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针灸疗法在不孕症中的应用现状与规律

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目的:总结和探讨针灸疗法在不孕症中的应用现状与规律.方法:通过计算机检索CNKI、VIP、WANG-FANG、CBM、Cochrane Library、MEDLINE、EMbase,纳入针灸治疗不孕症的文献,建立针灸疗法和穴位处方数据库,使用Excel 2010、SPSS 26.0和SPSS Modeler 18.0进行统计分析.结果:共纳入文献281篇.不孕病因涉及排卵障碍、盆腔及免疫因素,排卵障碍因素文献数量最多.针灸疗法上大多数研究选用了手针.高频穴位、关联分析以及聚类分析结果提示关元、三阴交、子宫、气海、足三里为重要穴位;任脉为重要经脉.结论:目前针灸治疗不孕症以排卵障碍性不孕为主,选穴以"任主胞胎"理论为共有思路.排卵因素不孕兼顾调补肝肾及调畅情志;盆腔因素不孕重视补益气血,改善局部血供.穴位处方主要通过补肝肾、调冲任、健脾胃、调神的协同作用达到助孕目的.
The Application Situation and Law of Acupuncture and Moxibustion in Infertility
Objective To summarise and explore the application law of acupuncture and moxibustion in infertility.Method Relative literatures of studies were reviewed from the databases of CNKI,VIP,Wanfang data,Cochrane Library,MEDLINE,EMbase.The database of acupuncture therapy and acupoint prescriptions was established,and statistical analysis was carried out using Excel 2010,SPSS 26.0and SPSS modeler 18.0.Results A total of 281 literatures were included.The causes of infertility in-cluded ovulation disorder factors,pelvic factors and immune factors,and ovulation disorders have the largest number.Manual ac-upuncture is the main acupuncture therapy.The results of high-frequency acupoints,association analysis and cluster analysis all suggest that CV4,SP6,EX-CAI,CV6and ST36are important acupoints.Conception Meridian is the most important channel.Conclusion At present,acupuncture and moxibustion is mainly used in ovulation disorder infertility,which plays an assisted role.The selection of acupoints is based on the theory of"Ren-conception vessel dominates conception"theory.Ovulation disorder in-fertility attaches importance to comprehensive conditioning,tonifying liver and kidney,regulating emotion and promoting transpor-tation;Pelvic factor infertility focuses on supplementing Qi and blood and promoting local blood supply.The acupoint prescription assisting pregnancy mainly through Tonifying the liver and kidney,regulating Chong-Ren,strengthening the spleen and stomach and regulating Shen.

acupunctureacupointsinfertilitydata mining

付思佳、杨晗、刘嘉佳、萧智勇、赖媛媛、杨洁

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成都中医药大学针灸推拿学院,四川成都 610075

针灸 腧穴 不孕症 数据挖掘

国家自然科学基金

82174517

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(1)
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