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针刺疗法在脑卒中“外周-中枢”双向调节康复理论下的应用进展

Application progress of acupuncture therapy under the rehabilitation theory of "peripheral-central" bidirectional regulation on stroke

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【作者】 陈斌王晨林汤耀辉陈尚杰金海鹏林茜廖燕锬林万庆

【Author】 CHEN Bin;WANG Chenlin;TANG Yaohui;CHEN Shangjie;JIN Haipeng;LIN Qian;LIAO Yantan;LIN Wanqing;Department of Rehabilitation Medicine,the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine;School of Biomedical Engineering,Shanghai Jiao Tong University;Department of Rehabilitation Medicine,Shenzhen Baoan People’s Hospital;Department of Rehabilitation Medicine,Xiamen Hospital of Traditional Chinese Medicine;Department of Speech Therapy,Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine;Department of Physical Therapy,Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine;

【通讯作者】 林万庆;

【机构】 福建中医药大学附属人民医院康复医学科上海交通大学生物医学工程学院深圳市宝安区人民医院康复医学科厦门市中医院康复医学科福建中医药大学附属康复医院言语治疗部福建中医药大学附属康复医院物理治疗部

【摘要】 脑卒中后功能障碍一直是康复治疗领域的热点和难点,针刺作为传统非药物疗法,在治疗脑卒中方面取得了显著疗效。随着研究的深入,越来越多学者将针刺视为一种神经调控技术,并将其与新近提出的“外周-中枢”双向调节闭环康复理论相结合。针刺通过体针“外周干预”改善躯体症状,促进脑功能重塑,并通过头针“中枢干预”激活功能脑区,调控神经可塑性,已形成具有鲜明特色的“外周-中枢”双向调节针刺康复体系,并逐渐应用于脑卒中患者功能障碍的临床康复治疗。本文通过查阅相关文献,对近年来基于该康复闭环理论指导下的针刺临床研究进行综述,以期为脑卒中的临床治疗提供借鉴参考。

【Abstract】 Post-stroke dysfunction has always been a hot and difficult topic in the field of rehabilitation treatment. As a traditional non-pharmacological therapy, acupuncture has achieved remarkable therapeutic efficacy in the treatment of stroke. With the deepening of research, more and more scholars regard acupuncture as a neuro-regulation technology and combine it with the recently proposed closed-loop rehabilitation theory of "peripheral-central" bidirectional regulation. Acupuncture improves physical symptoms through "peripheral intervention" of body acupuncture, promotes the remodeling of brain function, and activates functional brain regions through "central intervention" of scalp acupuncture to regulate neural plasticity, which has formed a distinctive "peripheral-central" bidirectional regulation acupuncture rehabilitation system and has been gradually applied to the clinical rehabilitation treatment of dysfunction in stroke patients. By consulting relevant literature, the clinical research of acupuncture based on the closed-loop theory of rehabilitation in recent years is summarized in this paper, so as to provide reference for the clinical treatment of stroke.

【基金】 国家中医药管理局中医药古籍文献和特色技术专项(GJY-KJS-2022-034);福建中医药大学附属人民医院科研团队建设项目(创新团队-05)
  • 【文献出处】 中国医药科学 ,China Medicine and Pharmacy , 编辑部邮箱 ,2024年10期
  • 【分类号】R246.6
  • 【下载频次】84
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