温针灸镇痛的临床应用与进展

Clinical application and progression of warm acup-moxibustion as an analgesic therapy

背景:温针灸是中国传统医学的一种有效的治疗方法,将针刺和灸法巧妙结合,对即刻镇痛效果明显,镇痛效果持久,临床常常用于急、慢性疼痛的治疗。目的:分析温针灸与镇痛相关的研究进展,探讨温针灸对急、慢性疼痛的效应及其影响因素。方法:以"温针;温针灸;针柄灸;烧针柄;疼痛;镇痛"为关键词检索1995年1月至2015年7月中国知网、维普网、万方数据库相关文献,根据纳入和排除标准,对纳入的51条文献进行归纳分析。结果与结论:与针刺、西药等治疗方法比较,单纯温针灸能在多系统发挥镇痛作用,优于普通针刺、西药。与药物、手法比较,温针灸常结合药物和手法后镇痛效果增加,关节功能活动明显增强。温针灸具有整体调节作用,在多个系统的疼痛中发挥有效的镇痛效应,缩短了治疗时间,是治疗疼痛的有效方法,值得在临床进一步推广与应用。

BACKGROUND：Warm acup-moxibustion is an effective treatment in Chinese traditional medicine, which combines acupuncture with moxibustion. With an immediate analgesia or/and long-term effect, warm acup-moxibustion has been used clinicaly for acute and chronic pain. OBJECTIVE：To analyze the progress in the studies about clinical application of warm acup-moxibustion as analgesic therapy for acute and chronic pain and to discuss the influential factors. METHODS： CNKI, VIP and Wanfang databases were searched for relevant articles published between January 1995 and July 2015 using the keywords of “warm needling; warm acup-moxibustion; pain; analgesic” in Chinese. According to the exclusion and inclusion criteria, 51 articles were included in result analysis. RESULTS AND CONCLUSION： Compared with ordinary acupuncture, medicine and other treatment methods, warm acup-moxibustion can play an analgesic role in multiple systems, which is better than ordinary acupuncture and Western medicine. Warm acup-moxibustion combined with drugs and acupuncture techniques can increase＆amp;nbsp;the analgesic effect and improve joint function activity. Warm acup-moxibustion with the overal regulatory role plays an effective analgesic pain role in the multiple systems and shortens the duration of treatment, which is an effective method for treating pain and worthy of further promotion and application.