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[针灸临床疗效评价研究的现状]

[Current situations about studies on the evaluation of clinical efficacy of acupuncture].

作者信息

Liang Fan-rong, Ren Yu-lan, Tang Yong

机构信息

Chengdu University of Chinese Medicine, Chengdu 610075, China.

出版信息

Zhen Ci Yan Jiu. 2008 Feb;33(1):62-4.

Abstract

To evaluate the efficacy of acupuncture scientifically and objectively is a major issue for the development of acupuncture medicine. Although some progresses have already been gained in the research of the evaluation of clinical therapeutic effects of acupuncture at present, some problems as empirical evaluation method, following evaluation indexes of Western medicine, poorer quality of evaluation studies, etc. still exist. Thus, it is urgent to establish a reasonable evaluating system for acupuncture clinical efficacy which accords with the theory of acupuncture, embodies the characteristics and advantages of acupuncture clinic, perfecting the clinical evaluation method, and improving the quality of clinical efficacy evaluation and accelerating the sustainable development of acupuncture clinic. Through reasonable analysis on the current situations about the clinical evaluation research of acupuncture and combining some new concepts and methods, the authors of the present paper hold that the new evaluation system should embody the characteristic of the theory and clinical practice of acupuncture and fully make use of the methods of evidence-based medicine and some measuring scales. They also advocate trying to establish an "evidence-based-goal-attainment scale" method by combining standardized population evaluation with individualized diagnosis-treatment evaluation so as to enhance the international development of acupuncture.

摘要

科学、客观地评价针灸疗效是针灸医学发展的重大课题。目前针灸临床疗效评价研究虽已取得一些进展,但仍存在诸如评价方法经验化、沿用西医评价指标、评价研究质量较差等问题。因此,迫切需要建立一个符合针灸理论、体现针灸临床特点与优势、完善临床评价方法、提高临床疗效评价质量并促进针灸临床可持续发展的针灸临床疗效评价体系。通过对针灸临床评价研究现状进行合理分析并结合一些新观念和方法,本文作者认为新的评价体系应体现针灸理论和临床实践特点,充分运用循证医学方法和一些测量量表。他们还主张尝试通过将标准化人群评价与个体化诊疗评价相结合来建立一种“循证-目标达成量表”方法,以推动针灸的国际化发展。

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