针刺时效关系研究进展

Researches status on time-effect of acupuncture

目的:总结针刺时效的研究现状及影响因素,并对针刺最佳效应时机进行阐述与分析,为取得临床最佳治疗效果提供参考。方法:检索中国期刊全文数据库(CNKI)、万方数据库(WANFANG)、维普数据库(VIP)及PubMed数据库2000年1月至2018年8月有关针刺时效的文献,进行归纳分析。结果:共纳入43篇文献,分别从即时效应、后效应及总时效3方面进行研究,涉及留针时间、穴位种类、穴位数量及针刺频次等影响因素。结论:目前针刺作用时效关系的研究虽已取得初步成果,但研究多分散孤立,不成体系;留针时间及后效应观察时间不够长,无法观察到针刺确切的最佳诱导期、半衰期和残效期。今后应结合前人的研究经验与成果,制定更加合理的研究方案,纵向观察针刺的整个作用时期。

Objective To summarize the research status and influencing factors of the time-effect of acupuncture and to explain and analyze the optimal effect timing of acupuncture,and provide reference for obtaining the best clinical therapeutic effect.Methods Literature regarding the studies of the time-effect of acupuncture published from January2000 to August 2018 was searched,concluded and analyzed in CNKI,WANFANG,VIP and PubMed databases.Results A total of 43 papers were included.The time-effect relationship of acupuncture was studied from various aspects:immediate effect,post-effect and total time-effect.The influencing factors of time-effect of acupuncture included needle retention time,acupoint types,number of acupoints and frequency of acupuncture treatment.Conclusion Even though preliminary achievements have been made in the study of the time-effect of acupuncture,there are many limitations and deficiency.These studies are mostly isolated and unsystematic,and the observation time of needle retention time and post-effect is not long enough to observe the exact best induction period,half-life period and residual effect period of acupuncture.In the future,we should combine the existing research experience and achievements to formulate a more reasonable research plan and observe the entire period of acupuncture in a longitudinal direction.