Objective： To understand the general situation of clinical study on acupuncture for neurogenic dysphagia and the regularity of acupoint selection by literature analysis. Methods： By searching the relevant Chinese an...Objective： To understand the general situation of clinical study on acupuncture for neurogenic dysphagia and the regularity of acupoint selection by literature analysis. Methods： By searching the relevant Chinese and English literature on acupuncture treatment of neurogenic dysphagia from 2999 to 2014 in China National Knowledge Infrastructure （CNKI）, Wanfang Database and Ovid Gateway, the data of the recruited literature, including average age of the patients, acupoint selection, course, therapeutic effects and follow-up information, were input into the data table of Microsoft Excel 2010. Results： Totally, 51 articles were input, involving 4 606 patients. The average course of acupuncture treatment for neurogenic dysphagia was 24.8 d. The average retaining time of the needles was 26.2 min. The average total effective rate was 91.2%. Lianquan （CV 23）, Fengchi （GB 20）, Fengfu （GV 16） and Yifeng （TE 17） were the most commonly used acupoints from the regular meridians, accounting for 63.4% of the totally-used acupoints. Jinjin （EX-HN 12） and Yuye （EX-HN 13） were the most commonly used acupoints from the extraordinary meridians, accounting for 45.9% of the totally-used extraordinary acupoints. The frequently-used meridians in turns were the Conception Vessel, Gallbladder Meridian of Foot Shaoyang and Stomach Meridian of Foot Yangming, accounting for 63.3% of the involved meridians. Conclusion： The therapeutic effect of acupuncture treatment for neurogenic dysphagia was satisfactory. The acupoints were Lianquan （CV 23）, Fengchi （GB 20） and Fengfu （GV 26） in predominance, and they were mostly selected from the Conception Vessel, Gallbladder Meridian and Stomach Meridian those are in close relationship with the throat and neck.展开更多
目的:探讨穴位贴敷治疗原发性痛经的用药与取穴规律。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)及Pubmed、Cochrane library、the Web of Science、Emb...目的:探讨穴位贴敷治疗原发性痛经的用药与取穴规律。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)及Pubmed、Cochrane library、the Web of Science、Embase中穴位贴敷治疗原发性痛经的临床文献,检索时间自建库到2022年2月15日。使用Microsoft Excel 2016、SPSS Statistics 25.0、SPSS Modeler 18.0对数据进行描述性分析、聚类分析及关联规则分析。结果:共纳入70篇文献,包括81味药物和24个穴位。频次统计显示,使用频次前5位的药物为延胡索、肉桂、细辛、当归及川芎,药味以辛、甘、苦居多,药性以温、热为主。使用频次前5位的穴位为关元、神阙、中极、三阴交及子宫,以任脉腧穴为主。聚类分析发现,高频药物与腧穴均可聚成5类,可作为贴敷药物与腧穴处方辨证使用。关联规则显示,高频药物得出关联规则16条,核心处方为延胡索、当归、细辛、肉桂、吴茱萸、川芎;选穴得出关联规则29条,核心处方为神阙、关元、三阴交、子宫、气海、中极。结论:穴位贴敷治疗原发性痛经选穴以局部配穴为主,配合远端取穴;用药以活血药、温里药、理气药及补血药为主。用药与选穴规律体现了调理冲任胞宫气血、标本兼顾的治疗原则。展开更多
文摘Objective： To understand the general situation of clinical study on acupuncture for neurogenic dysphagia and the regularity of acupoint selection by literature analysis. Methods： By searching the relevant Chinese and English literature on acupuncture treatment of neurogenic dysphagia from 2999 to 2014 in China National Knowledge Infrastructure （CNKI）, Wanfang Database and Ovid Gateway, the data of the recruited literature, including average age of the patients, acupoint selection, course, therapeutic effects and follow-up information, were input into the data table of Microsoft Excel 2010. Results： Totally, 51 articles were input, involving 4 606 patients. The average course of acupuncture treatment for neurogenic dysphagia was 24.8 d. The average retaining time of the needles was 26.2 min. The average total effective rate was 91.2%. Lianquan （CV 23）, Fengchi （GB 20）, Fengfu （GV 16） and Yifeng （TE 17） were the most commonly used acupoints from the regular meridians, accounting for 63.4% of the totally-used acupoints. Jinjin （EX-HN 12） and Yuye （EX-HN 13） were the most commonly used acupoints from the extraordinary meridians, accounting for 45.9% of the totally-used extraordinary acupoints. The frequently-used meridians in turns were the Conception Vessel, Gallbladder Meridian of Foot Shaoyang and Stomach Meridian of Foot Yangming, accounting for 63.3% of the involved meridians. Conclusion： The therapeutic effect of acupuncture treatment for neurogenic dysphagia was satisfactory. The acupoints were Lianquan （CV 23）, Fengchi （GB 20） and Fengfu （GV 26） in predominance, and they were mostly selected from the Conception Vessel, Gallbladder Meridian and Stomach Meridian those are in close relationship with the throat and neck.
