基于肺功能评价的针灸干预哮喘选穴规律探讨

Point-selection Rules Analysis in Acupuncture-moxibustion Treatment of Asthma Based on the Evaluation of Pulmonary Function

目的对以肺功能为评价指标的针灸干预哮喘的临床研究进行整理分析,探讨总结针灸治疗哮喘的选穴规律。方法应用频数统计法对近10年符合纳入条件的264篇针灸干预哮喘的临床文献进行分析。结果和结论针灸治疗哮喘临床应用频次较多的穴位以肺俞、定喘、膻中、脾俞、肾俞等为主,主要集中在膀胱经、任脉、督脉、胃经及经外奇穴;选穴规律以辨证选穴、对症选穴、临床经验选穴等为主。针灸以上穴位能有效改善肺功能相关指标,减轻哮喘临床症状,值得临床推广应用。

Objective To discuss and summarize the point-selection rules in acupuncture-moxibustion treatment of asthma, by arranging and analyzing the relevant clinical studies with pulmonary function as the evaluation index. Method A total of 264 eligible articles of clinical trials about acupuncture-moxibustion treatment of asthma published in the last 10 years were analyzed by using frequency statistical method. Result and Conclusion In acupuncture- moxibustion treatment of asthma, acupoints frequently used majorly included Feishu （BL 13）, Dingchuan （EX-B 1）, Danzhong （CV 17）, Pishu （BL 20）, and Shenshu （BL 23）, mainly distributed in the Bladder Meridian, Conception Vessel, Governor Vessel, Stomach Meridian, and extra points; syndrome differentiation, symptomatic analysis, and empiric selection were predominant in the point-selection rules. Acupuncture-moxibustion at the above points can effectively improve pulmonary function indexes and attenuate asthma symptoms, thus worth promoting in clinic.