针刺治疗产褥期脑静脉窦血栓康复期后遗症1例

A Case Report of Acupuncture for Sequelae of Cerebral Venous Sinus Thrombosis during Puerperal Recovery Period

摘要: 报道1例产褥期脑静脉窦血栓患者的针刺康复诊疗过程。患者2025年3月28日急性发病，次日完善检查明确诊断，并行手术及抗凝治疗，依诺肝素钠皮下注射抗凝一周后改用口服华法林钠片抗凝至2025年10月20日。2025年6月10日~7月10日予以针刺康复干预，后续持续随访至2026年5月。结合产褥期特殊生理特点分析发病机制，采用徒手肌力分级、神经功能量表量化评估疗效。结果显示针刺或可辅助减轻患者肢体运动及神经功能。结论：针刺作为辅助治疗，可能有助于该产褥期CVST患者的神经功能恢复，但其确切疗效有待更大样本的研究证实，可为临床同类病例提供参考。

Abstract: This paper reports the acupuncture rehabilitation diagnosis and treatment process of one patient with cerebral venous sinus thrombosis during puerperium. The patient suffered an acute onset on March 28, 2025. Definite diagnosis was confirmed by auxiliary examinations the next day, followed by surgical intervention and anticoagulant therapy. Subcutaneous injection of enoxaparin sodium was administered for one week, then switched to oral warfarin sodium tablets for anticoagulation until October 20, 2025. Acupuncture rehabilitation intervention was carried out from June 10 to July 10, 2025, with continuous follow-up until May 2026. Combined with the unique physiological characteristics of puerperium, the pathogenesis was analyzed, Manual muscle grading and neurological function scales were adopted to quantitatively evaluate therapeutic effects. The results demonstrated that acupuncture may assist in alleviating the patient’s limb motor dysfunction and neurological deficits. Conclusion: As an adjuvant therapy, acupuncture may facilitate neurological functional recovery in patients with puerperal CVST, while its definite efficacy needs to be verified by large-sample clinical studies, which can provide references for similar clinical cases.