针刺治疗卒中后失眠的研究进展

Research Progress on Acupuncture Therapy for Insomnia after Stroke

摘要: 针刺疗法以其显著疗效和安全性在临床中广泛应用。研究表明，针刺通过刺激特定穴位，调节神经递质生成，修复损伤的神经细胞，恢复正常的睡眠–觉醒周期。常用针刺方案包括常规针刺、腹针、子午流注针等，且针刺联合其他疗法如推拿、耳穴贴压等能进一步提高疗效。然而，针刺治疗仍存在取穴与手法多样、疗效评定主观性强等问题。未来需加强相关机制研究，以推动针刺治疗卒中后失眠的临床应用与发展。

Abstract: Acupuncture therapy has been widely applied in clinical practice due to its remarkable efficacy and safety. Studies have shown that acupuncture can regulate the generation of neurotransmitters by stimulating specific acupoints, repairing damaged nerve cells, and restoring the normal sleep-wake cycle. Common acupuncture protocols include conventional acupuncture, abdominal acupuncture, and midnight-midday ebb-flow acupuncture. Combining acupuncture with other therapies, such as massage and ear acupuncture, can further enhance the therapeutic effects. However, acupuncture therapy still faces problems such as diverse acupoint selection and needling techniques and subjective evaluation of therapeutic effects. Future research should focus on related mechanisms to promote the clinical application and development of acupuncture therapy for insomnia after stroke.