近10年国内外艾灸治疗类风湿性关节炎(RA)临床文献计量学初步研究

Preliminary Study on Clinical Bibliometrics of Moxibustion Treatment of RA at Home and Abroad in Recent 10 Years

目的对近10年国内外艾灸治疗类风湿性关节炎(RA)的临床文献进行计量学初步研究,为今后临床研究提供方向和依据。方法检索中国知网(CNKI)、万方、维普和PubMed数据库中近10年灸法治疗RA的临床文献,运用文献计量学和WPS Office Excel 2021对文献中的一般资料、诊断标准、治疗原则、证型、选穴、艾灸类型、刺激量和疗效标准进行统计分析。结果共筛选出37篇临床文献,以随机对照试验为主,女性患者较男性患者多,明确RA证型的文献较少,诊断标准、治疗原则、选穴、艾灸类型、刺激量和疗效标准存在差异。结论艾灸治疗RA的临床疗效明确,但目前多为联合其他疗法的研究,其单独治疗RA的临床研究较少,且未明确RA的分期和中医证型,其诊断标准、治疗原则和选穴依据等均缺乏统一标准,故今后研究需依据RA证型和分期,选用相应的艾灸类型和刺激量,以优化施灸方案,提高临床疗效。

Objective to make a preliminary metrological study on the clinical literature of moxibustion in the treatment of rheumatoid arthritis(RA)at home and abroad in recent 10 years,so as to provide direction and basis for clinical research in the future.Methods the clinical literatures of moxibustion treatment of RA in recent 10 years in China knowledge Network(CNKI),Wanfang database,VIP,Bailianyun Library,ElsevierScienceDirect and PubMed were searched,and the general data,diagnostic criteria,treatment principles,syndrome types,acupoints selection,moxibustion types,stimulation amount and curative effect criteria in the literature were statistically analyzed by bibliometrics and WPSOfficeExcel2021.Results a total of 37 clinical litera-tures were selected,mainly randomized controlled trials.There were more female patients than male patients,and there were fe-wer literatures defining RA syndrome.There were differences in diagnostic criteria,treatment principles,acupoint selection,moxibustion type,stimulation dose and curative effect criteria.Conclusion Moxibustion treatment of RA clinical curative effect,but at present is the combination of other therapy research,the single treatment of RA clinical research less,and not clear RA stage and Chinese medicine,the diagnosis criteria,treatment principles and selection basis are lack of unified standard,so the future research should be based on RA type and stage,choose the corresponding moxibustion type and stimulation,to optimize the moxibustion scheme,improve the clinical curative effect.