基于文献分析影响温针灸临床疗效与安全性的关键因素.docx

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1、基于文献分析影响温针灸临床疗效与安全性的关键因素 摘要 溫针灸首见于伤寒论，随着对温针灸工艺的改进和治疗的须要，形成了5种常见的温针灸疗法。本探讨旨在分析影响温针灸特异性疗效因素对温针灸临床疗效的贡献。探讨发觉温针灸的病种包括骨骼肌肉筋膜难受、运动功能受限类疾病、炎症相关内科疾病，以阳虚证、寒实证疗效最佳。粗大针具及其压痛点的密集型针刺法等针刺因素，合适的温度刺激强度、合适的体外留针、进针深至病灶、银针导热、电子控温等温度因素，均可提高温针灸的临床疗效及平安性。但是由于探讨方法及报道质量较低、探讨结果不一样、操作异质性等因素，临床医生需依据患者实际状况选择温针灸疗法。建议今后临床探讨依据循证医

2、学理念，供应温针灸平安性、有效性及卫生经济学评价的证据；试验探讨旨在揭示温针灸作用于不同疾病的共性机制和特定疾病的特性机制，并探讨不同温针灸作用机制的异同。 关键词 温针灸；内热针；电热针；银质针；临床疗效；平安性；试验探讨；临床探讨 中图分类号 R245.8 文献标识码 A 文章编号 1673-731011-0075-06 Key factors contributing to the clinical effect and safety in warm needling studies： a literature review CHENG Xiaofang1* QING Lunxue2*

3、SUN Yanyan3 LIU Changxin3 WANG Xiyou3 YU Changhe3 1.Department of Tuina and Pain Management， Longgang Hospital of Traditional Chinese Medicine in Shenzhen City， Guangdong Province， Shenzhen 518173， China； 2.the First Clinical College， Beijing University of Chinese Medicine， Beijing 101730， China； 3.

4、Department of Tuina and Pain Management， Dongzhimen Hospital， Beijing University of Chinese Medicine， Beijing 101730， China Abstract Warm needling is first recorded in Shanghan Lun. As the demand of treatment and the improvement of instruments， five types of warm needling have been developed. This r

5、eview is aimed at analyzing the factors contributing to the therapeutic effect and safety of warm needling. The results release that the warm needling is good at treating the diseases including musculoskeletal pain， diseases due to motion dysfunction， and inflammation of soft tissue in internal dise

6、ases， and especially the diseases with the main TCM patterns like yang deficiency and excessive cold. The factors contributing to the clinical effect and safety are the needling factors such as needles with large diameter and intensive needling with trigger points， and the temperature factors such a

7、s proper intense of temperature， proper needles length outside body， the depth of needling， silver needles as medium， and electronic temperature control. The clinical practitioners have to apply the proper type of warm needling for the patients with pattern identification and medical setting， due to

8、 the low quality of methodology and report of clinical trials， heterogeneity of trials and medical practices. Thus， it is suggested that the evaluation of safety， therapeutic effect and medical economics of warm needling should accord to the principle of evidence-based medicine； and the experiment helps to reveal the common and individual mechanism of the warm needling for different diseases， and discusses the difference and same among all types of warm needling. 第4页 共4页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页第 4 页 共 4 页