针刺治疗多发性末梢神经炎临床研究现状分析  

Clinical research status and analysis of acupuncture in the treatment of peripheral neuritis

作　　者：喻珮 刘璐[1] 李志娟 李彬[1] YU Pei;LIU Lu;LI Zhijuan;LI Bin(Beijing Key Laboratory of Acupuncture and Moxibustion Neuromodulation,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;College of Acupuncture and Massage,Beijing University of Traditional Chinese Medicine,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院针灸神经调控北京市重点实验室,北京100010 [2]北京中医药大学针灸推拿学院,北京100029

出　　处：《中国医药导报》2019年第28期142-146,共5页China Medical Herald

基　　金：北京市中医管理局-北京地区中医康复服务能力与技术平台规范化建设项目

摘　　要：目的了解针刺治疗多发性末梢神经炎的临床研究现状,为今后的研究方向作出探讨与分析。方法通过中国期刊全文数据库(CNKI)、万方数据库和PubMed数据库检索纳入了21篇2000年1月~2019年1月针刺治疗多发性末梢神经炎的临床随机对照研究(RCTs),并从诊断标准、疗效标准、试验观察周期、试验对照设计、治疗方法以及选穴规律特点等方面进行综述和讨论分析。结果针刺治疗多发性末梢神经炎以局部取穴为主,选穴以手足阳明经为多,显示出短期疗效优势,但在诊断标准、疗效评估、实验观察周期以及对照设计等方面缺少规范化标准。结论目前研究表明针刺治疗多发性末梢神经炎确切有效,但临床研究试验仍较少,有必要增加更多设计严谨的RCTs,并引入国际公认的测评标准及客观检测指标来加强疗效评定的可信度,提高整体研究水平。Objective To investigate the present clinical research status of acupuncture in the treatment of peripheral neuritis,and analyze the future research directions.Methods Twenty-one clinical randomized controlled trials(RCTs)of acupuncture treatment for peripheral neuritis from January 2000 to January 2019 were conducted included through the Chinese journal full text database(CNKI),Wanfang database and PubMed database search.The diagnostic criteria,therapeutic criteria,experimental observation period,experimental control design,treatment methods and characteristics of acupoint selection were reviewed and discussed.Results Local acupoint selection was the main treatment for peripheral neuritis by acupuncture.Yangming Meridian of Hand and Foot was the main point selection,which showed the short-term curative effect advantage.However,there was a lack of standardized criteria in diagnostic criteria,therapeutic evaluation,experimental observation cycle and control design.Conclusion Current research shows that acupuncture treatment for peripheral neuritis is effective,but clinical studies are still not enough.Therefore,more precise RCTs are necessary.Meanwhile,adopting more international evaluation standards and objective monitoring indicators to strengthen the evidence and enhance the overall level of research is also required.

关 键 词：多发性末梢神经炎 针刺 数据库 研究现状 

分 类 号：R745.4[医药卫生—神经病学与精神病学]