Zhang Na, Wang Li-Qiong, Li Jin-Ling, Su Xin-Tong, Yu Fang-Ting, Shi Guang-Xia, Yang Jing-Wen, Liu Cun-Zhi
International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, People's Republic of China.
School of Acupuncture-Moxibustion and Tuina, Shandong University of Chinese Medicine, Shandong, People's Republic of China.
J Pain Res. 2021 Jan 8;14:13-22. doi: 10.2147/JPR.S280404. eCollection 2021.
Acupuncture therapy is an effective non-drug therapy for sciatica, but it has not yet formed an effective treatment strategy and recommendations. Our objective was to establish an expert consensus on acupuncture treatment of sciatica for clinical guidance based on the improved Delphi survey.
A group of 80 clinical specialists was invited to participate in two rounds of semi-open clinical issue investigation. At the same time, the PubMed, Embase, and Cochrane Library databases were searched for systematic reviews on acupuncture treatment of sciatica, and the quality of evidence was evaluated. Then the three-round Delphi survey was undertaken with 30 experts based on the clinical issue investigation and systematic reviews.
In round 1 of the Delphi survey, the experts evaluated 17 items identified from the results of the clinical investigation and literature review. The criterion for achieving consensus was a threshold of 80% agreement. After the three-round Delphi survey, 16 items (94.12%) achieved consensus, including 5 domains: the principle of acupuncture treatment for sciatica; the "dose" of acupuncture; the clinical effects of acupuncture; the adverse effects, and others.
This Delphi survey achieved an expert consensus on key items in the management of sciatica for acupuncture, which provides the current opinions in China. We trust that these treatment recommendations may facilitate their implementation in the future.
针刺疗法是治疗坐骨神经痛的一种有效的非药物疗法，但尚未形成有效的治疗策略和建议。我们的目的是基于改进的德尔菲调查，就针刺治疗坐骨神经痛建立专家共识，以指导临床实践。
邀请80名临床专家参与两轮半开放式临床问题调查。同时，检索PubMed、Embase和Cochrane图书馆数据库中关于针刺治疗坐骨神经痛的系统评价，并对证据质量进行评估。然后，基于临床问题调查和系统评价，对30名专家进行三轮德尔菲调查。
在德尔菲调查的第一轮中，专家们对从临床调查和文献综述结果中确定的17项内容进行了评估。达成共识的标准是80%的一致同意阈值。经过三轮德尔菲调查，16项内容（94.12%）达成共识，包括5个领域：针刺治疗坐骨神经痛的原则；针刺的“剂量”；针刺的临床效果；不良反应及其他。
本次德尔菲调查就针刺治疗坐骨神经痛的关键项目达成了专家共识，提供了中国目前的观点。我们相信这些治疗建议可能会促进其在未来的实施。
