摘要
目的:探索针灸防治癌因性疲乏的临床应用方案,为制定临床实践指南提供依据。方法:通过计算机检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物文献、PubMed、EMBASE、Cochrane Library等数据库,全面收集针灸疗法治疗癌因性疲乏的现代文献证据;通过人工检索49本古代医籍,收集关于针灸疗法治疗疲乏的古代文献证据;通过制定发放《针灸干预癌因性疲乏调查问卷》,收集针灸干预癌因性疲乏的现代一线专家经验。整合3方面证据形成针灸防治癌因性疲乏临床推荐方案。结果:现代文献共检索到225篇,其中中文文献141篇,英文文献84篇,经筛选,最终纳入14篇现代文献;古代医籍文献与之相关的条目共10项;临床专家问卷共收回52份。综合3方面研究结果发现针灸治疗癌因性疲乏常用针刺、艾灸、穴位按压、电针、经皮穴位电刺激等疗法;常用穴位为足三里、三阴交、关元、气海、太溪、合谷、中脘、百会、太冲、印堂、天枢。结论:综合3方面证据,形成针灸防治癌因性疲乏的临床推荐应用方案,强烈推荐使用针刺、艾灸、穴位按压等疗法;弱推荐使用经皮穴位电刺激、电针等疗法;推荐使用穴位为足三里、三阴交、关元、气海、太溪、合谷、中脘、内关、百会、太冲、印堂、天枢、神门等穴。
Objective:To explore the clinical application of acupuncture in the prevention and treatment of cancer-related fatigue,and to provide the basis for the development of clinical practice guidelines.Methods:We searched China national knowledge infrastructure(CNKI),China Science Periodical Database(CSPD),Chinese Citation Database(CCD),Chinese Biological Literature,PubMed,EMBASE and Cochrane Library and other databases to comprehensively collect the modern literature evidence of acupuncture treatment of cancer-related fatigue;collected the ancient literature evidence of acupuncture treatment of cancer-related fatigue by manually searching 49 ancient medical books;collected the modern medical experts′experience of acupuncture intervention of cancer-related fatigue by formulating and distributing the Questionnaire of Acupuncture Intervention On Cancer-Related Fatigue.The 3 aspects of evidence were integrated to form the clinical recommended scheme of acupuncture in the prevention and treatment of cancer-related fatigue.Results:A total of 225 modern literature were retrieved,including 141 Chinese literature and 84 English literature.After sorting out the literature,14 modern literature were finally included;there were 10 items related to ancient medical literature;52 clinical experts questionnaires were collected.After comprehensive 3 aspects of research results,it was found that acupuncture treatment of cancer-related fatigue commonly used acupuncture,moxibustion,acupoint pressing,electro acupuncture,transcutaneous acupoint electrical stimulation and other therapies;the commonly used acupoints were Zusanli(S36),Sanyinjiao(SP6),Guanyuan(CV4),Qihai(CV6),Taixi(K3),Hegu(L14),Zhongwan(CV12),Baihui(GV20),Taichong(LR3),Yintang(EX-HN3),Tianshu(S25).Conclusion:Based on the evidence of the 3 aspects,the recommended clinical application scheme of acupuncture for cancer-related fatigue prevention and treatment is formed.Acupuncture,moxibustion and acupoint pressing are strongly recommended;transcutaneous acupoint electrical stimu
作者
车文文
杨静雯
夏小军
姜小燕
王平
潘战宇
王斌
王丹
吕中茜
潘兴芳
陈泽林
郭永明
史丽萍
陈波
郭义
CHE Wenwen;YANG Jingwen;XIA Xiaojun;JIANG Xiaoyan;WANG Ping;PAN Zhanyu;WANG Bin;WANG Dan;LYU Zhongxi;PAN Xingfang;CHEN Zelin;GUO Yongming;SHI Liping;CHEN Bo;GUO Yi(Research Center of Experimental Acupuncture Science,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Department of Mammary Gland,Gansu Cancer Hospital,Lanzhou 730050,China;National Cancer Clinical Research Center,Cancer Hospital,Tianjin Medical University,Tianjin 300060,China;School of Acupuncture&Moxibustion and Tuina,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 301617,China;School of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《世界中医药》
CAS
2021年第10期1594-1598,1603,共6页
World Chinese Medicine
基金
国家重点研发计划项目(2019YFC1712200,2019YFC1712204)
2020年度中医药标准化项目(GZT-FJS-2020-202)——标准化人才培养模式的构建及实施应用研究
中国科技协会第五届中国科协青年人才托举工程项目(2019-2021ZGZJXH-QNRC001)。
关键词
针灸
艾灸
穴位按压
癌因性疲乏
临床实践指南
临床方案
证据整合与推荐
Acupuncture
Moxibustion
Acupressure
Cancer-related fatigue
Clinical practice guidelines
Clinical protocol
Evidence integration and recommendation