近十年足三里穴位敏化研究的文献计量学分析
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摘要
目的基于文献计量学方法分析足三里穴位敏化的研究现状。方法检索2007年1月至2016年12月中国生物医学文献数据库、中国知网、万方医药期刊数据库、维普中文科技期刊全文数据库以及Pub Med、Embase、Cochrane Library中足三里穴位敏化相关研究文献,对其年份分布情况,试验设计(样本量、研究类型、研究方式),研究内容(敏化形式、系统疾病的敏化情况、各类敏化检测及部位分布情况)进行文献计量分析。结果纳入文献109篇。2007—2011年文献量处于增长状态并于2011年达到最高峰,累计文献数46篇,后5年稍有波动,文献数累计63篇。单组样本6~172例,平均40例;研究类型以随机对照试验为主(71篇),其次为病例观察(17篇);研究方式以探索性为主(57篇),干预性为辅(48篇)。敏化形式涉及热敏、电敏、痛敏、压敏、化学敏、声敏、光敏,其中以热敏研究为多(82篇);涉及脾胃、肝胆、气血津液、肢体经络疾病等多种系统疾病,其中以气血津液疾病研究为多(37篇);敏化部位主要集中在穴位周边(102次)。结论足三里穴敏化现象研究总体趋势呈现波动状态,在研究内容上相对单一,其试验设计和评定标准有待进一步提升。
Objective To analyze the research status of Zusanli( ST36) sensitization based on bibliometrics.Methods Literatures on Zusanli( ST36) sensitization from January 2007 to December 2016 were searched in the Chinese Biomedical Literature Database,China National Knowledge Infrastructure( CNKI),Wanfang Pharmaceutical Journal Database,VIP Chinese Science and Technology Journal Full-text Database,Pub Med,Embase and Cochrane Library. Bibliometric analysis was conducted for the distribution of the year,the experimental design( sample size,type of research,research method),the research content( sensitization form,sensitization of systemic diseases,various sensitization tests and site distribution). Results A total of 109 articles were included. From 2007 to 2011,the amount of literature was in a state of growth and reached its peak in 2011. The cumulative number of literatures was 46. The trend in the following five years was slightly fluctuating,and the number of literatures was 63. A single group of samples were from 6 to 172 patients with an average of 40 cases; the study type was mainly randomized controlled trial( 71),followed by case observation research( 17); the research method was mainly exploratory( 57),and supplement with the intervention study( 48). The sensitization forms involved heat sensitivity,electrosensitivity,pain sensitivity,pressure sensitivity,chemical sensitivity,sound sensitivity,and photosensitivity. Among them,heat sensitive research is more( 82); involving spleen and stomach,liver and gallbladder,qi,blood and fluid and limb meridian diseases,etc.,among which the studies qi,blood and fluid diseases accounted most( 37); the sensitization sites were mainly concentrated around the acupoints( 102 times). Conclusion The general trend of the sensitization phenomenon of Zusanli( ST36) is fluctuating,and the research content is relatively simple. The experimental design and evaluation criteria need to be further improved.
Objective To analyze the research status of Zusanli( ST36) sensitization based on bibliometrics.Methods Literatures on Zusanli( ST36) sensitization from January 2007 to December 2016 were searched in the Chinese Biomedical Literature Database,China National Knowledge Infrastructure( CNKI),Wanfang Pharmaceutical Journal Database,VIP Chinese Science and Technology Journal Full-text Database,Pub Med,Embase and Cochrane Library. Bibliometric analysis was conducted for the distribution of the year,the experimental design( sample size,type of research,research method),the research content( sensitization form,sensitization of systemic diseases,various sensitization tests and site distribution). Results A total of 109 articles were included. From 2007 to 2011,the amount of literature was in a state of growth and reached its peak in 2011. The cumulative number of literatures was 46. The trend in the following five years was slightly fluctuating,and the number of literatures was 63. A single group of samples were from 6 to 172 patients with an average of 40 cases; the study type was mainly randomized controlled trial( 71),followed by case observation research( 17); the research method was mainly exploratory( 57),and supplement with the intervention study( 48). The sensitization forms involved heat sensitivity,electrosensitivity,pain sensitivity,pressure sensitivity,chemical sensitivity,sound sensitivity,and photosensitivity. Among them,heat sensitive research is more( 82); involving spleen and stomach,liver and gallbladder,qi,blood and fluid and limb meridian diseases,etc.,among which the studies qi,blood and fluid diseases accounted most( 37); the sensitization sites were mainly concentrated around the acupoints( 102 times). Conclusion The general trend of the sensitization phenomenon of Zusanli( ST36) is fluctuating,and the research content is relatively simple. The experimental design and evaluation criteria need to be further improved.
引文
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[15]李敏,田弯弯,李开平.热敏灸结合项七针治疗椎动脉型颈椎病临床观察[J].中国中医骨伤科杂志,2015,23(4):13-16.
[16]郑瑞清,冉唯君,邹旭东,等.透刺加热敏灸治疗急性期风寒性面瘫的临床疗效观察[J].针灸临床杂志,2015,31(4):40-42.
[17]张元兵,胡志平,刘良徛,等.热敏灸合穴位敷贴防治支气管哮喘的临床研究[J].中医药通报,2012,11(6):51-54.
[18]张伟.热敏灸治疗原发性痛经的灸感与灸效相关性研究[D].长沙:湖南中医药大学,2012.
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[20]IONESCUTIRGOVISTE C,PRUNA S,MINCU I.Peripheral sympathetic neuropathy evaluated by recording the evoked electrodermal response using an impedance reactometer[J].Dia Res Clin Prac,1990,9(3):201.
[21]REICHMANIS M,MARINO AA,BECKER RO.Laplace plane analysis of impedance on the Hmeridian[J].Am J Clin Med,1979,7(2):188-193
[22]陈日新,康明非,何维莉,等.热敏穴灸治疗肌筋膜疼痛综合征:多中心随机对照研究[J].中国针灸,2008,28(6):395-398.
[23]陈日新,康明非.一种新类型的疾病反应点:热敏点及其临床意义[J].江西中医药大学学报,2006,18(2):29-30.
[24]佘延芬,齐丛会,朱江.国内外穴位电学特性研究的历史及进展评述[C]//中国针灸学会.中国针灸学会全国中青年针灸推拿学术研讨会论文集.北京:中国针灸学会,2010:1047-1050.
[25]邓晓辉,张守康.经络腧穴电磁特性研究概况[J].中国针灸,2009,29(8):633-636.
[2]康明非,陈日新.论“反应点”与腧穴[J].江西中医药大学学报,2006,18(3):37-38.
[3]陈静霞,刘阳阳,赵雪,等.浅论腧穴敏化[J].河北中医,2011,33(7):1039-1041.
[4]喻晓春,朱兵,高俊虹,等.穴位动态过程的科学基础[J].中医杂志,2007,48(11):971-973.
[5]陈日新,康明非,陈明人.岐伯归来:论腧穴“敏化状态说”[J].中国针灸,2011,31(2):134-138.
[6]佚名.内脏体表联系的临床观察:40例消化系病、症的穴位反应[J].针刺研究,1977,1(4):91-92.
[7]盖国才.穴位压痛辨病诊断法[J].人民军医,1978(6):8-9.
[8]张长城,朱丽霞,李丽娜.电针穴位对中脑导水管周围灰质伤害性反应的影响[J].针刺研究,1981,4(1):52-57.
[9]漆学智,吉长福,石宏,等.功能性肠病患者敏化穴位的分布[J].世界中医药,2013,8(3):259-262.
[10]毛慧娟,沈雪勇,魏建子,等.甲状腺机能异常患者足三里穴伏安特性观察[J].中华中医药学刊,2011,29(7):1503-1505.
[11]席时元,陶之理.“足三里”穴传入途径的探讨[J].针刺研究,1982,5(1):71-74.
[12]陶之理,李瑞午,席时元,等.用HRP法探讨胃各部的交感传入神经元的节段性分布[J].针刺研究,1984,7(1):41-46.
[13]柴芳芳.膝关节骨性关节炎腧穴热敏化艾灸的效应规律研究[D].广州:广州中医药大学,2012.
[14]王建明.不同灸位对腰椎间盘突出症临床疗效的影响[D].南京:南京中医药大学,2012.
[15]李敏,田弯弯,李开平.热敏灸结合项七针治疗椎动脉型颈椎病临床观察[J].中国中医骨伤科杂志,2015,23(4):13-16.
[16]郑瑞清,冉唯君,邹旭东,等.透刺加热敏灸治疗急性期风寒性面瘫的临床疗效观察[J].针灸临床杂志,2015,31(4):40-42.
[17]张元兵,胡志平,刘良徛,等.热敏灸合穴位敷贴防治支气管哮喘的临床研究[J].中医药通报,2012,11(6):51-54.
[18]张伟.热敏灸治疗原发性痛经的灸感与灸效相关性研究[D].长沙:湖南中医药大学,2012.
[19]中谷义雄.良导络的原理及临床概要[J].叶少麟,译.浙江医学院学报,1958(2):191-197.
[20]IONESCUTIRGOVISTE C,PRUNA S,MINCU I.Peripheral sympathetic neuropathy evaluated by recording the evoked electrodermal response using an impedance reactometer[J].Dia Res Clin Prac,1990,9(3):201.
[21]REICHMANIS M,MARINO AA,BECKER RO.Laplace plane analysis of impedance on the Hmeridian[J].Am J Clin Med,1979,7(2):188-193
[22]陈日新,康明非,何维莉,等.热敏穴灸治疗肌筋膜疼痛综合征:多中心随机对照研究[J].中国针灸,2008,28(6):395-398.
[23]陈日新,康明非.一种新类型的疾病反应点:热敏点及其临床意义[J].江西中医药大学学报,2006,18(2):29-30.
[24]佘延芬,齐丛会,朱江.国内外穴位电学特性研究的历史及进展评述[C]//中国针灸学会.中国针灸学会全国中青年针灸推拿学术研讨会论文集.北京:中国针灸学会,2010:1047-1050.
[25]邓晓辉,张守康.经络腧穴电磁特性研究概况[J].中国针灸,2009,29(8):633-636.