摘要
分析针灸改善脊髓炎运动感觉和二便功能的文献,探讨其诊疗特点。电子检索中国知网(CNKI)、万方数据库、维普医学资源数据(VIP)以及PubMed中针灸治疗脊髓炎的文献,分析总结针灸的选穴特点、针灸方式、治疗时机、总治疗时间、疗效、随访和安全性等。结果共检出26篇文献,针灸治疗以多种针灸疗法合用为主(12/26,46.15%);治疗运动和感觉功能障碍取穴以四肢部和手、足阳明经穴及病变脊髓节段附近督脉穴和夹脊穴为主,膀胱功能障碍以任脉下腹部穴和膀胱经腰骶部穴为主,肠道功能障碍以胃经下肢部穴、任脉下腹部穴以及膀胱经背部穴为主;介入时机多在发病3个月内;总治疗时间1~3个月居多。针灸改善运动感觉及二便功能的疗效在69.19%~82.56%之间;随访疗效稳定,无不良反应事件。认为在早期诊断、积极药物治疗的基础上,针灸改善脊髓炎患者运动、感觉和二便障碍有一定疗效,确切疗效有待进一步临床研究证实。
The literature was analyzed on the improvement of motor sensory function,urination and defecation in myelitis treated with acupuncture and moxibustion and focused on the characteristics of the diagnosis and treatment.The literature on acupuncture and moxibustion treatment for myelitis was collected from CNKI,Wanfang,VIP and PubMed.The analysis included the characteristics of acupoint selection,methods of acupuncture and moxibustion,time of treatment,total treatment period,efficacy,follow-up,safety,etc.Totally,26 articles were collected.The combined therapy of acupuncture and moxibustion was predominated(12/26,46.15%).For the motor and sensory impairment,the acupoints were mainly selected from the four limbs,the yangmingmeridians of hand and foot and those adjacent to the affected spinal segments and on the governor vessel as well as Jiaji(EX-B 2)points.For urinary impairment,the acupoints were selected mainly from the lower abdominal region on the conception vessel and the lumbosacral region on the bladder meridian.For the intestinal impairment,the acupoints were from the lower limb on the stomach meridian,the lower abdominal region on the conception vessel and the back points on the bladder meridian.The intervention started commonly in the first 3months after onset.The total treatment period was in the range from 1to 3 months.The efficacy of acupuncture and moxibustion was69.19%to 82.56% for the improvement of motor sensory and urination,defecation function.The efficacy in follow-up was stable and the adverse reactions were not reported.It is viewed that on the basis of early diagnosis and active medication,acupuncture and moxibution achieve a certain of efficacy on the impairment of motor sensory function,urination and defecation.A clinical research is expected to further verify the efficacy.
出处
《中国针灸》
CAS
CSCD
北大核心
2016年第1期103-106,共4页
Chinese Acupuncture & Moxibustion
关键词
脊髓炎
针灸
运动感觉障碍
二便障碍
myelitis
acupuncture and moxibustion
motor sensory impairment
impairment of urination and defecation