Analysis of Adverse Events in Acupuncture Therapy over the Past 11 Years
10.16466/j.issn1005-5509.2024.12.013
- VernacularTitle:近11年针刺疗法不良事件分析
- Author:
Ziyan FANG
1
;
Jiayue CHEN
;
Yuming WANG
Author Information
1. 浙江中医药大学第一临床医学院 杭州 310053
- Publication Type:Journal Article
- Keywords:
acupuncture;
side effect;
adverse events;
safety;
risk;
infections;
organ injury;
bibliometric study
- From:
Journal of Zhejiang Chinese Medical University
2024;48(12):1557-1565
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]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.
