Wu Minmin, Song Wenjing, Wang Xue, Tang Qiang, Gao Weibin, Zhu Luwen
Department of Rehabilitation Medicine, Heilongjiang University of Chinese Medicine, Harbin, China.
The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.
Front Neurol. 2024 May 24;15:1394348. doi: 10.3389/fneur.2024.1394348. eCollection 2024.
BACKGROUND: Post-stroke dysphagia (PSD) affects the efficacy and safety of swallowing, causing serious complications. Acupuncture is a promising and cost-effective treatment for PSD; however, as the number of randomized controlled trials increases, scientific analysis of the parameters and acupoint prescription is required. Therefore, this study aimed to explore the effects of acupuncture on parameters related to post-stroke dysphagia (PSD). METHODS: We searched the Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Literature, and Chongqing VIP Database for randomized controlled trials of acupuncture for PSD in the last 15 years and relevant parameters were analyzed using data mining techniques. RESULTS: In total, 3,205 records were identified, of which 3,507 patients with PSD were included in 39 studies. The comprehensive analysis demonstrated that the closest parameter combinations of acupuncture on PSD were 0.25 mm × 40 mm needle size, 30 min retention time, five treatments per week, and a 4-week total course of treatment. Additionally, the gallbladder and nontraditional meridians, crossing points, and head and neck sites are the most commonly used acupoint parameters. The core acupoints identified were GB20, RN23, EX-HN14, Gongxue, MS6, SJ17, EX-HN12, EX-HN13, and the commonly used combination of EX-HN12, EX-HN13, GB20, and RN23. CONCLUSION: This study analyzed the patterns of PSD-related needling and acupoint parameters to provide evidence-based guidelines for clinical acupuncturists in treating PSD, potentially benefitting affected patients.
背景:中风后吞咽困难(PSD)会影响吞咽的有效性和安全性,引发严重并发症。针灸是一种有前景且具成本效益的PSD治疗方法;然而,随着随机对照试验数量的增加,需要对参数和穴位处方进行科学分析。因此,本研究旨在探讨针灸对中风后吞咽困难(PSD)相关参数的影响。 方法:我们检索了Cochrane图书馆、PubMed、Embase、Web of Science、中国知网、万方数据库、中国生物医学文献数据库和重庆维普数据库,以查找过去15年中关于针灸治疗PSD的随机对照试验,并使用数据挖掘技术分析相关参数。 结果:共识别出3205条记录,其中39项研究纳入了3507例PSD患者。综合分析表明,针灸治疗PSD最接近的参数组合为针具规格0.25mm×40mm、留针时间30分钟、每周治疗5次、总疗程4周。此外,胆经及非传统经脉、交会穴、头颈部穴位是最常用的穴位参数。确定的核心穴位为风池(GB20)、璇玑(RN23)、金津(EX-HN14)、供血、廉泉(MS6)、天容(SJ17)、玉枕(EX-HN12)、天柱(EX-HN13),以及常用组合玉枕(EX-HN12)、天柱(EX-HN13)、风池(GB20)、璇玑(RN23)。 结论:本研究分析了与PSD相关的针刺和穴位参数模式,为临床针灸师治疗PSD提供循证指南,可能使受影响患者受益。
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