目的：提炼并分析针灸治疗膀胱过度活动症的选穴用经特点与规律。方法：电子检索中英文数据库中近十年（2007年01月01日至2018年05月18日）公开发表的针灸治疗膀胱过度活动症的相关临床文献，分析总结针灸治疗膀胱过度活动症的选穴用经特点与规律。结果：按照纳入排除标准共纳入18篇文献，通过统计分析针灸治疗本病：①选用频次居前4位的腧穴依次为：中极（8.3%）、次髎（8.3%）、关元（8.3%）、三阴交（8.3%）；②选用经脉频次较高的依次为足太阳膀胱经（37次）、任脉（34次）、足太阴脾经（14次）及足阳明胃经（8次）；③选穴部位多集中在腹部（34.9%）及腰骶部（32.1%）；④特定穴中以交会穴（30.0%）、募穴（22.2%）、背俞穴（12.2%）为主；⑤处方多由8-10个腧穴组成（55.6%）。结论：针灸治疗膀胱过度活动症常以中极、次髎、关元、三阴交为主，以经络结合脏腑病位辨证为主，选取处方时既考虑调整脏腑功能，又针对关键病理环节，以辨病取穴、循经取穴为主，采用局部取穴、远端取穴相结合的方法。

Objective: To extract and analyze the characteristics and rules of acupoints selection of the treatment of overactive bladder (OAB) syndrome in acupuncture and moxibustion. Methods: The clinical literatures on acupuncture and moxibustion in treatment of OAB published in the last 10 years (2017.01.01-2018.05.18) were retrieved in Chinese and English electronical database, and the characteristics and rules of acupoints selection in treating OAB were analyzed and summarized. Results: According to the inclusive exclusion criteria, a total of 18 articles were included, and acupuncture and moxibustion were used to treat the disease through statistical analysis. ① The selected acupoints in the first four places of frequency are as follows: CV3(8.3%), BL32(8.3%), CV4(8.3%), SP6(8.3%); ② The higher frequency of meridian is followed by bladder meridian of foot-taiyang(37), conception vessel(34), spleenmeridian of foot-Taiyin(14),stomach meridian of foot- Yangming(8); ③ The site of acupoints selection is mostly concentrated in abdomen parts(34.9%) and lumbosacral parts (32.1%); ④ Specific acupoint is mainly made of Rendezvous points (30.0%) Raise points(22.2% ) and Besu acupoint (12.0% ); ⑤ Prescription consists of 8- 10 acupuncture points (55.6% ). Conclusion: Acupuncture and moxibustion treatment of OAB is the method in which is mainly consisted of the CV3, BL32,CV4, SP6,in which is mainly a differentiation of meridian combined with viscera disease position, when selecting the prescription not only considering to adjust the function of zang-fu organs, but also aiming at critical pathological links. in which mainly take the main points according to distinguishing the disease and following the meridian, using the combination of local and distal points’ extraction.

国家自然科学基金委地区科学基金项目（81660822）：躯体神经和自主神经在针刺调节膀胱尿道功能中的作用机制，负责人：莫倩；贵州省中医药管理局中医药民族医药科学研究项目（QZYY2017-027）：电针与温针灸对膀胱过度活动症的临床评价- 一项随机对照临床研究，负责人：莫倩；贵州省科技厅2017年贵州省科技计划项目（黔科合基础（2017）1008）：电针抑制膀胱过度活动外周传入神经作用机制研究，负责人：莫倩。