基于临床随机对照试验分析铺灸疗法的优势病种  

Analysis on the dominant diseases treated with spreading moxibustion therapy based on randomized controlled trials

作　　者：胡汉通 李邦伟[1] 胡天烨 王超[1] 高宏[1] HU Han-tong;LI Bang-wei;HU Tian-ye;WANG Chao;GAO Hong(the Third Hospital Affliated to Zhejiang University,Hangzhou 310000,China;the Third Clinical Medical Collage,Zhejiang Chinese Medical University,Hangzhou 310053;the First Hospital of Jiaxing Municipal)

机构地区：[1]浙江中医药大学附属第三医院,杭州310000 [2]浙江中医药大学第三临床医学院,杭州310053 [3]嘉兴市第一医院

出　　处：《中国针灸》2019年第5期557-561,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金青年项目:81603693;浙江省中医药基金项目:2017ZA070

摘　　要：目的:分析现阶段铺灸疗法的适应证及优势病种,为临床治疗提供参考依据。方法:检索中国期刊全文数据库、万方、维普、PubMed等7大中英文数据库,纳入所有铺灸的临床随机对照试验(RCT)文献并进行分析,统计文献年度发表数量,文献所属各疾病系统的数量,其适应证及优势病种,研究病例数和对应的临床有效率。结果:共纳入182篇文献,铺灸的主要适应证达40种,涵盖9大疾病系统。在运动系统中适应证最多,占所有适应证的17.50%(7/40),其次为消化系统疾病,占所有适应证的15.00%(6/40)。优势病种主要分布在运动系统、呼吸系统、神经系统及妇科系统。其中,运动系统有3个优势病种,为强直性脊柱炎、腰背痛和类风湿关节炎;呼吸系统有1个优势病种,为慢性阻塞性肺病;妇科系统有1个优势病种,为原发性痛经;神经系统有1个优势病种,为卒中后瘫痪。结论:现阶段铺灸的适应证较为广泛,优势病种相对集中,以强直性脊柱炎为代表。但铺灸的适应证和优势病种是动态变化的,其治疗疾病谱仍有拓展潜力。Objective To analyze the indications and dominant diseases of the spreading moxibustion therapy.Methods By retrieving 7 databases of both Chinese and English version,such as CNKI,WANFANG,VIP and PubMed,the eligible articles of randomized controlled trials(RCTs)treated with spreading moxibustion therapy were collected.The number of annual publications,the number of each disease system,the indications and dominant diseases involved in the related articles were analyzed statistically,as well as the number of cases and the corresponding clinical effective rates.Results A total of 182 articles were included,including 40 indications for the spreading moxibustion and covering 9 major disease systems.Specially,the indications in the motor system were maximal in number,accounting for 17.50%(7/40)of the total number of indications.The number of indications in the digestive system was on the second top,accounting for 15.00%(6/40).The dominant diseases were mainly distributed in motor system,respiratory system,nervous system and gynecological system.There were 3 dominant diseases in motor system,i.e.ankylosing spondylitis,back pain and rheumatoid arthritis;1 dominant disease,i.e.chronic obstructive pulmonary disease in the respiratory system,1 dominant disease,i.e.primary dysmenorrheal in the gynecological system and 1 dominant disease,i.e.post-stroke paralysis in the nervous system.Conclusion At present,the indications of the spreading moxibustion therapy are widely distributed and the dominant diseases are concentrated,representatively by ankylosing spondylitis.But,the indications and the dominant diseases of spreading moxibustion are changeable dynamically and the disease spectrum of spreading moxibustion needs to be further explored.

关 键 词：铺灸疗法 随机对照试验 优势病种 疗效 文献研究 

分 类 号：R246[医药卫生—针灸推拿学]