题研究资助项目(QZYY-2021-093);昆明市卫生科技人才培养项目(2020-sw-74)。

摘　　要：针刺是治疗中风后痉挛性瘫痪的有效方法之一,本文从针刺取穴与针刺手法两个角度对针刺治疗中风后痉挛性瘫痪进行综述。针刺取穴方法主要涉及经脉取穴、经筋取穴、现代康复理论取穴及部位取穴。针刺手法主要分为浅刺法和透刺法两类。研究表明针刺治疗临床疗效显著,以临床研究为主,机制探讨较少;存在样本量小、操作不规范、未进行随访等问题。在后期的研究过程中应加大样本量的纳入,实行随机对照,统一操作规范,进行跟踪随访,积极进行机制探讨,以期为中风患者提供更高质量更加有效的帮助。Acupuncture is one of the effective methods for treating spasmodic paralysis after apoplexy.This paper reviews the treatment of spasmodic paralysis after apoplexy from the perspectives of acupoint selection and acupuncture manipulation.Acupoint selection methods mainly involve meridian selection,sinew selection,modern rehabilitation theory and region selection.Acupuncture techniques can be divided into two categories:shallow acupuncture and penetrating acupuncture.Studies have shown that acupuncture therapy has a significant clinical effect,which is mainly based on clinical studies,and the mechanism is rarely discussed.There are some problems such as small sample size,non-standard operation and no follow-up.In the later study,the inclusion of larger sample size,the implementation of randomized control,unified operating norms,follow-up visit,and active mechanism exploration should be carried out in order to provide higher quality and more effective help for stroke patients.

关 键 词：脑中风 痉挛性瘫痪 经脉取穴 经筋取穴 拮抗肌取穴 部位取穴 浅刺 透刺 

分 类 号：R246.6[医药卫生—针灸推拿学]