基于临床证据的醒脑开窍针刺法适应症研究

A study on the indications of Xingnao Kaiqiao acupuncture based on clinical evidence

目的通过文献计量学方法和循证医学理念研究方法探析醒脑开窍针刺法的适应病症。方法计算机检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)、中国生物医学文献数据库(SinoMed)、The Cochrane Library、PubMed及EMbase中有关醒脑开窍针刺法的临床文献,检索时间为建库至2022年12月31日。依据世界卫生组织关于疾病和有关健康问题的国际统计分类(ICD11),并参考1994年国家中医药管理局制定的中医病证诊断疗效标准,对符合纳入标准的文献进行分类,并统计各病症的文献频次。结果最终纳入文献570篇,涉及9个病症系统,共54种病症,频次最高的6种病症依次为脑梗死、脑出血、血管性痴呆、颅脑损伤后昏迷、一氧化碳中毒迟发性脑病及抑郁症。结论醒脑开窍针刺法的适应病症广泛,优势病症相对集中,主要为脑梗死、脑出血等神经系统疾病。其中,有较高等级证据支持的病症有脑卒中(未特指为脑出血或脑梗死)、脑梗死、血管性痴呆、脑出血等34种病症。

Objective To explore the indications of Xingnao Kaiqiao acupuncture through bibliometric methods and evidence-based medicine research methods.Methods Clinical literature related to Xingnao Kaiqiao acupuncture included in CNKI,Wanfang,VIP,SinoMed,The Cochrane Library,PubMed and EMbase database was serched until December 31st,2022.According to the International Statistical Classification of Diseases and Related Health Issues(ICD11)of the World Health Organization and the diagnostic efficacy standards for traditional Chinese medicine established by the National Administration of Traditional Chinese Medicine in 1994,diseases in the literature that met the inclusion criteria were categorized and the frequency of literature for each disease was counted.Results 570 articles were ultimately included,involving 9 systems and a total of 54 diseases.The six most frequent diseases were cerebral infarction,cerebral hemorrhage,vascular dementia,coma after head injury,delayed encephalopathy caused by carbon monoxide poisoning,and depression.Conclusions The Xingnao Kaiqiao acupuncture has a wide range of indications and relatively concentrated indications,mainly including neurological diseases such as cerebral infarction and cerebral hemorrhage.Among them,there are 34 diseases supported by high-level evidence,including stroke(not specifically referred to as cerebral hemorrhage or cerebral infarction),cerebral infarction,vascular dementia,and cerebral hemorrhage.