针刺治疗阻塞性睡眠呼吸暂停低通气综合征临床研究文献分析

A clinical study on treating obstructive sleep apnea hypopnea syndrome by acupuncture

目的:基于针刺治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床研究文献,分析OSAHS针刺治疗特点。方法:通过计算机检索,收集针刺治疗OSAHS的临床研究文献,对干预措施、穴位选择、刺激方式、留针时间、治疗频率及治疗周期、针刺手法及针刺感应等信息进行采集与统计分析。结果:共纳入文献34篇。干预措施以单用普通针刺或电针针刺(22篇)为主;刺激方式以普通针刺(21篇)为主;涉及60个穴位,文献报道频率≥30%的穴位有廉泉(14篇)、丰隆(14篇)、四神聪(12篇)、照海(12篇)、三阴交(11篇);留针时间以30min(23篇)最为常见;治疗频率以1天1次(19篇)为主。报道针刺手法的文献19篇;报道针刺感应"得气"的文献12篇。结论:针刺治疗OSAHS在干预措施、穴位选择、刺激方式、留针时间、治疗频率等方面具有一定规律,可为临床实践和研究提供参考。

Objective： To analyze characteristics of acupuncture for treating obstructive sleep apnea hypopnea syndrome（OSAHS） based on clinical research literature. Methods： An online search was undertaken to collect literatures of OSAHS treated by acupuncture from January 1991 to June 2017, and then characteristics of therapeutic method, acupoints, needle retention time, treatment frequency, reinforcing and reducing method, needling response, etc. were analyzed. Results： 34 articles were included. General acupuncture or electroacupuncture alone（22 articles） was the most widely used therapeutic method. Manual acupuncture（21 articles） was the most popular stimulus modality. Sixty acupoints were reported, and the frequencies of Lianquan（廉泉）（RN23）（14 articles）, Fenglong（丰隆）（ST40）（14 articles）, Sishencong（ 四神聪）（EX-HN1）（12 articles）, Zhaohai（ 照海）（KI6）（12 articles） and Sanyinjiao（ 三阴交）（SP6）（11 articles） were more than 30%. The commonest needle retention time was 30 minutes（23 articles）. The major treatment frequency was once daily（19 articles）. Reinforcing and reducing method was reported in 19 articles, and needling response with 12 articles. Conclusion： There existed some rules in therapeutic method, acupoints selection, stimulus modality, needle retention time and treatment frequency etc., which may provide basis for further scientific and standardized clinical research.