通调督任神为法针刺治疗脑卒中后假性延髓麻痹探析
摘要
假性延髓麻痹是脑卒中后主要并发症之一,可导致营养不良、电解质失衡、吸入性肺炎、甚至窒息等危及生命的急危重症,因此及时有效地改善症状并提高患者的生存质量是临床上治疗的难点。西医治疗以电刺激、康复训练为主,干预时间相对较晚,疗效并不十分理想。中医学认为本病因气血阴阳逆乱导致元神失守而发病。针刺治疗以通调督任神为法根于病因病机,结合辨证配穴,平衡阴阳、调养元神,可更快、更全面地取得疗效。
引文
[1]Sundar U,Pahuja V,Dwivedi N,et al.Dysphagia in acute stroke:Correlation with stroke subtype,vascular territory and in-hospital respiratory morbidity and mortality[J].Neurol India,2008,56(4):463-470.
[2]Hyodo M.Diagnosis and treatment of deglutition disor-ders[J].Nihon Jibiinkoka Gakkai Kaiho,2012,115(8):767-772.
[3]Iannessi A,Marcy PY,Poissonner G,et al.Dysphagia and snoring without odynophagia[J].Diagn Interv Imaging,2013,94(9):913-918.
[4]Isono C,Hirano M,Sakamoto H,et al.Differences in dysphagia between spinocerebellar ataxia type 3 and type 6[J].Dysphagia,2013,28(3):413-418.
[5]Kikuchi A,Baba T,Hasegawa T,et al.Hypometabolismin the supplementary and anterior cingulate cortices is re-lated to dysphagia in Parkinson′s disease:a cross-sectional and 3-year longitudinal cohort study[J].BMJ Open,2013,3(3):e002249.
[6]张昆.脑卒中后假性球麻痹的临床研究进展[J].中医学报,2012,27(172):1174-1175.
[7]高驰,朱建平.“中风”病名源流考[J].中华中医药杂志,2014,29(5):1298-1303.
[8]罗文舒.针刺任脉对脑梗塞假性延髓麻痹BAEP的影响[J].辽宁中医药大学学报,2010,12(3):78-79.
[9]熊涛.醒脑开窍针刺法治疗中风后假性球麻痹所致吞咽困难[J].光明中医,2016,31(19):2855-2856.
[10]赵娟,王继红.赖新生针灸通元疗法基本理论观探微[J].辽宁中医杂志,2016,43(10):2068-2070.
[11]施杨婉琳,杨孝芳,崔瑾,等.假性球麻痹致吞咽困难针灸辨证选穴规律微探[J].中华中医药杂志,2011,26(12):2962-2964.
[12]罗文舒,钟卫正,翁子梅,等.从调神和调阴阳角度思考任督二脉在中风病中的应用[J].中国医药指南,2013,11(34):211-212.
[13]谢霜敏,庄礼兴,贺君.迟发性运动障碍及舌三针治疗机制初探[J].针灸临床杂志,2016,32(5):88-90.
[14]周佛养,李申林,李飞,等.针刺廉泉、风池透风池穴对假性球麻痹患者TCD的影响[J].安徽中医学院学报,2007,26(4):26-28.
[15]沈雪勇.经络腧穴学[M].北京:中国中医药出版社,2003.
[2]Hyodo M.Diagnosis and treatment of deglutition disor-ders[J].Nihon Jibiinkoka Gakkai Kaiho,2012,115(8):767-772.
[3]Iannessi A,Marcy PY,Poissonner G,et al.Dysphagia and snoring without odynophagia[J].Diagn Interv Imaging,2013,94(9):913-918.
[4]Isono C,Hirano M,Sakamoto H,et al.Differences in dysphagia between spinocerebellar ataxia type 3 and type 6[J].Dysphagia,2013,28(3):413-418.
[5]Kikuchi A,Baba T,Hasegawa T,et al.Hypometabolismin the supplementary and anterior cingulate cortices is re-lated to dysphagia in Parkinson′s disease:a cross-sectional and 3-year longitudinal cohort study[J].BMJ Open,2013,3(3):e002249.
[6]张昆.脑卒中后假性球麻痹的临床研究进展[J].中医学报,2012,27(172):1174-1175.
[7]高驰,朱建平.“中风”病名源流考[J].中华中医药杂志,2014,29(5):1298-1303.
[8]罗文舒.针刺任脉对脑梗塞假性延髓麻痹BAEP的影响[J].辽宁中医药大学学报,2010,12(3):78-79.
[9]熊涛.醒脑开窍针刺法治疗中风后假性球麻痹所致吞咽困难[J].光明中医,2016,31(19):2855-2856.
[10]赵娟,王继红.赖新生针灸通元疗法基本理论观探微[J].辽宁中医杂志,2016,43(10):2068-2070.
[11]施杨婉琳,杨孝芳,崔瑾,等.假性球麻痹致吞咽困难针灸辨证选穴规律微探[J].中华中医药杂志,2011,26(12):2962-2964.
[12]罗文舒,钟卫正,翁子梅,等.从调神和调阴阳角度思考任督二脉在中风病中的应用[J].中国医药指南,2013,11(34):211-212.
[13]谢霜敏,庄礼兴,贺君.迟发性运动障碍及舌三针治疗机制初探[J].针灸临床杂志,2016,32(5):88-90.
[14]周佛养,李申林,李飞,等.针刺廉泉、风池透风池穴对假性球麻痹患者TCD的影响[J].安徽中医学院学报,2007,26(4):26-28.
[15]沈雪勇.经络腧穴学[M].北京:中国中医药出版社,2003.