[关键词]
[摘要]
【目的】系统分析靳三针疗法的临床优势病种及核心应用穴组,为靳三针疗法的推广应用提供数据支持。 【方法】检索 中国知网期刊全文数据库 (CNKI) 、万方学术期刊全文数据库 (Wanfang) 、维普中文科技期刊数据库 (VIP) 和中国生物医学数 据库 (CBM) ,时间是从靳三针疗法创立 (1967年) 以来至今的相关文献,构建靳三针疗法穴组应用数据库,采用SPSS Modeler、Cytoscape、Review Manager、Stata及R语言软件对文献质量、敏感性、病种、疗效、高频穴组、关联规则、联合疗 法进行统计分析。 【结果】共纳入228篇符合要求的文献,结果提示,靳三针疗法临床应用共涉及11类疾病和63个病种,卒 中后偏瘫和孤独症谱系障碍为其临床优势病种,颞三针、四神针为临床核心应用穴组,临床总有效率为91.1%,且常常与康 复训练联用。 【结论】靳三针疗法独特的三针组方模式在临床展现出显著优势,但可能存在一定的发表偏倚,作用机制和临 床效能仍需进一步深化探索。
[Key word]
[Abstract]
Objective To systematically analyze the clinical advantageous diseases and core acupoint combinations of Jin’ s Three-Needle Therapy,providing data support for its broader clinical application. Methods The relevant literature from the China National Knowledge Infrastructure (CNKI), Wanfang Academic Journal Full-text Database,VIP Chinese Sci-Tech Journal Database,and China Biology Medicine (CBM) database were retrieved, covering all publications since the establishment of Jin’ s Three-Needle Therapy. A database of acupoint combinations was constructed,and statistical analyses were performed using SPSS Modeler,Cytoscape,Review Manager, Stata,and R software to evaluate literature quality,sensitivity,disease spectrum,therapeutic efficacy,high- frequency acupoint combinations,association rules,and combined therapies. Results A total of 228 eligible studies were included. The results indicate that Jin’ s Three-Needle Therapy has been applied to 11 disease categories and 63 specific conditions,with post-stroke hemiplegia and autism spectrum disorder identified as its primary advantageous diseases. The Temporal Three-Needle and Four-Spirit Needle emerged as the core acupoint combinations. The overall clinical efficacy rate reached 91.1%,and the therapy was frequently combined with rehabilitation training. Conclusion The unique three-needle prescription pattern of Jin’ s Three-Needle Therapy demonstrates significant clinical advantages. However, potential publication bias may exist, and further exploration is needed to elucidate its mechanisms and optimize clinical efficacy.
[中图分类号]
R246.9
[基金项目]
国家自然科学基金资助项目 (编号:82474622,82174486) ;国家中医药传承创新中心科研基金资助项目 (编号:2022ZD04) ; 广东省教育厅高校科研项目 (编号:2022KCXTD006)