基于国内期刊类文献数据挖掘针灸治疗神经根型颈椎病临床选穴规律
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摘要
目的:通过收集2014—2018年针灸治疗神经根型颈椎病类期刊文献,分析其临床选穴特点及规律,探索其中高频腧穴,为临床治疗提供相应依据和理论基础。方法:检索近5年知网、万方、维普等数据平台收录的相关临床研究文献,运用中医传承辅助平台(TCMISS) V2. 5收集数据并建立选穴数据库进行统计分析。结果:有效文献116篇,统计腧穴100个,总频次830次,包含经脉14条。结论:针刺治疗本病选穴简便效廉,多取阳经穴位、五腧穴;腧穴配伍多采用局部配穴法、原络配穴法。
Objective: To analyze the law of acupoints selection by collecting the literature of acupuncture treating cervical spondylotic radiculopathy( CSR) from 2014 to 2018,and to explore the high-frequency acupoints,so as to provide the basis of clinical treatment. Methods: Relevant clinical literatures of past five years were retrieved from CNKI,Wanfang and VIP. TCMISS V2. 5 platform was used to collect the data and acupoint selection database was established for statistical analysis. Results: 116 valid literatures were included,100 acupoints were counted with total frequency of 830 times,and 14 meridians were invovled. Conclusion: Acupuncture is effective to treat CSR with simple acupoint selection. Points from Yang meridian and five-shu points were mostly used. Acupoint combination are mainly local points combination and combined selection of Yuan-source acupoint and collateral acupoint.
Objective: To analyze the law of acupoints selection by collecting the literature of acupuncture treating cervical spondylotic radiculopathy( CSR) from 2014 to 2018,and to explore the high-frequency acupoints,so as to provide the basis of clinical treatment. Methods: Relevant clinical literatures of past five years were retrieved from CNKI,Wanfang and VIP. TCMISS V2. 5 platform was used to collect the data and acupoint selection database was established for statistical analysis. Results: 116 valid literatures were included,100 acupoints were counted with total frequency of 830 times,and 14 meridians were invovled. Conclusion: Acupuncture is effective to treat CSR with simple acupoint selection. Points from Yang meridian and five-shu points were mostly used. Acupoint combination are mainly local points combination and combined selection of Yuan-source acupoint and collateral acupoint.
引文
[1]乔敏,龚广峰.针刺治疗神经根型颈椎病的临床观察[J].针灸临床杂志,2018,34(1):31-33.
[2]张桂梅.针刺配合中药内服治疗肩周炎40例[J].浙江中医杂志,2012,47(12):863.
[3]张悦,岳群,郭文辉.经筋理论指导小针刀治疗神经根型颈椎病的疗效观察[J].针灸临床杂志,2017,33(11):43-46.
[4]杨永菊,张江,吕世伟,等.电针透穴治疗膝骨性关节炎随机对照研究[J].针灸临床杂志,2016,32(10):1-4.
[5]李佳诺,孙忠人,曾祥新.针刺为主治疗椎动脉型颈椎病研究近况[J].针灸临床杂志,2016,32(4):91-94.
[6]唐波,单佳靖,鲍淑红,等.针刺颈夹脊穴对椎动脉型颈椎病患者血流动力学的影响[J].云南中医学院学报,2018,41(1):87-89.
[7]王菲.针刺耳穴配合颈夹脊穴治疗神经根型颈椎病的疗效观察[J].中国中医急症,2017,26(11):2014-2016.
[8]张狄,黄振,宋双临.温和灸风池穴治疗椎动脉型颈椎病临床观察[J].上海针灸杂志,2017,36(10):1239-1242.
[9]涂国卿,曾丽琴.眼针配合天麻素穴位注射治疗椎动脉型颈椎病的临床观察[J].针灸临床杂志,2013,29(7):42-44.
[10]张雪松,刘潇,李崖雪.风池穴快速捻转法对椎动脉型颈椎病患者椎动脉的影响[J].针灸临床杂志,2015,31(6):32-33.
[11]沈庆思,王浩然,贾红玲,等.远近配穴法治疗椎动脉型颈椎病疗效观察[J].针灸临床杂志,2016,32(5):33-35.
[12]陈兴良,陈敏.颈6、7椎旁压痛点治疗颈椎病的疗效观察[J].针灸临床杂志,2014,30(11):33-35.
[13]丁义侠,陈亮亮,储浩然.通督调神电针法对脑梗死模型大鼠GAP-43表达的影响[J].云南中医学院学报,2016,39(6):21-25.
[14]丁诤,曾光.深刺大椎穴联合整脊推拿治疗神经根型颈椎病临床研究[J].中医学报,2018,33(4):676-681.
[15]徐雯,金成宪.针刺治疗神经根型颈椎病的机理研究概况[J].针灸临床杂志,2013,29(6):80-81.
[16]王瑾,高天旸,李少玲,等.针灸对体外受精-胚胎移植结局的影响[J].湖南中医杂志,2016,32(11):84-85.
[17]徐颖,叶晓倩,杨珊莉,等.基于德尔菲针刺方案改善卒中后平衡功能障碍的临床研究[J].中华中医药杂志,2018,33(5):2116-2120.
[18]林景雄.针刺结合运动疗法治疗肩周炎临床观察[J].中医临床研究,2014,6(32):23-24.
[19]朱琳琳,蔡向红,尹逊路,等.针刺青灵组穴治疗神经根型颈椎病疗效观察[J].中国中医基础医学杂志,2018,24(6):813-814,817.
[20]张婉瑜,徐白甫,靳勇,等.八脉交会穴配穴疗法治疗颈型颈椎病的近远期疗效评价[J].针灸临床杂志,2018,34(5):13-17.
[21]李婕,谢玮,范伟强,等.“颈七针”治疗神经根型颈椎病疗效观察[J].上海针灸杂志,2018,37(2):222-225.
[22]陈红,郑斌,王昊.推拿结合灵龟八法针法治疗颈源性头痛的临床观察[J].北京中医药大学学报(中医临床版),2011,18(4):10-12.
[23]张海华,黄润泽,李知行,等.基于数据挖掘针灸治疗颈型颈椎病用穴规律探究[J].针灸临床杂志,2016,32(9):81-85.
[24]刘家峰,陈巍.原络针刺法为主治疗失眠的临床疗效及对单胺类递质表达的影响[J].针灸临床杂志,2018,34(7):27-31.
[2]张桂梅.针刺配合中药内服治疗肩周炎40例[J].浙江中医杂志,2012,47(12):863.
[3]张悦,岳群,郭文辉.经筋理论指导小针刀治疗神经根型颈椎病的疗效观察[J].针灸临床杂志,2017,33(11):43-46.
[4]杨永菊,张江,吕世伟,等.电针透穴治疗膝骨性关节炎随机对照研究[J].针灸临床杂志,2016,32(10):1-4.
[5]李佳诺,孙忠人,曾祥新.针刺为主治疗椎动脉型颈椎病研究近况[J].针灸临床杂志,2016,32(4):91-94.
[6]唐波,单佳靖,鲍淑红,等.针刺颈夹脊穴对椎动脉型颈椎病患者血流动力学的影响[J].云南中医学院学报,2018,41(1):87-89.
[7]王菲.针刺耳穴配合颈夹脊穴治疗神经根型颈椎病的疗效观察[J].中国中医急症,2017,26(11):2014-2016.
[8]张狄,黄振,宋双临.温和灸风池穴治疗椎动脉型颈椎病临床观察[J].上海针灸杂志,2017,36(10):1239-1242.
[9]涂国卿,曾丽琴.眼针配合天麻素穴位注射治疗椎动脉型颈椎病的临床观察[J].针灸临床杂志,2013,29(7):42-44.
[10]张雪松,刘潇,李崖雪.风池穴快速捻转法对椎动脉型颈椎病患者椎动脉的影响[J].针灸临床杂志,2015,31(6):32-33.
[11]沈庆思,王浩然,贾红玲,等.远近配穴法治疗椎动脉型颈椎病疗效观察[J].针灸临床杂志,2016,32(5):33-35.
[12]陈兴良,陈敏.颈6、7椎旁压痛点治疗颈椎病的疗效观察[J].针灸临床杂志,2014,30(11):33-35.
[13]丁义侠,陈亮亮,储浩然.通督调神电针法对脑梗死模型大鼠GAP-43表达的影响[J].云南中医学院学报,2016,39(6):21-25.
[14]丁诤,曾光.深刺大椎穴联合整脊推拿治疗神经根型颈椎病临床研究[J].中医学报,2018,33(4):676-681.
[15]徐雯,金成宪.针刺治疗神经根型颈椎病的机理研究概况[J].针灸临床杂志,2013,29(6):80-81.
[16]王瑾,高天旸,李少玲,等.针灸对体外受精-胚胎移植结局的影响[J].湖南中医杂志,2016,32(11):84-85.
[17]徐颖,叶晓倩,杨珊莉,等.基于德尔菲针刺方案改善卒中后平衡功能障碍的临床研究[J].中华中医药杂志,2018,33(5):2116-2120.
[18]林景雄.针刺结合运动疗法治疗肩周炎临床观察[J].中医临床研究,2014,6(32):23-24.
[19]朱琳琳,蔡向红,尹逊路,等.针刺青灵组穴治疗神经根型颈椎病疗效观察[J].中国中医基础医学杂志,2018,24(6):813-814,817.
[20]张婉瑜,徐白甫,靳勇,等.八脉交会穴配穴疗法治疗颈型颈椎病的近远期疗效评价[J].针灸临床杂志,2018,34(5):13-17.
[21]李婕,谢玮,范伟强,等.“颈七针”治疗神经根型颈椎病疗效观察[J].上海针灸杂志,2018,37(2):222-225.
[22]陈红,郑斌,王昊.推拿结合灵龟八法针法治疗颈源性头痛的临床观察[J].北京中医药大学学报(中医临床版),2011,18(4):10-12.
[23]张海华,黄润泽,李知行,等.基于数据挖掘针灸治疗颈型颈椎病用穴规律探究[J].针灸临床杂志,2016,32(9):81-85.
[24]刘家峰,陈巍.原络针刺法为主治疗失眠的临床疗效及对单胺类递质表达的影响[J].针灸临床杂志,2018,34(7):27-31.