基于神经科学亚型分层构建卒中后感觉障碍 精准针灸治疗新范式的思考
Thoughts on Constructing a New Paradigm of Precise Acupuncture Treatment for Post-Stroke Sensation Disorders Based on Neuroscience-Based Subtype Stratification
摘要: 本文针对卒中后感觉障碍(Post-stroke Sensation Disorders)高发但治疗缺乏精准性的现状，系统构建了基于神经机制的多维亚型分层框架，将其分为初级感觉缺失型、皮质整合障碍型、感觉过敏型及非优势半球特殊型。文章强调，不同亚型对应不同的神经通路损害与临床表现，应开展个体化评估。在此基础上，提出了评估–分型–靶向干预–监测调整的精准针灸治疗新范式，结合现代神经影像与电生理技术，为不同亚型匹配特异性针刺策略，旨在推动针灸治疗从经验化走向科学化与精准化，提升康复效果。
Abstract: This article addresses the fact that post-stroke sensation disorders are common but lack precise treatment. It systematically builds a multi-dimensional subtype framework based on neural mechanisms, dividing them into primary sensory loss type, cortical integration disorder type, sensory hypersensitivity type, and non-dominant hemisphere special type. The article emphasizes that different subtypes correspond to different neural pathway damages and clinical manifestations, so individualized assessment should be conducted. Based on this, a new precise acupuncture treatment model is proposed, following an assessment-classification-targeted intervention-monitoring adjustment approach. By combining modern neuroimaging and electrophysiological techniques, specific acupuncture strategies are matched to different subtypes, aiming to move acupuncture treatment from an experience-based to a scientific and precise practice, improving rehabilitation outcomes.
文章引用：彭静. 基于神经科学亚型分层构建卒中后感觉障碍 精准针灸治疗新范式的思考[J]. 中医学, 2026, 15(7): 148-158. https://doi.org/10.12677/tcm.2026.157372

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