基于CNKI的近十年推拿手法治疗产后缺乳文献计量分析

Literature analysis of tuina therapy for postpartum hypogalactia based on CNKI database

目的探讨手法治疗产后缺乳的施治特点和疗效情况。方法检索2007-2017年中国期全文数据库(CNKI)有关按摩推拿手法治疗产后缺乳的文献,分析归纳其辨证特点、选穴特点、手法规、治疗频率、疗程及疗效等。结果纳入的83篇文献中,推拿手法治疗产后缺乳的施治特点为病证结,辨病为主;穴选多样,远近结合,常选用膻中、乳根、少泽、足三里、脾俞等穴;手法丰富,旨在通,手法操作上多以点揉穴位、分推膻中、拿肩井等全身手法结合乳房局部的梳拿、推、捏等手法。论推拿手法治疗产后缺乳应用广泛、形式多样、安全可靠,但操作流程与疗效标准尚待进一步规范。

Objective To explore the characteristics and efficacy of manual treatment for postpartum hypogalactia. Methods To retrieve the CNKI from 2007 to 2017 on the massage and manual treatment for postpartum hypogalactia, and analyze its syndrome differentiation, acupoint selection, manipulation rules, treatment frequency, treatment courses and clinical efficacy. Results Among the 83 articles included, the massage therapy for postpartum hypogalactia were based on the diseases and syndromes, and the selection of acupoints was diverse and combined with local and distance such as Danzhong (CV 17), Rugen (ST 18), Shaoze (SI 1), Zusanli (ST 36), Pishu (BL 20). The therapy were rich in techniques which often use acupoint stimulation and manipulation. Conclusions Tuina therapy for postpartum hypogalactia is widely used with safety and reliablility. But the operational procedures and efficacy standards need to be further standardized.