随机对照试验文献关于特定穴的临床应用规律探讨

目的:探讨近5年来国内随机对照试验(Randomized controlled trial,RCT)文献关于特定穴的临床应用规律。方法:以"特定穴"为主题或关键词检索2010年1月—2015年12月中国期刊全文数据库(CNKI)、万方、维普数据库发表的关于特定穴相关文献。结果:通过计算机检索常用的中文数据库得出文献1 072篇,逐篇阅读文献并手工剔除不符合纳入标准的文献后,共计39篇符合要求的文献纳入数据挖掘范围。纳入文献共涉及病种21种,所有病种出现频次总数为39次,其中偏头痛频次最高。所列文献共检索出穴位53个,按其出现频次统计为241个,其中特定穴204个,出现频次10次以上的分别是:阳陵泉、足三里、外关、丘墟、风池14次。39篇文献中,不以出现频次计算,共出现穴位53个,其中除五输穴中的经穴未有涉及外,其他类别的特定穴均有出现。五输穴比重最高。从检索出的文献中总结发现,特定穴的施术方法从高到低排序依次为:针刺25篇,艾灸6篇,电针2篇,穴位注射2篇,埋线2篇,推拿1篇,红外线照射1篇。53个特定穴按部位分布情况为:下肢21个,上肢11个,背腰部8个,头面颈部7个,胸腹部5个,骶尾部1个。结论:特定穴治疗病种以经络病和脏腑病为主,临床应用较多的特定穴主要分布于四肢,特定穴中五输穴的使用率最高,施术法主要以针刺和艾灸为主。

The Clinical Research on Application Rules of Special Acupoints By Using Randomized Controlled Trial

Objective:To explore the clinical application rules of special acupoints by studying the related literature in the past five years using randomized controlled trial(RCT).Methods:" The specific points" was regarded as the theme or keywords to retrieval the related literature published from January 2010 to December 2015 from China Journal Full-text Database (CNKI),Wan Fang and the VIP database.Results:Through computer retrieval of commonly used Chinese databases,1072 documents were obtained.After reading articles and manually excluding documents that did not meet the inclusion criteria,a total of 39 documents which met the requirements were included in the data mining scope,among them,21 kinds of diseases were involved,and the total frequency of occurrence of all diseases was 39 times,and the frequency of migraine was the highest.A total of 53 acupuncture acupoints were retrieved;According to the frequency of appearance,there were 241,of which 204 were specific points;The following appeared more than 10 times:Yanglingquan (SP 9),Zusanli (ST 36),,Waiguan (TE 5),Qiuxu (GB 40),Fengchi (GB 20) for 14 times.Among the 39 articles,if not counting the frequency of occurrence,there were 53 acupoints which once appeared,all the specific acupoints of other categories appeared except the meridian points of the five Shu points with the highest proportion of acupints.From the retrieved literature summary,application method of specific points from high to low in order were as follows:25 articles on acupuncture,6 articles on moxibustion,and 2 articles on electro-acupuncture,2 articles acupoint injection,,2 articles on catgut embedding,1 article on massage,and 1 on infrared radiation.According to the site distribution,among53 specific points,11 were in lower limbs;21 were in upper limbs;8 were in back and waist;7 were in head and neck,5 were in chest and abdomen,and 1 was in sacrococcygeal.Conclusion:Specific acupoints are mainly used to treat meridian disease and visceral disease;The clinical application of specific points are mainly distributed in the limbs,using specific acupoints in five Shu acupoints is of the highest rate;Acupuncture and moxibustion are mostly used in clinical practice.