针刺治疗脑卒中后肩手综合征临床研究进展

Clinical Research Progress in Acupuncture for the Treatment of Shoulder-Hand Syndrome after Stroke

摘要: 脑卒中后肩手综合征是脑卒中后常见并发症，严重影响患者的生活质量及临床预后。针刺是治疗脑卒中后肩手综合征的有效方法，在缓解疼痛，减轻水肿，恢复患肢运动功能方面展现了显著的临床疗效。本文从毫针疗法、电针疗法、火针疗法、浮针疗法、温针灸疗法、针刀疗法方面梳理了近年来针刺治疗脑卒中后肩手综合征相关临床研究，同时也提出了现有研究的不足和未来可进一步研究的方向，为进一步探索针刺治疗脑卒中后肩手综合征的临床方案和作用机制提供参考。

Abstract: Shoulder-hand syndrome after stroke is a common complication that markedly reduces patients’ quality of life and adversely influences clinical outcomes. Acupuncture is widely applied as an effective therapeutic approach, demonstrating clear benefits in alleviating pain, reducing edema, and restoring motor function of the affected limb. This review synthesizes recent clinical studies on multiple acupuncture‐based interventions—including manual acupuncture, electroacupuncture, fire-needling, Fu’s subcutaneous needling, warm-needle moxibustion, and acupotomy—used in the management of shoulder-hand syndrome after stroke. Current limitations in the evidence base and potential directions for future research are also outlined, providing a reference for the continued development of optimized clinical protocols and mechanistic investigations of acupuncture in this condition.