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基于文献研究的针刀疗法不良事件分析

[Analysis on adverse event in acupotomy therapy based on literature research].

作者信息

Jiang Longlong, Zhang Boyu, Yu Hailong

机构信息

Department of Rehabilitation, Xiqing Hospital, Tianjin 300380, China.

Department of Preventive Treatment of Disease, Beijing Shunyi CM Hospital.

出版信息

Zhongguo Zhen Jiu. 2018 Sep 12;38(9):1007-12. doi: 10.13703/j.0255-2930.2018.09.027.

Abstract

OBJECTIVE

To explore the current domestic situation of the adverse event in acupotomy so as to promote the standardization of acupotomy and improve the clinical effect and safety of acupotomy therapy.

METHODS

The method of retrospective journal researching was used. The case report about the adverse event in acupotomy from CNKI, WANFANG and VIP databases was retrieved and the types, the features, the causes, the numbers of the papers and the cases were analyzed.

RESULTS

Fifty-eight papers were included, with total 343 cases. It was indicated that the adverse events in acupotomy were mainly postoperative local pain, hematoma, swelling, nerve damage, tendon rupture, adhesion, injury, infection, syncope, anesthesia accident, undeserved hormone use, etc. The lower level of standardization of acupotomy in the clinical use may lead to adverse events.

CONCLUSION

Safe acupotomy treatment for some complicated diseases and dangerous parts remains to be improved, and the standardization of the acupotomy is an important approach to improve its safety. The related work needs to be carried out.

摘要

目的

探讨针刀疗法不良事件的国内现状,以促进针刀疗法规范化,提高针刀治疗的临床疗效与安全性。

方法

采用回顾性期刊研究方法。检索中国知网(CNKI)、万方数据库和维普数据库(VIP)中关于针刀疗法不良事件的病例报道,并对其类型、特点、原因、论文数量及病例数进行分析。

结果

共纳入58篇论文,涉及343例病例。结果表明,针刀疗法不良事件主要包括术后局部疼痛、血肿、肿胀、神经损伤、肌腱断裂、粘连、损伤、感染、晕厥、麻醉意外、激素使用不当等。临床应用中针刀疗法规范化程度较低可能导致不良事件发生。

结论

针对一些复杂疾病及危险部位的针刀安全治疗仍有待提高,针刀疗法规范化是提高其安全性的重要途径,相关工作仍需开展。

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