对国外大规模针灸临床疗效系统评报告的分析.docVIP

对国外大规模针灸临床疗效系统评价报告的分析 国家科技支撑计划项目（2006BAI12B01）：国外现代文献针灸适宜病症的研究及临床问卷调查，负责人：晋志高李江慧 第一作者：李江慧，实习研究员，研究方向为针灸机理研究，联系电话2933，E-mail： HYPERLINK mailto:jianghui5@ jianghui5@。 宿杨帅4 通讯作者：景向红 研究员，研究方向针灸机理研究， 第一作者：李江慧，实习研究员，研究方向为针灸机理研究，联系电话2933，E-mail： HYPERLINK mailto:jianghui5@ jianghui5@。4 通讯作者：景向红 研究员，研究方向针灸机理研究，联系电话2750，E-mail： HYPERLINK mailto:jingxh@ jingxh@。中国中医科学院针灸研究所，北京 100700；3山东中医药大学，济南摘要：综合分析Cochrane Library系统评价数据库（CDSR）收录的针灸系统评价文献和部分国外发表的针灸临床系统评价文献，对其中存在的问题提出改进建议。2009年CDSR共评价67种疾病，37种已经得出初步结论。其中针灸的有效病种有7种，但大部分临床证据有待提高，其他30种疾病因证据不足尚不能得出结论。分析发现已发表的大部分针灸临床系统评价研究结果认为针刺和假针刺疗效没有显著性差异，针刺的疗效相当于安慰剂疗效。因此建议加强针灸临床的科研设计，明确研究病种选择和研究目的的关系，对针灸临床研究加强过程管理和质量控制，加强针灸基础理论研究和针灸理论基本问题的实验研究，建立符合针灸临床特点的临床评价体系。关键词：国外针灸临床评价，分析，对策Analysis and Strategy Report on Overseas Large-scale Systematic Evaluation on Clinical Effectiveness of Acupuncture Li Jianghui, Su Yangshuai, Jing Xianghong, Shi Hong, Chen Shuli, Zhang Lu, Jin ZhigaoInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences，Beijing，100700ABSTRACT In recent years studies of large-scale systematic evaluation on clinical effectiveness of acupuncture were carried out in overseas. The literature was conducted in Cochrane library and overseas journals about systematic review of clinical effectiveness of acupuncture. So far the Cochrane library contains a series of systematic reviews for the treatment of 66 kinds of diseases by acupuncture. Preliminary evaluations of clinical effectiveness of acupuncture on 37 kinds of disease were conducted. The results indicated that acupuncture therapy was effective for 7 kinds of disease, such as idiopathic headache, neck disorders, Glaucoma, chemotherapy-induced nausea or vomiting, primary dysmenorrhoea with TENS and Knee osteoarthritis with TENS. However, these studies still need improved research designs and sufficient research evidence. The results also indicated that acupuncture was indecisive for the other 30 kinds of disease because of i