中国中西医结合急救杂志2026，Vol.33Issue(1)：39-43,5.DOI:10.3969/j.issn.1008-9691.2026.01.007
基于多指标决策分析的针刺治疗慢性阻塞性肺疾病合并膈肌功能障碍选穴方案探析
An analysis of acupuncture point selection for treating chronic obstructive pulmonary disease with diaphragmatic dysfunction based on multi-index decision analysis
摘要
Abstract
Objective To obtain the optimal intervention method of acupuncture for chronic obstructive pulmonary disease(COPD)with diaphragmatic dysfunction,and to provide evidence for future clinical research.Methods Clinical studies were retrieved from China National Knowledge Infrastructure(CNKI),VIP Database,Wanfang Database,and PubMed,from July 1,2015,to July 1,2025.The studies focused on acupuncture as the main intervention,patients with COPD and diaphragmatic dysfunction as the intervention object,and the outcome indicators included diaphragmatic function parameters The standardized mean difference(SMD)was used to calculate the effect value of diaphragmatic function indicators,and the multi-criteria decision analysis was used to screen the superior scheme.Results A total of 12 articles were included.The screened superior scheme was acupuncture at Dingchuan(EX-B1),Feishu(BL13),Danzhong(CV17),Jiuwei(CV15),Zhongwan(CV12),Taiyuan(LU9),Zusanli(ST36),and Fenglong(ST40)for 30 minutes of needle retention,once a day for 10 days,in addition to mechanical ventilation and basic treatment.The inclusion scheme indicated that the intervention was mainly based on filiform needle,and the acupoints were mostly selected from Conception vessel and Backshu points.Conclusion Acupuncture and moxibustion treatment of COPD with diaphragmaticdysfunction should emphasize regulating both lung and spleen and combine with the use of Backshu points.This scheme can provide a therapeutic approach for the clinical treatment of COPD with diaphragmatic dysfunction.关键词
慢性阻塞性肺疾病/膈肌功能/针刺/优势方案/多指标决策Key words
Chronic obstructive pulmonary disease/Diaphragmatic function/Acupuncture/Optimal treatment regimen/Multi-criteria decision analysis引用本文复制引用
王露莹,任晨红,杨梦笛,胡守喜,杨发明..基于多指标决策分析的针刺治疗慢性阻塞性肺疾病合并膈肌功能障碍选穴方案探析[J].中国中西医结合急救杂志,2026,33(1):39-43,5.基金项目
山西中医药大学科技创新能力培育计划"基础与临床合作研究专项"(2025PY-JL-13-02) Shanxi University of Traditional Chinese Medicine Science and Technology Innovation Ability Cultivation Program"Basic and Clinical Cooperative Research Special"(2025PY-JL-13-02) （2025PY-JL-13-02）
