留针时间及下针顺序与疗效相关性的研究概述

通过对近20年来现代文献中有关单次针灸治疗中的时间因素,即留针时间、下针顺序与针灸效应的关系进行了综述.在留针时间与针灸效应的关系方面,主要从临床和实验两方面对不同疾病的留针时间长短进行了探讨.在下针顺序与针灸效应的关系方面,现代研究非常匮乏,同时在一定下针顺序基础上,不同穴位的留针时间长短对针灸效应影响的研究几乎还是空白,加强此方面的研究,符合循证医学对针灸治疗模式的要求,有确切的临床指导意义.

Review on studies of correlativity of needle retention duration and needling sequence with the therapeutic effect

In the present paper, the authors review the influences of time factor in single treatment session, duration of needle retention and needling sequence on acupuncture effects in literatures of recent 20 years. In the aspect of relation between the duration of needle retention and acupuncture effect, more is laid on the exploring the proper duration of needle retention for different diseases through clinical and experimental researches. Regarding the influences of needling sequence on acupuncture effect, very few modern researches were carried out, and there are the gaps in the research on the influence of different duration of needle retention on acupuncture effects on basis of a certain needling sequence, Strengthening the studies on this aspect suits for the requirements of based-evidence medicine for acupuncture treatment model and has a guiding significance for clinical treatment.