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对脑卒中偏瘫本质的认识及其在针灸治疗中的指导作用林 滨 丁德谦 杨 芳


  [摘  要]  脑卒中偏瘫是中枢性瘫痪的一种,它的本质是运动模式质的改变,因此它的康复过程也就是运动模式质变的过程。本文将偏瘫康复过程分为3期,探讨了各期针灸治疗的目的及原则,并指出传统的肌力练习并不适合于痉挛期,而应以抑制痉挛、促进正常运动模式的发展、促进分离运动的形成为主要原则。

  [主题词]  偏瘫/针灸疗法;偏瘫/康复

  Essence of Hemiplegia due to Apoplexy and Its Guiding Action in Acupunc ture and Moxibustion Treatment

  Lin Bin, Ding Deqian, Yang Fang (Department for Rehabilita tion, Sanming City Second Hospital, Fujian Yongan 366000, China)

  [Abstract]  Hemiplegia due to apoplexy is a kind of cent ral paralysis. Its essence is change of motor mode, so its rehabilitation proces s also is one of motor mode changes. In the present paper the rehabilitati on process of hemiplegia was divided into 3 stages, and the treatment purposes a nd principles of acupuncture and moxibustion at the various stages were studied,  and results indicated that traditional myodynamic exercise was not suitable for  the spasm stage, and inhibiting spasm, promoting development of normal motor mo de and formation of separating motor should be the main treatment principle.

  [Key words]  Hemiplegia/acup ther; Hemiplegia/rehabil

  现代康复医学学术上较大的贡献之一是使人们对偏瘫的本质认识深入了一大步,以往认为中枢性瘫是痉挛性瘫,周围性瘫是弛缓性瘫,这种认识并未揭示二者的本质区别。

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