脐针治疗脑卒中后遗症的临床研究进展

Clinical Research Progress of Navel Acupuncture in the Treatment of Post-Stroke Sequelae

摘要: 脑卒中后遗留的运动、言语、吞咽、情感等功能障碍给患者与社会带来沉重负担。脐针是在传统神阙理论基础上，由齐永教授创立的以脐部八卦全息调控全身的微针疗法，近年来在卒中后遗症的康复中应用日广。本文系统回顾脐针治疗偏瘫、肩手综合征、吞咽障碍、失语、抑郁等多种脑卒中后遗症的理论依据与临床证据，发现其在改善运动功能、缓解疼痛、恢复吞咽及调节情绪等方面具有一定优势，且操作简捷、安全性良好。但现有研究仍存在样本量小、设计不严、客观机制探讨不足等问题。未来需借助高质量随机对照试验及神经影像手段，为脐针的规范化应用与推广提供更多循证依据。

Abstract: Motor, speech, swallowing, affective and other functional impairments secondary to stroke impose a heavy burden on both patients and society. Navel acupuncture is a micro-acupuncture therapy founded by Professor Qi Yong based on the traditional theory of Shenque (CV8, the umbilicus), which regulates the whole body through the Eight Trigrams holographic theory of the umbilical region. In recent years, it has been increasingly applied in the rehabilitation of post-stroke sequelae. This paper systematically reviews the theoretical basis and clinical evidence of navel acupuncture for various post-stroke sequelae, including hemiplegia, shoulder-hand syndrome, dysphagia, aphasia and post-stroke depression. Current evidence indicates that navel acupuncture has favorable effects in improving motor function, alleviating pain, restoring swallowing function and regulating mood, with the merits of convenient operation and reliable safety. Nevertheless, existing studies are limited by small sample sizes, suboptimal study design and insufficient exploration of objective mechanisms. Future research should adopt high-quality randomized controlled trials and neuroimaging approaches to provide more evidence-based support for the standardized application and promotion of navel acupuncture.