| 方紫艳,程佳月,王宇铭,等.近11年针刺疗法不良事件分析[J].浙江中医药大学学报,2024,48(12):1557-1565. |
| 近11年针刺疗法不良事件分析 |
| Analysis of Adverse Events in Acupuncture Therapy over the Past 11 Years |
| DOI：10.16466/j.issn1005-5509.2024.12.013 |
| 中文关键词: 针刺 不良反应 不良事件 安全 风险 感染 脏器损伤 文献计量学研究 |
| 英文关键词: acupuncture side effect adverse events safety risk infections organ injury bibliometric study |
| 基金项目:浙江省中医药科技计划项目(2024ZL042)；浙江省医坛新秀计划项目(1S22213) |
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| 中文摘要: |
| [目的] 总结分析近11年国内外报道的针刺不良事件，从而更好地指导临床，规范针刺操作，减少针刺相应风险。[方法] 检索中国知网、万方数据知识服务平台、维普数据库、中国生物医学文献服务系统以及PubMed数据库，收集针刺治疗不良事件的病例报道类文献，对针刺出现的不良事件类型、病例数、预后、不良事件原因等进行统计分析。[结果] 纳入有效文献109篇，病例223例。近11年针刺不良事件报道呈波动趋势，2023年升高。不良事件有8大类型，分别为脏器损伤、感染、晕厥、神经损伤、血管损伤、眼损伤、断针和其他，其中感染(37.67%)、脏器损伤(32.74%)、血管损伤(9.42%)最常见。最严重的不良事件是气胸、急性腹膜炎、迷走神经刺激、蛛网膜下腔出血、脑动静脉畸形破裂。[结论] 针刺治疗的不良事件发生率较低，但仍需规范操作，严格消毒，全面评估患者状况，加强患者留针期间宣教。医生应提高操作标准，了解患者基础疾病，并强化对患者的宣教，以确保治疗的安全性和有效性。 |
| 英文摘要: |
| [Objectives] To investigate the current situation of adverse events related to acupuncture that have been reported domestically and internationally over the past eleven years， so as to provide better guidance for clinical practices， standardize acupuncture operations， and minimize the associated risks. [Methods] This study looked for cases of adverse events related to acupuncture treatment in China National Knowledge Infrastructure(CNKI)， Wanfang Data Knowledge Service Platform， VIP Database and China Biomedical Literature Service System， as well as the PubMed database. The collected case reports were then subjected to statistical analysis to determine the types of adverse events， the number of cases， the prognosis， and the causes. [Results] A total of 109 valid documents and 223 cases were included. The number of reported acupuncture adverse events varied over the past 11 years， showing an increasing trend in 2023. There were eight main types of adverse events identified， including organ injury， infection， syncope， nerve injury， vascular injury， eye injury， needle breakage and others. Among these， infection(37.67%)， organ injury(32.74%)， and vascular injury(9.42%) were the most commonly reported. The most severe adverse events included pneumothorax， acute peritonitis， vagus nerve injury， subarachnoid hemorrhage and ruptured cerebral arteriovenous malformation. [Conclusion] While the incidence of adverse events in acupuncture treatment is generally low， it is important to continue improving safety measures through standardized practices， strict sterilization protocols， thorough patient assessments， and enhanced education during needle retention. Healthcare providers should strive to enhance their techniques， have a deep understanding of patients’ underlying conditions， and prioritize patient education to ensure the safety and effectiveness of acupuncture treatments. |
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