针刺治疗脑梗死后视觉障碍临床研究进展
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摘要
目前临床上对于针刺治疗脑梗死后视觉障碍,尤其是脑梗死后导致的复视及视野缺损的临床报道越来越多,针刺取穴及相关治疗方法也百花争鸣。研究总结归纳了目前临床上常用的针刺治疗方法,根据查阅文献,总结出临床上较多运用针刺眼部周围穴位、头皮针、体针及颈项部穴位治疗脑梗死后复视及视野缺损,还有联合电针、中药及康复手段以提高疗效,根据文献分析这些针刺疗法的疗效均高于常规药物治疗,其作用机制可能在于相应的针刺治疗可以改善眼周局部及后循环脑干、枕叶的供血,促进视觉功能恢复。
There were more and more clinical reports about acupuncture treating vision disorder,especially diplopia and visual field defect after cerebral infarction. This study summarized the current clinical commonly used acupuncture treatment through reviewing the literatures,it summed up the points used more are around eyes,neck,and nape; scalp acupuncture,body acupuncture,electro-acupuncture,and Chinese medication,and rehabilitation are often applied to treat diplopia and visual field defect after cerebral infarction,in order to improve the curative effect. According to the literature analysis,the curative effect of acupuncture treatment was higher than conventional medication,which mechanism may be related to improving blood supply of local eyes,posterior circulation of brainstem,and occipital lobe,promoting the recovery of visual function.
There were more and more clinical reports about acupuncture treating vision disorder,especially diplopia and visual field defect after cerebral infarction. This study summarized the current clinical commonly used acupuncture treatment through reviewing the literatures,it summed up the points used more are around eyes,neck,and nape; scalp acupuncture,body acupuncture,electro-acupuncture,and Chinese medication,and rehabilitation are often applied to treat diplopia and visual field defect after cerebral infarction,in order to improve the curative effect. According to the literature analysis,the curative effect of acupuncture treatment was higher than conventional medication,which mechanism may be related to improving blood supply of local eyes,posterior circulation of brainstem,and occipital lobe,promoting the recovery of visual function.
引文
[1]杨国荣,赵援非.针刺治疗脑梗死后复视的临床观察[J].河北中医,2007,29(5):449-450.
[2]杨镇瑛,李澎.针刺治疗中风后复视43例[J].山西中医,2018,34(3):33-34.
[3]郭会敏,王慧敏.通窍醒神针刺法治疗中风病复视136例[J].中国中医急症,2008,17(8):1107.
[4]周萍,石学敏.醒脑开窍结合局部取穴治疗中风后复视33例[J].山东中医杂志,2011,30(6):398-399.
[5]孔小娜,张丹,张春红.调神开窍针刺法治疗脑卒中后复视20例[J].中国中医药科技,2016,23(5):619.
[6]郭家奎,王立存.“调神通络针法”针灸治疗中风病[J].天津中医学院学报,2000,19(2):21-22.
[7]曹楠,周震.调神通络针法治疗中风后复视验案1则[J].湖南中医杂志,2015,31(8):106-107.
[8]徐春阳.针刺治疗复视15例[J].针灸临床杂志,2010,26(5):31.
[9]赵青.针刺治疗复视16例[J].上海针灸杂志,2009,28(8):441.
[10]刘新刚,肖向辉.针刺治疗复视156例[J].中国针灸,2011,31(2):129-130.
[11]刘新刚,王海荣.眼周穴位深刺治疗复视40例[J].河南中医,2017,37(2):343-344.
[12]庞莹.针刺治疗中风后复视28例[J].河南中医,2013,33(11):1999.
[13]徐豫狂.针灸治疗脑梗死后复视66例[J].中国针灸,2009,29(6):486.
[14]李澎.针刺治疗中风后复视症32例[J].上海针灸杂志,2005,24(1):24.
[15]楚佳梅,高维滨.项针对假性延髓麻瘍病人TCD的影响[J].针灸临床杂志,2005,21(8):4-6.
[16]崔她畔.针刺治疗中风后复视经验[J].河北中医,2007,29(4):341-342.
[17]韩雪燕.眼针结合项针治疗中风后眼肌麻痹的临床研究[J].中医药学报,2015,43(4):79-80.
[18]高友玲,王韶光.“风池三针法”结合眼部穴位治疗中风后复视的临床观察[J].北方药学,2015,12(12):191.
[19]柳庆明.针刺加推拿治疗复视58例疗效观察[J].山东中医杂志,2012,31(12):885-886.
[20]贾湘芸,张俊鹏.针灸结合推拿治疗脑梗死后双眼复视20例[J].内蒙古中医药,2017,23(12):124-125.
[21]刘立新.针刺结合主动运动康复训练对脑梗死后复视患者的应用价值[J].中国疗养医学,2016,25(11):1141-1143.
[22]王长根.针刺配合药物治疗脑卒中复视35例疗效观察[J].新中医,2004,36(3):48-49.
[23]魏孟玲,闫晓瑞.针药结合治疗中风后复视36例疗效观察[J].中西医结合心脑血管病杂志,2012,10(12):1458-1459.
[24]赵立杰.头针视区结合电针治疗复视39例[J].中国针灸,2018,38(6):630.
[25]段锦绣,彭唯哪.针刺治愈视野缺损1例[J].新中医,2010,42(2):81-82.
[26]郑铜铃,朴衍雨,张维.针刺治疗视野缺损1例[J].上海针灸杂志,2012,31(4):235.
[27]颜阿园,李妍.针刺治疗卒中后视野缺损1例[J].上海针灸杂志,2008,27(12):31.
[28]许敏,杨白燕.针刺治疗枕叶梗死后同向偏盲1例[J].湖南中医杂志,2016,32(6):111-112.
[29]刘月珍.针刺内睛明治疗皮质盲50例疗效观察[J].针灸临床杂志,2002,18(8):52.
[30]包烨华.针刺治疗脑梗塞枕叶盲41例临床观察[J].浙江中医学院学报,1999,23(4):55.
[31]何剑炜.针刺治疗中风后皮质盲11例[J].实用中医药杂志,2011,27(7):467.
[32]张玉莲,张静,王连顺.头针加眼周穴治疗中风后视觉障碍36例[J].上海针灸杂志,2003,22(4):6-7.
[33]张权,张玉莲,张津玮,等.调神复明针刺法治疗脑梗死后视野缺损20例临床观察[J].江苏中医药,2017,49(5):49-51.
[34]温晓妮.针刺治疗中风后偏盲验案1则[J].江苏中医药,2014,46(7):59.
[35]刘海辞,葛宝和.电针治疗脑卒中后同向偏盲[J].山东中医杂志,2015,34(7):554.
[36]谢蓓菁.头皮针在治疗脑卒中过程中脑血流动力学的改变[J].成都医学院学报,2012,7(4):540-543.
[2]杨镇瑛,李澎.针刺治疗中风后复视43例[J].山西中医,2018,34(3):33-34.
[3]郭会敏,王慧敏.通窍醒神针刺法治疗中风病复视136例[J].中国中医急症,2008,17(8):1107.
[4]周萍,石学敏.醒脑开窍结合局部取穴治疗中风后复视33例[J].山东中医杂志,2011,30(6):398-399.
[5]孔小娜,张丹,张春红.调神开窍针刺法治疗脑卒中后复视20例[J].中国中医药科技,2016,23(5):619.
[6]郭家奎,王立存.“调神通络针法”针灸治疗中风病[J].天津中医学院学报,2000,19(2):21-22.
[7]曹楠,周震.调神通络针法治疗中风后复视验案1则[J].湖南中医杂志,2015,31(8):106-107.
[8]徐春阳.针刺治疗复视15例[J].针灸临床杂志,2010,26(5):31.
[9]赵青.针刺治疗复视16例[J].上海针灸杂志,2009,28(8):441.
[10]刘新刚,肖向辉.针刺治疗复视156例[J].中国针灸,2011,31(2):129-130.
[11]刘新刚,王海荣.眼周穴位深刺治疗复视40例[J].河南中医,2017,37(2):343-344.
[12]庞莹.针刺治疗中风后复视28例[J].河南中医,2013,33(11):1999.
[13]徐豫狂.针灸治疗脑梗死后复视66例[J].中国针灸,2009,29(6):486.
[14]李澎.针刺治疗中风后复视症32例[J].上海针灸杂志,2005,24(1):24.
[15]楚佳梅,高维滨.项针对假性延髓麻瘍病人TCD的影响[J].针灸临床杂志,2005,21(8):4-6.
[16]崔她畔.针刺治疗中风后复视经验[J].河北中医,2007,29(4):341-342.
[17]韩雪燕.眼针结合项针治疗中风后眼肌麻痹的临床研究[J].中医药学报,2015,43(4):79-80.
[18]高友玲,王韶光.“风池三针法”结合眼部穴位治疗中风后复视的临床观察[J].北方药学,2015,12(12):191.
[19]柳庆明.针刺加推拿治疗复视58例疗效观察[J].山东中医杂志,2012,31(12):885-886.
[20]贾湘芸,张俊鹏.针灸结合推拿治疗脑梗死后双眼复视20例[J].内蒙古中医药,2017,23(12):124-125.
[21]刘立新.针刺结合主动运动康复训练对脑梗死后复视患者的应用价值[J].中国疗养医学,2016,25(11):1141-1143.
[22]王长根.针刺配合药物治疗脑卒中复视35例疗效观察[J].新中医,2004,36(3):48-49.
[23]魏孟玲,闫晓瑞.针药结合治疗中风后复视36例疗效观察[J].中西医结合心脑血管病杂志,2012,10(12):1458-1459.
[24]赵立杰.头针视区结合电针治疗复视39例[J].中国针灸,2018,38(6):630.
[25]段锦绣,彭唯哪.针刺治愈视野缺损1例[J].新中医,2010,42(2):81-82.
[26]郑铜铃,朴衍雨,张维.针刺治疗视野缺损1例[J].上海针灸杂志,2012,31(4):235.
[27]颜阿园,李妍.针刺治疗卒中后视野缺损1例[J].上海针灸杂志,2008,27(12):31.
[28]许敏,杨白燕.针刺治疗枕叶梗死后同向偏盲1例[J].湖南中医杂志,2016,32(6):111-112.
[29]刘月珍.针刺内睛明治疗皮质盲50例疗效观察[J].针灸临床杂志,2002,18(8):52.
[30]包烨华.针刺治疗脑梗塞枕叶盲41例临床观察[J].浙江中医学院学报,1999,23(4):55.
[31]何剑炜.针刺治疗中风后皮质盲11例[J].实用中医药杂志,2011,27(7):467.
[32]张玉莲,张静,王连顺.头针加眼周穴治疗中风后视觉障碍36例[J].上海针灸杂志,2003,22(4):6-7.
[33]张权,张玉莲,张津玮,等.调神复明针刺法治疗脑梗死后视野缺损20例临床观察[J].江苏中医药,2017,49(5):49-51.
[34]温晓妮.针刺治疗中风后偏盲验案1则[J].江苏中医药,2014,46(7):59.
[35]刘海辞,葛宝和.电针治疗脑卒中后同向偏盲[J].山东中医杂志,2015,34(7):554.
[36]谢蓓菁.头皮针在治疗脑卒中过程中脑血流动力学的改变[J].成都医学院学报,2012,7(4):540-543.