| 本文已被：浏览 435次 下载 197次 |
码上扫一扫！ |
|
|
| 针刀疗法适应证及优势病种分析 |
|
胡万春1, 刘通2, 张畅畅3, 郑焕驰2, 方敦林1, 刘星2, 张俊杰2
|
|
1.广州中医药大学第五临床医学院针灸康复科, 广州 510405;2.广东省第二中医院针灸康复科, 广州 510095;3.广州中医药大学第四临床医学院针灸科, 深圳 518033
|
|
| 摘要: |
| [目的] 研究针刀疗法的主要适应证及优势病种，为临床治疗提供理论依据。[方法] 应用计算机检索中国知网（CNKI）、万方数据知识服务平台（WanFang Data）、中国生物医学文献数据库（CBM）、维普数据库（VIP）、PubMed、Embase、Cochrane Library、Web of Science等中外生物医学数据库，检索日期为建库至2023年9月，收集关于针刀疗法的临床随机对照试验（RCT），统计各疾病系统的发文数量、发表年份、主要适应证、优势病种、研究总病例数与临床总有效率。[结果] 纳入1 745篇文献，针刀疗法的主要适应证有232种，覆盖疾病系统8个。运动系统疾病位列所有适应证首位，占74.57%，其他类疾病排名第2位，占6.47%。优势病种有47个，集中分布在运动系统，以膝关节骨性关节炎、腰椎间盘突出症和颈椎病为代表。[结论] 现阶段针刀疗法的适应证广泛，优势病种集中，以运动系统为主。但是仍然在不断变化与革新中，其疾病谱仍有较大发展空间。 |
| 关键词: 针刀疗法 随机对照试验 适应证 优势病种 文献研究 |
| DOI：10.11656/j.issn.1673-9043.2025.04.09 |
| 分类号:R245.3 |
| 基金项目:国家自然科学基金面上项目（82174482）；广东省基础与应用基础研究基金项目（2022A1515220157）；中华中医药学会雏鹰计划中医临床青年人才研修项目（第一期）；“三名工程”中国中医科学院刘保延首席研究员中医针灸临床评价方法创新团队项目（SZSM201612001）；广东省第二中医院科研创新基金项目（SEZYY2023B04）。 |
|
| Acupotomy therapy：analysis of indications and preferred clinical applications |
|
HU Wanchun1, LIU Tong2, ZHANG Changchang3, ZHENG Huanchi2, FANG Dunlin1, LIU Xing2, ZHANG Junjie2
|
|
1.Department of Acupuncture and Rehabilitation, The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China;2.Department of Acupuncture and Rehabilitation, Guangdong Second Traditional Chinese Medicine Hospital, Guangzhou 510095, China;3.Department of Acupuncture and Moxibustion, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518033, China
|
| Abstract: |
| [Objective] To evaluate the main indications and dominant diseases of acupotomology therapy，and to provide theoretical basis for clinical treatment. [Methods] By retrieving Chinese and foreign biomedical databases include CNKI，WanFang Data，CBM，VIP，PubMed，Embase，Cochrane library，Web of Science，to collect clinical randomized controlled trials（RCTs） on acupotomy therapy. The search date was from the establishment of the database to September 2023. The number of papers published in the disease system，the year of publication，the main indications，the dominant diseases，the total number of cases studied and the total clinical effective rate were counted and analyzed. [Results] A total of 1 745 articles were included. There were 232 main indications of acupotomy therapy，including 8 disease systems. Movement system diseases accounted for the first place，accounting for 74.57% of all indications，and other diseases accounted for the second place，accounting for 6.47%. There are 47 dominant diseases. The dominant diseases and indications are mainly concentrated in the movement system，especially represented by knee osteoarthritis，lumbar disc herniation and cervical spondylosis，and the remaining systems are less distributed. [Conclusion] At present，the indications of acupotomy therapy are extensive，and the indications and dominant diseases are concentrated in the motor system，but they are still changing and innovating，and the disease spectrum has great room for development. |
| Key words: acupotomy therapy randomized controlled trial indication dominant disease literature research |
