Liu Zhi-shun, Cai Yu-ying
Department of Acupuncture and Moxibustion, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.
Zhongguo Zhen Jiu. 2010 Jan;30(1):67-71.
The modernization and internationalization of acupuncture and moxibustion is inevitable trends to develop acupuncture and moxibustion. However, the acupuncture research findings in China are not accepted by the mainstream medicine abroad. The major problems are that the study purposes are not specific and the modern scientific research methods are not rationally used in acupuncture clinical study. Two major issues in acupuncture clinical study in China are the evaluation of the specificity of acupuncture and the overall effect of acupuncture treatment. The core and basis of acupuncture clinical study are the clarity of study purpose, following the law of evidence-based medicine and rational selection of modern scientific methods. On the basis of the characteristics of acupuncture and the specialty of acupuncture clinical study, for instance, the types of trial design, blind methods, the selection of control group and outcome assessment system, the objective of this paper provides research strategies for researchers and to improve the overall level of research in the acupuncture clinical study.
针灸的现代化与国际化是针灸发展的必然趋势。然而,我国的针灸研究成果未被国外主流医学所接受。主要问题在于针灸临床研究的目的不明确,现代科研方法运用不合理。我国针灸临床研究中的两个主要问题是针灸特异性的评价和针灸治疗的整体效应。针灸临床研究的核心与基础是明确研究目的、遵循循证医学规律以及合理选择现代科学方法。基于针灸的特点和针灸临床研究的特殊性,例如试验设计类型、盲法、对照组的选择以及结局评估体系等,本文旨在为研究者提供研究策略,以提高针灸临床研究的整体水平。