针刺治疗中风后失语的研究进展  

Research Progress on Acupuncture Treatment for Post-Stroke Aphasia

作　　者：林行健 娄必丹[2] LIN Xingjian;LOU Bidan(Hunan University of Chinese Medicine,Changsha 410208,China;The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中医药信息》2025年第4期84-89,共6页Information on Traditional Chinese Medicine

基　　金：湖南省中医药科研计划项目(D2022008,D2022056);湖南省卫生健康委2023年度科研计划课题项目(D202319016142);湖南中医药大学第一附属医院2022年中医药人才培养重点学科(针灸科)开放基金(ZJ202206);2021年度校级科研基金与联合计划项目(2021XJJJ048)。

摘　　要：中风后失语是中风后常见的并发症及后遗症之一,发病率较高。针刺作为中医药特色疗法,在中风后失语的治疗中具有良好的临床疗效。本文查阅了近5年针刺为主要干预手段治疗中风后失语的研究文献,从临床和机制两个方面对针刺治疗中风后失语进行综述。结果发现临床研究中,体针、头针、舌针和电针运用较广,在改善失语患者言语评分中疗效较优,其作用机制可能与激活言语脑区、修复脑网络连接和纤维束完整性、调节脑细胞生物电信号、抑制炎症因子释放及加快颅内动脉流速有关。Post-stroke aphasia is one of the common complications and sequelae after a stroke,with a high incidence rate.Acupuncture,as a characteristic therapy in traditional Chinese medicine,has shown good clinical efficacy in the treatment of post-stroke aphasia.This article reviews the research literature from the past five years on acupuncture as the main intervention for post-stroke aphasia,focusing on both clinical and mechanistic aspects.Clinical studies have shown that body acupuncture,scalp acupuncture,tongue acupuncture,and electroacupuncture are widely used,with the best efficacy observed in improving speech scores in aphasia patients.The mechanisms of action may be related to the activation of speech-related brain areas,the repair of brain network connections and fiber bundle integrity,the regulation of brain cell bioelectrical signals,the inhibition of inflammatory cytokine release,and the acceleration of intracranial arterial flow velocity.

关 键 词：中风后失语 针刺 临床疗效 机制研究 综述 

分 类 号：R246.6[医药卫生—针灸推拿学]