针灸疗法治疗卒中后认知障碍研究进展

Research Progress on Acupuncture and Moxibustion Therapy for Post-Stroke Cognitive Impairment

摘要: 卒中后认知障碍(PSCI)是脑卒中常见并发症，约1/3患者会继发该病，严重影响其生活质量与生存预后，给社会和家庭带来沉重负担。目前现代医学缺乏切实有效的治疗药物，而针灸疗法凭借简、便、廉、效优势，在PSCI防治中应用日益广泛且形式多样。本文综述了针灸治疗PSCI的相关研究成果，系统梳理了常规针刺、电针、头针、耳针、温针灸、艾灸及联合疗法等多种疗法的临床应用、选穴特点及作用机制。研究表明，各类疗法可调控神经递质水平、改善脑血流、减轻炎症反应、保护血管内皮功能等途径，有效改善PSCI患者的认知功能、日常生活能力。本文旨在为PSCI的临床治疗与相关研究提供有效参考和多元化方案。

Abstract: Post-stroke cognitive impairment (PSCI) is a common complication of stroke, occurring in approximately one-third of patients and severely affecting their quality of life and survival prognosis, posing a heavy burden on society and families. Currently, modern medicine lacks effective therapeutic drugs, while acupuncture and moxibustion therapy, with its advantages of simplicity, convenience, affordability, and efficacy, is increasingly widely used and diversified in the prevention and treatment of PSCI. This article reviews the relevant research findings on the treatment of PSCI with acupuncture and moxibustion, systematically summarizing the clinical applications, acupoint selection characteristics, and mechanisms of action of various therapies such as conventional acupuncture, electroacupuncture, scalp acupuncture, ear acupuncture, warm acupuncture, moxibustion, and combined therapies. Research indicates that various therapies can regulate neurotransmitter levels, improve cerebral blood flow, reduce inflammatory responses, protect vascular endothelial function, and effectively improve cognitive function and activities of daily living in patients with PSCI. This article aims to provide effective references and diversified solutions for the clinical treatment and related research of PSCI.