基于不同运动障碍类型脑性瘫痪的针刺策略探析

Acupuncture Strategy for Cerebral Palsy Based on Different Types of Dyskinesia

脑性瘫痪是一组持续存在的中枢性运动和姿势发育障碍症候群,解决患者运动障碍对促进功能恢复具有重要意义。应将现代康复理念与中医辨证论治思想结合,指导不同运动障碍类型脑性瘫痪的针刺治疗。痉挛型可采用头针联合体针疗法,补虚泻实、和阴阳以解痉;不随意运动型以头针为主,结合体针疗法,可舒筋通络、调和脏腑;共济失调型以头皮针为主,辅以体针治疗,以补脾益肾。

Cerebral palsy is a syndrome of permanent central motor and postural developmental disorders,and solving the problem of dyskinesia is of great significance to promote functional recovery.The modern concept of rehabilitation should be combined with the principle of disease differentiation and treatment in traditional Chinese medicine to guide the acupuncture treatment of cerebral palsy with different types of dyskinesia.For spastic cerebral palsy,scalp acupuncture combined with body acupuncture can be used to relieve spasm by reinforcing deficiency,reducing excess,and regulating Yin and Yang;for dyskinetic cerebral palsy,scalp acupuncture as the main treatment method can relax muscle tendons,dredge collaterals,and regulate viscera and bowels in combination with body acupuncture;for ataxic cerebral palsy,scalp acupuncture is assisted by body acupuncture to tonify the spleen and nourish the kidney.