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“咽三针”治疗卒中后吞咽困难
引用本文:崔显勋,张金生.“咽三针”治疗卒中后吞咽困难[J].中医学报,2020,35(3):670-673.
作者姓名:崔显勋  张金生
作者单位:平顶山市中医医院,河南平顶山467000,河南中医药大学第三附属医院,河南郑州450008
基金项目:河南省高等学校科技创新团队支持计划
摘    要:针刺"咽三针"之廉泉穴可以刺激舌咽神经和舌下神经,通过神经传导功能使麻痹或失活的上运动神经元功能修复和重建,使受损的双侧皮质延髓束接受反复良性刺激信号,恢复其对舌咽肌、腮腺等神经功能支配,最终促使痿废的舌肌和咽反射修复。针刺"咽三针"之治呛穴和吞咽穴均可以刺激喉返神经、喉上神经等迷走神经分支,可促使局部失活的神经功能修复,通过神经传导使延髓部神经核功能修复,改善其吞咽及构音障碍等,促进吞咽动作的重构。

关 键 词:“咽三针”  卒中  吞咽困难  廉泉穴  治呛穴  吞咽穴

Treatment of Dysphagia after Stroke with "Three Pharyngeal Needles"
CUI Xianxun,ZHANG Jinsheng.Treatment of Dysphagia after Stroke with "Three Pharyngeal Needles"[J].China Journal of Chinese Medicine,2020,35(3):670-673.
Authors:CUI Xianxun  ZHANG Jinsheng
Institution:(Pingdingshan Hospital of Chinese Medicine,Pingdingshan Henan China 467000;The Third Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450008)
Abstract:It can stimulate the glossopharyngeal nerve and hypoglossal nerve by needling the Lianquan acupoint of three pharyngeal needles,repair and reconstruct the paralyzed or inactivated upper motor neuron function through nerve conduction function,make the damaged bilateral cortex medulla oblongata tract receive repeated benign stimulation signals,recover its innervation to glossopharyngeal muscle,parotid gland and other nerve functions,and finally promote the repair of the withered glossopharyngeal muscle and pharyngeal reflex.Needling the Zhiqiang acupoint and the Tunyan acupoint of three pharyngeal needles can stimulate the branches of vagus nerve,such as recurrent laryngeal nerve and superior laryngeal nerve,promote the repair of local inactivated nerve function,repair the function of nucleus of medulla oblongata through nerve conduction,improve its swallowing and dysarthria,and promote the reconstruction of swallowing action.
Keywords:"three pharyngeal needles"  stroke  dysphagia  Lianquan acupoint  Zhiqiang acupoint  Tunyan acupoint
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