基于现代文献针灸治疗术后恶心呕吐的处方刍议  

Analysis of acupuncture prescription for treatment of postoperative nausea and vomiting based on the modern literature

作　　者：石云舟 薛媛[1] 王富春[1] 

机构地区：[1]长春中医药大学针灸推拿学院,吉林省长春市130117

出　　处：《世界华人消化杂志》2016年第3期474-481,共8页World Chinese Journal of Digestology

基　　金：国家重点基础研究发展计划("973"计划)基金资助项目;No.2014CB543100~~

摘　　要：目的:本文通过检索10年来国内外针灸治疗术后恶心呕吐(postoperative nausea and vomiting,PONV)的临床研究,并从针灸方法、腧穴选择、腧穴配伍、针灸操作四个方面对治疗PONV的针灸处方进入深入剖析.方法:采用计算机检索,计算机检索范围为PubMed(2005-09/2015-09)、中国期刊全文数据库(CNKI)(2005-09/2015-09)、万方数据资源系统(2005-09/2015-09)、维普期刊全文数据库(VIP)(2005-09/2015-09)中符合针灸或针灸结合其他疗法治疗PONV相关文献.通过检索及梳理,得到相关文献52篇,分析其处方规律.结果:分析发现,在针灸方法上,以经皮电刺激、毫针针刺、电针、穴位按压、穴位注射等为主;在腧穴选择上,多选取具有调理脾胃功效的特定穴,按部、循经选穴,多取双侧腧穴;在腧穴配伍上,遵循按部配伍和循经配伍的配伍原则;在针灸操作上,补泻方式、针刺时间和针刺强度上都表述各一,最佳刺激方法仍未确定.结论:针灸治疗PONV的最佳方案有待研究,今后我们应该在针灸的介入时间、持续时间和针刺强度方面继续探索,开展针灸治疗PONV多中心大样本的随机对照临床研究,以期为针灸治疗PONV奠定更坚实的理论基础.AIM： To summarize clinical studies on acupuncture for the treatment of postoperative nausea and vomiting over the last ten years, and to analyze acupuncture prescription for postoperative nausea and vomiting with regards to acupuncture method, acupoint selection, compatibility of acupoints, and acupuncture technique.METHODS： PubMed, Chinese Journal Full-text Database（CNKI）, Wanfang, and VIP Database were searched by computer from September 2005 to September 2015 to identify studies evaluating acupuncture or acupuncture combined with other treatments for postoperative nausea and vomiting. Finally, 52 articles were identified to analyze acupuncture prescription.RESULTS： Main methods of acupuncture were filiform needle acupuncture, percutaneous electrical stimulation, electric acupuncture, acupoint pressure, and acupoint injection. For the selection of acupoints, a specific point was selected in most cases and bilateral acupoints were often punctured. For the compatibility of acupoints, the site and meridians are the main principles of acupuncture points. For the acupuncture technique, filling purging methods, time and intensity of acupuncture needle were described differently, and the best stimulation method is still uncertain.CONCLUSION： The optimal acupuncture treatment for postoperative nausea and vomiting remains to be studied. In the future, randomized, multicenter larger sample clinical studies should be carried out to examine acupuncture intervention timing, duration and intensity for postoperative nausea and vomiting.

关 键 词：现代文献 针灸 术后恶心呕吐 处方刍议 

分 类 号：R246.2[医药卫生—针灸推拿学]