摘要
目的:研究近20年实验动物模型研究中推拿操作的应用情况。方法:检索中国知网、万方数据库和维普数据库建库至2019年12月31日期间公开发表的有关推拿干预实验动物疾病模型文献,采用文献计量学基本思路将最终纳入文献的发表时间、研究病种、推拿手法参数、推拿干预方式进行分析,根据其频次进行统计排序。结果:共纳入发表于1985至2019年的文献408篇,研究病种主要为肌肉骨骼疾病、神经系统疾病、脊柱疾病等推拿临床治疗的优势病种。推拿研究参数包括单一手法(以研究捏脊法频次最高)、特殊命名手法(以研究“三法三穴”推拿手法频次最高)、推拿干预时间(研究较多的为总的干预疗程)、频率(以研究摩腹法频次最高)、刺激量(以比较不同轻重手法为主),推拿手法干预方法可以分为人工操作、机器操作两大类,以人工操作更为多见。结论:近20余年推拿实验机制研究整体上处于稳步上升趋势,以临床常见的肌肉骨骼神经系统疾病为主要研究方向。单一手法研究主要为可操作性强的手法,如捏脊法、按压法等,特殊命名手法体现了不同推拿流派的特色,反映了研究团队工作的延续性、稳定性,并将推拿手法干预时间、频率、刺激量等参数做了横向比较,有助于临床方案的优化。在选择人工操作还是机器操作时应综合考虑手法效应、人工成本、时间成本等因素,总之有关推拿手法效应、标准化、量化等问题还需进一步深入研究。
Objective:To analysis the application of Tuina on experimental animal models in the past 20 years.Methods:CNKI,Wan Fang and VIP databases were retrieved for the literature about the application of Tuina on experimental animals published before December 31,2019.The publication time,type of disease,parameters of manipulation and intervention methods were summarized and classified by the method of metrological analysis.Results:Due to December 31,2019,a total of 408 papers were included.The diseases reported in these literatures are dominant diseases in the clinical application of Tuina.The research parameters of massage include single manipulation(chiropractic manipulation is the most frequently studied),special naming manipulation(Three methods and Three Acupoints),massage intervention time(total intervention course is the most studied),frequency(abdominal massage is the most frequently studied),and stimulation amount(mainly comparing the different techniques).Tuina operation can be divided into manual operation and machine operation,and the former is more common.Conclusion:The analysis showed that the number of articles on the experimental mechanism of Tuina had a general increasing trend,and the main research direction is musculoskeletal nervous system diseases.The research of single manipulation mainly includes manipulative manipulation,such as chiropractic manipulation,pressing manipulation,etc.The studies on particular manipulation reflect the characteristics of different massage schools and reflect the continuity and stability of the research team's work.In addition,the time,frequency and stimulus intensity of Tuina were compared,which is helpful to the optimization of clinical application.When selecting manipulation on experimental animals,the manipulation effect,labor cost,time cost and other factors should be considered.In a word,the effect,standardization and quantification of Tuina need to be further studied.
作者
肖尧
杨丹
黄彩虹
周晶
XIAO Yao;YANG Dan;HUANG Cai-hong;ZHOU Jing(Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China;Hubei Institute of Traditional Chinese Medicine,Wuhan 430074,China;Hubei University of Chinese Medicine,Wuhan 430061,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2021年第7期1160-1164,共5页
JOURNAL OF BASIC CHINESE MEDICINE
基金
2017年湖北省技术创新专项(重大项目)(2017ACA192)-中医康复常用技术标准化及临床应用转化研究。
关键词
推拿手法
文献计量学
优势病种
研究参数
Tuina
Metrological analysis
Dominant diseases
Research parameters
