摘要
头针为主治疗抽动障碍(tic disorder, TD)的方法包括单纯头针、头针联合体针、头针联合耳穴、头针联合中药及头针联合其他疗法等。目前,头针治疗TD的研究有以下问题亟须解决:(1)当前,头针治疗TD的临床研究报告多为Tourette综合征(Tourette syndrome, TS),而慢性TD和短暂性TD的研究相对较少,需注重对其他类型抽动障碍的临床研究;(2)临床研究多表明头针治疗TD有效,然而其作用机制并不明确,应增加头针治疗TD的基础实验研究,明确其作用机制,为其疗效提供更加可靠的证据;(3)临床研究的样本量普遍较少,部分研究为名老中医经验,可设计多中心、大样本、系统性的随机对照试验加以佐证;(4)头针治疗TD的方法不一,在选穴、治疗时间、行针手法等方面缺乏统一标准,需寻找更为客观、规范、统一的疗效评价标准,进而筛选出最优诊疗方案。
Scalp acupuncture is mainly used to treat Tic disorder(TD),including simple scalp acupuncture,scalp acupuncture com⁃bined with body acupuncture,scalp acupuncture combined with ear points,scalp acupuncture combined with Chinese medicinals,and scalp acupuncture combined with other therapies.At present,the research on scalp acupuncture treatment of TD has the following prob⁃lems that need to be solved urgently:(1)Most of the clinical research reports on scalp acupuncture treatment of TD are about Tourette syndrome(TS),while the research on chronic TD and transient TD is relatively few,and clinical research on other types of TD needs to be focused.(2)Clinical research has shown that scalp acupuncture is effective in treating TD,but its mechanism of action is not clear.Basic experimental research on scalp acupuncture in treating TD should be increased to clarify its mechanism of action and provide more reliable evidence for its efficacy.(3)The sample size of clinical research is generally small,and some of the research is on the experi⁃ences of famous old Chinese medicine practitioners,which can be supported by a multi⁃center,large sample,systematic randomized con⁃trolled trial.(4)There are different methods for treating TD with scalp acupuncture,and there is a lack of unified standards in acupoint selection,treatment time,and acupuncture techniques.It is necessary to find more objective,standardized,and unified efficacy evaluation standards,and then select the optimal diagnosis and treatment plan.
作者
宋鑫鑫
张旭
付乾芳
戎萍
SONG Xinxin;ZHANG Xu;FU Qianfang;RONG Ping(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,China,300381)
出处
《河南中医》
2023年第8期1287-1291,共5页
Henan Traditional Chinese Medicine
基金
天津市卫生计生行业高层次人才选拔培养工程项目(02005-6)。
关键词
儿童抽动障碍
头针
体针
针刺疗法
tic disorder(TD)in children
scalp acupuncture
body acupuncture
acupuncture therapy
