针灸治疗眼病临床应用规律分析
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摘要
基于《中医针灸信息库》中的数据,采用文献计量分析方法,对1954至2016年间有关针灸治疗眼病的临床研究类论文进行文献计量分析与评价,以期客观地反映针灸治疗眼病的疾病谱和适宜病症。结果显示针灸治疗眼病的疾病谱共涉及13类疾病47个具体病症,总病例数为176 469,有效病例数为160 662,有效率为91.0%。针灸治疗眼病的适宜病症有近视、睑腺炎、结膜炎;常用适宜病症有斜视、干眼病、眼肌麻痹;次常用适宜病症有视神经萎缩、眼睑下垂、动眼神经麻痹、眼睑痉挛、弱视。针灸治疗眼病中最常用的体穴为攒竹、睛明、太阳,最常用的耳穴为眼、肝、肾。从配穴方法上来看,以局部用穴为主,同时以远端取穴辅助配合治疗。
Based on the data from the Information Library of Acupuncture-Moxibustion of TCM, the bibliometric analysis was applied to analyze and evaluate the literature regarding clinical research of acupuncture for ophthalmopathy published between 1954 to 2016, hoping to objectively reflect the disease spectrum and indication of acupuncture for ophthalmopathy. The results showed that the disease spectrum of acupuncture for ophthalmopathy involved 47 specific diseases in 13 types of diseases. The total number of cases was 176 469, and the number of effective cases was 160 662, and the effective rate was 91.0%. The indication of acupuncture for ophthalmopathy included myopia, blepharoptosis and conjunctivitis. The commonly used indications were strabismus, dry eye and ophthalmoplegia, and the secondary indications were optic atrophy, blepharoptosis, oculomotor paralysis, blepharospasm, amblyopia. The most commonly used acupuncture points for ophthalmopathy were Cuanzhu(BL 2), Jingming(BL 1), Taiyang(EX-HN 5), and the most commonly used auricular points were yan(LO5), gan(CO12) and shen(CO10). As for the methods of acupoint combination, local acupoints were mainly selected, combined with distal acupoint to assist treatment.
Based on the data from the Information Library of Acupuncture-Moxibustion of TCM, the bibliometric analysis was applied to analyze and evaluate the literature regarding clinical research of acupuncture for ophthalmopathy published between 1954 to 2016, hoping to objectively reflect the disease spectrum and indication of acupuncture for ophthalmopathy. The results showed that the disease spectrum of acupuncture for ophthalmopathy involved 47 specific diseases in 13 types of diseases. The total number of cases was 176 469, and the number of effective cases was 160 662, and the effective rate was 91.0%. The indication of acupuncture for ophthalmopathy included myopia, blepharoptosis and conjunctivitis. The commonly used indications were strabismus, dry eye and ophthalmoplegia, and the secondary indications were optic atrophy, blepharoptosis, oculomotor paralysis, blepharospasm, amblyopia. The most commonly used acupuncture points for ophthalmopathy were Cuanzhu(BL 2), Jingming(BL 1), Taiyang(EX-HN 5), and the most commonly used auricular points were yan(LO5), gan(CO12) and shen(CO10). As for the methods of acupoint combination, local acupoints were mainly selected, combined with distal acupoint to assist treatment.
引文
[1]赵堪兴,杨培增.眼科学[M].8版.北京:人民卫生出版社,2013:16-25.
[2]曾庆华.中医眼科学[M].北京:中国中医药出版社,2007:206.
[3]倪书钦.干眼症的治疗[J].现代中西医结合杂志,2014,23(3):332-334.
[4]丛晨阳,毕宏生,温莹.干眼症发病机制和治疗方法的研究进展[J].国际眼科杂志,2012,12(3):464-467.
[5]陈丽萍,赵堪兴.视疲劳病因研究及防治[J].国外医学(眼科学分册),2005,29(6):367-370.
[6]夏群,郭小萍,张伟,等.老年视力异常及增龄性眼病[J].中国老年学杂志,2006,26(12):1729-1730.
[7]袁敏而,刘瑛,叶秀兰,等.视神经疾病的基因治疗新进展[J].中华眼底病杂志,2006,22(6):425-428.
[8]韦青松,王伯钧,陈玉新,等.眼科门诊干眼症的流行病学调查[J].广西医科大学学报,2008,25(1):146-147.
[9]Loman J,Quin GE,Kamoun L,et al.Darkness and nearwork:myopia and its progression in third-year law students[J].Ophthalmology,2002,109(5):1032-1038.
[10]He M,Zeng J,Liu Y,et al.Refractive error and visual impairment in urban children in southern China[J].Invest ophthalmol Vis Sci,2004,45(3):793-799.
[11]Edwards MH,Lam CS.The epidemiology of myopia in Hong Kong[J].Ann Acad Med Singapore,2004,33(1):34-38.
[12]刘璇,孟宏,周允娴.周允娴教授针药结合治疗干眼病经验[J].中国针灸,2014,34(10):1005-1008.
[13]邵玉红,陈肖,赵海岚,等.老年人视力损害状况及社会支持对其生存质量影响的研究[J].中国全科医学,2014,17(4):408-413.
[14]张琳琳,张翠红,马晓芃,等.针灸治疗干眼症的现状与展望[J].针灸临床杂志,2014,30(1):62-66.
[15]何芹芹,詹碧玉,陈波,等.明目眼针方治疗眼疾的临床应用及其机理浅析[J].辽宁中医杂志,2016,43(8):1726-1727.
[16]于晓华.视疲劳综合征的针灸治疗思路与方法[J].中国民族民间医药,2012,21(1):14-17.
[17]卢继东,吴松,梁凤霞,等.针灸数据库发展现状及趋势分析[J].中医杂志,2016,57(1):75-78.
[18]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(GB/T 12346-2006)[S].北京:中国标准出版社,2006.
[19]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.耳穴名称与定位(GB/T 13734-2008)[S].北京:中国标准出版社,2008.
[20]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.针灸技术操作规范第2部分:头针(GB/T 21709.2-2008)[S].北京:中国标准出版社,2008.
[21]吴兰成.中国中医药学主题词表[M].北京:中医古籍出版社,1996.
[22]黄琴峰,刘婕,吴焕淦.基于《中医针灸信息库》评述艾条灸的疾病谱[J].上海针灸杂志,2013,32(7):532.
[23]U.S.National Library of Medicine.National Institutes of Health,Health&Human Services Medical Subject Headings[DB/OL].Bethesda,MD:U.S.National Library of Medicine,2016:1[2016-10-13].https://meshb-prev.nlm.nih.gov/search.
[24]医学主题词组编译.医学主题词注释字顺表[M].北京:中国医学科学院医学情报研究所,1992.
[25]宋艳侠.针灸联合中药熏眼热疗治疗青少年近视20例[J].河南中医,2015,35(1):160-161.
[26]王翰墨,李翔.耳穴压丸与珍珠明目滴眼液对视疲劳(肝肾不足证)的随机对照临床研究[J].中国中医眼科杂志,2016,26(6):363-367.
[27]常云龙,荀继鹏,左德葳.针灸配合枸明胶囊治疗青少年近视430例临床观察[J].世界最新医学信息文摘,2015,15(17):127.
[28]朱莉莉.针刺内睛明穴为主治疗干眼临床疗效观察[D].北京:北京中医药大学,2015.
[29]陈欣.太阳配伍井穴刺血治疗睑腺炎23例[J].中国民间疗法,2016,24(12):22-23.
[30]尹勇,欧阳应颐.攒竹穴在眼病中的临床运用[J].中西医结合眼科杂志,1998,16(3):178.
[31]贺伟平,姜丽芳,李应昆.睛明穴临床研究汇总[J].甘肃中医,2008(11):8-10.
[32]仝建庭.单刺睛明穴治疗中心性视网膜炎24例临床观察[J].河北中医学院学报,1996,11(2):33-34.
[33]杨延婷,黄琴峰,贾一凡,等.耳穴贴压法的临床应用现状与分析[J].针灸推拿医学,2016,14(1):147.
[34]Zhang YM,Huang QF.Exploration of clinical regularity in acupuncture for apoplexy sequelae based upon‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank’[J].J Acupunct Tuina Sci,2014,12(3):133-140.
[35]Yang L,Huang QF,Wu HG,et al.Analysis of the frequency of clinical acupoint use based on‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank’[J].J Acupunct Tuina Sci,2014,12(2):80-88.
[36]徐红,张进,王海丽,等.眼病针灸简史[J].中医文献杂志,2016,34(1):59-65.
[37]孔昭遐.近十年针灸治疗眼科疾病临床研究概况[J].中国针灸,1999,19(4):57-61.
[38]马秀焕.单纯人工泪液法与联合眼针法治疗干眼症疗效比较[J].淮海医药,2016,34(2):185-186.
[39]王菁,张英辉.中药联合针灸治疗晚期缺血性视神经视网膜脉络膜病变疗效观察[J].陕西中医学院学报,2004,27(3):45-46.
[40]周文新.李鼎,王卜雄,等.原发性青光眼针刺前后眼血流图的变化[J].上海针灸杂志,1989,8(1):8-9.
[41]邰浩清.针刺治疗兔青光眼的实验研究[J].安徽中医学院学报,2001,20(6):29-30.
[42]谢文军,谢思健,张娟,等.针药结合治疗视神经萎缩25例疗效观察[J].湖南中医杂志,2013,29(7):89-90.
[43]聂翔.针灸治疗98例视神经萎缩的临床疗效观察与分析[J].中国实用医药,2012,7(21):246-248.
[44]徐斯伟,胡蔚琼,张必萌,等.不同取穴法治疗视神经萎缩的疗效观察[J].中医杂志,2011,52(8):701-702.
[45]刘耀萌,哈略,黄畅,等.耳穴在近视和视疲劳治疗中的临床研究进展[J].环球中医药,2017,10(1):120-123.
[2]曾庆华.中医眼科学[M].北京:中国中医药出版社,2007:206.
[3]倪书钦.干眼症的治疗[J].现代中西医结合杂志,2014,23(3):332-334.
[4]丛晨阳,毕宏生,温莹.干眼症发病机制和治疗方法的研究进展[J].国际眼科杂志,2012,12(3):464-467.
[5]陈丽萍,赵堪兴.视疲劳病因研究及防治[J].国外医学(眼科学分册),2005,29(6):367-370.
[6]夏群,郭小萍,张伟,等.老年视力异常及增龄性眼病[J].中国老年学杂志,2006,26(12):1729-1730.
[7]袁敏而,刘瑛,叶秀兰,等.视神经疾病的基因治疗新进展[J].中华眼底病杂志,2006,22(6):425-428.
[8]韦青松,王伯钧,陈玉新,等.眼科门诊干眼症的流行病学调查[J].广西医科大学学报,2008,25(1):146-147.
[9]Loman J,Quin GE,Kamoun L,et al.Darkness and nearwork:myopia and its progression in third-year law students[J].Ophthalmology,2002,109(5):1032-1038.
[10]He M,Zeng J,Liu Y,et al.Refractive error and visual impairment in urban children in southern China[J].Invest ophthalmol Vis Sci,2004,45(3):793-799.
[11]Edwards MH,Lam CS.The epidemiology of myopia in Hong Kong[J].Ann Acad Med Singapore,2004,33(1):34-38.
[12]刘璇,孟宏,周允娴.周允娴教授针药结合治疗干眼病经验[J].中国针灸,2014,34(10):1005-1008.
[13]邵玉红,陈肖,赵海岚,等.老年人视力损害状况及社会支持对其生存质量影响的研究[J].中国全科医学,2014,17(4):408-413.
[14]张琳琳,张翠红,马晓芃,等.针灸治疗干眼症的现状与展望[J].针灸临床杂志,2014,30(1):62-66.
[15]何芹芹,詹碧玉,陈波,等.明目眼针方治疗眼疾的临床应用及其机理浅析[J].辽宁中医杂志,2016,43(8):1726-1727.
[16]于晓华.视疲劳综合征的针灸治疗思路与方法[J].中国民族民间医药,2012,21(1):14-17.
[17]卢继东,吴松,梁凤霞,等.针灸数据库发展现状及趋势分析[J].中医杂志,2016,57(1):75-78.
[18]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(GB/T 12346-2006)[S].北京:中国标准出版社,2006.
[19]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.耳穴名称与定位(GB/T 13734-2008)[S].北京:中国标准出版社,2008.
[20]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.针灸技术操作规范第2部分:头针(GB/T 21709.2-2008)[S].北京:中国标准出版社,2008.
[21]吴兰成.中国中医药学主题词表[M].北京:中医古籍出版社,1996.
[22]黄琴峰,刘婕,吴焕淦.基于《中医针灸信息库》评述艾条灸的疾病谱[J].上海针灸杂志,2013,32(7):532.
[23]U.S.National Library of Medicine.National Institutes of Health,Health&Human Services Medical Subject Headings[DB/OL].Bethesda,MD:U.S.National Library of Medicine,2016:1[2016-10-13].https://meshb-prev.nlm.nih.gov/search.
[24]医学主题词组编译.医学主题词注释字顺表[M].北京:中国医学科学院医学情报研究所,1992.
[25]宋艳侠.针灸联合中药熏眼热疗治疗青少年近视20例[J].河南中医,2015,35(1):160-161.
[26]王翰墨,李翔.耳穴压丸与珍珠明目滴眼液对视疲劳(肝肾不足证)的随机对照临床研究[J].中国中医眼科杂志,2016,26(6):363-367.
[27]常云龙,荀继鹏,左德葳.针灸配合枸明胶囊治疗青少年近视430例临床观察[J].世界最新医学信息文摘,2015,15(17):127.
[28]朱莉莉.针刺内睛明穴为主治疗干眼临床疗效观察[D].北京:北京中医药大学,2015.
[29]陈欣.太阳配伍井穴刺血治疗睑腺炎23例[J].中国民间疗法,2016,24(12):22-23.
[30]尹勇,欧阳应颐.攒竹穴在眼病中的临床运用[J].中西医结合眼科杂志,1998,16(3):178.
[31]贺伟平,姜丽芳,李应昆.睛明穴临床研究汇总[J].甘肃中医,2008(11):8-10.
[32]仝建庭.单刺睛明穴治疗中心性视网膜炎24例临床观察[J].河北中医学院学报,1996,11(2):33-34.
[33]杨延婷,黄琴峰,贾一凡,等.耳穴贴压法的临床应用现状与分析[J].针灸推拿医学,2016,14(1):147.
[34]Zhang YM,Huang QF.Exploration of clinical regularity in acupuncture for apoplexy sequelae based upon‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank’[J].J Acupunct Tuina Sci,2014,12(3):133-140.
[35]Yang L,Huang QF,Wu HG,et al.Analysis of the frequency of clinical acupoint use based on‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank’[J].J Acupunct Tuina Sci,2014,12(2):80-88.
[36]徐红,张进,王海丽,等.眼病针灸简史[J].中医文献杂志,2016,34(1):59-65.
[37]孔昭遐.近十年针灸治疗眼科疾病临床研究概况[J].中国针灸,1999,19(4):57-61.
[38]马秀焕.单纯人工泪液法与联合眼针法治疗干眼症疗效比较[J].淮海医药,2016,34(2):185-186.
[39]王菁,张英辉.中药联合针灸治疗晚期缺血性视神经视网膜脉络膜病变疗效观察[J].陕西中医学院学报,2004,27(3):45-46.
[40]周文新.李鼎,王卜雄,等.原发性青光眼针刺前后眼血流图的变化[J].上海针灸杂志,1989,8(1):8-9.
[41]邰浩清.针刺治疗兔青光眼的实验研究[J].安徽中医学院学报,2001,20(6):29-30.
[42]谢文军,谢思健,张娟,等.针药结合治疗视神经萎缩25例疗效观察[J].湖南中医杂志,2013,29(7):89-90.
[43]聂翔.针灸治疗98例视神经萎缩的临床疗效观察与分析[J].中国实用医药,2012,7(21):246-248.
[44]徐斯伟,胡蔚琼,张必萌,等.不同取穴法治疗视神经萎缩的疗效观察[J].中医杂志,2011,52(8):701-702.
[45]刘耀萌,哈略,黄畅,等.耳穴在近视和视疲劳治疗中的临床研究进展[J].环球中医药,2017,10(1):120-123.