近10年针灸治疗血管性痴呆的临床研究进展

发布时间：2018-01-16 11:29

本文关键词：近10年针灸治疗血管性痴呆的临床研究进展　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对近10年针灸治疗血管性痴呆(vascular dementia,VD)的临床研究进行文献计量学分析,从期刊分布情况、研究方法、针灸方法选择以及腧穴应用情况等方面为针灸治疗VD的临床研究提供借鉴。方法:采用相关主题词,严格按照纳入标准和排除标准,从相关期刊论文(CNKI)、万方数据知识服务平台检索2007年至2016年针灸治疗VD相关文献,并用文献计量学方法对其进行定量分析。结果:共搜集文献75篇,筛选出59篇,从期刊分布情况看,近4年文献数目呈下降趋势;从研究方法看,51篇运用了对照研究,35篇描述了随机方法,3篇应用了三分离原则,1篇应用了安慰剂对照,100例以内样本含量文献较多,无500例以上大样本文献;从针灸方法看,单独疗法使用频次最高的为体针和头针,分别为9篇和5篇,综合疗法中,3种以上综合疗法使用频次最高,为11篇;从腧穴应用情况看,穴位选择以督脉穴位为主。结论:针灸治疗VD有效率高,能显著改善VD患者认知及日常生活能力,方法多采用体针、头针及综合疗法。但由于文献普遍存在样本量较小、临床设计和针刺方法等标准不统一等问题,今后针灸疗法的临床研究应增大样本量、完善科研设计、规范针灸方法操作,以更客观地评估针灸疗法对VD的治疗效果。
[Abstract]:Purpose: through nearly 10 years of acupuncture treatment of vascular dementia (vascular dementia, VD) the clinical research of bibliometric analysis, from the periodical distribution, research methods, and provide reference for clinical research on acupuncture and acupoint application methods and other aspects of acupuncture in the treatment of VD. Methods: the related subjects, in strict accordance with the inclusion standard and exclusion standard, from the Chinese Journal Full-text Database (CNKI), Wanfang database retrieval from 2007 to 2016 of acupuncture in the treatment of VD related literature, and carries on the quantitative analysis using the Bibliometrics method. Results: a total of 75 articles were collected, screened 59 papers from the journal distribution, nearly 4 the number of years showed a downward trend; from the research method, 51 using control study, 35 articles describe the random method, 3 application three application of the principle of separation, 1 placebo-controlled, 100 cases within the content of the sample document No more, more than 500 cases of large sample documents; from the method of acupuncture and moxibustion therapy alone, the highest frequency of use for body acupuncture and scalp acupuncture, respectively 9 and 5, more than 3 kinds of comprehensive therapy, comprehensive therapy is the highest frequency of use, 11; from the application of acupoint, acupoint selection to Du meridian points. Conclusion: acupuncture treatment effective rate of VD, can significantly improve the cognition of VD patients and the ability of daily life, the method of multi body acupuncture, scalp acupuncture and comprehensive therapy. But because the literature exists the small sample size, standard design and clinical acupuncture methods are not unified, the future of clinical research on acupuncture therapy should increase the sample size, improve the scientific research the design specification, acupuncture method of operation, to objectively evaluate the therapeutic effect of acupuncture therapy on VD.

【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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