摘要
吞咽困难是中风常见的并发症之一,临床治疗方法广泛而多样,但大多疗法都有操作复杂或有不良反应等局限。针刺疗法操作安全简便、疗效显著,已成为临床治疗卒中后吞咽困难的重要手段,在临床上颇受认可。本文回顾近年来针灸治疗吞咽困难的临床研究,从常规针法(头针、舌针、项针、眼针、芒针)、特殊针法(醒脑开窍法、通督调神法)、联合针法(经颅磁联合针刺疗法、针药联合)等三个方面进行梳理,发现针刺治疗可以重建神经系统的传导功能,受损的反射弧重新恢复建立,使其痿废的肌肉重新收缩,并改善病变区血流量,促进侧支循环的建立,缩小水肿半暗区带,修复吞咽功能。
Dysphagia is one of the common complications of stroke,and clinical treatment methods are extensive and diverse.However,most treatments have limitations such as complex operation or adverse reactions.Acupuncture therapy is safe,simple,and has significant therapeutic effects.It has become an important method for treating dysphagia after stroke in clinical practice and is widely recognized.This article reviews the clinical studies of acupuncture in the treatment of dysphagia in recent years,and combs the treatment from three aspects:conventional acupuncture(scalp acupuncture,tongue acupuncture,nape acupuncture,eye acupuncture,and elongated needle acupuncture),special acupuncture(brain awakening and resuscitation method,and governor vessel freeing and spirit regulating method),and combined acupuncture(transcranial magnetism and acupuncture combination method,acupuncture and medicine combination method).We found that acupuncture can reconstruct the conduction function of the nervous system,restore and re-establish reflex arc after it is damaged,make the flaccid muscles contract again,improve the blood flow in the affected area,promote the establishment of collateral circulation,reduce the edema penumbra,and repair swallowing function.
作者
李佳慧
胡晓丽
LI Jiahui;HU Xiaoli(Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
出处
《中医药信息》
2023年第10期77-81,共5页
Information on Traditional Chinese Medicine
基金
辽宁省科学技术计划项目(2019-ZD-0437)。
关键词
中风
吞咽困难
针刺
研究进展
Stroke
Dysphagia
Acupuncture
Research progress
