目的:分析近20年的临床研究文献,总结针灸治疗银屑病的临床治疗特点与选穴规律,为优化针灸治疗银屑病的临床方案提供新的思路和参考.方法:检索中国知网数据库、中文科技期刊数据库、万方数据知识服务平台、PubMed数据库、Embase数据库和Web of Scinece数据库,检索时限为2002年1月1日至2022年12月31日,运用Microsoft Excel 2021分析针灸治疗银屑病的诊断标准、研究类型与分组、治疗方案、疗效评价与结局指标、选穴规律等,使用SPSS Modeler 18.1对腧穴进行关联规则分析并绘制复杂网络图.结果:共纳入文献26篇,针灸治疗银屑病临床研究的中西医诊断标准不断更新,26项研究中有21项随机对照研究;针刺联合艾灸、火针联合西药是针灸治疗银屑病的主要方法;膈俞、肺俞、肝俞、肾俞间存在较强的关联关系,是临床常用穴;针灸治疗银屑病疗效显著,不良反应发生率低.结论:针灸治疗银屑病安全、有效,推荐针刺联合艾灸、火针联合西药为主要干预方法,阿是穴、肺俞、膈俞、肝俞、肾俞为主穴.
Clinical research and the rules of acupoint selection on acupuncture treatment of psoriasis in the past 20 years
Objective To sum up clinical researches and the rule of acupoint selection on the treatment of psoriasis by acupuncture and moxibustion in the past 20 years,so as to provide new ideas and reference for improving the clinical effect of acupuncture for psoriasis.Methods Research papers,published from January 1,2002 to December 31,2022 in both Chinese and English,were searched from databases of China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform(WanFang),and Chinese Science and Technology Journal(CSTJ),PubMed,Embase and Web of Science by using key words of psoriasis,psoriases,psoriasis vulgaris,acupuncture,needle,acupoint and moxibustion.Then,Microsoft Excel 2021 was used for data entry,extraction and sorting of the included literature,data extraction mainly includes diagnostic criteria,treatment methods,treatment frequency,total course of treatment,selection of acupoints,efficacy evaluation and outcomes.SPSS Modeler 18.1 software was used to make analysis on the association rules of acupoints.Results A total of 26 papers were included,and the diagnostic criteria of clinical studies on acupuncture treatment of psoriasis are constantly updated.Of the 26 clinical studies,23 had both treatment group and control group,21 were randomized controlled trials.The main methods for treatment of psoriasis included fire needle,acupuncture,electroacupuncture,acupuncture combined with moxibustion or fire needle,fire needle plus western medicines,etc.with the acupuncture combined with moxibustion,and fire needle combined with western medicines being most frequently used.The observation index and clinical efficacy evaluation were effective rate,psoriasis area and severity index,dermatology life quality index,Traditional Chinese Medicine syndrome score,etc.,with the effective rate being about 40%to 100%.Comparison of clinical efficacy of acupuncture in treating psoriasis showed that the simple fire needle,simple acupuncture,acupuncture combined with moxibustion,fire needle or acupuncture combined with western medicines were superior to simple western medicines,etc.In regard to acupoint selection,a total of 35 acupoints were found in the 26 studies included,among which the top 5 frequently used were Ashi points(skin lesion region),Geshu(BL17),Feishu(BL13),Ganshu(BL18)and Quchi(LI11),and there were strong association rules among BL17,BL13,BL18 and Shenshu(BL23).Conclusion Acupuncture is safe and effective in the treatment of psoriasis,and acupuncture combined with moxibustion and fire acupuncture needle combined with western medicines are recommended as the main intervention method,with Ashi-point,BL13,BL17,BL18 and BL23 as the main acupoints.
万方数据
维普
