首页|基于随机对照试验分析针刺治疗冠心病的临床选穴特点

基于随机对照试验分析针刺治疗冠心病的临床选穴特点

Acupoint Selection of Acupuncture for Coronary Heart Disease:A Study Based on Randomized Controlled Trials

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目的:回顾既往相关随机对照试验文献,分析针刺有效治疗冠心病病例的临床选穴特点.方法:检索2010年1月1日至2020年10月1日公开发表的针刺有效治疗冠心病的随机对照试验文献,并进行回顾性分析,对腧穴选择、腧穴分布、经脉归属、选穴配伍、针刺方法等进行总结.结果:纳人文献45篇,涉及病例3 866例,治疗冠心病多选择心包经、膀胱经和任脉,选穴以内关、膻中、心俞、足三里、神门等最常用,部位以四肢部为主,特定穴以五腧穴和络穴为主,针刺方法以平补平泻法居多.结论:对基于文献对针刺有效治疗冠心病的选穴特点进行了总结分析,为临床选穴辨治提供了参考和借鉴.
Objective:To analyze the clinical characteristics of acupoint selection in acupuncture for coronary heart disease by re-viewing relevant randomized controlled trials(RCTs).Methods:The RCTs on acupuncture for coronary heart disease that were published from January 1 to October 1 in 2020 were retrieved.A retrospective analysis was performed to summarize the rules of acu-point selection,acupoint distribution,meridian tropism,acupoint compatibility,and acupuncture methods.Results:A total of 45 arti-cles were included,involving 3 866 cases.In the treatment of coronary heart disease,the acupoints on the pericardium meridian,bladder meridian,and conception vessel were most commonly selected,such as Neiguan(PC6),Danzhong(CV17),Xinshu(BL15),Zusanli(ST36),and Shenmen(HT7),which were mainly located on the extremities.The specific acupoints were mainly five transport points and collateral acupoints.Neutral reinforcement and reduction was the main acupuncture method.Conclusion:This paper summarizes the characteristics of acupoint selection for coronary heart disease based on the available articles,providing a reference for acupoint selection in clinical treatment.

Coronary heart diseaseAcupunctureCharacteristics of acupoint selectionValid casesRandomized controlled tri-alData mining

张艳艳、毕颖斐、张培培、吴旭东、王贤良、毛静远

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天津中医药大学第一附属医院心血管科,天津,300381

国家中医针灸临床医学研究中心,天津,300381

冠心病 针刺 选穴特点 有效病例 随机对照试验 数据挖掘

国家中医药局中医药创新团队及人才支持计划天津市中医药重点领域科技项目天津中医药大学第一附属医院"拓新工程"基金科研课题

ZYYCXTD-C-2022032022009院ZD202108

2023

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2023.18(22)
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