基于文献计量学的电针治疗椎动脉型颈椎病腧穴谱及刺激参数研究

目的:基于文献计量学方法,总结现有电针治疗椎动脉型颈椎病的腧穴谱及相关刺激参数。方法:计算机检索数据库中国知网、维普、万方数据1979年至今有关于电针治疗椎动脉型颈椎病的临床研究文献。用Note Express 3.2管理相关文献,并设计《临床研究文献信息表》采集相关要素,重点归纳分析文献的电针波形、刺激时间、疗程、腧穴运用等信息。结果 :共纳入文献79篇,使用频次最高的腧穴为颈夹脊穴64篇(81.01%),试验组治疗措施为单纯电针38篇(48.10%),波形为颈夹脊穴配合连续波电针26篇(32.91%),治疗时间为20~30 min的69篇(87.34%),治疗10~30 d的65篇(82.28%)。结论:电针治疗椎动脉型颈椎病高频次运用的穴位主要是颈夹脊、风池、百会、天柱、大椎、后溪,治疗方式采用单纯电针,波形选用连续波或疏密波,治疗时间为20~30min,疗程大多为10~30 d。

Study on Acupoints Spectrum and Stimulation Parameters of Electroacupuncture Therapy for Cervical Spondylosis of Vertebral Artery Type Based on Bibliometrics

Objective: To summarize the point spectrum and stimulation parameters of electric acupuncture therapy for cervical spondylosis of vertebral artery type by bibliometrics. Methods: Used computer to search the database CNKI and VIP and WF database since 1979 had clinical research literature on acupuncture treatment of cervical spondylosis of vertebral artery type. Note Express 3.2 management related literature, and design "clinical research literature information table" collection of related factors, focused on analysis of the literature of the electric pulse waveform, stimulation time, course of treatment, acupoints use information. Results: A total of 79 literatratures, the highest frequency of use of the acupoints for Jingjiaji points (81.01%, 64), treatment trial group was simple electric acupuncture (48.1%, 38), waveform for continuous wave (46.84%, 37), the treatment time was 20 to 30 minutes (87.34%, 69) 10~30 days of treatment (82.28%, 65). Conclusion: Electric acupuncture treatment of cervical spondylosis of vertebral artery type with high frequency points is mainly the Jingjiaji, Fengchi, Baihui, Dazhui, Tianzhu, Houxi, treatment with simple electric acupuncture, continuous wave or dilatational wave, treatment time is 20~30 minutes, mostly 10 to 30 days of treatment.