基于随机对照试验分析针刺治疗冠心病的临床选穴特点  

Acupoint Selection of Acupuncture for Coronary Heart Disease:A Study Based on Randomized Controlled Trials

作　　者：张艳艳 毕颖斐[1,2] 张培培 吴旭东 王贤良 毛静远[1,2] ZHANG Yanyan;BI Yingfei;ZHANG Peipei;WU Xudong;WANG Xianliang;MAO Jingyuan(Department of Cardiology,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院心血管科,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《世界中医药》2023年第22期3218-3223,共6页World Chinese Medicine

基　　金：国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202203);天津市中医药重点领域科技项目(2022009);天津中医药大学第一附属医院“拓新工程”基金科研课题(院ZD202108)。

摘　　要：目的:回顾既往相关随机对照试验文献,分析针刺有效治疗冠心病病例的临床选穴特点。方法:检索2010年1月1日至2020年10月1日公开发表的针刺有效治疗冠心病的随机对照试验文献,并进行回顾性分析,对腧穴选择、腧穴分布、经脉归属、选穴配伍、针刺方法等进行总结。结果:纳入文献45篇,涉及病例3 866例,治疗冠心病多选择心包经、膀胱经和任脉,选穴以内关、膻中、心俞、足三里、神门等最常用,部位以四肢部为主,特定穴以五腧穴和络穴为主,针刺方法以平补平泻法居多。结论:对基于文献对针刺有效治疗冠心病的选穴特点进行了总结分析,为临床选穴辨治提供了参考和借鉴。Objective:To analyze the clinical characteristics of acupoint selection in acupuncture for coronary heart disease by reviewing relevant randomized controlled trials(RCTs).Methods:The RCTs on acupuncture for coronary heart disease that were published from January 1 to October 1 in 2020 were retrieved.A retrospective analysis was performed to summarize the rules of acupoint selection,acupoint distribution,meridian tropism,acupoint compatibility,and acupuncture methods.Results:A total of 45 articles were included,involving 3 866 cases.In the treatment of coronary heart disease,the acupoints on the pericardium meridian,bladder meridian,and conception vessel were most commonly selected,such as Neiguan(PC6),Danzhong(CV17),Xinshu(BL15),Zusanli(ST36),and Shenmen(HT7),which were mainly located on the extremities.The specific acupoints were mainly five transport points and collateral acupoints.Neutral reinforcement and reduction was the main acupuncture method.Conclusion:This paper summarizes the characteristics of acupoint selection for coronary heart disease based on the available articles,providing a reference for acupoint selection in clinical treatment.

关 键 词：冠心病 针刺 选穴特点 有效病例 随机对照试验 数据挖掘 

分 类 号：R245[医药卫生—针灸推拿学]