摘要
目的总结临床文献中运用针灸治疗子宫内膜异位症(EMT)痛经的穴位应用规律。方法检索中国期刊全文数据库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(重庆维普)、PubMed、Cochrane Library建库至2021年10月31日有关针灸治疗EMT痛经的临床研究文献。采用Microsoft Office Excel 2019录入数据,并采用SPSS 26.0软件进行描述性分析,采用StataSE15(64-bit)软件针对单穴使用频次>5的穴位间的组合进行相关性分析。结果共纳入40篇文献,针灸方法按频次由高到低排在前3的分别是针刺(11次)、艾灸(11次)、电针(8次);选用穴位按频次由高到低排前3的分别是关元(34次)、三阴交(26次)、中极(25次);体穴归属经络按频次由高到低排在前3的分别是任脉(36次)、脾经(32次)、胃经(22次);根据相关性分析,体穴中关元、三阴交、子宫、气海、中极之间的关联性最强。结论针灸可有效治疗EMT痛经,且不良反应少,方法以针刺、艾灸、电针为主,多为局部取穴、交会穴和经验穴。
Objective To summarize the application rules of acupuncture and moxibustion in the clinical trials for dysmenorrhea and endometriosis.Methods The relevant articles of clinical research on acupuncture and moxibustion for the treatment of dysmenorrhea in endometriosis were retrieved electronically from CNKI,Wanfang,VIP,PubMed and Cochrane Library(Retrieved from database establishment until 31 October 2021).The clinical literatures that met the inclusion criteria were included into the database(Microsoft Office Excel 2019),and the main table and sub-table were established through Microsoft Office Excel 2019.Descriptive statistic analysis was performed by using SPSS 26.0 software.StataSE15(64-bit)software was used to analyze the correlation between the combinations of acupoints with single acupoint frequency>5.Results A total of 40 clinical studies were included.Of them,the top 3 acupuncture methods according to the frequency were acupuncture(11 times),moxibustion(11 times),and electro-acupuncture(8 times),the top 3 acupuncture points used according to the frequency were Guan Yuan(34 times),San YinJiao(26 times),and Zhong Ji(25 times),the top 3 meridians of the body acupuncture pointsaccording to the frequency were Ren Meridian(36 times),Spleen Meridian(32 times),and StomachMeridian(22 times).According to the correlation analysis,body points of Guan Yuan,San Yin Jiao,Uterus,Qi Hai and Zhong Ji were stronge related.Conclusion Acupuncture can effectively treatEMT dysmenorrhea with less adverse reactions.The methods are mainly acupuncture,moxibustionand electroacupuncture,mostly local acupoints,intersection acupoints and empirical acupoints.
作者
胡娅娴
杨东霞
魏彤
吴金双
Hu Yaxian;Yang Dongxia;Wei Tong;Wu Jinshuang(Master Degree Student of Grade 2020,Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Second Gynecology of the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)
出处
《国际中医中药杂志》
2023年第4期487-491,共5页
International Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81574015)
全国中医临床特色技术传承骨干人才培训项目(国中医药〔2019〕36号)
黑龙江省自然科学基金项目(LH2020H087)
黑龙江省国医大师学术思想传承科研课题项目(GY2022-25)。
关键词
子宫内膜异位症
痛经
针灸疗法
穴位
应用规律
Endometriosis
Dysmenorrhea
Acupuncture moxibustion therapy
Acupoint
Application rules
