针刺治疗脑卒中后感觉障碍的临床研究进展

Clinical Research Progress of Acupuncture in the Treatment of Post-Stroke Sensory Disturbance

摘要: 卒中后感觉障碍是脑卒中常见后遗症之一，临床表现以疼痛、麻木、感觉减退症状为主。该病症不仅直接损害患者的感觉功能，还会间接影响运动功能和日常生活活动能力。针刺疗法作为中医特色疗法，通过刺激体表腧穴调节机体气血运行与脏腑功能，在卒中后感觉障碍的康复干预中展现出独特优势。笔者主要归纳总结近5年中国知网(CNKI)针刺治疗该病症的相关临床研究文献，重点梳理电针、常规针刺、腕踝针等针刺相关治疗方案的临床应用证据，结果显示电针联合康复训练、常规针刺联合刺络拔罐、腕踝针联合甲钴胺等联合疗法疗效优势显著。本文旨在为脑卒中后感觉障碍的临床治疗与后续科研工作提供参考思路。

Abstract: Sensory impairment is a common sequela of stroke, with clinical manifestations primarily including pain, numbness, and hypoesthesia. This condition not only directly damages the patient’s sensory function but also indirectly affects motor abilities and activities of daily living. As a characteristic therapy of Traditional Chinese Medicine, acupuncture demonstrates unique advantages in the rehabilitation intervention for post-stroke sensory impairment by stimulating specific acupoints on the body surface to regulate the circulation of qi and blood as well as the functions of the internal organs. The author primarily summarizes and analyzes the relevant clinical research literature on acupuncture treatment for this condition indexed in the China National Knowledge Infrastructure (CNKI) over the past five years. The review focuses on the clinical application of evidence of acupuncture-related treatment modalities, including electroacupuncture, conventional acupuncture, and wrist-ankle acupuncture. The results indicate that combined therapies, such as electroacupuncture combined with rehabilitation training, conventional acupuncture combined with pricking-cupping, and wrist-ankle acupuncture combined with mecobalamin, demonstrate significant therapeutic advantages. This paper aims to provide reference ideas for the clinical treatment of post-stroke sensory impairment and for future scientific research in this field.