Witt C M, Brinkhaus B, Willich S N
Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité--Universitätsmedizin Berlin, 10098 Berlin, BRD.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006 Aug;49(8):736-42. doi: 10.1007/s00103-006-0003-y.
In Germany, acupuncture is one of the most frequently used complementary and alternative therapies. In the year 2000, we initiated three large projects in co-operation with statutory health insurance companies to assess the effectiveness, safety and costs of acupuncture in patients with chronic headache, low back pain and pain due to osteoarthritis. Our findings showed that acupuncture was more effective than conventional standard treatment, treatment without acupuncture or a waiting list control. A significant difference between acupuncture and sham acupuncture was only seen for arthritis of the knee; for the other diagnoses, both forms of acupuncture showed similar effects. Whether the effects of acupuncture are due primarily to specific or unspecific mechanisms appears to depend on the diagnosis and should be investigated in further studies.
在德国，针灸是最常用的补充和替代疗法之一。2000年，我们与法定健康保险公司合作启动了三个大型项目，以评估针灸对慢性头痛、腰痛和骨关节炎疼痛患者的有效性、安全性和成本。我们的研究结果表明，针灸比传统标准治疗、非针灸治疗或等待名单对照更有效。仅在膝关节炎中观察到针灸与假针灸之间存在显著差异；对于其他诊断，两种针灸形式显示出相似的效果。针灸的效果主要是由于特定机制还是非特定机制，似乎取决于诊断，应在进一步研究中进行调查。
