针刺治疗脑卒中后吞咽困难的研究进展
Research Progress on the Treatment of Dysphagia after Stroke by Acupuncture
DOI: 10.12677/tcm.2026.152092, PDF,   
作者: 陈明滔：黑龙江中医药大学研究生院，黑龙江 哈尔滨；陈英华*：黑龙江中医药大学附属第一医院针灸五科，黑龙江 哈尔滨
关键词: 脑卒中；吞咽障碍；针刺；电针；神经可塑性；综述；Stroke； Dysphagia； Acupuncture； Electroacupuncture； Neural Plasticity； Review
摘要: 脑卒中后吞咽困难是导致患者预后不良、并发症增加的关键并发症。针刺作为中国传统医学的重要组成部分，因其疗效确切、操作相对安全，已被广泛整合应用于卒中后吞咽障碍的康复方案中。近年来，随着高质量临床研究的发展，其有效性得到了更高级别循证医学证据的支持；同时，多模态神经影像学的应用，为揭示其促进神经可塑性的中枢机制开辟了新路径。本综述系统梳理了针刺治疗脑卒中后吞咽障碍的最新临床研究进展，包括其疗效的循证依据、与康复技术的联合应用模式、特异性针法的创新。此外，对当前研究存在的挑战与未来发展方向进行了展望，以期为临床精准化应用和后续研究提供参考。
Abstract: Dysphagia after stroke is a key complication that leads to poor prognosis and increased complications in patients. Acupuncture, as an important component of traditional Chinese medicine, has been widely integrated into rehabilitation programs for post-stroke dysphagia due to its definite therapeutic effect and relatively safe operation. In recent years, with the development of high-quality clinical research, its effectiveness has been supported by higher-level evidence-based medical evidence; meanwhile, the application of multimodal neuroimaging has opened up a new path for revealing the central mechanism of promoting neural plasticity. This review systematically summarizes the latest clinical research progress of acupuncture in the treatment of post-stroke dysphagia, including the evidence-based basis of its efficacy, the combined application mode with rehabilitation techniques, and the innovation of specific acupuncture methods. In addition, it looks forward to the challenges and future development directions of current research, in order to provide references for clinical precise application and subsequent research.
文章引用：陈明滔, 陈英华. 针刺治疗脑卒中后吞咽困难的研究进展[J]. 中医学, 2026, 15(2): 185-189. https://doi.org/10.12677/tcm.2026.152092

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