针刺治疗慢性阻塞性肺疾病稳定期临床研究文献分析

发布时间：2018-11-28 13:51

【摘要】：目的基于1990年1月至2016年12月国内针刺治疗慢性阻塞性肺疾病(COPD)的临床研究文献,分析目前临床针刺治疗COPD稳定期的应用情况。方法通过计算机检索,收集针刺治疗COPD的相关文献,对治疗方法、选穴、治疗频率、疗程、针刺手法、不良反应、针感等信息进行采集与分析。结果共纳入文献32篇,其中30篇文献采用了针刺联合康复训练、艾灸、西药等其他疗法,两种治疗方式联合应用的文献16篇(50.0%),三种治疗方式联合应用的文献13篇(40.6%)。针刺方式以毫针为主(24篇,75.0%),其次为电针(8篇,25.0%)。涉及39个穴位,以膻中(21篇)、肺俞(19篇)、定喘(16篇)、肾俞(16篇)、足三里(15篇)、关元(14篇)应用最为广泛。留针时间以30分钟最为常见(17篇,53.1%),其次为20分钟(4篇,12.5%)。10篇(31.3%)文献治疗频率为每日1次;9篇(28.1%)文献治疗频率为隔日1次。14篇文献报道了针刺手法,纳入文献均未报道不良反应。结论针刺治疗COPD稳定期的治疗方式以毫针或电针联合其他疗法为主,在留针时间、治疗频率及疗程等方面各文献差异较大。
[Abstract]:Objective to analyze the current clinical application of acupuncture in the treatment of (COPD) in patients with chronic obstructive pulmonary disease (COPD), based on the clinical literature from January 1990 to December 2016. Methods the relevant literature on acupuncture treatment of COPD was collected by computer retrieval. The information of treatment method, acupoint selection, treatment frequency, course of treatment, acupuncture manipulation, adverse reaction and acupuncture feeling were collected and analyzed. Results A total of 32 articles were included, 30 of which were treated with acupuncture combined rehabilitation training, moxibustion, western medicine and other treatments. 16 papers (50.0%) were combined with two treatment methods. 13 articles (40.6%) were used in combination of three treatments. The main ways of acupuncture were filiform acupuncture (24 articles, 75.0%), followed by electroacupuncture (8 articles, 25.0%). Involving 39 acupoints, Tanzhong (21), Feshu (19), Dingchuan (16), Shenshu (16), Zusanli (15) and Guan Yuan (14) were most widely used. The time of needle retention was 30 minutes (17 articles, 53.1%), followed by 20 minutes (4 articles, 12.5%) and 10 articles (31.3%). The treatment frequency of 9 articles (28.1%) was once every other day. 14 articles reported acupuncture manipulation, but no adverse reactions were reported in the literature. Conclusion Acupuncture treatment of COPD in stable period is dominated by filiform acupuncture or electroacupuncture combined with other therapies. There are great differences in the time of needle retention, the frequency of treatment and the course of treatment.
【作者单位】：河南中医药大学第一附属医院;河南中医药大学呼吸疾病诊疗与新药研发河南省协同创新中心;
【基金】：“十二五”国家科技支撑计划(2014BAI10B06) 国家自然科学基金面上项目(81473648,81674098) 河南省优势特色学科建设工程一期建设学科中医学特色学科建设项目(豫教高【2015】1086号) 河南省中医药科学研究专项课题(2015ZY02043)
【分类号】：R246.1

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