摘要
【目的】分析针刺治疗卒中后运动功能障碍的选穴规律。【方法】计算机检索中国知网期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学数据库(CBM)、美国生物医学信息检索系统(PubMed)、荷兰医学文摘(Embase)、国际循证医学图书馆(Cochrane Library)、科学网(Web of Science)等各大数据库中针刺治疗卒中后运动功能障碍的随机对照研究文献。将符合纳入标准的文献进行内容分析提取并建立处方数据库,使用古今医案云平台对数据进行分析。【结果】最终纳入161篇文献,共涉及腧穴178个,应用频次共1616次。针刺治疗卒中后运动功能障碍应用频次前5位的腧穴分别是合谷、曲池、肩髃、足三里、外关;最常选用的经脉为手阳明大肠经、足少阳胆经和足阳明胃经;常应用腧穴多分布于四肢部;应用频次前5位的穴对为曲池-合谷、肩髃-合谷、合谷-外关、肩髃-曲池和曲池-外关;关联性最强的穴位组合为曲池-合谷;聚类分析将所有穴位分为5大类,主要核心处方为曲池、合谷、外关、肩髃、手三里、足三里、阳陵泉。【结论】针刺治疗卒中后运动功能障碍的选穴归经以阳明经脉为主、多应用四肢部穴位,临床上取穴可根据肢体运动功能状态选择四肢常用穴,再加百会穴与醒脑开窍针法。
Objective To analyze the acupoint selection rules of acupuncture in the treatment of motor dysfunction after stroke.Methods A computer search was conducted in major databases including CNKI,Wanfang,VIP,CBM,PubMed,Embase,Cochrane Library,Web of Science and other major databases for randomized controlled studies of acupuncture for post-stroke motor dysfunction.The literature that met the inclusion criteria was extracted for content analysis and a prescription database was created,and the datum were analyzed using the Ancient and Modern Case Recoreds Cloud Platform.Results A total of 161 articles were included,involving 178 acupoints with a total frequency of 1616 applications.The top 5 acupoints frequently used in the treatment of post-stroke motor dysfunction were Hegu(LI4),Quchi(LI11),Jianyu(LI15),Zusanli(ST36),Waiguan(SJ5);the most frequently used channels were the hand yangming large intestine channel,the foot shaoyang gallbladder channel and the foot yangming stomach channel;the most frequently used acupoints were located on the extremities;the top 5 acupoint pairs were Quchi(LI11)-Hegu(LI4),Jianyu(LI15)-Hegu(LI4),Hegu(LI4)-Waiguan(SJ5),Jianyu(LI15)-Quchi(LI11)and Quchi(LI11)-Waiguan(SJ5);the most strongly associated acupoints were Quchi(LI11)-Hegu(LI4);cluster analysis classified all acupoints into 5 major categories,with the main core prescriptions being Quchi(LI11),Hegu(LI4),Waiguan(SJ5),Jianyu(LI15),Shousanli(LI10),Shousanli(LI10),Yanglingquan(GB34).Conclusion The selection of acupoints for the treatment of post-stroke motor dysfunction is based on the yangming channel and mostly applied to acupuncture points on the extremities.Clinically,acupoints can be selected according to the motor function status of the limbs,plus the acupuncture method of inducing resuscitation at Baihui(DU20)point.
作者
方子杰
崔韶阳
林子琦
郑会严
赵鑫伟
李雪伟
FANG Zi-Jie;CUI Shao-Yang;LIN Zi-Qi;ZHENG Hui-Yan;ZHAO Xin-Wei;LI Xue-Wei(The Sixth Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine(Futian),Shenzhen 518034 Guangdong,China;Faculty of Chinese Medicine Science,Guangxi University of Chinese Medicine,Nanning 530222 Guangxi,China;Clinical Medical College of Acupuncture Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Guilin Traditional Chinese Medicine Hospital,Guilin 541000 Guangxi,China;Shenzhen Fuyong People’s Hospital,Shenzhen 518128 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2023年第5期1205-1213,共9页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
深圳市中医重点专科建设项目(编号:ZYTS019)
深圳市福田区卫生公益性科研项目(编号:FTWS2021010)。
关键词
针刺
卒中后
运动功能障碍
选穴规律
数据挖掘
阳明经穴
百会穴
醒脑开窍针法
acupuncture
post-stroke
motor dysfunction
acupoint selection rules
data mining
acupoints at yangming channel
Baihu(i GV20)
acupuncture method of inducing resuscitation
