超声医学在针灸临床和实验研究应用的进展
|
摘要
目的详细阐述超声在针灸临床及实验中的研究进展与前景。方法查阅PubMed、CNKI、SinoMed、维普等相关数据库,查找超声应用于针灸临床和实验研究的相关文献,对资料进行筛选,排除了重复文献等不符合标准的研究。结果与结论共纳入53篇符合标准的参考文献,包括中文参考文献44篇,英文参考文献9篇。经过文献学习总结得出,超声未来可能会更多地用于评价针灸的治疗效果,并且能够有效地辅助针灸治疗多种疾病且不良反应较小,超声应用于动物实验中也有较多研究价值。超声融合经络学说和针灸理论,不仅可以发挥超声独有的优势,还可以扩大针灸的治疗范围,提高针灸的治疗效果。
Objective This article expounds research advances in and prospects for ultrasound in clinical and experimental acupuncture. Method Databases PubMed, CNKI, SinoMed and Vip were searched for literature related to the application of medical ultrasound to studies on clinical and experimental acupuncture. The data were sifted through to exclude repeated research literature which did not meet the criteria. Result and Conclusion A total of 53 pieces of reference literature meeting the criteria were included with 44 pieces of Chinese reference literature and 9 pieces of English reference literature. The study and summarization of the literature show that ultrasound will be possibly more used to evaluate the therapeutic effect of acupuncture and able to effectively assist acupuncture to treat many kinds of diseases with less adverse reactions and the application of ultrasound to animal experiments also has greater research value. The combination of ultrasound with meridian doctrine and acupuncture theory can not only give play to the unique advantages of ultrasound but also extend the range of acupuncture treatment and improve the therapeutic effect of acupuncture.
Objective This article expounds research advances in and prospects for ultrasound in clinical and experimental acupuncture. Method Databases PubMed, CNKI, SinoMed and Vip were searched for literature related to the application of medical ultrasound to studies on clinical and experimental acupuncture. The data were sifted through to exclude repeated research literature which did not meet the criteria. Result and Conclusion A total of 53 pieces of reference literature meeting the criteria were included with 44 pieces of Chinese reference literature and 9 pieces of English reference literature. The study and summarization of the literature show that ultrasound will be possibly more used to evaluate the therapeutic effect of acupuncture and able to effectively assist acupuncture to treat many kinds of diseases with less adverse reactions and the application of ultrasound to animal experiments also has greater research value. The combination of ultrasound with meridian doctrine and acupuncture theory can not only give play to the unique advantages of ultrasound but also extend the range of acupuncture treatment and improve the therapeutic effect of acupuncture.
引文
[1]王运来.超声造影的临床应用与前景[J].中医药管理杂志,2015,23(17):149-150.
[2]刘炜宏,王凡,王玲玲,等.论针灸医学的特色与优势[J].中国针灸,2011,31(8):673-678.
[3]白珊,李军.超声治疗在中医学科领域中的应用及研究[J].西部中医药,2016,29(8):63-65.
[4]白晓东,李顺月,宋晓晶,等.针灸治疗仪作用原理及其临床应用[J].中华中医药杂志,2015,30(2):488-491.
[5]Terminology and Diagnostic Criteria Committee,Japan Society of Ultrasonics in Medicine.Echocardiographic diagnosis of adult valvular heart disease[J].J Med Ultrason(2001),2016,43(4):557-597.
[6]张志彬.乳腺肿瘤行超声引导下负压吸引旋切术治疗的临床优势分析[J].实用妇科内分泌杂志,2016,3(1):39-40.
[7]梁爱容.前列腺癌经直肠超声的临床分期声像特征与优势分析[J].中国医学创新,2015,12(21):48-51.
[8]张茂.浅表器官结核的超声声像图特征分析[J].中国医学工程,2016,24(3):32-33.
[9]Morita K,Sakamoto T,Ota S,et al.Ultrasound findings of diffuse metastasis of gastric signet-ring-cell carcinoma to the thyroid gland[J].J Med Ultrason(2001),2017,44(1):133-139.
[10]卢利仁,黄振.超声评价穴位埋线配合药物治疗非酒精性脂肪性肝病的疗效[J].上海针灸杂志,2014,33(11):1016-1017.
[11]Nols?e CP,Lorentzen T.International guidelines for contrast-enhanced ultrasonography:ultrasound imaging in the new millennium[J].Ultrasonography,2016,35(2):89-103.
[12]肖辉,虞晓红,艾平,等.肺脏超声在重症加强治疗病房的应用进展综述[J].转化医学电子杂志,2015,2(10):119-120.
[13]徐鑫晶.基于M型超声波的心肌运动轨迹自动追踪方法研究[D].合肥:安徽农业大学,2014.
[14]李向东,韩国茂,姚蔚,等.超声加压扫查对乳腺肿瘤血流影响的研究[J].中国超声诊断杂志,2003,4(4):259-262.
[15]曹爱梅.彩色多普勒超声诊断锁骨下动脉窃血征的价值及血流动力学分析[J].中外医疗,2010,29(14):14-15.
[16]肖磊.彩色超声多普勒血流成像关键技术的研究[D].成都:西南科技大学,2015.
[17]张笑潮,昂清,王卫东.超声血流速度检测及其应用研究[J].中国医疗器械杂志,2014,38(1):50-56.
[18]Ong CL.The current status of three-dimensional ultrasonography in gynaecology[J].Ultrasonography,2016,35(1):13-24.
[19]Yu Z,Cao X,Xia Y,et al.Electroacupuncture stimulation at CV12 inhibits gastric motility via TRPV1 receptor[J].Evid Based Complement Alternat Med,2013:294789.
[20]杨永清,陈汉平,王宇.针灸作用原理的基本规律、特征和优势[J].河南中医学院学报,2008,23(6):1-4.
[21]陈毅.中医学毫针针刺医疗风险管理初步研究[D].厦门:厦门大学,2013.
[22]Choi YJ,Lee JE,Moon WK,et al.Does the effect of acupuncture depend on needling sensation and manipulation?[J].Complement Ther Med,2013,21(3):207-214.
[23]Goh YL,Ho CE,Zhao B.Acupuncture and depth:future direction for acupuncture research[J].Evid Based Complement Alternat Med,2014:871217.
[24]狄福平.论针灸与超声医学的结合方法[J].现代养生(下半月版),2016,(6):195.
[25]刘珊珊,贾宁,蔡少雨,等.超声监测针灸治疗后多囊卵巢综合症患者疗效的对比研究[J].中医临床研究,2017,9(5):116-118.
[26]杨冬梅,林诗彬,梁振波,等.温针灸治疗膝关节骨性关节炎疗效的超声监测[J].重庆医学,2016,45(27):3860-3862.
[27]高崇于,赵南义,陈溶,等.针灸推拿治疗腰肌劳损对超声声像图的影响与疗效关系(附50例报告)[J].贵州医药,2013,37(10):936-937.
[28]钱玲琳.超声影像介导下围刺治疗卵巢囊肿的临床观察[D].武汉:湖北中医药大学,2015.
[29]郑淑洁.超声引导下神经阻滞治疗颈源性头痛的临床研究[J].影像技术,2015,27(3):46-47.
[30]陈培敏.超声技术在臂丛神经阻滞应用中的临床研究[D].苏州:苏州大学,2013.
[31]伍晓鸣,田丰玮,谢昭鹏,等.颈型颈椎病阿是穴的超声影像研究[J].中国针灸,2017,37(4):395-399.
[32]张选平,贾春生,王建岭,等.穴位埋线疗法的优势病种及应用规律[J].中国针灸,2012,32(10):947-950.
[33]李红艳.穴位埋线治疗单纯性肥胖的优势研究[J].中国医药指南,2012,10(27):409.
[34]胡成想,李素荷.穴位埋线疗法治疗支气管哮喘的系统评价[J].安徽中医药大学学报,2014,33(3):70-73.
[35]刘旭斌.穴位埋线结合药物治疗功能性便秘的临床疗效观察[D].广州:广州中医药大学,2012.
[36]李雅洁,安丽,田浩.穴位埋线配合福松治疗糖尿病便秘:随机对照研究[J].中国针灸,2016,36(2):124-128.
[37]孙文善,楚宁宁,封燕婷,等.超声引导下颈夹脊穴埋线层次与得气的初步研究[J].中国针灸,2015,35(9):931-934.
[38]孙文善,曹云云,王余民,等.高频超声引导下足三里穴微创埋线初步研究[J].上海针灸杂志,2013,32(8):683-684.
[39]Park JJ,Akazawa M,Ahn J,et al.Acupuncture sensation during ultrasound guided acupuncture needling[J].Acupunct Med,2011,29(4):257-265.
[40]孙文善,楚宁宁,马伊磊,等.超声引导下埋线治疗颈椎病的有效层次研究[J].中国针灸,2015,35(10):1001-1004.
[41]杨琳琳,郑元义,谢昭鹏,等.针刺手三里虚伪动态超声显像[J].中国介入影响与治疗学,2015,12(9):532-535.
[42]高东雯,肖沪生,徐智章,等.三维与二维高频超声技术应用于针灸穴位定位的可行性研究[J].中国中西医结合影像学杂志,2013,11(3):231-234.
[43]李尚安,李佩佩,阮骊韬,等.超声在针灸减肥对腹部脂肪影响研究中的应用价值[J].临床医学研究与实践,2017,2(7):5-7.
[44]付蕾,武志佳,郭耀光,等.针刺结合超声关节治疗仪治疗退行性膝关节炎临床疗效观察[J].四川中医,2014,32(9):150-152.
[45]高凤霞.针灸配合超声电导靶向经皮给药治疗腰椎间盘突出症36例[J].长春中医药大学学报,2007,23(3):56.
[46]严志颖.针刺与超声波配合治疗头痛205例临床体会[J].中国当代医药,2009,16(19):62-63.
[47]于波,王英淑,张全霞.温针灸配合超声药物介导治疗膝骨性关节炎的临床研究[J].中医临床研究,2016,8(29):67-68.
[48]杨玉华,张迪,萨喆燕,等.超声针灸的研究进展及其机制的初步探讨[J].针刺研究,2012,37(4):333-337.
[49]赵红.超声治疗仪控制系统的设计与实现[D].上海:华东师范大学,2010.
[50]李晓林.超声治疗仪联合中西医结合护理对高血脂症的影响[J].中国老年保健医学,2015,13(2):122-123.
[51]张少飞.超声治疗仪对冠心病心绞痛辅助治疗研究[J].亚太传统医药,2013,9(3):191-192.
[52]刘俏俏.超声针灸换能器的设计研究和检测[D].重庆:重庆医科大学,2015.
[53]丁霞娟,熊春燕,李泞珊,等.超声针灸对兔胃黏膜损伤修复的病理改变[J].北京医学,2013,35(1):48-49.
[2]刘炜宏,王凡,王玲玲,等.论针灸医学的特色与优势[J].中国针灸,2011,31(8):673-678.
[3]白珊,李军.超声治疗在中医学科领域中的应用及研究[J].西部中医药,2016,29(8):63-65.
[4]白晓东,李顺月,宋晓晶,等.针灸治疗仪作用原理及其临床应用[J].中华中医药杂志,2015,30(2):488-491.
[5]Terminology and Diagnostic Criteria Committee,Japan Society of Ultrasonics in Medicine.Echocardiographic diagnosis of adult valvular heart disease[J].J Med Ultrason(2001),2016,43(4):557-597.
[6]张志彬.乳腺肿瘤行超声引导下负压吸引旋切术治疗的临床优势分析[J].实用妇科内分泌杂志,2016,3(1):39-40.
[7]梁爱容.前列腺癌经直肠超声的临床分期声像特征与优势分析[J].中国医学创新,2015,12(21):48-51.
[8]张茂.浅表器官结核的超声声像图特征分析[J].中国医学工程,2016,24(3):32-33.
[9]Morita K,Sakamoto T,Ota S,et al.Ultrasound findings of diffuse metastasis of gastric signet-ring-cell carcinoma to the thyroid gland[J].J Med Ultrason(2001),2017,44(1):133-139.
[10]卢利仁,黄振.超声评价穴位埋线配合药物治疗非酒精性脂肪性肝病的疗效[J].上海针灸杂志,2014,33(11):1016-1017.
[11]Nols?e CP,Lorentzen T.International guidelines for contrast-enhanced ultrasonography:ultrasound imaging in the new millennium[J].Ultrasonography,2016,35(2):89-103.
[12]肖辉,虞晓红,艾平,等.肺脏超声在重症加强治疗病房的应用进展综述[J].转化医学电子杂志,2015,2(10):119-120.
[13]徐鑫晶.基于M型超声波的心肌运动轨迹自动追踪方法研究[D].合肥:安徽农业大学,2014.
[14]李向东,韩国茂,姚蔚,等.超声加压扫查对乳腺肿瘤血流影响的研究[J].中国超声诊断杂志,2003,4(4):259-262.
[15]曹爱梅.彩色多普勒超声诊断锁骨下动脉窃血征的价值及血流动力学分析[J].中外医疗,2010,29(14):14-15.
[16]肖磊.彩色超声多普勒血流成像关键技术的研究[D].成都:西南科技大学,2015.
[17]张笑潮,昂清,王卫东.超声血流速度检测及其应用研究[J].中国医疗器械杂志,2014,38(1):50-56.
[18]Ong CL.The current status of three-dimensional ultrasonography in gynaecology[J].Ultrasonography,2016,35(1):13-24.
[19]Yu Z,Cao X,Xia Y,et al.Electroacupuncture stimulation at CV12 inhibits gastric motility via TRPV1 receptor[J].Evid Based Complement Alternat Med,2013:294789.
[20]杨永清,陈汉平,王宇.针灸作用原理的基本规律、特征和优势[J].河南中医学院学报,2008,23(6):1-4.
[21]陈毅.中医学毫针针刺医疗风险管理初步研究[D].厦门:厦门大学,2013.
[22]Choi YJ,Lee JE,Moon WK,et al.Does the effect of acupuncture depend on needling sensation and manipulation?[J].Complement Ther Med,2013,21(3):207-214.
[23]Goh YL,Ho CE,Zhao B.Acupuncture and depth:future direction for acupuncture research[J].Evid Based Complement Alternat Med,2014:871217.
[24]狄福平.论针灸与超声医学的结合方法[J].现代养生(下半月版),2016,(6):195.
[25]刘珊珊,贾宁,蔡少雨,等.超声监测针灸治疗后多囊卵巢综合症患者疗效的对比研究[J].中医临床研究,2017,9(5):116-118.
[26]杨冬梅,林诗彬,梁振波,等.温针灸治疗膝关节骨性关节炎疗效的超声监测[J].重庆医学,2016,45(27):3860-3862.
[27]高崇于,赵南义,陈溶,等.针灸推拿治疗腰肌劳损对超声声像图的影响与疗效关系(附50例报告)[J].贵州医药,2013,37(10):936-937.
[28]钱玲琳.超声影像介导下围刺治疗卵巢囊肿的临床观察[D].武汉:湖北中医药大学,2015.
[29]郑淑洁.超声引导下神经阻滞治疗颈源性头痛的临床研究[J].影像技术,2015,27(3):46-47.
[30]陈培敏.超声技术在臂丛神经阻滞应用中的临床研究[D].苏州:苏州大学,2013.
[31]伍晓鸣,田丰玮,谢昭鹏,等.颈型颈椎病阿是穴的超声影像研究[J].中国针灸,2017,37(4):395-399.
[32]张选平,贾春生,王建岭,等.穴位埋线疗法的优势病种及应用规律[J].中国针灸,2012,32(10):947-950.
[33]李红艳.穴位埋线治疗单纯性肥胖的优势研究[J].中国医药指南,2012,10(27):409.
[34]胡成想,李素荷.穴位埋线疗法治疗支气管哮喘的系统评价[J].安徽中医药大学学报,2014,33(3):70-73.
[35]刘旭斌.穴位埋线结合药物治疗功能性便秘的临床疗效观察[D].广州:广州中医药大学,2012.
[36]李雅洁,安丽,田浩.穴位埋线配合福松治疗糖尿病便秘:随机对照研究[J].中国针灸,2016,36(2):124-128.
[37]孙文善,楚宁宁,封燕婷,等.超声引导下颈夹脊穴埋线层次与得气的初步研究[J].中国针灸,2015,35(9):931-934.
[38]孙文善,曹云云,王余民,等.高频超声引导下足三里穴微创埋线初步研究[J].上海针灸杂志,2013,32(8):683-684.
[39]Park JJ,Akazawa M,Ahn J,et al.Acupuncture sensation during ultrasound guided acupuncture needling[J].Acupunct Med,2011,29(4):257-265.
[40]孙文善,楚宁宁,马伊磊,等.超声引导下埋线治疗颈椎病的有效层次研究[J].中国针灸,2015,35(10):1001-1004.
[41]杨琳琳,郑元义,谢昭鹏,等.针刺手三里虚伪动态超声显像[J].中国介入影响与治疗学,2015,12(9):532-535.
[42]高东雯,肖沪生,徐智章,等.三维与二维高频超声技术应用于针灸穴位定位的可行性研究[J].中国中西医结合影像学杂志,2013,11(3):231-234.
[43]李尚安,李佩佩,阮骊韬,等.超声在针灸减肥对腹部脂肪影响研究中的应用价值[J].临床医学研究与实践,2017,2(7):5-7.
[44]付蕾,武志佳,郭耀光,等.针刺结合超声关节治疗仪治疗退行性膝关节炎临床疗效观察[J].四川中医,2014,32(9):150-152.
[45]高凤霞.针灸配合超声电导靶向经皮给药治疗腰椎间盘突出症36例[J].长春中医药大学学报,2007,23(3):56.
[46]严志颖.针刺与超声波配合治疗头痛205例临床体会[J].中国当代医药,2009,16(19):62-63.
[47]于波,王英淑,张全霞.温针灸配合超声药物介导治疗膝骨性关节炎的临床研究[J].中医临床研究,2016,8(29):67-68.
[48]杨玉华,张迪,萨喆燕,等.超声针灸的研究进展及其机制的初步探讨[J].针刺研究,2012,37(4):333-337.
[49]赵红.超声治疗仪控制系统的设计与实现[D].上海:华东师范大学,2010.
[50]李晓林.超声治疗仪联合中西医结合护理对高血脂症的影响[J].中国老年保健医学,2015,13(2):122-123.
[51]张少飞.超声治疗仪对冠心病心绞痛辅助治疗研究[J].亚太传统医药,2013,9(3):191-192.
[52]刘俏俏.超声针灸换能器的设计研究和检测[D].重庆:重庆医科大学,2015.
[53]丁霞娟,熊春燕,李泞珊,等.超声针灸对兔胃黏膜损伤修复的病理改变[J].北京医学,2013,35(1):48-49.