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针灸治疗卒中相关性肺炎的临床研究进展及机制探讨
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Abstract:
卒中相关性肺炎(Stroke-Associated Pneumonia, SAP)作为卒中后常见且严重的并发症，其发病率居高不下，显著增加了卒中患者的死亡风险、延长了住院时长并对患者的生活质量产生了深远的负面影响。现代西医治疗SAP主要以抗感染治疗为主，但不可忽视的是，临床上仍面临着抗生素耐药性增加、免疫系统紊乱等问题。近年来的临床研究显示，针灸能够通过多种途径对SAP发挥治疗作用。本文系统综述了近五年针灸治疗SAP的临床研究进展，涵盖针刺、针刺结合中药、针刺结合中药注射、针刺结合康复疗法等多种治疗方式，探讨针灸发挥作用的途径，以及如何与现代医学疗法相结合，为SAP患者的治疗提供新的思路，并为未来的研究和临床实践探索方向。
Stroke-Associated Pneumonia (SAP), as a common and severe complication after stroke, has a persistently high incidence rate, which significantly increases the mortality risk of stroke patients, prolongs the length of hospital stay and exerts a profound negative impact on the quality of life of patients. In modern Western medicine, the treatment of SAP mainly focuses on anti-infective therapy. However, it cannot be ignored that in clinical practice, problems such as an increase in antibiotic resistance and immune system disorders still exist. Clinical studies in recent years have shown that acupuncture can play a therapeutic role in SAP through multiple pathways. This article systematically reviews the clinical research progress of acupuncture in the treatment of SAP in the past five years, covering various treatment modalities such as acupuncture alone, acupuncture combined with traditional Chinese medicine, acupuncture combined with traditional Chinese medicine injection, and acupuncture combined with rehabilitation therapy. It also explores the pathways through which acupuncture exerts its effects and how it can be combined with modern medical therapies, aiming to provide new ideas for the treatment of SAP patients and explore directions for future research and clinical practice.
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