基于文献研究的针刀治疗不良事件现状统计及对策分析

Status statistics and countermeasure analysis of adverse events in needle-knife therapy based on literature research

目的了解国内针刀治疗不良事件的现状,促进针刀治疗的标准化操作,从而提高针刀治疗的安全性。方法采用回顾性期刊文献研究,检索CNKI期刊全文数据库、万方数据知识服务平台、维普数据库、中国生物医学文献服务系统、PubMed、Cochrane Central Register of Controlled Trials(CENTRAL)、Embase的针刀治疗不良事件病例报道类文献,对使用的针刀类型、不良事件类型、相应病例数、原发疾病、不良事件原因等进行统计分析。结果检出有效文献181篇,共1 126例。针刀治疗不良事件主要发生部位在腰臀部、膝部、颈部及手指部位,不良事件主要包括疼痛、皮下出血或血肿、晕针刀、神经损伤等,也包括脊髓损伤、内脏损伤甚至死亡等严重不良事件。结论针刀治疗在关键的解剖位置和复杂疾病时的安全性尚待提高,针刀治疗标准化是提高其安全性的重要途径,相关工作亟待开展。

Objective To explore the current domestic situation of the adverse events in acupotomy in order 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 events in acupotomy from CNKI,WANFANG,VIP,Sinomed, Pubmed, CENTRAL and Embase databases was retrieved and the types, features, corresponding case numbers, primary diseases, and causes of adverse events were analyzed.Results 181 papers were included, with totally 1 126 cases.The main adverse events occurred mainly in the waist, hip, knee, neck and fingers.It was indicated that the adverse events in acupotomy were mainly postoperative local pain, hematoma, acupotomy syncope, nerve damage, and serious adverse events such as spinal cord injury, visceral injury and even death occurred.Conclusion The safety of 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.