对电针治疗脓毒症的疗效和有效处方初探
A Preliminary Analysis of the Efficacy and Prescription of Electro-acupuncture for Sepsis Treatment
方梦悦 1李熳 2李晨楠 2景向红 3徐斌 4马艳 5陈爱玲 6余玲玲1
作者信息
- 1. 华中科技大学同济医学院附属同济医院 武汉 430030
- 2. 华中科技大学同济医学院基础医学院 武汉 430030
- 3. 中国中医科学院针灸研究所 北京 100700
- 4. 南京中医药大学针药结合教育部重点实验室 南京 210023
- 5. 华中科技大学同济医学院附属武汉市第一医院 武汉 430030
- 6. 泰国皇太后大学整合医学院 清莱府 57100
- 折叠
摘要
脓毒症是临床危重症,病死率高.电针是脓毒症的重要辅助治疗手段,能减轻脓毒症炎症反应、调节患者免疫功能、预防多系统器官损伤,但系统性综述未见报道.本文通过检索PubMed、中国知网等数据库,对电针治疗脓毒症及其并发症的临床研究文献进行系统性整理,综述电针在脓毒症及其并发症领域的临床应用情况,分析其临床疗效,总结有效的穴位处方.最终确定电针在单纯脓毒症以及脓毒症并发消化道、肺、心肌、脑损伤的应用中获得了有效临床证据,并推荐如下有效穴位处方:①单纯脓毒症推荐"足三里+关元""足三里+天枢+上巨虚+下巨虚";②合并消化道损伤,推荐"足三里+上巨虚+天枢""足三里+天枢+上巨虚+下巨虚";③合并肺损伤,推荐"足三里+尺泽";④合并心肌损伤,推荐"内关+足三里+神门+太冲+血海+膈腧+三阴交+合谷";⑤合并脑损伤,推荐"百会+水沟".研究结果能为电针应用于脓毒症及其并发症的临床治疗提供初步临床指导.
Abstract
A clinically serious illness with a high death and morbidity rate is sepsis.Electro-acupuncture is a significant adjuvant treatment for sepsis,lowering the inflammatory response to sepsis,regulating the patient's immunological function,and preventing multi-system organ damage.However,no comprehensive study has been published.In order to review the clinical application of electro-acupuncture in the field of sepsis and its complications,analyze its clinical efficacy,and summarize effective acupuncture point prescriptions,we systematically compiled the clinical research literature on electro-acupuncture in the treatment of sepsis and its complications by searching PubMed,CNKI,and other databases.It was found that effective clinical evidence had been gathered for the administration of electro-acupuncture in uncomplicated sepsis as well as in sepsis aggravated by gastrointestinal,pulmonary,cardiac,and brain injury.The following successful acupoint prescriptions were indicated:①Simple sepsis was treated with"Zusanli+Guanyuan"or"Zusanli+Tianshu+Shangjuxu+Xiajuxu";②Combined gastrointestinal injury was treated with"Zusanli+Shangjuxu+Tianshu"or"Zusanli+Tianshu+Shangjuxu+Xiajuxu";③ Combined lung injury was treated with"Zusanli+Chize";④Combined myocardial injury was treated with"Neiguan+Zusanli+Shenmen+Taichong+Xuehai+Geshu+Sanyinjiao+Hegu";⑤Combined brain injury was treated with"Baihui+Shuigou".The study's findings can offer preliminary clinical direction for using electro-acupuncture to treat sepsis and associated complications in patients.
关键词
电针/脓毒症/脓毒症并发症/疗效/取穴规律/组方规律Key words
Electroacupuncture/Sepsis/Sepsis complications/Curative effect/Rules of acupoints selection/Rules of prescriptions引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据