针灸治疗功能性消化不良的临床研究现状

Current situation of clinical research on acupuncture treatment for functional dyspepsia

关键词:  针灸  功能性消化不良  诊疗现状  特点

Key words:  acupuncture  functional dyspepsia  current situation  feature

摘要:

[目的] 研究现阶段针灸治疗功能性消化不良的临床研究现状。[方法] 检索收集针灸治疗消化性功能不全的随机对照试验(RCT)文献,分析其诊断、治疗的现状与特点。[结果] 共收集到符合纳入标准的RCT文章78篇。目前针灸治疗FD的诊断标准多为罗马Ⅲ中功能性消化不良的诊断标准;治疗方法以单纯针灸为主,耳针、温针灸、穴位注射等也较为常见;腧穴选择主要以足三里、内关、中脘为主;选取的经脉以足阳明胃经、手厥阴心包经和足太阴脾经为主;证型以脾胃气虚为主;疗效评定多使用以临床有效率为主的自拟疗效标准。[结论] 研究结果亦证明针灸治疗PD的疗效肯定,目前临床研究存在的主要问题是缺乏辨证分型,在疗效评价上缺乏科学严谨的评价指标,对随访和不良报道没有给予足够的重视。

Abstract:

[Objective] To discuss present situation and features of acupuncture in the treatment of functional dyspepsia(FD).[Methods] Randomized controlled trails(RCTs) of acupuncture treatment on FD were searched and identified for the analysis of its current diagnosis and treatment characteristics. [Results] A total of 78 trails were in accordance with the inclusive criteria. The result showed that the most current standard of diagnosis of acupuncture treatment for FD is that from the RomeⅢ Diagnosis Criteria; acupuncture would be the main theraputic method for FD, and also common with auricular acupuncture, warm needling and acupoint injection methods; the main acupoints in selection are Zusanli, Neiguan and Zhongwan; most commonly selected meridians are stomach meridian of foot-yangming and jueyin meridians; and most patterns of syndromes are Qi deficiency of spleen and stomach, damp-heat of stomach and liver Qi invading stomach. The evaluation of therapeutic effects is inclined to clinical efficiency with self-protocal standards. [Conclusion] The results shows that therapeutic effects of acupuncture for FD are obvious while lack of rigorous evaluation critetia as well as reports on follow-up and adverse reaction.