对目前针灸治疗中风病的研究的几点建议_范刚启.pdfVIP

4 34 ChineseAcupuncture Moxi ustion, Jun. 2004, Vol. 24 No. 6 : 0255- 2930 ( 2004) 06- 0434- 05 思路与方法 : R2466 : C 1 2 3 4 5 6 范刚启 蔡 辉 赵凌杰 吴 旭 王玲玲 王启才 ( 1. 4 14 , 210015; 2 . ; 3. ; 4 . ; 5 . ; 6. ) [ ] 对针灸治疗中风病研究现状作系统分析, 发现 在临床实验方法学随机分配方法不明 确对照选择不合理疗效判定不全面等问题; 证据的应用带有随意性盲目性和倾向性; 对针刺治 疗优选方案针刺在卒中单元中的作用及地位针刺与其它方法间的交互作用针刺对中风危险因 素的干预等问题的研究较少; 机理研究不深入等一系列问题建议开展多中心大样本随机对照研 究; 对针灸治疗中风文献等证据进行循证医学系统评价( Meta- 分析) ; 并从残损残疾残障生活质 量4 个层次, 量化评定针刺治疗中风的作用; 加强针刺治疗优选方案针刺在卒中单元中的作用及 地位针刺与其它方法间的交互作用针刺对中风危险因素的干预等研究; 机理研究应注重缺血性 半暗带的定量研究 [ ] 中风/ 针灸疗法; 循证医学 Several Suggestions on thestudy of acupuncture and moxibustion for apoplexy at present 1 2 3 FAN Gang-qi , CAI Hui , ZHA O Ling-j ie , et al. ( 1. No. 4 14 Hospital o The Second M ilitary Medical University, Nanj ing 2100 15, China; 2. Nanjing General Hospital o Nanjing Army Region; 3. Mobile Education Station or Post Doctor o Nanjing Gen- eral Hospital o Nanj ing Army Region) ABSTRACT In systematical analysis o present situation o acupuncture and moxibustion or treatment o apoplexy, it is ound that in clinical experiment randomized methods is not clear and de inite, selection o controls is unreasonable, assessment o thera- peutic e ect is incomplete and so on ; application o evidences is o voluntaryness, blindness and tendentiouness; there are a less studies in optimum seeking o acupuncture and mox ibustion program , role and position o acupuncture in apoplexy unit , interaction o acupuncture and other methods, inter erence o acupuncture w ith dangerous actors o apoplexy; the mechanism is not deeply studied and so on. It is proposed that mult-i central and randomized