艾灸干预在类风湿关节炎病人中应用的范围综述  

Research on moxibustion intervention in patients with rheumatoid arthritis:a scoping review

作　　者：魏洪悦 谷晓玲[1] 冯颖[2] 王维宁[1] WEI Hongyue;GU Xiaoling;FENG Ying;WANG Weining(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Medicine Research Center of Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381 China;Tianjin University of Traditional Chinese Medicine)

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

出　　处：《循证护理》2024年第23期4252-4257,共6页Chinese Evidence-Based Nursing

摘　　要：目的:对艾灸干预在类风湿关节炎病人中的应用研究进行范围综述,以确定艾灸干预具体形式、干预部位及结局指标,为今后该领域研究提供指导。方法:计算机检索PubMed、EMbase、Web of Science、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中艾灸干预类风湿关节炎病人相关研究。检索时限为2013年1月1日—2023年10月1日。对纳入文献进行筛选和归纳总结。结果:共纳入25篇文献,艾灸干预形式包括督灸(长蛇灸)、隔姜灸、隔盐灸、择时灸等。施灸部位最常使用的穴位配伍为督脉和肾俞+足三里+阿是穴。结局指标涉及临床指标、临床疗效、实验室指标3个方面。结论:艾灸干预类风湿关节炎病人,可提高其临床治疗有效率,改善关节疼痛、压痛、肿胀和晨僵症状,降低类风湿因子、C反应蛋白、血沉等实验室指标。Objective:To conduct a scoping review of studies on moxibustion intervention in patients with rheumatoid arthritis in order to identify the specific forms of moxibustion intervention,intervention sites,and outcome indicators,and to provide guidance for future research in this area.Methods:The databases from PubMed,EMbase,Web of Science,the Cochrane Library,CNKI,WanFang Database,VIP,and CBM were searched by computer.The search time was from January 1,2013 to October 1,2023,and the literature was screened,summarized and analyzed.Results:A total of 25 studies were included,and moxibustion intervention forms included Du-moxibustion(long snake moxibustion),ginger moxibustion,salt-separated moxibustion,timing moxibustion,etc.The most frequently used acupoint were the Du Meridian and Shenshu+Zusanli+Ashi points.The outcome indicators involved 3 aspects:clinical indicators,clinical efficacy,and laboratory indicators.Conclusion:Moxibustion intervention in patients with rheumatoid arthritis can improve the clinical treatment efficacy,improve joint pain,tenderness,swelling,and morning stiffness symptoms,and reduce laboratory indicators such as rheumatoid factor,C-reactive protein,and erythrocyte sedimentation rate.

关 键 词：艾灸 类风湿关节炎 护理 范围综述 

分 类 号：R248.1[医药卫生—中医临床基础]