穴位按摩治疗糖尿病周围神经病变的选穴规律及手法分析  

Analysis of acupressure points selection rules and techniques in the treatment of diabetic peripheral neuropathy

作　　者：刘锐 钟印芹 陈赟 曹玲 卿艳 伍跃婷 Liu Rui;Zhong Yinqin;Chen Yun;Cao Ling;Qing Yan;Wu Yueting(School of Nursing,Changchun University of Traditional Chinese Medicine,Changchun 130117,China;Department of Institute Office,Shenzhen Hospital of Guangzhou University of Chinese Medicine(Futian),Shenzhen 518034,China;Department of Endocrinology,Shenzhen Hospital of Guangzhou University of Traditional Chinese Medicine(Futian),Shenzhen 518034,China)

机构地区：[1]长春中医药大学护理学院,长春130117 [2]广州中医药大学深圳医院(福田)院办,深圳518034 [3]广州中医药大学深圳医院(福田)内分泌科,深圳518034

出　　处：《中国实用护理杂志》2023年第14期1079-1083,共5页Chinese Journal of Practical Nursing

基　　金：广东省中医药局科研项目(20211338)。

摘　　要：目的分析穴位按摩治疗糖尿病周围神经病变的选穴规律及手法,为临床治疗提供循证依据。方法采用数据挖掘的方法检索中国知网、万方、维普、中国生物医学文献数据库有关穴位按摩治疗糖尿病周围神经病变的相关文献,检索时限为建库至2022年4月27日。建立Excel专题数据库再通过SPSS 25.0进行聚类分析。结果共纳入文献104篇,穴位49个。下肢常用腧穴为足三里、三阴交、太溪、涌泉等,上肢常用腧穴为合谷、曲池和内关,躯干常用腧穴为关元、中脘和肾俞;特定穴以五输穴频次最高占59.40%(335/564);经脉以足太阴脾经、足少阴肾经、足阳明胃经为主,其中足太阴脾经频次最高占22.7%(128/564)。对按摩穴位及手法分析各得到3个有效聚类。结论经分析高频腧穴主要分布在足太阴脾经、足少阴肾经、足阳明胃经3条经络,未来可对选穴及按摩手法进一步规范并辅以循经穴位按摩探讨其对糖尿病周围神经病变的临床效果。Objective To analyze acupoint massage treatment of diabetic peripheral neuropathy point selection rules and practices for clinical treatment to provide evidence-based.Methods Data mining was used to retrieve the relevant literature on acupressure for diabetic peripheral neuropathy from China Journal Full Text Database,Wanfang,VIP,and China Biomedical Literature Database,with a search time frame from the date of database creation to April 27,2022.An Excel thematic database was created,then clustering analysis was performed by SPSS 25.0.Results A total of 104 articles were included in the literature,with 49 acupoints.The commonly used acupoints in the lower limbs were Zusanli,Sanyinjiao,Taixi,Yongquan,etc.The commonly used acupoints in the upper limbs were Hegu,Quchi and Neiguan.The commonly used acupoints in the trunk were Guanyuan,Zhongwan and Shenshu.The frequency of the five acupoints was the highest,accounting for 59.40%(335/564).The meridians were mainly the spleen meridian of foot Taiyin,the kidney meridian of foot Shaoyin and the stomach meridian of foot Yangming,among them,the frequency of the spleen meridian of foot Taiyin was the highest,accounting for 22.7%(128/564).Three effective clusters were obtained by analyzing massage acupoints and manipulations.Conclusions According to the analysis,high-frequency acupoints are mainly distributed in the three meridians of foot Taiyin spleen meridian,foot Shaoyin kidney meridian and foot Yangming stomach meridian.In the future,acupoint selection and massage techniques can be further standardized and supplemented by acupoint massage along meridians to explore its clinical effect on diabetic peripheral neuropathy.

关 键 词：糖尿病周围神经病变 穴位按摩 

分 类 号：R248[医药卫生—中医临床基础]