摘要
目的:了解国内针刀不良事件的现状,促进针刀的规范化,从而提高针刀的临床疗效及安全性。方法:采用回顾性期刊文献研究,检索中国期刊全文数据库、万方数据库、维普中文科技期刊数据库的针刀不良事件病例报道类文献,对发生不良事件的情况类型及特点、文章篇数、病例数、事故原因等进行统计分析。结果:检索出有效文献58篇,共343个病例。分析结果显示针刀不良事件主要包括术后局部疼痛、血肿、肿胀,神经损伤,肌腱断裂、粘连、损伤,感染,晕厥、晕针,麻醉意外或激素使用不当等。针刀的规范化程度较低,在临床中易导致不良事件发生。结论:针刀在治疗某些复杂和危险部位的疾病时,安全性有待提高,针刀的规范化是提高安全性的重要途径,相关工作亟待开展。
Objective To explore the current domestic situation of the adverse event in acupotomy so as to promote the standardization of acupotomy and improve the clinical effect and safety of acupotomy therapy. Methods The method of retrospective journal researching was used. The case report about the adverse event in acupotomy from CNKI, WANFANG and VIP databases was retrieved and the types, the features, the causes, the numbers of the papers and the cases were analyzed. Results Fifty-eight papers were included, with total 343 cases. It was indicated that the adverse events in acupotomy were mainly postoperative local pain, hematoma, swelling, nerve damage, tendon rupture, adhesion, injury, infection, syncope, anesthesia accident, undeserved hormone use, etc. The lower level of standardization of acupotomy in the clinical use may lead to adverse events. Conclusion Safe acupotomy treatment for some complicated diseases and dangerous parts remains to be improved, and the standardization of the acupotomy is an important approach to improve its safety. The related work needs to be carried out.
作者
蒋龙龙
张伯宇
于海龙
JIANG Longlong;ZHANG Boyu;YU Hailong(Department of Rehabilitation,Xiqing Hospital,Tianjin 300380,China;Department of Preventive Treatment of Disease,Beijing Shunyi CM Hospital;Department of Rehabilitation,the First Affiliated Hospital of Tianjin University of TCM)
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第9期1007-1012,共6页
Chinese Acupuncture & Moxibustion
基金
天津市西青医院科研立项资助:xqlx 201506
关键词
针刀
不良事件
现状分析
对策
acupotomy
adverse event
stituation analysis
the way to deal with a situation