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2018-03-27 发布于湖北
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Clinical Research on Acupuncture - Concepts and Guidance on Efficacy and Effectiveness Research.pdf

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Clinical Research on Acupuncture - Concepts and Guidance on Efficacy and Effectiveness Research.pdf

r：17 Resultsfrom LargeGermanStudiesonEfficacy and healthinsurancecompanydata．fr0m thesame andE竹ectivenessofAcupuncture samplepopulation 13I1。一18 _Themainresultsofthese A significantnumberofacuPuncture studies studiesshowedthatadditionaIacupuncturetreatment havebeenpubIishedoverthelastfew years．Our was more effective than routine care aIone．In Iarge—scaletrialsfrOm GermanywilIbeintroducedin addition，acupuncturecomplementarytoroutinecare orderto help understand thegap betweenefficacy appearstohaveacceptablecost．effectiveness． and effectivenessforacuPuneture treatmentof chronicpain．These studieswere initiated bythe Fourfurtherstudiesfocusing onthe efficacy Germanstatutory health insurance companies【J ofacupuncturewerecarried outatthesametime： and covered both aspects：acuPuncture pcint- comparingacupuncturewithasuperficialpenetrating specificeffects efficacy andtheoveralIeffectofan sham controlatnonacupuncture pointsinpatients additionaIacupuncturetreatmentfeffectiveness1．The withthefollowingpainsyndromes：osteoa~hritisof e竹ectivenessofadditionaIacupuncturetreatmentwas theknee 19 chroniclowbackpain 。m，migraine ”， evaluatedinpragmaticrandomizedstudiesforfour andtension-typeheadachelJ．Inthesesingle-blind differentdiagnoses：osteoarthritisofthekneeorhip12‘ AcupunctureRandomizedTrials ART ，bothgroups lOWbackpain 13 ．neckpain 14 Iorheadache 15 _Inthese received atotaIof12 treatmentsovera periodof AcupunctureinRoutineCarefARC studiespatients two months．Forthreeofthefourdiagnoses．itwas intheacupuncturegroup receivedacupuncture ’。一’ notpossible to determiRe ageReraIacupuncture sessionswithinthreemonths。whereaspatientsin point—specificeffect．A significantdifferencebetween thecontroIgroupdidnotreceiveacupuncturewithin acupuncture andsham acupunctureCOUIdonlybe thesamethreemonths．Allpatientswereallowedto shownforosteoarthritisofthe knee ‘ Forchronic useroutinemedicaIcare．W ithinthesesamestudies low backpain，migraineandtension-typeheadache， thecost-effectivenessw