查詢結果分析
來源資料
頁籤選單縮合
題 名 | 針灸對口瘡治療的臨床試驗文獻探討=Review of Clinical Trials about Acupuncture Therapy for Oral Ulcers |
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作 者 | 林彩蕙; 楊中賢; 李育臣; | 書刊名 | 中華針灸醫學會雜誌 |
卷 期 | 11:4 2008.12[民97.12] |
頁 次 | 頁33-39 |
分類號 | 413.91 |
關鍵詞 | 針灸; 口瘡; Acupuncture; Mucositis; |
語 文 | 中文(Chinese) |
中文摘要 | 口腔發炎或潰瘍可見於各種原因,歸屬於中醫「口瘡」、「口糜」範疇。相較於古代,現代醫學有更多因素介入,特別是放射線與化學藥物治療,使口腔黏膜發炎或潰瘍的發生率更高。由於機轉尚未完全清楚,故治療方式與療效不一。歷代醫書中,針灸對口瘡治療多所運用,然而臨床療效並不明;經由臨床試驗,可以更清楚針灸的效果,但是證據仍須進一步被檢驗。目的:欲從證據醫學角度了解針灸對口瘡治療效果及相關問題。方法:西文文獻以「oral mucositis」、「stomatitis」或「mucositis」與「acupuncture」作關鍵字聯集,搜尋「Medline」、「Cochrane library」等查詢系統;中文文獻以篇名爲「口瘡」與全文含「針」、「針灸」、或「針刺」作聯集,搜尋「中華民國期刊論文索引系統」、及「中國期刊全文數據庫」之隨機臨床試驗(RCT)相關文獻。結果:共得8篇隨機臨床試驗(RCT)相關文獻,其中7篇皆針對「復發性口瘡」,各有兩篇爲同一作者之研究,有5篇使用穴位注射方法,注射內容物或選用西藥或中藥注射液,1篇使用穴位貼敷,2篇針藥併用治療,顯效率或總有效率皆高達90%以上。結論:針灸對口瘡治療之臨床試驗仍存在若干問題:如納入與排除標凖未明確,對照組的設計不一,不同型口瘡影響治療效果未被分別比較,疼痛與口瘡病程並無分別評估…等。若能解決這些問題,更能證實針灸在口瘡上的治療療效,且扮演更重要的角色。 |
英文摘要 | We had known that the causes of oral mucositis and stomatitis had a lot, and it belonged to the field of "oral ulcer" or "oral erosion" in traditional Chinese medicine. Because of new treatment applying to the human body, especially radiotherapy and chemotherapy, the incidence of mucositis became higher. The mechanism of oral mucositis was un-clear. There are many different treatments about oral mucositis. Acupuncture therapy was used in oral mucositis describing in the ancient books which never discussed any clinical response. Through more clinical trials, we could understand more the effects of the acupuncture; however, the intensity of the evidences should be examined. Objective: In order to understand the clinical trials about acupuncture therapy for oral mucositis under a evidence based point of view. Method: The key words of "Oral mucositis" "stomatitis" or "mucositis" combined with "acupuncture" was used to be searched in "medline" and "Cochrance library". In addition, the mucositits in the titles combined with acupuncture etc. was searched in Chinese data base. Those articles limited as randomized control trial. Result: There were eight articles compatible with our limited. Seven articles of all aimed the topics of recurrent aphthous stomatitis. Five articles used the method of acupuncture point injection which Chinese medicine or west medicine used. Only one article used acupuncture point paste and two were acupuncture combined with herbs. All the articles revealed good response with more than 90%. Conclusion: There are still some debates in the acupuncture therapy for oral ulcer, especially recurrent aphthous stomatitis. Available clinical trial had a lot of limitation and low intensity of evidence. We need more strict randomized control clinical trials to confirm the role of acupuncture therapy for mucositis. |
本系統中英文摘要資訊取自各篇刊載內容。