《中国康复理论与实践》

《中国康复理论与实践》

• 经验交流 • 上一篇    

针刺在中西医结合脑卒中康复中的应用体会①

徐基民1,2，刘兰群1，李艳丽1，李明玉1   

  1. 1.中国康复研究中心北京博爱医院中医科，北京市100068；2.首都医科大学康复医学院，北京市100068。
  • 出版日期:2016-02-25 发布日期:2016-06-01

Experiences of Application of Acupuncture in Stroke Rehabilitation with Integrated Traditional Chinese and Western Medicine

XU Ji-min1,2, LIU Lan-qun1, LI Yan-li1, LI Ming-yu1   

  1. 1. Department of TCM, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Published:2016-02-25 Online:2016-06-01

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摘要： 针刺对脑卒中的治疗是多靶点的，针对的不仅是偏瘫，而且涉及诸如失语症、吞咽、构音、认知、大小便障碍、共济失调和偏瘫后疼痛等多方面。笔者基于自己从事中西医结合脑卒中康复20 余年的临证经验，并参考古今文献和现代康复理论，就穴位选取、针刺手法、针刺介入时间、刺激量大小、留针时间以及对偏瘫痉挛状态影响等问题进行了探讨。

关键词: 脑卒中, 针刺, 中西医结合, 康复

Abstract: Acupuncture for stroke rehabilitation is of multi-targets, the treatments of which are not only for hemiplegia, but also cover a wide variety of aspects, such as aphasia, dysphagia, dysarthria, cognitive disorders, bowel or bladder dysfunction, ataxia and post hemiplegic pain, etc. Based on the experiences of stroke rehabilitation with Integrated Traditional Chinese and Western Medicine over 20 years, this paper discussed the selection of acupoints, needling manipulations, opportunity of intervention, quantity of stimulations, the needle-retaining time as well as the impact on spasticity after hemiplegia referring to ancient and modern literatures and modern rehabilitation theory.

Key words: stroke, acupuncture, Integrated Traditional Chinese andWestern Medicine, rehabilitation