| 引用本文:罗亚男，郑倩华，钟旭，吴强，李瑛.基于现代文献研究针灸治疗膝骨性关节炎腧穴使用规律的分析[J].世界中医药,2018,(07):. |
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| 基于现代文献研究针灸治疗膝骨性关节炎腧穴使用规律的分析 |
| Analysis of the Acupoints Selection Rules of Acupuncture for Knee Osteoarthritis in the Modern Literatures |
| 投稿时间：2018-06-15 |
| DOI：10.3969/j.issn.1673-7202.2018.07.002 |
| 中文关键词: 针刺 膝骨性关节炎 腧穴使用规律 现代文献 |
| English Keywords:Acupuncture Knee osteoarthritis Acupoint selection rule Modern literature |
| 基金项目:国家自然科学基金重大项目（81590955） |
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| 摘要点击次数: 1337 |
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| 中文摘要: |
| 目的：回顾针灸治疗膝骨性关节炎的临床随机对照试验文献，探讨针灸治疗膝骨性关节炎的选穴规律，为临床研究处方设计提供依据和参考。方法：系统检索MEDLINE、EMBASE、CBM、CNKI、VIP、万方数据库（自建库至2017年12月）中针灸治疗膝骨性关节炎的临床随机对照试验资料。结果：共纳入文献22篇，选用穴位31个，主要分布在足阳明胃经、足太阴脾经、足少阳胆经上。阴陵泉、阳陵泉、足三里、犊鼻、血海、膝眼为使用频率较高的腧穴，足阳明胃经为使用腧穴频数最高的经脉，腧穴分布最多的部位为膝关节局部，特定穴以合穴、下合穴、阿是穴应用较多。结论：现代针灸治疗膝骨性关节炎取穴符合病因病机特点；以循经取穴、局部取穴为主，重视特定穴的运用。 |
| English Summary: |
| To analyze the acupoints selection rules for randomized controlled trials of acupuncture for knee osteoarthritis (KOA) in the modern literatures, so as to provide basis and reference for clinical study of prescription design. Methods The literatures in MEDLINE, EMBASE, CBM, CNKI, VIP and Wanfang Data (to build a library until December 2017) about randomized controlled trials of acupuncture for knee osteoarthritis from their inception to December 2017 were retrieved. Results:A total of 31 points in 22 pieces of literatures were included on the mainly meridians involved the foot yangming stomach channel, the foot taiyin spleen channel, the foot shaoyang gallbladder channel. Acupoints with high frequency included Yinlingquan (SP9), Yanglingquan (GB34), Zusanli (ST36), Dubi (ST35), Xuehai (SP10), Neixiyan (EX-LE4). The majority of them belonged to foot yangming stomach channel. Most of them were located on local knee joint. Conclusion:Acupoints selection rules of acupuncture for KOA in the modern literatures conform to the characteristics of etiology and pathogenesis. Acupuncture also focuses on acupoints along meridians and local point selection. A few are selected according to syndrome differentiation. |
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