针刺治疗癌痛选穴研究:基于现有证据和德尔菲法  

Acupoint selection for cancer pain: based on current evidence and Delphi method

作　　者：何怡瀚[1,2,3] 许能贵 张海波[1,2] 薛长利[1,2,3] 康福琴 王琪 李洁韵 葛龙 郭新峰 HE Yi-han;XU Neng-gui;ZHANG Hai-bo;XUE Chang-li;KANG Fu-qin;WANG Qi;LI Jie-yun;GE Long;GUO Xin-feng(Second Affiliated Hospital of Guangzhou University of CM/Guangdong Hospital of TCM,Guangzhou 510120,China;Second Clinical Medical College of Guangzhou University of CM,Guangzhou 510120,Guangdong Province;Royal Melbourne Institute of Technology University,Melbourne 3083,Australia;South China Research Center for Acupuncture and Moxibustion,Guangzhou University of CM;Evidence-Based Social Science Research Center,School of Public Health,Lanzhou University;Evidence-Based Medicine Research Center,School of Basic Medical Sciences,Lanzhou University;Key Laboratory of Evidence-Based Medicine and Clinical Transformation of Gansu Province)

机构地区：[1]广州中医药大学第二附属医院/广东省中医院,广州510120 [2]广州中医药大学第二临床医学院,广东广州510120 [3]皇家墨尔本理工大学,澳大利亚墨尔本3083 [4]广州中医药大学华南针灸研究中心 [5]兰州大学公共卫生学院循证社会科学研究中心 [6]兰州大学基础医学院循证医学中心 [7]甘肃省循证医学与临床转化重点实验室

出　　处：《中国针灸》2021年第10期1161-1165,共5页Chinese Acupuncture & Moxibustion

基　　金：国家重点研发计划资助项目:2019YFC1709805;广东省中医药局科研项目:20191126;广东省科技计划“海外名师”项目:2020A1414010232。

摘　　要：采用文献调研和德尔菲专家共识,总结针刺治疗癌痛的重要穴位,为制订《针刺治疗癌痛临床实践指南》提供证据基础。通过系统检索中、英文数据库,纳入针刺治疗癌痛的临床研究28项,归纳分析选穴方法和高频使用的穴位,据此设计德尔菲调查问卷,对30名国内外针灸、肿瘤相关领域专家进行两轮问卷调查。认为针刺治疗癌痛应采用个性化取穴方案,取穴以足三里、合谷、太冲、三阴交、阳陵泉和阿是穴为主。结合临床研究证据与专家调研结果得出针刺治疗癌痛的重要穴位,然而临证选穴仍有待进一步研究和细化。Based on literature research and Delphi expert consensus method, the important acupoints for cancer pain was summarized to provide evidence basis for the formulation of Clinical Practice Guide of Acupuncture in the Treatment of Cancer Pain. Through systematic search of Chinese and English databases, 28 clinical studies regarding acupuncture for cancer pain were included. The acupoint selection methods and high-frequency acupoints were summarized and analyzed. Based on this, a Delphi questionnaire was designed and two rounds of questionnaire survey on 30 experts in acupuncture and tumor related fields in China and abroad were conducted. As a result, it was suggested that the individualized acupoint selection should be adopted for acupuncture treatment of cancer pain, with Zusanli(ST 36), Hegu(LI 4), Taichong(LR 3), Sanyinjiao(SP 6), Yanglingquan(GB 34) and ashi points as the main acupoints. Combined with clinical research evidence and expert consensus, the important acupoints for cancer pain were identified. However, clinical acupoint selection still needed further research and refinement.

关 键 词：癌痛 德尔菲法 针刺 穴位选择 文献调研 

分 类 号：R245[医药卫生—针灸推拿学]