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[1]張海寧,范順,王曉宇,等.基于德?tīng)柗品?gòu)建針灸治療痙攣性斜頸的取穴方案[J].中醫(yī)正骨,2025,37(03):46-52.
　ZHANG Haining,FAN Shun,WANG Xiaoyu,et al.Constructing an acupoint selecting protocol for acupuncture and moxibustion treatment of spasmodic torticollis based on Delphi method[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2025,37(03):46-52.
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基于德?tīng)柗品?gòu)建針灸治療痙攣性斜頸的取穴方案()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第37卷
期數(shù):
2025年03期
頁(yè)碼:
46-52
欄目:
調(diào)查研究
出版日期:
2025-03-20

文章信息/Info

Title:
Constructing an acupoint selecting protocol for acupuncture and moxibustion treatment of spasmodic torticollis based on Delphi method
作者:
張海寧; 范順; 王曉宇; 李華南; 張瑋; 包安; 王君實(shí); 王建伍; 王金貴
天津中醫(yī)藥大學(xué)第一附屬醫(yī)院,天津 300381
Author(s):
ZHANG Haining; FAN Shun; WANG Xiaoyu; LI Huanan; ZHANG Wei; BAO An; WANG Junshi; WANG Jianwu; WANG Jingui
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China
關(guān)鍵詞:
斜頸;  針灸療法;  取穴;  德?tīng)柗萍夹g(shù)
Keywords:
torticollis;  acupuncture moxibustion therapy;  acupoint locating;  Delphi technique
摘要:
目的:構(gòu)建針灸治療痙攣性斜頸(spasmodic torticollis,ST)的取穴方案。方法:采用文獻(xiàn)研究和臨床調(diào)研的方法構(gòu)建針灸治療ST的取穴方案條目池,采用德?tīng)柗品ù_立針灸治療ST的取穴方案。結(jié)果:共遴選出42名專家。通過(guò)文獻(xiàn)研究并結(jié)合臨床調(diào)研,最終形成針灸治療ST的取穴方案條目池,包括一級(jí)條目6項(xiàng),二級(jí)條目21項(xiàng)。第1輪調(diào)查發(fā)放42份問(wèn)卷,收回42份,專家積極系數(shù)為100%,專家權(quán)威系數(shù)為0.87,專家協(xié)調(diào)系數(shù)為0.23; 共篩選出5種針灸療法(毫針刺法、電針療法、艾條灸法、溫針灸療法、頭針療法)和20項(xiàng)針灸療法取穴方案。將不符合納入標(biāo)準(zhǔn)的條目和專家建議修改或補(bǔ)充的條目納入第2輪專家調(diào)查。第2輪調(diào)查發(fā)放42份問(wèn)卷,收回42份,專家積極系數(shù)為100%,專家權(quán)威系數(shù)為0.92,專家協(xié)調(diào)系數(shù)為0.28。經(jīng)過(guò)2輪的問(wèn)卷調(diào)查后無(wú)專家提出修改意見(jiàn),最終形成針灸治療ST的取穴方案。結(jié)論:針灸治療ST的方法主要包括毫針刺法、電針療法、艾條灸法、溫針灸療法和頭針療法,其整體取穴方案遵循“局部取穴為主,遠(yuǎn)端取穴為輔”的原則。毫針刺法主穴選用百會(huì)、水溝、風(fēng)池、天柱、合谷和太沖,通過(guò)辨經(jīng)配穴與辨證配穴相結(jié)合,輔以經(jīng)驗(yàn)取穴進(jìn)行個(gè)性化配伍; 電針療法側(cè)重刺激頸部痙攣肌群的起止點(diǎn),主穴選取大椎、風(fēng)池、頸夾脊(C4～C6)、合谷、太沖等; 艾條灸法采用雀啄灸、溫和灸、回旋灸等手法,主灸風(fēng)池、扶突等穴位; 溫針灸療法則在大椎、頸臂等主穴的基礎(chǔ)上,根據(jù)證型加列缺、筋縮等穴位; 頭針療法選取百會(huì)穴及情感區(qū)、運(yùn)動(dòng)區(qū)等頭部特定刺激區(qū)。
Abstract:
Objective:To construct an acupoint selecting protocol for acupuncture and moxibustion treatment of spasmodic torticollis(ST).Methods:An item pool of acupoint selecting protocol for acupuncture and moxibustion treatment of ST was constructed through literature research and clinical investigation,and the Delphi method was employed to establish the final acupoint selecting protocol.Results:Forty-two experts were selected.Through literature research and clinical investigation,an item pool of acupoint selecting protocol for acupuncture and moxibustion treatment of ST was formed,including 6 primary items and 21 secondary items.In the first round of the expert survey,42 questionnaires were handed out,all of which were returned and valid,with an expert response rate of 100%,an expert authority coefficient of 0.87,and an expert coordination coefficient of 0.23.Five acupuncture and moxibustion therapies(filiform needle acupuncture,electroacupuncture,moxibustion with moxa stick,needle-warming moxibustion,and scalp acupuncture)and 20 acupoint selecting protocols were selected.The items failed to meet the inclusion criteria and the ones suggested for modification or supplementation by experts were included in the second round of expert survey.In the second round of the expert survey,42 questionnaires were handed out,all of which were returned and valid,with an expert response rate of 100%,an expert authority coefficient of 0.92,and an expert coordination coefficient of 0.28.After the second round of expert survey,no further modifications were proposed by the experts,and the final acupoint selecting protocol for acupuncture and moxibustion treatment of ST was established.Conclusion:The acupuncture and moxibustion therapies for ST mainly include filiform needle acupuncture,electroacupuncture,moxibustion with moxa stick,needle-warming moxibustion,and scalp acupuncture.The overall acupoint selecting protocol follows the principle of prioritizing local acupoints and supplemented by distal acupoints.For filiform needle acupuncture therapy,the main acupoints include Baihui(GV20),Shuigou(GV26),Fengchi(GB20),Tianzhu(BL10),Hegu(LI4),and Taichong(LR3),with personalized combinations based on meridian differentiation,syndrome differentiation,and empirical acupoint selection.The electroacupuncture therapy focuses on stimulating the origin and insertion points of neck spastic muscle group,mainly selecting the acupoints such as Dazhui(GV14),Fengchi(GB20),Jingjiaji(C4-C6),Hegu(LI4),and Taichong(LR3).Moxibustion with moxa stick therapy adopts manipulations such as sparrow-pecking moxibustion,mild moxibustion,and circling moxibustion,mainly acting on the acupoints such as Fengchi(GB20)and Futu(LI18).Dazhui(GV14)and Jingbi are commonly selected in needle-warming moxibustion therapy,and acupoints such as Lieque(LU7)and Jinsuo(GV8)are added according to the syndrome.Scalp acupuncture therapy mainly targets Baihui(GV20)and acupoints in the specific stimulation areas such as the emotional and motor regions.

參考文獻(xiàn)/References:

[1] BARR C,BARNARD R,EDWARDS L,et al.Impairments of balance,stepping reactions and gait in people with cervical dystonia[J].Gait Posture,2017,55:55-61.
[2] 李宏鍇,黃書嵐,張向陽(yáng).痙攣性斜頸的診療研究進(jìn)展[J].中國(guó)醫(yī)藥導(dǎo)報(bào),2018,15(11):37-40.
[3] LAHUE S C,ALBERS K,GOLDMAN S,et al.Cervical dystonia incidence and diagnostic delay in a multiethnic population[J].Mov Disord,2020,35(3):450-456.
[4] TOMIC S,PETKOVIC I,PUCIC T,et al.Cervical dystonia and quality of life[J].Acta Neurologica Belgica,2016,116(4):589-592.
[5] 劉瓊瓊,劉學(xué)超.武連仲教授治療痙攣性斜頸經(jīng)驗(yàn)舉隅[J].陜西中醫(yī)藥大學(xué)學(xué)報(bào),2022,45(3):26-28.
[6] TYSLEROWICZ M,KIEDRZYNSKA W,ADAMKIEWICZ B,et al.Cervical dystonia-improving the effectiveness of botulinum toxin therapy[J].Neurol Neurochir Pol,2020,54(3):232-242.
[7] 王潞,李俊,梁健,等.痙攣性斜頸的手術(shù)治療(附580例報(bào)道)[J].中國(guó)臨床神經(jīng)外科雜志,2018,23(1):23-25.
[8] 蕭瑋澤,馬永利,岳涵,等.近30年中醫(yī)藥研究痙攣性斜頸的現(xiàn)代文獻(xiàn)分析[J].天津中醫(yī)藥,2022,39(6):720-723.
[9] 李俊逸.針刺配合熱敏灸治療痙攣性斜頸46例[J].江西中醫(yī)藥,2018,49(4):59-60.
[10] 劉肇恒,張立德.針?biāo)幉⑴e辨治痙攣性斜頸[J].實(shí)用中醫(yī)內(nèi)科雜志,2016,30(5):114-115.
[11] 王麗穎,劉孟宇,宇文亞,等.Delphi法在中醫(yī)臨床診療指南中的應(yīng)用探討[J].中華中醫(yī)藥雜志,2012,27(10):2637-2639.
[12] 吳永澤,王文絹.不同應(yīng)答等級(jí)對(duì)likert式量表特性的影響[J].中國(guó)慢性病預(yù)防與控制,2010,18(2):215-217.
[13] 肖順貞.護(hù)理學(xué)研究[M].長(zhǎng)沙:湖南科學(xué)技術(shù)出版社,2001:101-103.
[14] CHANG A M,GARDNER G E,DUFFIELD C,et al.A Delphi study to validate an advanced practice nursing tool[J].J Adv Nurs,2010,66(10):2320-2330.
[15] 張炳江.層次分析法及其應(yīng)用案例[M].北京:電子工業(yè)出版社,2014:50-51.
[16] SMITH A G,BRAINARD J C,CAMPBELL K A.Development of an undergraduate medical education critical care content outline utilizing the Delphi method[J].Crit Care Med,2020,48(1):98-103.
[17] BABBIE E.社會(huì)研究方法(第十一版)[M].邱澤奇,譯.北京:華夏出版社,2006:11-13.
[18] 王紅麗,陳玲,徐春艷,等.基于德?tīng)柗品?gòu)建加速康復(fù)外科肝癌患者圍手術(shù)期護(hù)理方案[J].新疆醫(yī)科大學(xué)學(xué)報(bào),2019,42(3):415-419.
[19] 曾光.現(xiàn)代流行病學(xué)方法與應(yīng)用[M].北京:北京醫(yī)科大學(xué)、中國(guó)協(xié)和醫(yī)科大學(xué)聯(lián)合出版社,1996:33-38.
[20] 陳希,蔡名敏,陳紅,等.基于德?tīng)柗品ǖ呐R床試驗(yàn)質(zhì)量控制協(xié)同度評(píng)價(jià)指標(biāo)構(gòu)建[J].中國(guó)新藥與臨床雜志,2022,42(2):123-125.
[21] 趙虎雷,春柳,謝洋,等.基于德?tīng)柗品ǖ膲m肺病證候分布及特征分析[J].中醫(yī)研究,2022,35(5):66-70.
[22] 春柳,謝洋,趙虎雷,等.基于文獻(xiàn)的中醫(yī)證候診斷規(guī)范研制現(xiàn)狀分析[J].中醫(yī)雜志,2021,62(2):169-172.
[23] 楊輝,黃琳,李海昌,等.基于德?tīng)柗品ǖ膹?qiáng)直性脊柱炎脾虛濕阻證診斷指標(biāo)的研究[J].中華中醫(yī)藥雜志,2022,37(9):5304-5307.
[24] 姜德友,任鵬鵬,韓潔茹.痙病源流考[J].中國(guó)中醫(yī)急癥,2018,27(11):2041-2044.
[25] 孫文善,楚寧寧,封燕婷,等.超聲引導(dǎo)下頸夾脊穴埋線層次與得氣的初步研究[J].中國(guó)針灸,2015,35(9):931-934.

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備注/Memo

備注/Memo:
基金項(xiàng)目:天津市中醫(yī)藥重點(diǎn)領(lǐng)域科研項(xiàng)目(2024001); 天津市南開(kāi)區(qū)中醫(yī)藥傳承創(chuàng)新發(fā)展示范試點(diǎn)項(xiàng)目(20240204001); 天津中醫(yī)藥大學(xué)第一附屬醫(yī)院“拓新工程”基金科研課題(YB202118)
通訊作者:王金貴 E-mail:[email protected]
更新日期/Last Update: 1900-01-01