穴位贴敷治疗慢性胃炎取穴及用药规律系统综述
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摘要
[背景]穴位贴敷治疗慢性胃炎疗效确切。[目的]采用系统综述方法评价穴位贴敷治疗慢性胃炎取穴及用药规律。[检索策略]计算机检索CNKI、VIP和WF数据库(建库至2018年12月)。[纳入标准]①研究设计:穴位贴敷防治慢性胃炎临床观察,不限定语言或发表方式。②观察对象:慢性胃炎,年龄、性别及种族无限制。慢性胃炎确诊参照《中国慢性胃炎共识意见》。③结局评价指标:腧穴选用频次及所属经脉、贴敷用药频次及归类。[数据收集与分析]2名评价者按纳入和排除标准独立选择、提取资料,不同之处交流确定。资料提取:贴敷腧穴选用频次及所属经脉、用药频次及归类。[主要结果]初筛文献87篇,排除重复文献11篇,按纳入及排除标准筛选,最终纳入文献59篇,27个穴位(使用总频次159次),80味中药。腧穴选择以中脘,足三里为主,任脉穴次最多;贴敷药物频次排序为延胡索、木香、丁香及吴茱萸,理气和温里药为主。[问题与展望]尚缺乏统一操作标准,机理研究尚浅,疗效评定标准不一,辨证贴敷不多。未来期待大样本多中心规范研究,深层次探讨作用机理,针对不同证型挖掘更精准贴敷方。
[Background] Acupoint application is effective in treating chronic gastritis. [Objective] To evaluate the rule of Acupoint Application in the treatment of chronic gastritis by systematic review. [Retrieval strategy] Computer searches CNKI, VIP and WF databases. Search time limit until December 2018. [Inclusion criteria] Study design: Clinical observation of acupoint application in the prevention and treatment of chronic gastritis, without restriction on language or publication. Objectives: chronic gastritis patients are not restricted by age, sex and race. The criteria for the diagnosis of chronic gastritis refer to "Shanghai China Consensus on Chronic Gastritis". 2. Outcome evaluation indexes: frequency of acupoints selection, meridians of acupoints,frequency of medication for gastritis and drug classification. [Data collection and analysis] Two evaluators independently selected tests and extracted data according to inclusion criteria and exclusion criteria, and exchanged and resolved the differences. Data extraction table was used to extract contents: frequency of acupoints selection, meridians of acupoints, frequency of medication for gastritis, classification of medicines,etc. [Main results] A total of 87 literatures were obtained in the preliminary screening, excluding duplicate literatures, and 76 were retrieved. Only 59 literatures, 27 acupoints and 80 traditional Chinese medicines were included in the study according to the inclusion and exclusion criteria. In the selection of acupoints,Zhongwan acupoint and Zusanli acupoint are the main points, and the number of acupoints on Renmai is the largest. In the selection of application drugs, Corydalis yanhusuo, Aucklandia, Cloves and Evodia rutaecarpa are the major ones, with Qi-regulating drugs and Wenli medicine as the main line. [Questions and Prospects]Rational selection of acupoints and correct use of drugs are the key to the curative effect, and Qi-regulating drugs and Wenli drugs run through the whole process. Expect to carry out large sample, multi-center standardized research, and in-depth explore its mechanism of action, in-depth excavation of more accurate prescriptions for different types of evidence, for more patients with chronic gastritis to bring health.
[Background] Acupoint application is effective in treating chronic gastritis. [Objective] To evaluate the rule of Acupoint Application in the treatment of chronic gastritis by systematic review. [Retrieval strategy] Computer searches CNKI, VIP and WF databases. Search time limit until December 2018. [Inclusion criteria] Study design: Clinical observation of acupoint application in the prevention and treatment of chronic gastritis, without restriction on language or publication. Objectives: chronic gastritis patients are not restricted by age, sex and race. The criteria for the diagnosis of chronic gastritis refer to "Shanghai China Consensus on Chronic Gastritis". 2. Outcome evaluation indexes: frequency of acupoints selection, meridians of acupoints,frequency of medication for gastritis and drug classification. [Data collection and analysis] Two evaluators independently selected tests and extracted data according to inclusion criteria and exclusion criteria, and exchanged and resolved the differences. Data extraction table was used to extract contents: frequency of acupoints selection, meridians of acupoints, frequency of medication for gastritis, classification of medicines,etc. [Main results] A total of 87 literatures were obtained in the preliminary screening, excluding duplicate literatures, and 76 were retrieved. Only 59 literatures, 27 acupoints and 80 traditional Chinese medicines were included in the study according to the inclusion and exclusion criteria. In the selection of acupoints,Zhongwan acupoint and Zusanli acupoint are the main points, and the number of acupoints on Renmai is the largest. In the selection of application drugs, Corydalis yanhusuo, Aucklandia, Cloves and Evodia rutaecarpa are the major ones, with Qi-regulating drugs and Wenli medicine as the main line. [Questions and Prospects]Rational selection of acupoints and correct use of drugs are the key to the curative effect, and Qi-regulating drugs and Wenli drugs run through the whole process. Expect to carry out large sample, multi-center standardized research, and in-depth explore its mechanism of action, in-depth excavation of more accurate prescriptions for different types of evidence, for more patients with chronic gastritis to bring health.
引文
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[8]孙碧鸿,隋艳波,张丹丹,等.穴位贴敷联合柴胡疏肝散治疗冠心病稳定型心绞痛的临床观察[J].世界最新医学信息文摘,2019(16):140-141.
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[10]张媛,刘彩春,连林宇,等.电针促进胃黏膜损伤修复的时效关系及分子机制[J].中国针灸,2018,38(7):747-752.
[11]王思君,马鋆,赵树明等.基于数据挖掘分析穴位贴敷治疗小儿厌食选穴与用药规律[J].吉林中医药,2018,38(5):500-503.
[12]王坤,唐纯志,田小婷,等.基于数据挖掘技术针灸治疗慢性萎缩性胃炎选穴规律分析[J].中国中医基础医学杂志,2018,24(9):1276-1279.
[13]税典奎,陈云,叶剑,等.理中通络化浊汤治疗脾虚湿蕴夹瘀型慢性胃炎伴肠化生的疗效观察[J].时珍国医国药,2017,28(11):2698-2700.
[14]寇果.穴位贴敷神阙穴治疗小儿轮状病毒肠炎40例[J].河南中医,2019,39(2):295-297.
[15]朱宇生,王鹤,赵浩智,等.基于现代文献穴位贴敷治疗胃脘痛的取穴用药规律分析[J].吉林中医药,2017,37(8):757-760.
[16]王甜甜,贾士枞,张晓旭,等.基于现代文献对穴位敷贴治疗慢性盆腔炎选穴及用药规律分析[J].吉林中医药,2018,38(12):1365-1368.
[17]石丹梅,陈柘芸,吕艳,等.穴位贴敷联合经络拔罐治疗脾胃虚弱型胃脘痛的效果[J].循证护理,2017,3(4):331-333.
[18]刘洪坤,侯丽,李洁,等.穴位贴敷治疗痛经选穴及用药规律分析[J]中医药导报,2016,22(7):49-51.
[19]李时珍.李时珍医学全书[M].北京:中国中医药出版社,1996:400.
[20]许智芳,李丽丽.中药外敷法辅助治疗小儿腹泻的效果研究[J].系统医学,2018,3(22):151-153.
[21]苏卓,郭惠.中药材吴茱萸的“前世”与“今生”[J].世界最新医学信息文摘,2018,18(60):97+88.
[22]郑尚辉.中药附子临床药理及应用[J].内蒙古中医药,2012,31(9):69-71.
[2]杨雪菲,姜巍,王垂杰.胃宁方穴位贴敷治疗慢性胃炎的临床疗效观察[J].中国中西医结合消化杂志,2014,22(3):158-159,161.
[3]刘静,吴耀持.中药穴位贴敷的临床应用现状及机制探讨[J].上海医药,2018,39(24):3-5.
[4]中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.腧穴名称与定位[M].北京:中国标准出版社,2006.
[5]国家药典委员会.中华人民共和国药典:一部[S].北京:化学工业出版社,2005.
[6]高学敏.中药学[M].北京:中国中医药出版社,2002:21,28.
[7]朱宝,宋瑞平,张彦军.中药穴位贴敷疗法的理论与机制探讨[J].甘肃医药,2016,35(8):578-580.
[8]孙碧鸿,隋艳波,张丹丹,等.穴位贴敷联合柴胡疏肝散治疗冠心病稳定型心绞痛的临床观察[J].世界最新医学信息文摘,2019(16):140-141.
[9]彭伟岚.焦三仙贴敷中脘穴治疗小儿功能性消化不良的临床研究[D].广州:广州中医药大学,2018.
[10]张媛,刘彩春,连林宇,等.电针促进胃黏膜损伤修复的时效关系及分子机制[J].中国针灸,2018,38(7):747-752.
[11]王思君,马鋆,赵树明等.基于数据挖掘分析穴位贴敷治疗小儿厌食选穴与用药规律[J].吉林中医药,2018,38(5):500-503.
[12]王坤,唐纯志,田小婷,等.基于数据挖掘技术针灸治疗慢性萎缩性胃炎选穴规律分析[J].中国中医基础医学杂志,2018,24(9):1276-1279.
[13]税典奎,陈云,叶剑,等.理中通络化浊汤治疗脾虚湿蕴夹瘀型慢性胃炎伴肠化生的疗效观察[J].时珍国医国药,2017,28(11):2698-2700.
[14]寇果.穴位贴敷神阙穴治疗小儿轮状病毒肠炎40例[J].河南中医,2019,39(2):295-297.
[15]朱宇生,王鹤,赵浩智,等.基于现代文献穴位贴敷治疗胃脘痛的取穴用药规律分析[J].吉林中医药,2017,37(8):757-760.
[16]王甜甜,贾士枞,张晓旭,等.基于现代文献对穴位敷贴治疗慢性盆腔炎选穴及用药规律分析[J].吉林中医药,2018,38(12):1365-1368.
[17]石丹梅,陈柘芸,吕艳,等.穴位贴敷联合经络拔罐治疗脾胃虚弱型胃脘痛的效果[J].循证护理,2017,3(4):331-333.
[18]刘洪坤,侯丽,李洁,等.穴位贴敷治疗痛经选穴及用药规律分析[J]中医药导报,2016,22(7):49-51.
[19]李时珍.李时珍医学全书[M].北京:中国中医药出版社,1996:400.
[20]许智芳,李丽丽.中药外敷法辅助治疗小儿腹泻的效果研究[J].系统医学,2018,3(22):151-153.
[21]苏卓,郭惠.中药材吴茱萸的“前世”与“今生”[J].世界最新医学信息文摘,2018,18(60):97+88.
[22]郑尚辉.中药附子临床药理及应用[J].内蒙古中医药,2012,31(9):69-71.
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