针灸治疗癌性疼痛的常用参数浅析

Preliminary Analysis of Common Parameters for Acupuncture Treatment of Cancer Pain

目的通过整理国内外针灸治疗癌性疼痛文献,探讨其常用参数特点。方法本研究收集整理重庆维普、中国知网、万方数据等中文数据库及Pub Med英文数据库中应用针灸治疗癌痛的文献,中文检索关键词主要为"针刺""电针""耳穴""针灸""癌痛""癌症""疼痛"等,英文检索关键词为"acupuncture""electroacupuncture""auricular""cancer pain""neoplasms""pain"等,限定搜索范围为2010年至今收录于各大数据库的文献,文章类型限定为临床病例研究。结果排除重复的文献,总共查到44篇相关文献。结论针灸疗法的选择多以针药结合及复合疗法为主,针灸取穴的规律多以痛为腧及原发病取穴,针灸留针时间多以20~30min为度,而针灸电刺激的频率以疏密波为主,强度以患者适应为宜,频次多为每日1次。

Objective To explore the characteristics of common parameters for acupuncture treatment of cancer pain by sorting out the domestic and foreign literature. Method This article collected and sorted out literature on acupuncture treatment of cancer pain in Chinese databases： Chongqing VIP, CNKI and Wanfang Data and English database PubMed. Main Chinese search keywords were 针刺,电针,耳穴,针灸,癌痛,癌症 and 疼痛. English search keywords were acupuncture, electroacupuncture, auricular, cancer pain, neoplasms and pain. The search range was limited to literature collected in large databases since 2010. The article type was limited to clinical case studies. Results： Forty-four pieces of literature were retrieved after repeated literature was excluded. Conclusions： Combined acupuncture and medicine and composite therapy are mainly selected for acupuncture treatment. Regularities in point selection for acupuncture are often acupuncture at pain points and acupoint selection according to primary diseases. Needle retention time is often between 20 and 30 min. Electroacupuncture stimulation waveforms are mainly sparse-dense waves, the stimulation intensity is as high as the patient can adapt and the treatment frequency is often once daily.