臧福科教授皮部推拿治疗脑卒中急性期肌张力低下的机制、经验  

Mechanism and Experience of Professor Zang Fuke's Cutaneous Regions Tuna in the Treatment of Muscle Tone Atonic in Patients with Stroke during Acute Phase

作　　者：郭芮含 李侠 李多多[2] 杨晓明[2] GUO Ruihan;LI Xia;LI Duoduo;YANG Xiaoming(Encephalopathy Department,Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China;Tuina Pain Department,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学第三附属医院脑病科,北京市100029 [2]北京中医药大学东直门医院推拿疼痛科,北京市100700

出　　处：《实用心脑肺血管病杂志》2024年第4期76-79,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：北京中医药薪火传承“3+3”工程刘寿山名家研究室(2022-SZ-A-50)。

摘　　要：肌张力低下是脑卒中软瘫期患者的主要临床表现之一,常在脑卒中急性期出现,且软瘫期过长、肌张力长期未提高是脑卒中患者常见且棘手的问题。有循证证据表明,康复治疗是降低脑卒中患者致残率最有效的方法,但软瘫状态下可选择的简便、经济又有效的康复治疗手段较少。臧福科教授参考小儿推拿手法,将皮部推拿用于脑卒中急性期肌张力低下患者,并发现其能有效提高患者肌张力,诱发肢体快速产生自主运动,进而缩短软瘫期。本文主要综述了臧福科教授皮部推拿治疗脑卒中急性期肌张力低下的机制、经验,以期降低脑卒中致残率。Muscle tone atonic is one of the main clinical manifestations of stroke patients with flaccid paralysis.It often occurs in the acute phase of stroke,and the long period of flaccid paralysis and long-term non-improvement of muscle tension are common and difficult problems in stroke patients.Evidence-based evidence shows that rehabilitation therapy is the most effective way to reduce the disability rate of stroke patients,but there are few simple,economical and effective rehabilitation treatments under flaccid paralysis.Referring to pediatric massage techniques,Professor Zang Fuke applied cutaneous regions tuna to stroke patients with muscle tone atonic during acute phase,and found that it can effectively improve the muscle tension of patients,induce rapid spontaneous movement of limbs,and then shorten the period of flaccid paralysis.This paper mainly reviews the mechanism and experience of Professor Zang Fuke's cutaneous regions tuna in the treatment of muscle tone atonic of stroke during acute phase,in order to reduce the disability rate of stroke.

关 键 词：卒中 肌张力低下 软瘫 皮部推拿 综述 

分 类 号：R743[医药卫生—神经病学与精神病学]