上海中医药杂志2026，Vol.60Issue(2)：11-16,6.DOI:10.16305/j.1007-1334.2026.z20251023004
针灸在不同类型中风后遗症康复中的临床应用与机制研究进展
Research progress on clinical application and mechanisms of acupuncture in rehabilitation of various types of stroke sequelae
摘要
Abstract
Stroke sequelae are common and persistent health challenges for stroke patients,characterized by various types of functional impairments that severely affect the patients'quality of life and impose significant socio-economic burdens.This paper summarizes the research progress on acupuncture treatment for stroke sequelae in the past five years,with a focus on its clinical efficacy and mechanisms in improving motor,speech,sensory,swallowing,and urinary and defecation dysfunctions.Studies have shown that various acupuncture techniques can effectively improve neurological dysfunctions in patients,and the underlying mechanisms may include the regulation of neurotransmitter release,inhibition of inflammatory responses,enhancement of cerebral perfusion,and reconstruction of neural networks.However,current clinical studies are often limited by small sample sizes,inconsistent intervention protocols and reporting standards,and short follow-up durations.Future research should integrate neuroimaging and multiomics technologies,deepen the exploration into synergistic mechanisms between acupuncture,modern rehabilitation,and pharmacotherapy,and promote the development of individualized treatment strategies and standardized outcome evaluation systems,thereby providing a more solid evidence-based foundation for the precise rehabilitation of stroke sequelae.关键词
脑卒中/后遗症/针灸/功能障碍/康复/非药物疗法/临床应用/作用机制Key words
stroke/sequelae/acupuncture and moxibustion/functional dysfunction/rehabilitation/non-pharmacological therapy/clinical application/mechanism of action引用本文复制引用
要怡宁,徐世芬,殷萱..针灸在不同类型中风后遗症康复中的临床应用与机制研究进展[J].上海中医药杂志,2026,60(2):11-16,6.基金项目
国家自然科学基金项目(82274643) （82274643）
上海市卫健委"医苑新星"青年医学人才培养资助计划项目[SHWSRS(2023)_062] （2023）
上海市卫健委临床研究专项(20234Y0023) （20234Y0023）
