头针干预卒中后抑郁：机制探索与临床证据
Scalp Acupuncture Intervention for Post-Stroke Depression: Exploring the Mechanisms and Clinical Evidence
DOI: 10.12677/acm.2026.1693156, PDF,    科研立项经费支持
作者: 陈 丽, 何岳义*：眉山市中医医院康复医学科，四川 眉山
关键词: 头针；卒中后抑郁；神经生物学机制；临床证据；Scalp Acupuncture； Post-Stroke Depression； Neurobiological Mechanisms； Clinical Evidence
摘要: 卒中后抑郁(post-stroke depression, PSD)是卒中最常见的神经精神并发症之一，影响约三分之一以上的卒中幸存者，会明显提高致残率与死亡率，同时严重阻碍神经功能康复。头针属于中医针灸的重要分支，它依靠对颅脑投射区的神经调控潜力，正逐渐成为PSD非药物干预领域的研究热点。本文通过整合多项临床研究数据，在理论基础、作用机制、临床证据和疗效评价等方面，整体梳理头针干预PSD的研究进展，旨在为临床治疗提供循证支持和策略优化。
Abstract: Post-stroke depression (PSD) is one of the most common neuropsychiatric complications after a stroke, affecting more than a third of stroke survivors. It significantly increases disability and mortality rates and seriously hinders neurological recovery. Scalp acupuncture, an important branch of traditional Chinese acupuncture, is gaining attention for PSD non-drug interventions due to its potential to directly regulate nerves in brain projection areas. This article integrates data from multiple clinical studies to systematically review the research progress of scalp acupuncture for PSD, covering theoretical foundations, mechanisms, clinical evidence, and treatment evaluation, aiming to provide evidence-based support and strategy optimization for clinical treatment.
文章引用：陈丽, 何岳义. 头针干预卒中后抑郁：机制探索与临床证据[J]. 临床医学进展, 2026, 16(9): 1210-1215. https://doi.org/10.12677/acm.2026.1693156

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