针灸疗法治疗子宫脱垂的诊疗特点

Diagnosis and treatment characteristics of acupuncture and moxibustion in the treatment of uterine prolapse

目的:探讨针灸疗法治疗子宫脱垂的诊疗特点及规律。方法:检索建库以来至2022年1月7个文献数据库[中国期刊全文数据库(CNKI)、万方数据库(Wan-Fang Data)、维普中文期刊数据库(VIP)、中国生物医学文献数据库(SinoMed)以及英文文献数据库PubMed、Embase、Cochrane Library]的针灸疗法治疗子宫脱垂的相关文献,并分析针灸疗法治疗本病的辨病辨证、不同针灸疗法选穴特点、治疗频次、治疗总次数和总时间、结局指标及疗效、随访及安全性。结果:共纳72篇文献,针灸疗法治疗子宫脱垂均采用辨病取穴,干预措施多为毫针刺法与灸法合用(43.06%,31/72),常选用下腹、腰骶局部腧穴配合远端下肢取穴,治疗频次多为1次/d(63.89%,46/72);治疗总次数以10~84次居多(86.96%,40/46);治疗总时间以3~12周(79.63%,43/54)较多;文献中自拟有效率82.93%~100.00%。结论:针灸疗法对子宫脱垂临床症状缓解可能有效。

Objective:To explore the characteristics and rules of acupuncture and moxibustion in the treatment of uterine prolapse.Methods:To analyze acupuncture and moxibustion treatment for uterine prolapse in 7 literature databases(including CNKI,Wan-Fang Data,VIP,SinoMed,PubMed,Embase and Cochrane Library)from the establishment of the database to January 2022,including disease identification and treatment and patterns identification and treatment,characteristics of acupoint selection,frequency,total times and time of treatment,outcomes and efficacy,follow-up and safety.Results:A total of 72 references were included based on disease identification and treatment.The most common acupuncture therapy was acupuncture combined with moxibustion(43.06%,31/72).Local acupoints of lower abdomen,lumbosacral and distal lower extremities were often selected.The frequency of treatment was mostly once a day(63.89%,46/72).The total times of treatment was mostly 10~84(86.96%,40/46),and the total time of treatment was mostly 3~12 weeks(79.63%,43/54).The self-designed effective rate was 82.93%~100.00%.Conclusion:Acupuncture and moxibustion may be effective in relieving clinical symptoms of uterine prolapse.