针灸在不同类型中风后遗症康复中的临床应用与机制研究进展OA

Stroke sequelae are common and persistent health challenges for stroke patients,characterized by various types of functional impairments that severely affect the patients'quality of life and impose significant socio-economic burdens.This paper summarizes the research progress on acupuncture treatment for stroke sequelae in the past five years,with a focus on its clinical efficacy and mechanisms in improving motor,speech,sensory,swallowing,and urinary and defecation dysfunctions.Studies have shown that various acupuncture techniques can effectively improve neurological dysfunctions in patients,and the underlying mechanisms may include the regulation of neurotransmitter release,inhibition of inflammatory responses,enhancement of cerebral perfusion,and reconstruction of neural networks.However,current clinical studies are often limited by small sample sizes,inconsistent intervention protocols and reporting standards,and short follow-up durations.Future research should integrate neuroimaging and multiomics technologies,deepen the exploration into synergistic mechanisms between acupuncture,modern rehabilitation,and pharmacotherapy,and promote the development of individualized treatment strategies and standardized outcome evaluation systems,thereby providing a more solid evidence-based foundation for the precise rehabilitation of stroke sequelae.