针刺留针时间影响因素的研究进展

Advances of studies on needle retention time in acupuncture treatment

留针作为针灸临床非常重要的一个环节,被历代医家所重视。本文从病程、病种、病情和针刺部位等方面对近年来有关留针时间影响因素的相关文献进行了归纳总结。现代相关研究在一定程度上证实并发展了古人对留针的认识,但符合循证医学要求的随机对照试验较少,大多只停留在观察阶段。今后,临床研究应采用科学严谨的设计方法,设计符合中医特色的研究方案,对留针进行深入系统的研究,从而把握针刺治疗中留针的规律,确定各种疾病的最佳留针时间,以利于构建规范化、系统化的针刺治疗临床指导模式。

Needle retention is one of the important links in clinical acupuncture, thus, ancient medical scholars emphasized its value. This paper summarizes and evaluates the recent literature about needle retention time in terms of course of disease, category of disease, patient＇s condition and acupuncture location. The modern researches verify and develop the knowledge of needle retention in ancient times. However, study designs of randomized controlled trial for evidence-based medicine are not many, most of which arc observational studies. In the future, clinical research need to apply scientific design based on Chinese medicine theory to investigate the principles of needle retention and the optimized needle retention time. This will consequently guide the standardization and systemization of acupuncture in clinical practice.