基于数据挖掘技术探析灸法治疗慢性心力衰竭的临床应用现况OA
Analysis on the Clinical Application Status of Moxibustion Therapy in the Treatment of Chronic Heart Failure Based on Data Mining Technology
目的 分析灸法干预慢性心力衰竭的临床应用现况.方法 在PubMed、Web of Science、中国生物医学文献服务系统(SinoMed)、中国知网、万方和维普数据库中检索灸法治疗慢性心力衰竭的临床试验研究文献,检索时限为建库至2025年6月30日,对灸法的干预方案、腧穴应用等整理分析.结果 共纳入204篇文献,研究方向侧重于单纯灸法的疗效优势;气虚血瘀证、艾条灸、20 min/次、1次/d、4周或2周是主选的中医证型、灸法类型、灸疗时间、治疗频次和疗程.应用频次排名前5位的腧穴是:心俞、关元、足三里、神阙和内关;腧穴归经聚焦于足太阳膀胱经和任脉;心俞-肺俞和关元-气海为常用的腧穴配伍组合.结论 灸法干预慢性心力衰竭的临床方案在核心参数上形成基本共识,但具体实施细节仍存在差异.未来研究有待探索不同中医证型与灸疗方案的量效规律及内在作用机制,为构建精准化灸疗方案提供科学依据.
Objective To analyze the current clinical application status of moxibustion in the treatment of chronic heart failure.Methods Clinical trial research literature on moxibustion for chronic heart failure was retrieved from PubMed,Web of Science,SinoMed,CNKI,Wanfang,and VIP databases from the establishment of the databases to June 30,2025.The intervention plans,acupoint applications,etc.of moxibustion were sorted out and analyzed.Results A total of 204 articles were included.The research focus was on the therapeutic advantages of pure moxibustion.Qi deficiency and blood stasis syndrome,moxa stick moxibustion,20 minutes per session,once a day,4 weeks or 2 weeks were the main selected traditional Chinese medicine(TCM)syndrome types,moxibustion types,moxibustion time,treatment frequency,and treatment course.The top five acupoints in application frequency are Xinshu(BL15),Guanyuan(CV4),Zusanli(ST36),Shenque(CV8)and Neiguan(PC6).The meridians of the acupoints were mainly focused on the bladder meridian of foot-taiyang and the conception vessel.Xinshu(BL15)-Feishu(BL13)and Guanyuan(CV4)-Qihai(CV6)were commonly used acupoint compatibility combinations.Conclusion Basic consensus has been reached on the core parameters of clinical protocols for moxibustion intervention in chronic heart failure,while differences still exist in specific implementation details.Future studies are needed to explore the dose-effect relationship and internal mechanism between different TCM syndrome types and moxibustion regimens,so as to provide scientific evidence for establishing precise moxibustion treatment protocols.
韩斯璇;洪艳燕;王蓓蓓;王思懿;李健;张敏;陈绍月
南京市中医院护理部,江苏 南京 210022南京市中医院护理部,江苏 南京 210022南京中医药大学,江苏 南京 210023南京中医药大学,江苏 南京 210023南京市中医院肛肠科,江苏 南京 210022南京市中医院护理部,江苏 南京 210022南京市中医院心血管病科,江苏 南京 210022
医药卫生
慢性心力衰竭灸法临床试验研究数据挖掘选穴规律
moxibustionchronic heart failureclinical trial researchdata miningacupoint selection rules
《光明中医》 2026 (8)
29-34,6
江苏省中医药科技发展计划项目(No.MS2022044)
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