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针灸安慰剂效应分析。

Analysis of placebo effect of acupuncture.

机构信息

Clinical Medical College of Acupuncture-moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou 510000, China.

South China Research Center for Acupuncture and Moxibustion/Clinical Research and Big Data Laboratory, Guangzhou University of Chinese Medicine, Guangzhou 510000.

出版信息

Zhen Ci Yan Jiu. 2024 Aug 25;49(8):875-879. doi: 10.13702/j.1000-0607.20230390.

Abstract

Acupuncture is a comprehensive therapy which takes the theory of traditional Chinese medicine as the core. Currently, there is much controversy surrounding the "placebo effect" of acupuncture: some people argue that acupuncture is a "super placebo", while others believe that the so-called placebo effect is just part of the therapeutic effect of acupuncture. To solve the controversy, this article clarified the definition, composition, and research purposes of "placebo acupuncture", pointed out its differences from "sham acupuncture", elucidated the relationship between the placebo effect and the intrinsic efficacy of acupuncture, distinguished the differences between the "observed placebo effect" and the "real placebo effect" in acupuncture clinical trials, and proposed the dilemmas and prospects of implementing "placebo acupuncture" and "sham acupuncture" contrasts at the current stage, in order to provide clues for optimizing randomized controlled trials of acupuncture.

摘要

针灸是一种以中医理论为核心的综合疗法。目前,针灸的“安慰剂效应”存在诸多争议:有人认为针灸是一种“超级安慰剂”,也有人认为所谓的安慰剂效应只是针灸治疗效果的一部分。为了解决这一争议,本文阐明了“安慰剂针灸”的定义、组成和研究目的,指出了其与“假针灸”的区别,阐明了安慰剂效应与针灸内在疗效的关系,区分了针灸临床试验中“观察到的安慰剂效应”和“真正的安慰剂效应”的差异,并提出了现阶段实施“安慰剂针灸”和“假针灸”对照的困境和前景,以期为优化针灸的随机对照试验提供线索。

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