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针刺联合作业疗法治疗卒中后偏瘫的临床研究进展
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Abstract:
脑卒中作为全球性重大公共卫生问题，偏瘫是脑卒中后最常见的功能障碍，严重影响患者的日常生活活动能力。本文系统回顾了近年来针刺联合各种作业疗法治疗中风后偏瘫的临床研究，分析了这些联合疗法的有效性、安全性及具体应用情况。研究表明，针刺联合作业疗法结合了针刺的神经调节作用和作业疗法的功能训练优势，能够快速、高效地改善患者的运动功能，降低后遗症发生率。本文总结了包括镜像疗法、运动再学习、任务导向训练、运动想象疗法、核心肌群训练和悬吊运动疗法在内的多种联合治疗方法，探讨了其在不同临床试验中的应用效果，并提出了未来研究的方向，以期为卒中后偏瘫患者提供科学、有效的康复策略，为临床实践提供理论支持和实证依据。
Stroke is a major global public health issue, with hemiplegia being the most common functional impairment following a stroke, severely affecting patients’ ability to perform daily activities. This article systematically reviews recent clinical studies on the treatment of post-stroke hemiplegia using acupuncture combined with various occupational therapies. The effectiveness, safety, and specific application of these combined therapies are analyzed. Research indicates that acupuncture combined with occupational therapy leverages the neurological regulatory effects of acupuncture and the functional training advantages of occupational therapy, facilitating rapid and efficient improvement of motor function while reducing the incidence of sequelae. The article summarizes various combined therapeutic approaches, including mirror therapy, motor relearning, task-oriented training, motor imagery therapy, core muscle training, and suspension exercise therapy. It explores their application outcomes in different clinical trials and proposes future research directions, aiming to provide scientific and effective rehabilitation strategies for post-stroke hemiplegia patients and offer theoretical support and empirical evidence for clinical practice.
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