北京中医药大学附属护国寺中医医院 针灸六病房, 北京, 100035
收稿:2026-05-11,
修回:2026-06-08,
录用:2026-06-09,
网络首发:2026-07-13,
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代小庭. 艾灸疗法改善1例脑梗死恢复期继发癫痫后肢体无力的护理体会[DB/OL].中西医结合临床案例库, 2026.
DAI Xiaoting. Moxibustion Therapy for Alleviating Limb Weakness in a Patient with Secondary Epilepsy Following Cerebral Infarction Recovery: A Nursing Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
代小庭. 艾灸疗法改善1例脑梗死恢复期继发癫痫后肢体无力的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605110004.
DAI Xiaoting. Moxibustion Therapy for Alleviating Limb Weakness in a Patient with Secondary Epilepsy Following Cerebral Infarction Recovery: A Nursing Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605110004.
探讨艾灸疗法联合综合护理干预对脑梗死恢复期继发癫痫患者肢体无力症状的临床改善效果与护理价值。回顾性分析1例脑梗死恢复期继发癫痫后出现肢体无力患者的临床资料,在常规抗癫痫治疗及基础康复护理基础上,施以规范艾灸穴位干预,配合病情监测、癫痫发作防护、肢体功能护理、情志疏导及用药健康指导等综合护理措施。干预后患者癫痫发作得到有效控制,肢体无力症状明显缓解,肢体肌力与日常生活活动能力均显著改善。提示艾灸疗法联合综合护理可有效改善脑梗死恢复期继发癫痫患者的肢体无力症状,促进肢体功能恢复,提升患者康复效果,为临床此类患者的护理提供参考依据。
This report explores the clinical efficacy and nursing value of moxibustion therapy combined with comprehensive nursing interventions in ameliorating limb weakness in patients with secondary epilepsy during the recovery period of cerebral infarction. The clinical data of a patient presenting with limb weakness following secondary epilepsy after cerebral infarction recovery were retrospectively analyzed. On the basis of conventional antiepileptic treatment and foundational rehabilitation nursing, standardized moxibustion at acupoints was implemented, supplemented by comprehensive nursing measures including disease monitoring, seizure precaution and protection, limb function care, emotional support, and medication-related health education. Following the intervention, the patient's epileptic seizures were effectively controlled, the limb weakness was markedly alleviated, and both limb muscle strength and activities of daily living (ADL) improved significantly. The findings suggest that moxibustion therapy combined with comprehensive nursing can effectively ameliorate limb weakness, promote the recovery of limb function, and enhance rehabilitation outcomes in patients with secondary epilepsy during the recovery period of cerebral infarction, thereby providing a reference for clinical nursing care of such patients.
中华医学会神经病学分会 , 中华医学会神经病学分会脑血管病学组 . 中国急性缺血性卒中诊治指南2023 [J]. 中华神经科杂志 , 2024 , 57 ( 6 ): 523 - 559 .
Neurology Branch of the Chinese Medical Association , Cerebrovascular Disease Study Group of the Neurology Branch of the Chinese Medical Association . Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2023 [J]. Chin J Neurol , 2024 , 57 ( 6 ): 523 - 559 . (in Chinese)
刘焕凯 , 王中琳 . 基于风引汤方义探讨中医药辨治卒中后癫痫 [J]. 吉林中医药 , 2025 , 45 ( 8 ): 889 - 892 .
Liu H K , Wang Z L . Study on syndrome differentiation and treatment of post-stroke epilepsy in traditional Chinese medicine based on a discussion of the connotations of Fengyin Decoction [J]. Jilin J Chin Med , 2025 , 45 ( 8 ): 889 - 892 . (in Chinese)
柳越 , 陈树达 , 陈思卿 , 等 . 缺血性卒中再灌注治疗后癫痫的研究进展 [J]. 中国神经精神疾病杂志 , 2024 , 50 ( 10 ): 619 - 626 .
Liu Y , Chen S D , Chen S Q , et al . Research progress on epilepsy after reperfusion therapy in ischemic stroke [J]. Chin J Nerv Ment Dis , 2024 , 50 ( 10 ): 619 - 626 . (in Chinese)
张雨晴 , 吕元昊 , 邓士哲 , 等 . 基于数据挖掘技术探讨经皮穴位电刺激治疗脑卒中后肢体功能障碍的腧穴及参数应用规律 [J]. 针灸临床杂志 , 2024 , 40 ( 12 ): 47 - 55 .
Zhang Y Q , Lv Y H , Deng S Z , et al . Exploring acupoints and parameter application patterns of TEAS for treating post-stroke limb dysfunction based on data mining techniques [J]. J Clin Acupunct Moxibustion , 2024 , 40 ( 12 ): 47 - 55 . (in Chinese)
邹文珑 , 李颖 , 刘喷飓 , 等 . 髓鞘少突胶质细胞糖蛋白抗体相关疾病和抗N-甲基-D-天冬氨酸受体脑炎重叠综合征1例 [J]. 中华医学杂志 , 2024 , 104 ( 3 ): 222 - 223 .
Zou W L , Li Y , Liu P J , et al . A Case of Overlapping Syndrome between Anti-Myelin Oligodendrocyte Glycoprotein Antibody-Associated Disease and Anti-N-Methyl-D-Aspartate Receptor Encephalitis [J]. Natl Med J China , 2024 , 104 ( 3 ): 222 - 223 . (in Chinese)
李雪峰 . 脑卒中后癫痫患者采用重复经颅刺激干预的临床效果 [J]. 武警医学 , 2024 , 35 ( 10 ): : 880- 884 ..
Li X F . Clinical effect of repetitive transcranial magnetic stimulation in patients with epilepsy after stroke [J]. Med J Chin People’s Armed Police Force , 2024 , 35 ( 10 ): 880 - 884 . (in Chinese)
林金嬉 , 李上智 , 王梦星 , 等 . 脑血管病多中心临床研究生物样本质量管理体系的构建与验证研究 [J]. 中国卒中杂志 , 2025 , 20 ( 12 ): 1576 - 1582 .
Lin J X , Li S Z , Wang M X , et al . Construction and validation of a biological sample quality management system for multicenter clinical research of cerebrovascular diseases [J]. Chin J Stroke , 2025 , 20 ( 12 ): 1576 - 1582 . (in Chinese)
冯凯 , 郑志东 . 脑梗死急性期中西医结合诊疗专家共识 [J]. 中西医结合心脑血管病杂志 , 2024 , 22 ( 7 ): 1153 - 1162 .
Feng K , Zheng Z D . Expert consensus on diagnosis and treatment of acute cerebral infarction with integrated traditional Chinese and western medicine [J]. Chin J Integr Med Cardio Cerebrovascular Dis , 2024 , 22 ( 7 ): 1153 - 1162 . (in Chinese)
Liu L P , Li Z X , Zhou H Y , et al . Chinese Stroke Association guidelines for clinical management of ischaemic cerebrovascular diseases: executive summary and 2023 update [J]. Stroke Vasc Neurol , 2023 , 8 ( 6 ): e3 .
国家中医药管理局 . 中医病证诊断疗效标准 [M]. 南京 : 南京大学出版社 , 1994 .
中华医学会心身医学分会心身神经病协作学组 . 功能性发作/心因性非痫性发作疾病的诊疗共识 [J]. 中华精神科杂志 , 2024 , 57 ( 5 ): 261 - 266 .
Collaborative Group on Psychosomatic Neurology, Section of Psychosomatic Medicine, Chinese Medical Association . Chinese expert consensus on the diagnosis and management of psychogenic nonepileptic seizures (functional seizures) [J]. Chin J Psychiatry , 2024 , 57 ( 5 ): 261 - 266 . (in Chinese)
吴云青 , 刘欣欣 , 王倩 , 等 . 以重度视觉障碍为主要表现的神经元核内包涵体病1例 [J]. 中华医学杂志 , 2025 , 105 ( 47 ): 4409 - 4411 .
Wu Y Q , Liu X X , Wang Q , et al . A case of neuronal intranuclear inclusions disease with severe visual impairment as the main manifestation [J]. Natl Med J China , 2025 , 105 ( 47 ): 4409 - 4411 . (in Chinese)
张华 , 侍永伟 . 脑卒中后患者癫痫发作及其临床特点研究 [J]. 中外医学研究 , 2023 , 21 ( 24 ): 176 - 179 .
Zhang H , Shi Y W . Study on epileptic seizures and its clinical characteristics of patients after stroke [J]. Chin Foreign Med Res , 2023 , 21 ( 24 ): 176 - 179 . (in Chinese)
陶晓虹 , 樊莉 , 胡叶明 . 循经温通刮痧联合艾灸在脑卒中后压疮患者中的应用 [J]. 中华全科医学 , 2024 , 22 ( 12 ): 2108 - 2111 .
Tao X H , Fan L , Hu Y M . Application of meridian warming and scraping therapy combined with moxibustion in patients with pressure sore after stroke [J]. Chin J Gen Pract , 2024 , 22 ( 12 ): 2108 - 2111 . (in Chinese)
殷梦云 , 陈栋 , 徐斌 . 针灸治疗重症监护病房获得性肌无力的临床研究进展 [J]. 世界中医药 , 2022 , 17 ( 16 ): 2366 - 2369 .
Yin M Y , Chen D , Xu B . Clinical research progress on acupuncture and moxibustion treatment of intensive care unit-acquired weakness [J]. World Chin Med , 2022 , 17 ( 16 ): 2366 - 2369 . (in Chinese)
胡旺凯 , 杨俊红 . 热敏灸治疗中风后遗症的研究概况 [J]. 中西医结合心脑血管病杂志 , 2024 , 22 ( 7 ): 1283 - 1286 .
Hu W K , Yang J H . General situation of heat-sensitive moxibustion in the treatment of apoplexy sequelae [J]. Chin J Integr Med Cardio Cerebrovascular Dis , 2024 , 22 ( 7 ): 1283 - 1286 . (in Chinese)
童艳杰 , 安军明 , 张乐 , 等 . 方氏头针治疗中风临床经验 [J]. 陕西中医 , 2026 , 47 ( 2 ): 237 - 241 .
Tong Y J , An J M , Zhang L , et al . Clinical experience of FANG’s scalp acupuncture in treating stroke [J]. Shaanxi J Tradit Chin Med , 2026 , 47 ( 2 ): 237 - 241 . (in Chinese)
丁勇 , 赵焰 . 扶正祛邪通络针法联合三阴经推拿治疗脑卒中后痉挛性肢体功能障碍的效果 [J]. 中国康复医学杂志 , 2025 , 40 ( 4 ): 561 - 565 .
Ding Y , Zhao Y . Curative effect of Fuzheng Quxie Tongluo acupuncture combined with Sanyin Meridian tuina on post-stroke spastic limb dysfunction [J]. Chin J Rehabil Med , 2025 , 40 ( 4 ): 561 - 565 . (in Chinese)
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