Gao Mingyue, Zhao Hong, Han Mingjuan
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhen Jiu. 2018 Jun 12;38(6):679-83. doi: 10.13703/j.0255-2930.2018.06.032.
Through comparing the literature on the randomized controlled trials (RCTs) of acupuncture for anxiety in Chinese and English versions, the participants, the interventions and the outcomes of the therapeutic effect evaluation in acupuncture treatment for anxiety were analyzed so as to provide the references to the high quality clinical research in the future.
The literature was retrieved on RCTs of acupuncture for anxiety at home and abroad. According to the principles and the methods of the evidence-based medicine, the information on the type of clinical research, participants, interventions and outcomes was extracted and analyzed.
A total of 106 valid papers of the Chinese and English versions were collected. In the study at home and abroad, the concepts and recognitions were indistinct among anxiety disorder, anxious emotion and secondary anxiety disorder. The diagnostic criteria were different. Regarding the intervention, the body acupuncture was predominated in the study at home and abroad, focusing on the mind regulation. The acupoints were mainly selected for tranquilizing the mind, promoting the circulation of the governor vessel and removing irritability. Additionally, the auricular acupuncture was often adopted in the treatment of anxious emotion in foreign countries. Regarding the outcomes in the effect evaluation, the scales were not so standardized in the selection and application. The analysis was limited on the factors of the anxiety scales and the survival quality.
There are the differences in the diagnostic criteria, participant inclusion, intervention and outcomes in the clinical research of anxiety treated with acupuncture at home and abroad. A rigorous design is required in the high quality clinical research for the evaluation on the therapeutic effects of acupuncture on anxiety.
通过对针刺治疗焦虑症的中英文随机对照试验（RCT）文献进行比较，分析针刺治疗焦虑症的研究对象、干预措施及疗效评价结局，为今后高质量的临床研究提供参考。
检索国内外针刺治疗焦虑症的RCT文献，按照循证医学的原则和方法，提取并分析临床研究类型、研究对象、干预措施及结局等信息。
共收集到106篇中英文有效文献。国内外研究中，焦虑症、焦虑情绪和继发性焦虑症的概念及认识不清晰，诊断标准不同。在干预措施方面，国内外研究均以体针为主，注重调神，穴位多选用安神、通督及除烦之穴；国外在焦虑情绪的治疗中常采用耳针。在疗效评价结局方面，量表的选用及应用不够规范，对焦虑量表及生存质量等因素的分析有限。
国内外针刺治疗焦虑症的临床研究在诊断标准、研究对象纳入、干预措施及结局等方面存在差异，高质量的针刺治疗焦虑症疗效评价临床研究需要严谨设计。
