Chen Hai-Yong, Yeung Wing-Fai, Yang Ming-Xiao, Mu Jing-Lan, Ziea Tat-Chi, Ng Bacon Fung-Leung, Lao Li-Xing
Chinese Medicine Department, Hong Kong Hospital Authority, Hong Kong SAR, China.
Virginia University of Integrative Medicine, Fairfax, VA 22031, USA.
J Tradit Chin Med. 2022 Feb;42(1):140-147. doi: 10.19852/j.cnki.jtcm.2022.01.009.
To develop a clinical practice guideline to guide the treatment of low back pain by acupuncture.
An integrative approach of systematic review of literature, clinical evidence classification, expert opinion surveying, and consensus establishing via a Delphi program was utilized during the developing process. Both evidence-based practice standards and the personalized features of acupuncture were taken into considerations.
Based on clinical evidence and expert opinions, we developed a clinical practice guideline for the treatment of low back pain with acupuncture. These recommendations have a wide coverage spanning from Western Medicine diagnosis and Traditional Chinese Medicine syndrome differentiation, to acupuncture treatment procedures, as well as post treatment care for rehabilitation and follow-ups. The recommendations for acupuncture practice included treatment principles, therapeutic regimens, and operational procedures. The levels of evidence and strength of recommendation were rated for each procedure of practice.
A clinical practice guideline for acupuncture treating low back pain was developed based on contemporary clinical evidence and experts' consensus to provide best currently agreeable practice guideline for domestic and international stakeholders.
制定一项临床实践指南，以指导针灸治疗腰痛。
在制定过程中采用了文献系统评价、临床证据分类、专家意见调查以及通过德尔菲程序达成共识的综合方法。既考虑了循证实践标准，也考虑了针灸的个性化特点。
基于临床证据和专家意见，我们制定了一项针灸治疗腰痛的临床实践指南。这些建议涵盖范围广泛，从西医诊断和中医辨证，到针灸治疗程序，以及康复和随访的治疗后护理。针灸实践的建议包括治疗原则、治疗方案和操作程序。对每个实践程序的证据水平和推荐强度进行了评级。
基于当代临床证据和专家共识，制定了针灸治疗腰痛的临床实践指南，为国内外利益相关者提供目前最佳的可接受实践指南。
