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关于针灸国际临床实践指南中临床问题收集的探讨

Discussion on Collection of Clinical Questions in International Clinical Practice Guidelines of Acupuncture-Moxibustion.

作者信息

Wu Xiao-Dong, Zhao Nan-Qi, Ding Nan, Yuan Jing-Yun, Dong Guo-Feng, Wang Xin, Liu Bao-Yan

机构信息

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China.

College of Acupuncture and Massage, Beijing University of Chinese Medicine, Beijing, 100029, China.

出版信息

Chin J Integr Med. 2023 Apr;29(4):353-360. doi: 10.1007/s11655-022-3680-y. Epub 2022 Aug 31.

Abstract

The clinical questions of acupuncture-moxibustion (Acup-Mox) guidelines are complicated, including not only the curative effect of Acup-Mox intervention measures, but also the operational elements of Acup-Mox. This paper aimed to put forward the idea and process of collecting clinical questions in developing international acupuncture clinical practice guidelines. The experience was collected and the idea of collecting clinical questions of Acup-Mox was formed through expert consultation and discussion in combination with expert opinions. Based on the characteristics of Acup-Mox discipline. This paper put forward the thinking of collecting elements of clinical questions following the intervention-population-outcome-control (I-P-O-C) inquiry process, according to the discipline of Acup-Mox. It was emphasized that in the process of collecting clinical questions, "treatable population" and "alleviable outcome indicators" for a specific Acup-Mox intervention with certain therapeutic effect should be focused on, so as to highlight the pertinence of clinical questions of Acup-Mox guidelines in terms of population and outcome elements.

摘要

针灸指南的临床问题较为复杂,不仅包括针灸干预措施的疗效,还涵盖针灸的操作要素。本文旨在提出在制定国际针灸临床实践指南过程中收集临床问题的思路与流程。通过专家咨询、讨论并结合专家意见,收集经验,形成了针灸临床问题收集的思路。基于针灸学科的特点,本文按照干预措施-人群-结局-对照(I-P-O-C)询问流程,提出了针灸临床问题要素收集的思路。强调在收集临床问题的过程中,应聚焦于针对具有一定治疗效果的特定针灸干预措施的“可治疗人群”和“可缓解结局指标”,以突出针灸指南临床问题在人群和结局要素方面的针对性。

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