Evidence-Based Study on Optimization of Acupuncture Treatment Protocols for Functional Dyspepsia
Objective:A statistical analysis of relevant factors in clinical literature on acupuncture treatment for functional dyspepsia(FD)over the past 20 years was conducted to provide higher-quality references and guidelines for clinical practice.Methods:A bibliometric analysis was conducted to examine the factors influencing acupuncture treatment for functional dyspepsia.These key factors include acupoint selection and combinations,needling techniques,duration of needling,needling retention time,frequency of acupuncture sessions,and related outcomes.Results:The top five acupoints with the highest frequency of acupuncture treatment for FD were Zusanli(ST36),Zhongwan(RN12),Neiguan(PC6),Tianshu(ST25)and Taichong(LR3),among which ST36,RN12 and PC6 were the most frequently used acupoints.Among the most commonly used eight acupoints,those from the Stomach Meridian,Bladder Meridian and Ren Channel had the highest proportions.Regarding acupoint compatibility,in the acupuncture prescriptions for treating FD,the combination of ST36 and RN12 was the most commonly used,with a high compatibility rate of 83.70％.When PC6 and ST36 were the primary points,the probability of also using RN12 was relatively high(84.62％).As for the lifting and thrusting frequency,only a few studies(14.05％)provided prescriptions,with the majority(82.35％)using a frequency of 60-90 times min.Regarding the twirling frequency,only a few studies(29.75％)provided descriptions,with the majority(66.67％)using a frequency of 60-90 times/min.Regarding the twirling amplitude,only a few studies(29.75％)described it,with most(61.11％)reporting an amplitude of 90-180°.For the duration of needling,only a few studies(13.22％)provided specific descriptions,with most(50.00％)selecting a duration of 10-30 seconds.Concerning the intervals between needling,only a few studies(32.23％)addressed this issue,with most(92.31％)reporting an interval of 5-10 minutes.In terms of needle retention time,most studies(81.82％)provided specific descriptions,with 20-30 minutes being the most commonly used duration(80.81％).In terms of treatment frequency,most studies(90.91％)described it specifically,with once per day being the most common frequency(80.17％).Considering treatment course,most studies(90.91％)had specific descriptions,with 80.17％of the studies selecting a course duration of 3-4 weeks.Conclusion:The top five acupoints used for acupuncture treatment of FD,in order of frequency,are ST36,RN12,PC6,ST25 and LR3.The most commonly selected meridians are the Stomach Meridian and Bladder Meridian.The combination of ST36 and RN12,or ST36,RN12 and PC6 is most frequently used in various acupuncture prescriptions.During needle retention,the duration of needling each time is usually about 20 seconds,with intervals of 5-10 minutes between needling sessions.The needle retention time is mostly 20-30 minutes,with a treatment frequency of once per day and a treatment course of 3-4 weeks.This recommended protocol is derived from extensive clinical practice and evidence-based research.However,the exact relationship between these key factors and treatment efficacy requires further investigation.Therefore,there is significant space for optimization in the acupuncture treatment protocol for FD.
Functional dyspepsiaAcupunctureBibliometricsOptimized planEvidence-based study
万方数据
维普
