目的:失眠是老年人最常见的疾病之一。长期失眠的老年人更容易出现眩晕等症状,疲劳,免疫力下降。针灸越来越多地用于治疗失眠。本文旨在总结治疗老年失眠症的关键穴位,并评价其治疗效果。为今后针灸治疗老年失眠提供研究依据。
方法:我们将检索CNKI(中国国家知识基础设施)发表的针灸治疗老年失眠的临床研究,万方(万方数据知识服务平台),中国科技期刊数据库,Pubmed,和科学直接在2023年12月31日之前。将使用TCMISS(中医继承辅助平台)分析穴位。
结果:检索到265篇文献,并选择94人作为标准。结果显示,有90个与治疗相关的穴位。频率最高的穴位是神门(HT7),三阴交(SP6),百惠(GV20),足三里(ST36),内关(PC6),新树(BL15),泰西(KI3),和司申聪(EX-HN1)安曼(JLSXX-QX),申书(BL23)。最常用的经络是膀胱经络(BL),总督船(GV),和胃经(ST)。它们主要分布在下肢和头部。最常见的特定点是五个传输点和源点。最常用的组合是“神门(HT7)-三阴交(SP6)”,“神门(HT7)-百惠(GV20)”,和“神门(HT7)-内关(PC6)”。关联规则分析显示,可信度最高的穴位为神门(HT7),内关(PC6),和三阴交(SP6)。网络拓扑分析表明,三阴交(SP6),足三里(ST36),神门(HT7)是治疗老年失眠的核心穴位。
结论:治疗老年失眠的主要针刺穴位是神门(HT7),三阴交(SP6),百惠(GV20),足三里(ST36),和内关(PC6),说明这些穴位与老年失眠有很强的相关性。三阴交(SP6),足三里(ST36),神门(HT7)可能是治疗老年失眠的核心针刺穴位。
OBJECTIVE: Insomnia is one of the most common diseases among the elderly. The elderly with long-term insomnia are more likely to have symptoms such as vertigo, fatigue, and immunity decline. Acupuncture is increasingly being used to treat insomnia. The purpose of this
review is to summarize the critical acupoints in the treatment of senile insomnia and evaluate the effectiveness of the treatment. To provide a research basis for acupuncture treatment of senile insomnia in the future.
METHODS: We will search the clinical studies on acupuncture in the treatment of senile insomnia published by CNKI (China National Knowledge Infrastructure), Wanfang (Wan Fang Data Knowledge Service Platform), CSTJ (China Science and Technology Journal Database), Pubmed, and ScienceDirect before December 31, 2023. Acupoint will be analyzed using TCMISS (TCM Inheritance Assistance Platform).
RESULTS: 265 literatures were retrieved, and 94 were selected as the criteria. The results showed that there were 90 acupoints related to treatment. The acupoints with the highest frequency were shenmen (HT7), sanyinjiao (SP6), baihui (GV20), zusanli (ST36), neiguan (PC6), xinshu (BL15), taixi (KI3), and sishencong (EX-HN1) anmian (JLSXX-QX), shenshu (BL23). The most frequently used meridians were bladder meridian (BL), governor vessel (GV), and stomach meridian (ST). They were mainly distributed in the lower limbs and head. The most frequent specific points are the five transport points and source points. The most frequently used combinations are \"shenmen (HT7) - sanyinjiao (SP6)\", \"shenmen (HT7) - baihui (GV20)\", and \"shenmen (HT7) - neiguan (PC6)\". Association rule analysis showed that the acupoints with the highest confidence were shenmen (HT7), neiguan (PC6), and sanyinjiao (SP6). Network topology analysis showed that sanyinjiao (SP6), zusanli (ST36), and shenmen (HT7) were the core acupuncture points for the treatment of senile insomnia.
CONCLUSIONS: The primary Acupuncture acupoints for senile insomnia are shenmen (HT7), sanyinjiao (SP6), baihui (GV20), zusanli (ST36), and neiguan (PC6), indicating that these acupoints have a strong correlation with senile insomnia. Sanyinjiao (SP6), zusanli (ST36), and shenmen (HT7) may be the core acupuncture acupoints for the treatment of senile insomnia.