穴位贴敷治疗慢性阻塞性肺疾病临床疗效影响因素文献分析

Literature Analysis on the Effect-related Factors of Acupoint Applicati on for Chronic Obstructive Pulmonary Disease

目的通过文献研究初步分析影响穴位贴敷治疗慢性阻塞性肺疾病(COPD)疗效的相关因素。方法采用计算机检索的方法,对2001年1月至2011年4月中国学术期刊全文数据库、维普中文科技期刊数据库、数字化期刊(万方数据)以及中国生物医学文献光盘数据库中穴位贴敷治疗COPD的相关文献进行收集整理,运用频数、百分比对穴位贴敷治疗COPD的常用药物、常用穴位及贴敷时机、时间等进行数据的统计描述。结果共收集文献36篇,合格29篇。穴位贴敷治疗COPD的常用药物为白芥子(89%)、生姜(74%)、细辛(74%);常用穴位为肺俞(93%)、大椎(46%)、天突(43%)、膻中(43%)、膏肓(43%);贴敷时机多为三伏天(55%);贴敷时间多为2～6h(59%)。结论穴位贴敷治疗COPD疗效的影响因素包括药物、穴位、时间、刺激强度等多种因素,目前尚缺乏统一标准,与临床疗效关系缺乏科学证据。

Objective To analyze on the effect-related f actors of acupoint application for chronic obstructive pulmonary disease（COPD） through a literature study.Methods With computer sea rch method,the literatures concerning the acupoint application for COPD from January 2001 to Apr il 2011 were collected from the Chinese Academic Periodical Full-text Database,VIP databases,Wanfang digital periodical and the Chinese Biomedical Literature Database CD-ROM.Then a statistical description of data was done with the use f r equency and percentage of medicines,acupoints,time,and duration of applicatio n.Results A total of 36 documents were collected,of the m,29 were qualified on es.The commonly used medicines for the acupoint application for COPD were Baiji ezi（semen sinapis albae）（89%）,Shengjiang（fresh ginger）（74%）,and Xixin（her ba asari）（74%）.The commonly used acupoints were Feishu（BL 13）,Dazhui（GV 14）,Tiantu（CV 22）,Shanzhong（CV 17）,and Gaohuang（BL 43）.The application time was mostly the 3 ten-day period of the hot season（55%）,and the duration of ap plication was mostly 2~6h（59%）.Conclusion The effect-related factors of acupoint application for COPD include medicines,acupoints,time,and stimulus intens ity,etc.Yet there is the lack of unified standards at present and the lack of the scientific evidence in describing its correlation with the therapeutic effect.