针刺治疗原发性高血压病的现状与存在问题  

Current situation and existing problems of acupuncture for primary hypertension

作　　者：张丽丽[1] 魏鹏飞[1] 陈少宗[2] 

机构地区：[1]山东中医药大学,济南250014 [2]山东省中医药研究院针灸研究所,济南250014

出　　处：《中国针灸》2018年第3期338-342,共5页Chinese Acupuncture & Moxibustion

基　　金：2013-2014年山东省中医药科技发展计划项目:2013-125

摘　　要：目的:统计近20年来针刺治疗原发性高血压病的临床研究文献,分析其现状与存在的问题。方法:检索中国期刊全文数据库(CNKI)、维普数据网(VIP)、万方数据库1997—2016年间涉及针刺治疗原发性高血压病的临床研究文献,纳入符合标准的文献218篇,采用Microsoft Excel、SPSS Clementine软件中Apriori算法等进行信息挖掘。结果:经统计发现针刺治疗原发性高血压病的主穴主要为太冲、曲池、足三里、合谷,但是其支持度较低仅为12.21%;随机对照文献127篇,占58.26%;有明确诊断标准的文献158篇,占72.48%;明确提出疗效判定标准的138篇,占63.30%;经Jadad分析统计仅11篇(5.05%)为高质量文献。结论:近20年针刺治疗原发性高血压病取穴有一定的规律可循,但其支持度偏低,不能准确指导临床治疗。虽然针刺治疗原发性高血压病的临床文献质量不断提高,但高质量文献所占比例仍较低,故应严格按照现代医学研究模式,借鉴国外同类研究,设计更为严谨的试验方案,从而不断提高临床研究的质量,为今后临床治疗提供经验参考。Objective To analyze the present situation and existing problems of acupuncture for primary hypertension （PH） based on clinical research literature in recent： 20 years. Methods The clinical l^search literature regarding acupuncture for PH were searched from China National Knowledge Infrastructure （CNKI）, VIP data network （VIP） and Wanfang database from 1997 through 2016; a total of 218 papers met the inclusive criteria. Microsoft Excel and Apriori algorithm of SPSS Clementine software were applied to analyze the data. Results The main acupoints of acupuncture for PH were Taichong （LR 3）, Quchi （LI 11）, Zusanli （ST 36） and Hegu （LI 4）, but its support degree was only 12.21%. 127 papers were randomized controlled trials, accounting for 58.26%. 158 papers had clear diagnostic criteria, accounting for 72.48%. 138 papers had clear efficacy evaluation criteria, accounting for 63.30%. Only 5.05% of the papers were classified as high-quality literature by using Jadad scale. Conclusion In recent 20 years, some rules existed in acupoint selection for PH, but the support degree was low so it could not accurately guide clinical treatment. Although the clinical literature quality of acupuncture for PH was gradually increasing, the proportion of high-quality literature was low, therefore modern medical research model and foreign similar research should be followed to design a more rigorous trial protocol. As a result, the quality of clinical research is increased to provide reference for future clinical treatment.

关 键 词：原发性高血压病 针刺 针灸 研究现状 

分 类 号：R246[医药卫生—针灸推拿学]