剪切波弹性成像技术在针刺研究中的应用现状及分析*

作者：周畅畅，陈 洁，肖 芬，杜 聪，陶腊梅，李 静

单位：南京中医药大学附属南京中医院，江苏 南京 210022

引用：引用：周畅畅，陈洁，肖芬，杜聪，陶腊梅，李静.剪切波弹性成像技术在针刺研究中的应用现状及分析[J].中医药导报,2025,31(4):132-136.

DOI：10.13862/j.cn43-1446/r.2025.04.022

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摘要：对剪切波弹性成像（SWE）技术在针刺研究中的应用现状进行阐述和分析，以期为今后在针刺研究中运用SWE技术提供一定参考。SWE技术是一种根据组织硬度属性不同进行成像的新型超声成像技术，具有客观、定量、无创、动态评估等优势，目前已广泛应用于客观评价针刺镇痛，协同常用量表全面评价针刺疗效，为针刺介入时机提供参考依据，量化针刺得气和辅助研究经穴效应，定位激痛点从而提高针刺效果，以及疗效比较和优化针刺方案，这些研究在一定程度上弥补了主观量表的局限。

关键词：剪切波弹性成像技术；针刺；应用现状；综述

Abstract：

This article elaborates on and analyzes the current application status of shear wave elastography (SWE) in acupuncture research, aiming to provide references for the future use of SWE technology in this field. SWE, a novel ultrasound imaging technique based on tissue stiffness properties, offers advantages such as objectivity, quantification, non-invasiveness, and dynamic assessment. It has been widely applied to: (1) objectively evaluate acupuncture analgesia; (2) comprehensively assess acupuncture efficacy in conjunction with conventional scales; (3) determine optimal acupuncture intervention timing; (4) quantify acupuncture-induced "De Qi" sensations; (5) assist in studying meridian-acupoint effects; (6) locate trigger points to enhance acupuncture outcomes; (7) compare therapeutic effects and optimize acupuncture protocols. These applications partially address the limitations of subjective assessment scales and enrich methodological frameworks in acupuncture research.

Key words：shear wave elastography (SWE); acupuncture; application status; review

发布时间：2025-12-20

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