不同针刺法治疗颅底软骨肉瘤术后多发脑神经损伤验案  

Different acupuncture methods in the treatment of multiple brain nerve injury after operation of skull base chondrosarcoma

作　　者：胡艳美[1] 李建萍[1] 张仁[2] HU Yanmei;LI Jianping;ZHANG Ren(Department of Acupuncture,Shanghai Xuhui District Central Hospital,Shanghai 200031,China;Shanghai Literature Institute of Traditional Chinese Medicine,Shanghai 200020,China)

机构地区：[1]上海市徐汇区中心医院针灸科,上海200031 [2]上海市中医文献馆,上海200020

出　　处：《天津中医药大学学报》2023年第2期180-182,共3页Journal of Tianjin University of Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目(国中医药人教函[2022]76号);国家中医药管理局张仁全国名老中医药专家传承工作室项目(1542962311683);上海市中医药事业发展三年行动计划“杏林新星”计划项目[ZY(2018-2020)-RCPY-3016];2019-2021年度徐汇区卫生健康系统“三级人才发展计划”。

摘　　要：文章报道针刺和穴位注射法结合治疗颅底软骨肉瘤术后多发脑神经损伤(面神经、外展神经、听神经)的病案。针刺法强调不同刺法相互配合,包括透刺法和齐刺法。其中,透刺法又根据不同病症和病位,采用浅透刺法和深透刺法。穴位注射法选用甲钴胺注射液修复损伤的神经纤维,复方樟柳碱注射液改善血液循环以增加受累神经的供血供氧。针刺和穴位注射相互配合,共奏良效。This paper introduces treatment of multiple brain nerve injuries(facial nerve,abductor nerve and auditory nerve)after operation of skull base chondrosarcoma with acupuncture and acupoint injection.Acupuncture emphasizes the coordination of different needling methods,including penetration needling and triple needling.Besides,the penetration needling method adopts shallow-penetrating needling method and deep-penetrating needling method according to different syndromes and disease sites.Acupuncture injection uses mecobalamin injection to repair the damaged nerve fibers,and compound anisodine injection to improve blood circulation in order to increase the blood and oxygen supply of the affected nerves.Acupuncture and acupoint injection cooperate with each other to play a good effect.

关 键 词：脑神经损伤 软骨肉瘤 透刺法 齐刺法 

分 类 号：R245.31[医药卫生—针灸推拿学]