【目的】 采用文献计量和知识图谱方法分析近10年针灸治疗卒中后肩手综合征（SHS）的临床随机对照试验（RCT）文献 的研究热点、前沿与趋势。【方法】 检索中国知网（CNKI）、万方数据库（Wanfang）、维普（VIP）、PubMed、Web of Science （WOS）等5个中英文数据库中有关针灸治疗卒中后SHS的临床随机对照试验研究文献，采用CiteSpace及VOSviewer软件对其 进行分析，并绘制可视化知识图谱。【结果】 共纳入1 226篇中文文献、20篇英文文献，中英文文献量均在2021年达到峰值； 发文量前3位的机构分别为北京中医药大学附属护国寺中医医院、黑龙江中医药大学附属第二医院及黑龙江中医药大学；发 文量最多的作者是宋丰军，中心性最高的作者是裴建；该领域最常用的 5个关键词分别是肩手综合征、脑卒中、针刺、针 灸、康复训练。前沿话题为：日常生活能力、肢体功能、关节活动度。【结论】 针灸治疗卒中后 SHS的临床研究具有很大的 发展潜力，应加强跨国机构之间的合作以深入探讨治疗机制，研究者们可继续优化治疗方案以提高临床证据质量。

Objective To analyze the research hotspots，frontiers，and trends in clinical randomized controlled trials（RCTs） on acupuncture-moxibustion for post-stroke shoulder-hand syndrome（SHS） over the past decade using bibliometric and knowledge mapping methods. Methods The clinical RCTs on acupuncture-moxibustion for post-stroke SHS from five Chinese and English databases were retrieved， including CNKI， Wanfang， VIP， PubMed， and Web of Science（WOS）. CiteSpace and VOSviewer were employed for analysis， and visualized knowledge maps were generated. Results A total of 1 226 Chinese and 20 English articles were included，with both reaching publication peaks in 2021. The top three institutions in terms of output were Huguosi Traditional Chinese Medicine Hospital Affiliated to Beijing University of Chinese Medicine， The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine，and Heilongjiang University of Chinese Medicine. The most prolific author was Song Fengjun，while Pei Jian had the highest centrality. The five most frequently used keywords were shoulder-hand syndrome， stroke， acupuncture-moxibustion， rehabilitation training， and joint mobility. Emerging research topics included activities of daily living，limb function，and range of motion. Conclusion Clinical research on acupuncture-moxibustion for post-stroke SHS holds significant developmental potential. Strengthening international collaboration to explore therapeutic mechanisms is recommended，and researchers should continue optimizing treatment protocols to enhance the quality of clinical evidence.

R246.9

国家自然科学基金面上项目(编号：82174482）；湛江市科技计划资助项目(编号：2021A05110）