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[癌症疼痛的穴位选择:基于当前证据和德尔菲法]

[Acupoint selection for cancer pain: based on current evidence and Delphi method].

作者信息

He Yi-Han, Xu Neng-Gui, Zhang Hai-Bo, Xue Chang-Li, Kang Fu-Qin, Wang Qi, Li Jie-Yun, Ge Long, Guo Xin-Feng

机构信息

Second Affiliated Hospital of Guangzhou University of CM/Guangdong Hospital of TCM, Guangzhou 510120, China; Second Clinical Medical College of Guangzhou University of CM, Guangzhou 510120, Guangdong Province; Royal Melbourne Institute of Technology University, Melbourne 3083, Australia.

South China Research Center for Acupuncture and Moxibustion, Guangzhou University of CM.

出版信息

Zhongguo Zhen Jiu. 2021 Oct 12;41(10):1161-5. doi: 10.13703/j.0255-2930.20200831-k0002.

Abstract

Based on literature research and Delphi expert consensus method, the important acupoints for cancer pain was summarized to provide evidence basis for the formulation of . Through systematic search of Chinese and English databases, 28 clinical studies regarding acupuncture for cancer pain were included. The acupoint selection methods and high-frequency acupoints were summarized and analyzed. Based on this, a Delphi questionnaire was designed and two rounds of questionnaire survey on 30 experts in acupuncture and tumor related fields in China and abroad were conducted. As a result, it was suggested that the individualized acupoint selection should be adopted for acupuncture treatment of cancer pain, with Zusanli (ST 36), Hegu (LI 4), Taichong (LR 3), Sanyinjiao (SP 6), Yanglingquan (GB 34) and points as the main acupoints. Combined with clinical research evidence and expert consensus, the important acupoints for cancer pain were identified. However, clinical acupoint selection still needed further research and refinement.

摘要

基于文献研究和德尔菲专家共识法,总结出癌症疼痛的重要穴位,为相关方案的制定提供证据依据。通过系统检索中英文数据库,纳入了28项关于针刺治疗癌症疼痛的临床研究。对穴位选择方法和高频穴位进行了总结分析。在此基础上,设计了德尔菲问卷,并对国内外30名针灸与肿瘤相关领域的专家进行了两轮问卷调查。结果表明,针刺治疗癌症疼痛应采用个体化穴位选择,以足三里(ST 36)、合谷(LI 4)、太冲(LR 3)、三阴交(SP 6)、阳陵泉(GB 34)等穴位为主穴。结合临床研究证据和专家共识,确定了癌症疼痛的重要穴位。然而,临床穴位选择仍需进一步研究和完善。

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