首页|基于"肠肌轴"学说探究腹部透灸法调节脑卒中后痉挛性偏瘫核心肌群功能的可行性

基于"肠肌轴"学说探究腹部透灸法调节脑卒中后痉挛性偏瘫核心肌群功能的可行性

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脑卒中后痉挛性偏瘫患者的平衡能力、运动功能及日常生活能力的恢复与躯干核心肌群稳定性的提高有直接关系,故提高核心肌群质量,改善患者平衡能力是脑卒中后痉挛性偏瘫的治疗重点之一."肠肌轴"学说认为肠道微生物群与骨骼肌的质量、功能和新陈代谢等方面均有关.肠道菌群组成和结构的改变会引起其代谢产物的改变,影响肌肉状态,运动、饮食、补充益生菌、抗生素等可调节肠道菌群及其代谢产物,改变肌肉的状态.腹部透灸法具有充足的温热效应和足够的施灸面积,调节肠道菌群的组成和结构,恢复肠道菌群稳态,通过多种途径增强核心肌群功能,提高患者平衡控制能力,改善痉挛性偏瘫现状,从而作为一个潜在的干预靶点治疗卒中后痉挛性偏瘫.
Study on Feasibility of Regulating Core Muscle Function in Post-Stroke Spastic Hemiplegia Through Abdominal Penetration Moxibustion Therapy Based on the"Gut-Muscle Axis"Theory
The recovery of balance,motor function,and daily living abilities in post-stroke spastic hemiplegia patients is directly related to the improvement of core muscles'stability.Thus,enhancing core muscle quality and improving balance function is a key focus in the treatment of post-stroke spastic hemiplegia.The"gut-muscle axis"theory believes that the gut microbiota is closely related to skeletal muscle quality,function,and metabolism.Alterations in the composition and structure of gut microbiota can change their metabolic prod-ucts,thereby affecting muscle status.Exercise,diet,probiotic supplementation,and antibiotics can regulate gut microbiota and their me-tabolites,influencing muscles'function.Abdominal penetration moxibustion therapy,with its ample warming effect and large application area,can regulate the composition and structure of gut microbiota,restore gut microbiota homeostasis,and enhance core muscles' func-tion through various pathways.This,in turn,improves balance control and alleviates the condition of spastic hemiplegia,making it a po-tential intervention target for treating post-stroke spastic hemiplegia.

post-stroke spastic hemiplegia"gut-muscle axis"abdominal penetration moxibustion therapygut microbiotacore muscles

韩雪、杨元庆、宋靖

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天津中医药大学,天津 301617

天津市中医院研究院附属医院,天津 300150

脑卒中后痉挛性偏瘫 "肠肌轴" 腹部透灸法 肠道菌群 核心肌群

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(10)