首页|期刊导航|中医学报(英文)|中医药治疗卒中后失眠的研究进展

中医药治疗卒中后失眠的研究进展OA

Basic and Clinical Research Progress of Traditional Chinese Medicine in Treating Insomnia after Stroke

中文摘要英文摘要

卒中后失眠(Post-stroke Insomnia,PSI)是卒中后常见的并发症,中医药在其治疗中展现出独特优势.本文系统梳理了近年来国内外有关中医药治疗PSI的基础与临床研究.结果显示,中医药疗法疗效确切,不仅能显著缓解PSI患者的临床症状,还能提升其生活质量.其作用机制体现了中医药整体调节的特点,涉及多水平、多通路、多靶点的协同效应,核心在于调控神经-内分泌-免疫网络,具体包括调节神经递质、纠正脑-肠轴功能紊乱以及改善脑部血流动力学等.然而,目前该领域的研究进展尚缺乏系统性的归纳与总结.基于此,本研究旨在深入梳理现有中医药治疗方案,并提出前瞻性建议,以期为优化临床决策、拓展治疗思路提供理论依据与实践参考.

Poststroke insomnia(PSI)is a common complication after stroke,and traditional Chinese medicine(TCM)has shown unique advantages in its treatment.This paper systematically reviews the basic and clinical research on TCM treatment of PSI at home and abroad in recent years.The results show that TCM therapy is effective,not only significantly relieving the clinical symptoms of PSI patients but also improving their quality of life.Its mechanism of action is complex,reflecting the overall regulatory characteristics of TCM,involving multilevel,multipathway,and multitarget synergistic effects.The core lies in regulating the neuro-endocrine-immune network,including regulating neurotransmitters,correcting functional disorders of the brain-gut axis,and improving cerebral hemodynamics.However,there is still a lack of comprehensive summary and conclusion of research progress in this field.In view of this,this study aims to deeply sort out the existing TCM treatment strategies,put forward forward-looking suggestions,and provide theoretical basis and practical reference for optimizing clinical decision-making and expanding treatment ideas.

张浩利;严强东;周雪薇;张颂扬;彭静;杨润生

安康市中医医院,陕西 安康 725000安康市中医医院,陕西 安康 725000安康市中医医院,陕西 安康 725000安康市中医医院,陕西 安康 725000安康市中医医院,陕西 安康 725000安康市中医医院,陕西 安康 725000

脑卒中后失眠中医药针灸病因病机神经递质脑-肠轴

insomnia after stroketraditional Chinese medicineacupunctureetiology and pathogenesisneurotransmittergut-brain axis

《中医学报(英文)》 2026 (1)

50-54,中插51-中插55,10

This project is supported by the General Program of Hubei Provincial Administration of Traditional Chinese Medicine(ZY2023M059). 湖北省中医药管理局面上项目(ZY2023M059)

10.1055/a-2816-6649

评论