毫针针刺手法对原发性痛经效应影响的系统评价  

Efficacy of filiform needle manipulation on primary dysmenorrhea:a systematic review

作　　者：孙俊俊[1] 王亚峰[1] 张壮[1] 曹卉娟[1] 王培[2] 赵珉一 胡妮娟[1] 吴桂雯 胡尚卿 朱江[1] 

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京潞河医院 [3]常州市第一人民医院

出　　处：《中国针灸》2017年第8期887-892,共6页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划("973"计划)项目:2012 CB 518506;2006 CB 504503

摘　　要：评价针刺手法对原发性痛经效应的影响。检索国内外10个医学文献数据库,包括中国期刊全文数据库(CNKI)、维普数据库(VIP)、中国生物医学文献数据库(CBM)、万方数据库、MEDLINE、Cochrane图书馆数据库(CENTRAL)、护理学及医疗相关文献累计索引数据库(CINAHL PLUS)、荷兰医学文摘数据库(EMBASE)、联合补充医学文献数据库(AMED)、精神医学信息数据库(PsycINFO);以及6个临床试验注册平台,收集比较不同针刺手法干预方式治疗原发性痛经的所有随机对照试验,由两人分别进行资料提取,最后采用RevMan 5.3版进行统计分析。共检索到文献5 148篇,经筛选后纳入随机对照试验文献8篇,共计病例数644例;根据疼痛程度总有效率等指标的统计分析结果显示毫针针刺施手法、手法强刺激合深刺、施行特殊补泻手法治疗原发性痛经效果优于不施手法、手法弱刺激合浅刺、施行平补平泻法的治疗。初步认为施行一定的针刺手法有助于提高原发性痛经的疗效,但尚需更多高质量的研究进一步证实。方案注册号:PROSPERO:CRD42016038515。The paper is a systematic review on the efficacy of acupuncture manipulation on primary dysmenorrhea. Ten medical literatures database at home and abroad were retrieved, including CNKI, VIP, CBM, WANFANG, MEDLINE,Cochrane, CENTRAL, CINAHL PLUS, EMBASE, AMED and Psyc INFO, as well as 6 clinical trial registration platforms. All of randomized controlled trials（RCTs） on primary dysmenorrhea treated with different acupuncture manipulations were collected. The data were extracted by two persons. Finally, RevMa 5.3 software was used for statistical analysis. Totally, 5 148 pieces of literature were retrieved and 8 pieces on RCTs were screened with 644 cases included. According to the results of statistical analysis on the total effective rate and other indicators of pain degree, it was showed that the effects of the manipulation with filiform needle, deep puncture with strong stimulation, and specific reinforcing and reducing needling technique were better than those without manipulation applied or with shallow puncture and weak stimulation and even needling technique in the treatment of primary dysmenorrhea. It is believed initially that acupuncture manipulation contributes to the improvement of the therapeutic effects of primary dysmenorrheal, but much higher quality studies are required for the further confirmation. Protocol registration number： PROSPERO： CRD42016038515.

关 键 词：针刺手法 原发性痛经 系统评价 

分 类 号：R245.31[医药卫生—针灸推拿学]