[1]高 婷,潘 婕,刘婧斐,等.针刺治疗脑卒中后平衡功能障碍研究进展[J].陕西中医,2021,(5):677-680.[doi:DOI:10.3969/j.issn.1000-7369.2020.05.033]
 GAO Ting,PAN Jie,LIU Jingfei,et al.Research Progress of Acupuncture on Balance Dysfunction after Stroke[J].,2021,(5):677-680.[doi:DOI:10.3969/j.issn.1000-7369.2020.05.033]
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针刺治疗脑卒中后平衡功能障碍研究进展
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年5期
页码:
677-680
栏目:
综 述
出版日期:
2021-05-05

文章信息/Info

Title:
Research Progress of Acupuncture on Balance Dysfunction after Stroke
作者:
高 婷1潘 婕2刘婧斐1陈晓莉3杨 洁1邢 潇1马 妍4
(1.河北省人民医院,河北 石家庄 050051; 2.华北医疗健康集团石家庄华药医院,河北 石家庄050000; 3.邢台市信都区人民医院,河北 邢台054004; 4.天津中医药大学,天津301617)
Author(s):
GAO TingPAN JieLIU Jingfei CHEN XiaoliYANG Jie XING XiaoMA Yan
(Hebei General Hospital,Shijiazhuang 050051,China)
关键词:
脑卒中 平衡功能障碍 针刺疗法 综合疗法 夹脊穴
Keywords:
Stroke Balance dysfunction Acupuncture therapy Comprehensive therapy Jiaji point
分类号:
R 246.1
DOI:
DOI:10.3969/j.issn.1000-7369.2020.05.033
文献标志码:
A
摘要:
平衡功能障碍是脑卒中后患者常见的神经功能缺陷之一,很大程度上影响患者的步行能力及生存质量。本文整理和总结了近10年来国内针刺治疗脑卒中后平衡功能障碍的最新研究进展,较系统了解针灸对该病的影响,并分别从单纯针刺疗法、针刺协同其他疗法等两大方面,整理和论述了运用芒针、头皮针、针刺夹脊穴、针刺躯干肌、针刺阴、阳跷脉等单纯疗法及针刺配合电针、康复训练、穴位埋线及现实虚拟训练等相应综合疗法对卒中后平衡功能障碍的评定方法及疗效,提出无论是单纯针刺或是综合疗法都可有效改善卒中患者的平衡功能,同时指出对于脑卒中后平衡功能障碍的干预治疗仍然存在可发展的空间,也应加强针灸治疗脑卒中后平衡功能障碍的基础研究。
Abstract:
Balance dysfunction is one of the common neurological deficits in post-stroke patients,which greatly affects the walking ability and quality of life of patients.This paper summarizes the latest research progress of acupuncture in the treatment of balance dysfunction after stroke in China in recent 10 years,and systematically understands the influence of acupuncture on the disease.From two aspects of simple acupuncture therapy and acupuncture combined with other therapies,this paper sorts out and discusses the use of awn needle,scalp needle,Jiaji point,trunk muscle,Yin and Yang qiaomai and other simple therapies and acupuncture combined with electroacupuncture,rehabilitation training,acupoint catgut embedding and virtual reality training were used to evaluate the balance dysfunction after stroke.It was proposed that acupuncture alone or comprehensive therapy could effectively improve the balance function of stroke patients.At the same time,it was pointed out that there was still room for development in the intervention treatment of balance dysfunction after stroke,and acupuncture should also be strengthened basic research on moxibustion in the treatment of balance dysfunction after stroke.

参考文献/References:

[1] 杨海峰,彭 辉,刘 琰.针刺联合康复治疗对急性期缺血性脑卒中患者肢体运动功能障碍的影响[J].陕西中医,2019,40(6):708-710.
[2] 陈 艳,董 赟,郝盼富,等.脑卒中后平衡障碍的针刺康复研究[J].中医药临床杂志,2015,27(7):923-925.
[3] 庄霁雯,郑洁皎,陈秀恩,等.脑卒中平衡功能障碍治疗的研究进展[J].中国康复理论与实践,2016,22(10):1127-1131.
[4] 浦 芳,李佩芳.针刺治疗卒中后平衡障碍的临床研究进展[J].湖北中医杂志,2011,33(1):77-79.
[5] 何彦蓉,周 婷.通督调神理论指导下芒针透刺对卒中后平衡功能障碍患者平衡功能及生活质量的影响[J].河北中医,2020,42(4):596-600.
[6] 袁强强.芒针透刺背俞穴治疗卒中后平衡功能障碍的临床疗效研究[D].合肥:安徽中医药大学,2018.
[7] 茆阿文,李佩芳,孙培养.芒针透刺躯干肌治疗脑卒中后平衡障碍的临床观察[J].中医外治杂志,2014,23(1):34-35.
[8] 回 翊,李佩芳.脑卒中后平衡障碍的针刺研究进展[J].陕西中医药大学学报,2019,42(5):131-134.
[9] 王海林.夹脊穴排刺法治疗卒中后平衡功能障碍的临床研究[D].合肥:安徽中医药大学,2018.
[10] 齐红梅,董红伟.醒脑开窍法结合华佗夹脊穴治疗脑卒中平衡功能障碍[J].四川中医,2014,32(4):153-154.
[11] 倪建俐,黄 姝,袁 晴.中医特色疗法治疗中风后肢体功能障碍研究进展[J].陕西中医,2020,41(9):1339-1341.
[12] 徐春花,范刚启,赵 杨.头皮针流派比较及发挥[J].中国针灸,2016,36(6):663-667.
[13] 包烨华,陈飞宇,刘小平,等.头针久留结合Brunnstrom不同分期电针不同穴位对卒中后下肢运动及平衡障碍的影响[J].中华全科医学,2019,17(2):280-283.
[14] 游 璐.头针及背俞穴配合治疗脑卒中后平衡障碍的临床效果分析[J].中外医学研究,2018,16(6):44-45.
[15] 赵文秀.于氏头穴丛剌治疗卒中后平衡障碍的临床疗效观察[D].哈尔滨:黑龙江中医药大学,2013.
[16] 朱杰彬,古志林,徐振华.针灸疏经调脏法治疗脑卒中后平衡障碍的临床疗效[J].中国老年学杂志,2016,36(23):5964-5965.
[17] 李佩芳,郭庆军,浦 芳,等.针刺躯干肌治疗脑卒中后平衡障碍临床研究[J].中医药临床杂志,2013,25(9):761-764.
[18] 燕铁斌.现代康复治疗学[M].广州:广东科技出版社,2004:150-151.
[19] 李 旗,田福玲.“烧山火、透天凉”补泻跷脉法对缺血性中风恢复期患者下肢痉挛的影响研究[J].中国全科医学,2013,16(7):826-827,831.
[20] 宋 毅,裴 建,顾敏珏,等.陆氏针灸针刺跷脉改善80例脑卒中后下肢平衡功能障碍的临床研究[J].世界中医药,2017,12(3):636-638,642.
[21] 王 舰,王惠敏,叶艺茹.针刺阴阳跷脉治疗脑卒中后下肢平衡功能障碍40例[J].中国针灸,2016,36(7):750.
[22] 李书剑,楚佳梅.天柱傍针刺配合平衡区电针对卒中患者平衡功能障碍的临床观察[J].云南中医学院学报,2016,39(1):46-49.
[23] 刘小溪,聂 坤,张雪竹.头电针改善脑小血管病患者步态及平衡功能障碍的临床研究[J].辽宁中医杂志,2019,46(8):1714-1717.
[24] 刘 刚,刘再然,李 翠,等.电针腰夹脊穴治疗中风后平衡功能障碍的临床观察[J].中国中医药科技,2019,26(4):549-551.
[25] 贺艳霞.综合性康复训练对脑卒中患者神经功能恢复的影响[J].陕西医学杂志,2013,42(6):766.
[26] 霍 磊,傅凯丽,赵曼丽,等.调神益髓针刺法结合康复训练治疗脑卒中后平衡功能障碍临床观察[J].上海针灸杂志,2016,35(2):149-152.
[27] 郑金利,翁萍璇.针刺配合康复训练治疗脑卒中后平衡功能障碍临床观察[J].实用中医药杂志,2018,34(11):1387-1388.
[28] 徐 华,唐 巍.针刺配合康复训练对脑卒中后平衡功能障碍有效性的系统分析[J].针灸临床杂志,2016,32(11):55-61.
[29] Zhang HY,Li PF.Observation on efficacy of acupuncture combined with rehabilitation training for post-stroke balance disorders[J].World Journal of Acupuncture-Moxibustion,2014,24(2):25-29.
[30] 任晓艳.穴位埋线的源流及其机理探讨[J].中国医药学报,2004,19(12):757-759.
[31] 李世安,杨蝉铭,郑文华,等.针刺联合埋线治疗脑卒中平衡功能障碍临床观察[J].上海针灸杂志,2018,37(8):860-862.
[32] 容小川,张盘德,刘翠华,等.虚拟现实技术治疗对脑卒中患者上肢功能障碍的疗效[J].实用医学杂志,2015,31(11):1807-1809.
[33] Gallagher R,Damodaran H,Werner,WG,et al.Auditory and visual cueing modulate cycling speed of older adults and persons with Parkinson's disease in a Virtual Cycling(V-Cycle)system[J].J Neuroeng Rehabil,2016,13(1):77.
[34] 余友金,周小炫,陈 雨,等.针刺夹脊穴配合虚拟平衡游戏对脑卒中患者平衡功能的影响[J].上海针灸杂志,2017,36(7):765-768.
[35] 王连东.虚拟现实技术功能训练联合平衡针对脑卒中偏瘫患者康复疗效观察[J].心脑血管病防治,2019,19(4):335-337.
[36] 肖建华,陈龙伟,朱一平,等.核心稳定性训练对脑卒中偏瘫患者平衡和步行能力的影响[J].陕西医学杂志,2017,46(11):1584-1585.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年基金资助项目(81804049); 河北省中医药管理局科研项目(2020210)
更新日期/Last Update: 2021-05-10