揿针疗法儿科疾病应用文献计量学分析

Bibliometric Analysis on Application of Pressing Needle Therapy in Pediatric Diseases

目的分析揿针疗法在儿科疾病中的应用现状,为其临床合理应用提供参考。方法计算机检索中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(维普网)、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library建库至2021年9月30日收录的揿针疗法治疗儿科疾病的临床研究文献。采用NoteExpress3.0对文献进行管理、筛选,采用Excel2019对揿针疗法的适宜病种、治疗方案、针具、腧穴等进行归纳整理。结果共纳入文献123篇,涉及29种儿科疾病,其中以揿针疗法治疗遗尿(35篇)、抽动症(17篇)、鼻炎(11篇)、视力不良(9篇)、脑瘫(8篇)和面瘫(7篇)最常见;采用揿针联合其他疗法治疗的文献有88篇(71.54%),以联合药物治疗为主(50篇,40.65%);针具多选择清铃牌揿针(34篇,27.64%);揿针直径多为0.2 mm,头面部常使用的针长为0.6 mm,四肢和躯干部位针长则为0.9 mm;揿针留置时间多为≥1 d且≤3 d(77篇,62.60%);按压次数以3次/d居多(16篇);每次按压时间多为≥1 min且≤3 min(38篇);腧穴选取因病种、病因和证型的不同而各有侧重,多为局部取穴、辨证取穴和选用耳穴;单纯揿针疗法或配合其他疗法疗效明显,但目前缺乏作用机制研究。结论揿针疗法在儿科疾病临床治疗中逐渐得到重视,尚需进一步探索其适宜病种,开展高质量临床研究,规范针具选择、留置时间、按压时间及按压次数等治疗方案,开展作用机制研究等。

Objective To explore the current status of the application of pressing needle therapy in pediatric diseases;To provide reference for the rational application of pressing needle in pediatrics.Methods The clinical research literature on the treatment of pediatric diseases by pressing needle therapy was retrieved from databases of CNKI,Wanfang Data,VIP,CBM,PubMed,and Cochrane Library from establishment to 30th September,2021.NoteExpress 3.0 was used to manage and screen the literature,and Excel 2019 was used to summarize the suitable diseases,treatment plans,needles,and acupoints for pressing acupuncture.Results A total of 123 articles were included,involving 29 pediatric diseases,with enuresis(35 articles),tics(17 articles),rhinitis(11 articles),poor eyesight(9 articles),cerebral palsy(8 articles)and facial paralysis(7 articles)as the main diseases;88 articles(71.54%)used pressing needles in combination with other therapies,which were mainly combined medications(50 articles,40.65%);needles were more selected as Seirin Pyonex Needles(34 articles,27.64%);the diameter of the pressing needle was mostly 0.2 mm,the head and face often used the 0.6 mm needle,while the limbs and trunk often used 0.9 mm;the retention time of the pressing needle was mostly≥1 d and≤3 days(77 articles,62.60%);the number of pressing was mostly 3 times a day(16 articles);most of the time for each pressing was≥1 min and≤3 min(38 articles);the selection of acupoints varied depending on the type of disease,etiology and syndromes,most of which were selection of local acupoints,selection of dialectical acupoints,and selection of ear acupoints;the effect of pressing needle therapy alone or in combination with other therapies was significant,but there was no research on its mechanism of action.Conclusion Pressing needle therapy is gradually gaining attention in pediatric diseases,but it is still necessary to further explore its suitable diseases,carry out high-quality clinical research,standardize the treatment plans such as needle selection,retention time,pressing time and frequency,and conduct the study of its mechanism of action.