灸法治疗脑卒中后抑郁的临床研究进展
Progress of Clinical Research on Moxibustion in the Treatment of Post-Stroke Depression
DOI: 10.12677/acm.2025.15113085, PDF,   
作者: 刘 敏：黑龙江中医药大学研究生院，黑龙江 哈尔滨；孔 莹*：黑龙江中医药大学附属第二医院哈南分院针灸十科，黑龙江 哈尔滨
关键词: 脑卒中后抑郁；灸法；机制研究；临床进展；Post-Stroke Depression； Moxibustion； Mechanism Study； Clinical Progress
摘要: 脑卒中后抑郁是脑卒中患者常见的并发症之一，对患者的生活质量和康复过程产生了严重负面影响，并增加了再次住院和自残等极端行为的风险。灸法作为中医传统疗法，在治疗脑卒中后抑郁方面显示出缓解抑郁症状、促进神经功能恢复、高安全性和副作用少的优势。本文通过梳理近年来的相关文献，阐述了灸法治疗脑卒中后抑郁的机制，包括调节神经递质水平和改善炎症反应等途径。此外，还从艾条灸、艾柱灸、温针灸及联合疗法等角度，总结了灸法治疗PSD的临床研究现状，旨在为现代医学治疗脑卒中后抑郁提供更多临床手段，夯实理论基础，推进PSD研究的进一步进展。
Abstract: Post-stroke depression is one of the common complications in stroke patients, which has a serious negative impact on the quality of life and the recovery process and increases the risk of extreme behaviors such as re-hospitalization and self-harm. Moxibustion, as a traditional Chinese medicine therapy, shows obvious advantages in the treatment of post-stroke depression, with the characteristics of reducing depressive symptoms, promoting neurological function recovery, high safety and few side effects. In this paper, the mechanisms of moxibustion in the treatment of post-stroke depression, including the regulation of neurotransmitter levels and the improvement of inflammatory responses, are described by reviewing the relevant literature in recent years. In addition, the current clinical research status of moxibustion in the treatment of PSD from the perspectives of moxa stick moxibustion, moxa pillar moxibustion, warm needle moxibustion and combination therapy is summarized, aiming to provide more clinical means for modern medicine to treat post-stroke depression, to consolidate the theoretical foundation and to advance the further progress of PSD research.
文章引用：刘敏, 孔莹. 灸法治疗脑卒中后抑郁的临床研究进展[J]. 临床医学进展, 2025, 15(11): 201-207. https://doi.org/10.12677/acm.2025.15113085

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