摘要
[目的]通过搜集及整理相关文献,分析时间因素对针灸疗效影响的研究现状,提出存在的问题及个人展望。[方法]以针灸治疗、疗效、时间等关键词检索中国知网、万方、中国生物医学文献数据库等,选取有关针灸疗效的34篇实验研究和临床研究文献,从介入时机、针刺时辰、留针时间、治疗间隔时间、疗程等方面分析时间因素对针灸疗效的影响。[结果]研究发现时间因素对针灸疗效确有影响,但具体最佳时间参数与不同疾病密切相关,如针灸治疗中风和面瘫急性期介入效果更好,痛经患者经前期针灸治疗效果更佳。择时针灸较随到随针效果佳;多数疾病留针时间为30min,而中枢性疾病留针60min甚至更长效果更佳;在有效刺激的前提下,长疗程的针灸治疗较短疗程佳;关于针灸间隔时间尚存在较大争议。[结论]时间因素对针灸疗效至关重要,但具体时间参数尚无统一标准,且相关机制研究甚少,因此探讨针灸治疗中时间因素的规律和时间因素对疗效的影响机制具有重要意义。
[Objective] To analyze the current research situation of the influence of time factors on the curative effect of acupuncture and moxibustion, and put forward the existing problems and personal prospects. [Methods] By searching the databases of China National Knowledge Infrastructure(CNKI),Wanfang and China Biomedical Literature with the keywords of acupuncture treatment, curative effect and time, 34 experimental and clinical research literatures on the curative effect of acupuncture and moxibustion were selected, and the effects of time factors on acupuncture and moxibustion were analyzed from the aspects of intervening time, acupuncture time, needle retention time, treatment interval time and course of treatment. [Results]It is found that time factors do affect the efficacy of acupuncture and moxibustion, but the specific optimal time parameters are closely related to different diseases, such as acupuncture and moxibustion in the treatment of apoplexy and facial paralysis in the acute phase of interventional effect is better,dysmenorrhea patients get better effect of pre-menstrual acupuncture and moxibustion. The effect of timing acupuncture is better than that of follow-up acupuncture. For most diseases, 30 minutes of needle retention is the best, while 60 minutes or longer of needle retention for central diseases is better.On the premise of effective stimulation, long course of acupuncture treatment is better than short course. As for the interval time between acupuncture and moxibustion, there are still much controversy. [Conclusion]Although many studies have shown that time factor is very important for the efficacy of acupuncture and moxibustion, there is no unified standard for the optimal time parameter of specific acupuncture and moxibustion, and little research has been done on its influencing mechanism. Therefore, it is necessary to explore the regularity of time factors in acupuncture and moxibustion treatment and the mechanism of efficacy of time factors on therapeutic effects.
作者
吴悦
陈晓军
WU Yue;CHEN Xiaojun(Zhejiang Chinese Medical University,Hangzhou(310053),China;The Third Affiliated Hospital of Zhejiang Chinese Medical University)
出处
《浙江中医药大学学报》
CAS
2019年第12期1407-1410,共4页
Journal of Zhejiang Chinese Medical University
基金
浙江省中医药科研基金项目(2019ZB059)~~
关键词
针灸治疗
疗效
介入时间
留针时间
间隔时间
疗程
综述
acupuncture and moxibustion therapy
therapeutic effect
intervention time
needle retention time
interval time
course of treatment
review
