灸法治疗脑卒中后偏瘫的文献计量学分析

Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke

目的对灸法治疗脑卒中后偏瘫的文献现状进行文献计量学分析为规范灸法治疗方案提供参考。方法计算机检索中国知网、万方、维普、中国生物医学文献、PubMed、AMED、Web of Science数据库中关于灸法治疗脑卒中后偏瘫的相关文献,检索时间为建库至2019年9月,采用Bicomb2.0软件对纳入文献的基本信息和文献主要研究内容进行统计分析。结果共纳入114篇文献。研究内容显示,纳入文献的脑卒中后偏瘫患者以痉挛性偏瘫、缺血性卒中、气虚血淤型脑卒中居多,病程多处于恢复期。灸法治疗方案各异,缺乏客观性评价指标;灸时以15~30 min为多,灸程1~2个月,灸频每周5~6次;灸法以温针灸、悬起灸为主,选穴多集中于阳经,其中曲池、合谷、肩髃及足三里为常见选穴。结论灸法治疗脑卒中后偏瘫的研究设计缺乏标准规范的灸法治疗方案,未建立全面、完善的评价体系;研究内容以温针灸、悬起灸为主,选穴以阳经居多。

Objective To conduct a bibliometric analysis on current status of moxibustion in the treatment of hemiplegia after stroke,and to provide reference for the standardization of moxibustion treatment.Methods We searched literature from CNKI,WanFang,VIP,CBM,PubMed,AMED and Web of Science from the inception to September 2019.Bicomb2.0 software was utilized to analyze basic information and main contents of the research.Results A total of 114 studies were included.The research content showed that the majority of patients with hemiplegia after stroke included in the literature were spastic hemiplegia,ischemic stroke,qi deficiency and blood stasis syndrome,and the stage of disease was in convalescent.The moxibustion treatment schemes were different,and lacked objective assessment indexes.The moxibustion time ranged mainly from 15 to 30 minutes and treatment cycle of moxibustion from 1 to 2 months,5 to 6 per week.Moxibustion method was mainly warm-needle moxibustion and suspended moxibustion.In the selection of meridians and acupoints,it showed the acupoints were mainly Yang meridians,of which Quchi(LI 11),Hegu(LI 4),Jianyu(LI 15)and Zusanli(ST 36)were commonly selected.Conclusion Without a comprehensive and perfect evaluation system,research design for moxibustion treatment of hemiplegia after stroke have lacked standard norm moxibustion treatment scheme.Warm-needle moxibustion and suspended moxibustion are the main moxibustion therapies,and the majority of the selected acupoints are Yang meridians.