Acupuncture and Moxibustion College, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
J Altern Complement Med. 2012 Oct;18(10):892-901. doi: 10.1089/acm.2011.0825. Epub 2012 Sep 11.
The objective of this study was to make non-Chinese readers better informed about the current safety situation of acupuncture in China.
Four (4) major Chinese comprehensive databases were searched: Chinese Journal Full-text Database (1949-2010), China Biomedical Literature Database (1978-2010), Chinese Technology Journal Database (1989-2010), and Wanfang (1998-2010). Case reports of adverse events related to acupuncture therapy were included. Literature reviews, case-control study, translations, duplicate literatures in various databases, and duplicate published articles with duplicate data were excluded.
One hundred and sixty-seven (167) articles were included with 1038 cases, among which 35 patients died. The most frequent adverse events were syncope (468 cases), pneumothorax (307 cases), and subarachnoid hemorrhage (64 cases).
Acupuncture-related adverse events were mainly caused by mental tension of the patient, improper operation by the doctor, and incompleteness of sterilization. Most of them can be avoided by standardizing teaching and clinical practices. Making the corresponding safety standards can greatly lower the risk of adverse events and protect patient safety to the greatest extent.
本研究旨在使非中文读者更好地了解中国目前的针灸安全状况。
检索了四个主要的中文综合数据库：中国期刊全文数据库（1949-2010 年）、中国生物医学文献数据库（1978-2010 年）、中国科技期刊数据库（1989-2010 年）和万方（1998-2010 年）。纳入与针灸治疗相关的不良事件的病例报告。排除文献综述、病例对照研究、译文、各数据库中的重复文献以及具有重复数据的重复发表文章。
共纳入 167 篇文章，包括 1038 例病例，其中 35 例患者死亡。最常见的不良事件是晕厥（468 例）、气胸（307 例）和蛛网膜下腔出血（64 例）。
针灸相关的不良事件主要是由于患者的精神紧张、医生操作不当和消毒不彻底引起的。通过规范教学和临床实践，可以避免大多数不良事件。制定相应的安全标准可以大大降低不良事件的风险，最大限度地保护患者安全。
