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[针灸临床研究中预试验的应用与思考]

[Application and reflection on pilot study in acupuncture clinical research].

作者信息

Wang Yu, Wang Li-Qiong, Yang Jing-Wen, Shi Guang-Xia, Tu Jian-Feng, Yan Shi-Yan, Liu Cun-Zhi

机构信息

International Acupuncture and Moxibustion Innovation Institute, Beijing University of CM Beijing 100029, China; School of Acupuncture-Moxibustion and Tuina, Beijing University of CM, Beijing 100029.

Beijing Hospital of TCM, Capital Medical University.

出版信息

Zhongguo Zhen Jiu. 2021 Mar 12;41(3):325-9. doi: 10.13703/j.0255-2930.20201024-0002.

Abstract

Pilot study is essential prerequisite for large-scale research. Acupuncture is a complex intervention measure. The factors of its clinical effect and effect mechanism are complicated. Hence, the resource waste is easily induced in research if the large-scale clinical research is rashly carried out before scientific verification. Currently, there is still a lack of high-quality evidence of clinical research, which affects the promotion and application of the curative effect of acupuncture. The pilot study of acupuncture can evaluate the feasibility and the process coordination of trial, optimize program and process and provide the basis of sample size calculation prior to launching a full-scale trial. Thereby, the methodological quality of acupuncture research and the reliability of trial results can be improved. In the paper, the arguments focus on the definition, design and report of pilot study so as to provide the approaches and references for the design and implementation of pilot study of clinical research of acupuncture.

摘要

预试验是大规模研究的必要前提。针灸是一种复杂的干预措施,其临床疗效及作用机制的影响因素复杂。因此,若在科学验证前贸然开展大规模临床研究,容易导致研究中的资源浪费。目前,针灸临床研究仍缺乏高质量证据,影响了针灸疗效的推广与应用。针灸预试验可评估试验的可行性与过程协调性,优化方案与流程,并在开展全面试验前提供样本量计算依据。从而提高针灸研究的方法学质量及试验结果的可靠性。本文围绕预试验的定义、设计与报告展开论述,旨在为针灸临床研究预试验的设计与实施提供方法和参考。

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