近5年脑卒中后上肢痉挛针刺取穴研究进展  

Research Progress on Acupuncture Point Selection in the Treatment of Post⁃stroke Upper Limb Spasticity

作　　者：汪玲[1] 赵利 赵正恩 WANG LING;ZHAO Li;ZHAO Zhengen(Department of Rehabilitation Medicine,Mianzhu People’s Hospital,Sichuan Province,Mianzhu 618200,China)

机构地区：[1]绵竹市人民医院康复医学科,四川绵竹618200

出　　处：《光明中医》2024年第1期193-197,共5页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：四川省中医药管理局面上项目(No.2021MS338)。

摘　　要：脑卒中后上肢痉挛为常见的并发症。此文从近5年针刺治疗卒中后上肢痉挛的文献中进行针刺选穴的综述。针刺取穴包括阳经取穴、阴经取穴、督脉取穴、经筋取穴、拮抗肌取穴、特殊部位取穴。研究表示针刺治疗卒中后上肢痉挛临床效果显著。针刺取穴以三阳经及拮抗肌取穴居多。但是文献报道多数为临床研究,基础研究少。各个选穴方法的优劣点未进行详细阐述。后期在临床上需进一步探索不同取穴方法的优势,为卒中患者提供更合适的治疗方案。Post⁃stroke upper limb spasticity is a common complication.This article reviewed the literature on acupuncture treatment of post⁃stroke upper limb spasticity in the past 5 years.Acupuncture point selection includes yang meridian point selection,yin meridian point selection,governor vessel point selection,tendon point selection,antagonistic muscle point selection and special position point selection.Research showed that acupuncture treatment of post⁃stroke with upper limb spasticity clinical effect is significant.Most of the acupoints were selected on three yang meridians and antagonistic muscles.However,most of the literature reports were clinical studies and few basic studies.The advantages and disadvantages of each point selection method are not elaborated in detail.The advantages of different acupoint selection methods need to be further explored in clinical practice in order to provide more appropriate treatment for stroke patients.

关 键 词：脑卒中 上肢痉挛 针刺疗法 

分 类 号：R246.6[医药卫生—针灸推拿学]