针灸治疗类风湿性关节炎的临床研究进展  

Clinical research progress of acupuncture and moxibustion therapy in the treatment of rheumatoid arthritis

作　　者：黄耀连[1] 罗桂青[2] 李磊[2] 

机构地区：[1]香港佛教联合会-香港大学中医临床教研中心 [2]香港大学中医药学院

出　　处：《环球中医药》2017年第7期893-898,共6页Global Traditional Chinese Medicine

摘　　要：总结分析近5年来有关针灸治疗类风湿性关节炎的临床研究文献,明确针灸治疗类风湿性关节炎的临床研究进展。结果发现:(1)大多数文献为疗效观察研究,有关类风湿性关节炎的针灸镇痛机理研究报道尚不多见;(2)多数研究均未设置随访,疗效评定尚欠充分;(3)临床上大多采用综合治疗,以针灸结合中西药治疗为主;(4)辨证取穴、循经取穴及局部取穴为临床上治疗类风湿性关节炎的常用取穴法,其中又以阿是穴最为多选,疗效肯定;(5)国外文献报道中单纯毫针针刺1篇、温针灸1篇、电针1篇。针灸疗法治疗类风湿性关节炎具有操作简单方便,不良反应少的优势,临床疗效满意,今后应进一步完善针灸疗法治疗类风湿性关节炎的临床研究实验设计,以阐明针灸疗法治疗类风湿性关节炎的作用机理,使之更好地应用于临床。To observe the clinical research progress of acupuncture and moxibustion therapy in treatment of rheumatoid arthritis, the articles of clinical study on the acupuncture and moxibustion therapy applied to rheumatoid arthritis in recent 5 years were sorted and analyzed in this review.The results shown （1）Most of the literatures were the study of curative effect of acupuncture treatment on rheumatoid arthritis, and there were few reports about the mechanism of acupuncture analgesia in treatment of rheumatoid arthritis.（2）Most of the researches were short of follow-ups, the efficacy evaluation was not sufficient.（3）Combination Therapy was applied in clinic, mainly treated with acupuncture combined with Chinese and Western medicine.（4）Point selection treatment based on syndrome differentiation, Point selection treatment according to the channel and local point selection were common used, the ashi point was the most used in RA treatment and the effect was certain.5.There were 1 article of filiform needle therapy, 1 article of warm acupuncture therapy and 1 article of electro-acupunture in foreign literatures.Acupuncture therapy in the treatment of rheumatoid arthritis with simple and convenient operation, less side effect, satisfactory clinical efficacy.In the future, we should improve the clinical research of acupuncture and moxibustion in the treatment of rheumatoid arthritis, in order to clarify the mechanism of acupuncture and moxibustion treatment of rheumatoid arthritis, so that it can be better used in clinical practice.

关 键 词：针灸 类风湿性关节炎 综述 

分 类 号：R593.22[医药卫生—内科学]