基于临床调查的针灸门诊适宜病症研究

Indications of acupuncture outpatient based on clinical investigation

目的:调查中国现阶段针灸门诊治疗病种现状,为针灸适宜病症的确立提供临床依据。方法:通过整群多级随机抽样对2008年全国31个省具有代表性的医院针灸门诊接受治疗的患者进行调查研究,基于帕累托法则和EpiMap软件进行病症分类和分布分析。结果:获得36家医院针灸门诊首诊患者31 858例,涉及病症种类368种16个疾病系统,其中最常见病症57种,常见病症60种,少见病症251种。结论:依据本次调查显示现阶段针灸门诊适宜病症368种,各行政区病症种类数量分布不均衡,针灸优势病症系统聚集度高,应加大推广普及针灸适宜病症的应用。

Objective The present situation of clinical indications of acupuncture in China is investigated in this article which provids clinical evidence for the establishment of acupuncture indications. Methods Out-patients of acupuncture departments of 31 Chinese provinces in the year 2008 were investigated through the method of cluster random sampling. And the analysis was made on diseases sorting and distribution based on Pareto principle and with EpiMap software. Results Information of 31 858 out-patients of the first treatment from 36 hospitals were collected which referred to 368 diseases of 16 disease systems. Among them, there were 57 most commonly-encountered diseases, 60 commonly-encountered diseases and 251 rare diseases. Conclusion There are totally 368 acupuncture clinical indications at present according to the investigation with disproportional distribution in administrative districts. It is held that indications of acupuncture have high centralization degree. Thus, the popularization and promotion on application of acupuncture indications should be strengthened.