基于脑–肠轴探讨针灸治疗脑卒中后便秘的研究进展

Research Progress on Acupuncture Treatment for Constipation after Stroke Based on the Brain-Gut Axis Theory

摘要: 脑卒中后便秘(Post-stroke constipation, PSC)与脑–肠轴(Brain-gut axis, BGA)随着社会中脑卒中越来越高的发病率，也被众多医者与研究人员所重视。卒中后便秘直接关系影响着患者的预后，无时无刻不在侵蚀着患者的躯体和心灵。近几年来针刺与灸法治疗PSC的临床与实验研究都取得良好的数据，脑肠轴也逐渐与卒中后便秘紧密相连，然而对众多结论和研究缺乏总结与分析。本研究的核心价值体现在：卒中后便秘是脑卒中患者康复进程中频繁出现的病症，不仅严重降低患者生存质量，还会阻碍其整体康复预后。而针灸这一传统中医疗法，具备不可忽视的优势。文章通过全面且深入地综述相关研究，致力于为针灸在临床治疗该疾病提供切实可行的借鉴与指导。

Abstract: Post-stroke constipation (PSC) and the brain-gut axis (BGA) have been drawing increasing attention from medical practitioners and researchers as the incidence of stroke rises in society. PSC directly affects the prognosis of patients and constantly erodes their physical and mental well-being. In recent years, both clinical and experimental studies on the treatment of PSC with acupuncture and moxibustion have achieved favorable results, and the brain-gut axis has gradually been linked to post-stroke constipation. However, there is a lack of summary and analysis of numerous conclusions and research findings. The core value of this study is manifested in the following aspects: Post-stroke constipation represents a frequently encountered complication during the rehabilitation process of stroke patients, which not only significantly compromises patients’ quality of life but also impedes their overall rehabilitation prognosis. Acupuncture, as a traditional Chinese medical therapy, demonstrates substantial advantages that cannot be overlooked. Through a comprehensive and in-depth review of relevant studies, this article aims to provide practical references and guidance for the clinical application of acupuncture in treating this condition.