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Clinical research status and analysis of acupuncture in the treatment of peripheral neuritis |
YU Pei1,2 LIU Lu1 LI Zhijuan1 LI Bin1▲ |
1.Beijing Key Laboratory of Acupuncture and Moxibustion Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China;
2.College of Acupuncture and Massage, Beijing University of Traditional Chinese Medicine, Beijing 100029, China |
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Abstract Objective To investigate the present clinical research status of acupuncture in the treatment of peripheral neuritis, and analyze the future research directions. Methods Twenty-one clinical randomized controlled trials (RCTs) of acupuncture treatment for peripheral neuritis from January 2000 to January 2019 were conducted included through the Chinese journal full text database (CNKI), Wanfang database and PubMed database search. The diagnostic criteria, therapeutic criteria, experimental observation period, experimental control design, treatment methods and characteristics of acupoint selection were reviewed and discussed. Results Local acupoint selection was the main treatment for peripheral neuritis by acupuncture. Yangming Meridian of Hand and Foot was the main point selection, which showed the short-term curative effect advantage. However, there was a lack of standardized criteria in diagnostic criteria, therapeutic evaluation, experimental observation cycle and control design. Conclusion Current research shows that acupuncture treatment for peripheral neuritis is effective, but clinical studies are still not enough. Therefore, more precise RCTs are necessary. Meanwhile, adopting more international evaluation standards and objective monitoring indicators to strengthen the evidence and enhance the overall level of research is also required.
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[1] Hanewinckel R,Oijen MV,Ikram MA,et al. The epidemiology and risk factors of chronic polyneuropathy [J]. Eur J Epidemiol,2015,31(1):1-16.
[2] 崔晓梅.温针灸治疗多发性神经病的临床研究[D].哈尔滨:黑龙江省中医研究院,2009.
[3] 潘燕,陈倩.蛭辛胶囊联合针灸治疗糖尿病多发性神经炎疗效及对血液流变学的影响[J].现代中西医结合杂志,2018,27(14):1557.
[4] 李晓婷,梁军,李全双,等.针刺结合雷火灸治疗糖尿病末梢神经炎临床研究[J].安徽中医药大学学报,2018,37(2):64-67.
[5] 刘鑫.针刺推拿+心理疏导+康复训练联合西药治疗多发性末梢周围神经炎随机平行对照研究[J].实用中医内科杂志,2016,30(7):89-91.
[6] Han X,Wang L,Shi H,et al. Acupuncture combined with methylcobalamin for the treatment of chemotherapy-induced peripheral neuropathy in patients with multiple myeloma [J]. BMC Cancer,2017,17(1):40.
[7] Zhang SQ,Wu TT,Zhang HS,et al. Effect of electroacupuncture on chemotherapy-induced peripheral neuropathy in patients with malignant tumor:a single-blinded,randomized controlled trial [J]. J Tradit Chin Med,2017,37(2):179-184.
[8] Greenlee H,Crew KD,Capodice J,et al. Randomized sham-controlled pilot trial of weekly electro-acupuncture for the prevention of taxane-induced peripheral neuropathy in women with early stage breast cancer [J]. Breast Cancer Res Treat,2016,156(3):453-464.
[9] 杨克卫.针刺配合穴位注射治疗多发性神经炎60例临床研究[D].长春:长春中医药大学,2012.
[10] 李超群.针刺结合足浴治疗糖尿病末梢神经炎的临床研究[D].哈尔滨:黑龙江中医药大学,2010.
[11] 张万霞,罗月英.针刺联合足浴治疗糖尿病末梢神经炎临床研究[J].山西医药杂志,2015,44(10):1133-1136.
[12] 刘松江.蛭辛胶囊联合针灸治疗糖尿病多发性神经炎28例疗效观察[J].山东中医杂志,2012,31(8):578-579.
[13] Tong Y,Guo H,Han B. Fifteen-day acupuncture treatment relieves diabetic peripheral neuropathy [J]. J Acupunct Meridian Stud,2010.
[14] 张诚,马元旭,闫也,等.针刺治疗糖尿病周围神经病变的临床效果[J].中医杂志,2010,30(1):13-14.
[15] 赖洪康,陈根成.温针灸治疗多发性神经炎疗效观察[J].现代康复,2001,5(5):128.
[16] 路玫,李昆珊,王佳丽.针刺治疗糖尿病患者肢体远端对称性多发性周围神经病变:随机对照研究[J].中国针灸,2016,36(5):481-484.
[17] Anastasi JK,Capili B,Mcmahon DJ,et al. Acu/Moxa for distal sensory peripheral neuropathy in HIV:a randomized control pilot study [J]. J Assoc Nurses AIDS Care,2013,24(3):268-275.
[18] 张欣,李永凯.温针灸治疗末梢神经炎之感觉障碍临床观察[J].新疆中医药,2007,25(6):22.
[19] 卢泽强.针灸配合推拿治疗多发性神经炎48例临床观察[J].上海针灸杂志,2006,25(10):23-24.
[20] 孙涛.针灸治疗对多发性神经炎患者神经传导速度的影响研究[J].中国医药指南,2017,15(15):187.
[21] 徐建余.针灸治疗糖尿病末梢神经炎的临床疗效观察[J].内蒙古中医药,2014,33(35):93.
[22] Garrow AP,Xing M,Vere J,et al. Role of acupuncture in the management of diabetic painful neuropathy (DPN):a pilot RCT [J]. Acupunct Med,2014,32(3):242-249.
[23] 冼凯莉,杜宝新.小纤维神经病诊断研究进展[J].中国现代神经疾病杂志,2017,17(11):851-855.
[24] 李强,李海芹,逄涛,等.定量感觉检测对2型糖尿病周围神经损伤的临床观察[J].临床医学,2015,35(1):78-80. |
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