Park Jongbae, Linde Klaus, Manheimer Eric, Molsberger Albrecht, Sherman Karen, Smith Caroline, Sung Joseph, Vickers Andrew, Schnyer Rosa
Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7200, USA.
J Altern Complement Med. 2008 Sep;14(7):871-81. doi: 10.1089/acm.2008.SAR-4.
On November 8-9, 2007, the Society for Acupuncture Research (SAR) hosted an international conference to mark the tenth anniversary of the landmark National Institutes of Health Consensus Development Conference on Acupuncture. More than 300 acupuncture researchers, practitioners, students, funding agency personnel, and health policy analysts from 20 countries attended the SAR meeting held at the University of Maryland School of Medicine, Baltimore, MD. This paper summarizes important invited lectures in the area of clinical research. Specifically, included are: a review of the recently conducted German trials and observational studies on low-back pain (LBP), gonarthrosis, migraine, and tension-type headache (the Acupuncture Research Trials and the German Acupuncture Trials, plus observational studies); a systematic review of acupuncture treatment for knee osteoarthritis (OA); and an overview of acupuncture trials in neurologic conditions, LBP, women's health, psychiatric disorders, and functional bowel disorders. A summary of the use of acupuncture in cancer care is also provided. Researchers involved in the German trials concluded that acupuncture is effective for treating chronic pain, but the correct selection of acupuncture points seems to play a limited role; no conclusions could be drawn about the placebo aspect of acupuncture, due to the design of the studies. Overall, when compared to sham, acupuncture did not show a benefit in treating knee OA or LBP, but acupuncture was better than a wait-list control and standard of care, respectively. In women's health, acupuncture has been found to be beneficial for patients with premenstrual syndrome, dysmenorrhea, several pregnancy-related conditions, and nausea in females who have cancers. Evidence on moxibustion for breech presentation, induction of labor, and reduction of menopausal symptoms is still inconclusive. In mental health, evidence for acupuncture's efficacy in treating neurologic and functional bowel disorder is still inconclusive. For chronic cancer-related problems such as pain, acupuncture may work well in stand-alone clinics; however, for acute or treatment-related symptoms, integration of acupuncture care into a busy and complex clinical environment is unlikely, unless compelling evidence of a considerable patient benefit can be established.
2007年11月8日至9日，针灸研究学会（SAR）主办了一次国际会议，以纪念具有里程碑意义的美国国立卫生研究院针灸共识发展会议十周年。来自20个国家的300多名针灸研究人员、从业者、学生、资助机构人员和卫生政策分析师参加了在马里兰州巴尔的摩市马里兰大学医学院举行的SAR会议。本文总结了临床研究领域的重要特邀讲座。具体包括：对最近进行的德国关于腰痛（LBP）、膝骨关节炎、偏头痛和紧张型头痛的试验及观察性研究的综述（针灸研究试验和德国针灸试验，以及观察性研究）；对针灸治疗膝骨关节炎（OA）的系统评价；以及对神经系统疾病、腰痛、女性健康、精神障碍和功能性肠病的针灸试验的概述。还提供了针灸在癌症护理中的应用总结。参与德国试验的研究人员得出结论，针灸对治疗慢性疼痛有效，但穴位的正确选择似乎作用有限；由于研究设计，无法就针灸的安慰剂效应得出结论。总体而言，与假针灸相比，针灸在治疗膝骨关节炎或腰痛方面未显示出益处，但针灸分别优于等待名单对照和标准护理。在女性健康方面，已发现针灸对经前综合征、痛经、几种与妊娠相关的病症以及患有癌症的女性的恶心有益。关于艾灸治疗臀位、引产和减轻更年期症状的证据仍不明确。在心理健康方面，针灸治疗神经系统疾病和功能性肠病疗效的证据仍不明确。对于慢性癌症相关问题，如疼痛，针灸在独立诊所可能效果良好；然而，对于急性或与治疗相关的症状，除非能确立有相当大的患者受益的确凿证据，否则将针灸护理纳入繁忙复杂的临床环境不太可能。
