目的:评价穴位敷贴治疗稳定性心绞痛的疗效及安全性。方法:检索Pub Med、Cochrane图书馆、Clinical trials、MEDLINE等英文数据库,以及万方数字化期刊全文数据库、中国生物医学文献期刊数据库(CBM)、中国期刊全文数据库(CNKI)、中文科技期刊数据库(VIP)。根据纳入、排除标准筛选并纳入符合穴位敷贴辅助治疗稳定性心绞痛的随机对照试验,进行质量评价,Meta分析采用Rev Man 5.2软件。结果:共纳入9篇研究,虽都提到随机,仅1篇明确随机方法,所有纳入文献的分配隐藏及盲法等都不清楚。分析结果显示,穴位敷贴疗法与药物疗法改善心绞痛症状的比较,有统计学差异(RR=1.13,95%CI=1.07~1.20,P=0.000);穴位敷贴组与西药组改善心电图疗效比较,结果显示差异有统计学意义(RR=1.12,95%CI=1.04~1.20,P=0.002);穴位敷贴组与药物组对改善中医证候的疗效比较,结果显示差异有统计学意义(RR=1.14,95%CI=1.05~1.25,P=0.004)。其中3篇研究报道不良反应,包括皮疹、胃肠道不良反应等,组间无差别。结论:穴位敷贴疗法对改善稳定性心绞痛患者的心绞痛症状及中医症候疗效方面可能有效,但是纳入研究数量偏少、质量偏低,结论尚需慎重。
目的:本研究旨在运用文献计量学方法分析针刀治疗腰椎间盘突出症(Lumbar Disc Protrusion)的研究现状、研究热点、研究趋势。方法:通过对2000年1月至2023年12月中国知网、万方、维普三大数据库中关于针刀治疗LDH的文献进行检索整理与筛选后,通过CiteSpace6.2.R4,分析作者、机构、关键词共现、聚类、突现词,绘制知识图谱。结果:本研究共收录文献1354篇,发文量总体呈上升趋势;核心作者为郭长青;发文量最多的机构为北京中医药大学。通过对关键词的分析,炎性因子、超微针刀、超声引导等代表了新的研究趋势。结论:目前该领域研究热点从治疗方式的简单结合转向传统医学与现代科技融合发展。未来可视化的超声引导、更加精密的操作工具、多维度的疗效评价指标等可能会成为新的研究热点。Objective: The purpose of this study was to analyze the current research status, research hotspot and research trend of acupotomy treatment of lumbar disc protrusion by bibliometrics. Methods: The literature on acupotomy treatment of LDH in CNKI, Wanfang and VIP from January 2000 to December 2023 was searched, sorted and screened, and the author, institution, keyword co-occurrence, clustering and breakout words were analyzed by CiteSpace6.2.R4, and the knowledge map was constructed. Results: A total of 1354 papers were included in this study, and the number of published papers showed an increasing trend. The core author is Guo Changqing;The institution with the largest number of papers is Beijing University of Chinese Medicine, and internal cooperation is the main among the universities. Research hotspots of acupotomy treatment of lumbar disc herniation focus on treatment methods, clinical efficacy, lumbar function, etc. The research types are mainly review and clinical observation. Besides acupotomy, the treatment methods mainly include massage, traction, electroacupuncture, ozone and other combined treatment methods. Inf