摘要
目的回顾和评述近6年来针灸治疗卵巢功能早衰(POF)的临床研究现状。方法检索中国知网(CNKI)、万方数据知识服务平台、维普网、PubMed、Embase、Web of Science。检索时间为从2015年1月—2020年4月,纳入以针灸为干预手段治疗POF的临床随机试验。对检索到的文献进行筛选、数据提取与数据库建立,提取的数据包括诊断标准、干预手段、中医证型、经脉选择、穴位频次、随机分配方案、疗程。结果针灸治疗POF的临床研究缺乏统一的诊断标准;干预手段以针药结合为主;以肾虚型、肾虚肝郁型为主要中医证型;以足太阳膀胱经、足少阴肾经、任脉所属经穴使用最多;各临床研究之间的疗程差异大。结论目前针灸治疗POF的临床效果值得肯定,但临床研究方面尚有欠缺,影响临床研究结果的可信度,期待在未来的临床研究中进行改进和完善。
Objective To review the current status of acupuncture treatment of premature ovarian failure(POF)in the past six years.Methods The China National Knowledge Infrastructure(CNKI)Database,Wanfang Data,CQVIP,PubMed,Embase,Web of Science were retrieved from the time of January 2015 to April 2020.A randomized controlled trial of acupuncture as the main intervention for the treatment of POF was included.The retrieved documents were screened,data information extraction and database establishment were performed.The data information mainly included diagnostic criteria,intervention means,traditional Chinese medicine(TCM)syndrome,meridian selection,acupoint frequency,random allocation scheme,treatment course.Results The use of diagnostic criteria on randomized controlled trials of acupuncture for POF lacks uniformity and standardization.The most common treatment method was acupuncture therapy combined with drug therapy.The main TCM syndrome types were kidney deficiency,liver depression and kidney deficiency.The acupoints belonged to the bladder meridian of Zutaiyang,the kidney meridian of Zushaoyin and the conception channel were the most used.The treatment course varied greatly.Conclusion At present,acupuncture treatment has significant effect on POF.However,many aspects of clinical design are still defective,which affects the credibility of clinical conclusions.All of these need to be improved in future clinical research.
作者
许栋涵
方刚
卫彦
罗业浩
吴家民
曾梦杰
颜培宇
XU Donghan;FANG Gang;WEI Yan;LUO Yehao;WU Jiamin;ZENG Mengjie;YAN Peiyu(College of Traditional Chinese Medicine,Macao University of Science and Technology,Macao999078,China;Zhuang College of Medicine,Guangxi University of Chinese Medicine,Guangxi Zhuang Autonomous Region,Nanning530200,China;Department of Acupuncture,Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine,Guangdong Province,Zhuhai519000,China)
出处
《中国医药导报》
CAS
2020年第30期153-156,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81660830)。
关键词
针灸
卵巢功能早衰
疗效观察
现状
综述
Acupuncture and moxibustion
Premature ovarian failure
Efficacy observation
Status quo
Review