针灸治疗桥本甲状腺炎的研究思考与展望

摘要

Objective: To categorize and summarize the clinical and mechanism studies of the past 30 years on the treatment of Hashimoto’s thyroiditis (HT) with moxibustion, moxibustion plus medication, and acupuncture plus medication, etc., and to analyze the current problems. Methods: The clinical and laboratory studies related to the treatment of HT with acupuncture-moxibustion therapies published before June 2015 were retrieved from MEDLINE, Excerpta Medica Database (EMBASE), China National Knowledge Infrastructure (CNKI), Wanfang Academic Journal Full-text Database (Wanfang) and Chongqing VIP Database (CQVIP). Results:Moxibustion, moxibustion plus medication, and acupuncture plus medication can produce certain therapeutic effects in treating HT. Conclusion:The research on the treatment of HT with acupuncture-moxibustion therapies is rather limited in the amount and content. In the future, standardization should be fortified, specific moxibustion research needs deepening, and the action mechanism of moxibustion should be emphasized.%目的：对近30年来艾灸、灸药结合、针药结合等疗法治疗桥本甲状腺炎的临床及机理研究进行总结和归纳,并对出现的问题进行初步探讨。方法：检索截止到2015年6月发表的临床和实验类针灸治疗桥本甲状腺炎的研究报道,检索数据库包括 MEDLINE,荷兰医学文摘(EMBASE),中国知网(CNKI),万方学术期刊全文数据库(Wanfang)和重庆维普数据库(CQVIP)。结果：艾灸、灸药结合及针药结合等疗法治疗桥本甲状腺炎具有一定的疗效。结论：针灸治疗桥本甲状腺炎的研究数量有限,且存在一定的局限性,以后的研究应加强规范性,深入开展特色灸法研究,并注重灸法效应机理的研究。