体彩河南11选5开奖结果查询: 世界針灸學會聯合會

對中國期刊中針灸meta分析現狀的一點思考

作者:孫夢曉 來源:本站原創 點擊:212次 更新:2018-12-19
  

河南11选5奖金多少钱 www.hgpku.com 郝 洋, 郭盛楠1, 陳 超2,王 芳1, 李述東3, 劉煒宏1,3

(1.中國中醫科學院針灸研究所,北京100700,中國;2.中國中醫科學院研究生院,北京100700,中國;3.中國針灸學會,北京100700,中國)

摘要:目的:通過調研針灸與現行公認的有效療法對照(包括與中西藥物對照、與現代康復理療對照)的meta分析,探討中國期刊中針灸meta分析的現狀。方法:筆者檢索了2005年1月至2018年6月在中國醫學期刊上發表的有關針灸治療病癥的meta分析并進行梳理。結果:檢索得到346篇文章,共評價了針灸對92種疾病的臨床療效。所有的meta分析均為陽性結果。經過進一步閱讀meta分析全文,發現其納入的臨床研究質量多偏低。結論:針對此種現象,筆者認為應當, 1.進一步提高針灸臨床研究的質量;2.探索針灸臨床操作特點和現行科研方法的合理結合方式;3.探討針灸臨床研究對照措施的設定規則;4.反思應用現行循證醫學方法討論針灸臨床優勢病種的合理性。5.中國科技期刊應減少發表偏倚,科學公正地發表陰性和陽性結果的meta分析文章。

關鍵詞:針灸;優勢病種;meta分析

Consideration about Acupuncture Meta-analysis on Chinese Journals

HAO Yang1, GUO Sheng-nan1, CHEN Chao2,WANG Fang1, LI Shu-dong3,LIU Wei-hong1,3

(1.Institute of Acupuncture-Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China;2. Graduate School of China Academy of Chinese Medical Sciences, Beijing 100700, China;3.China Academy of Acupuncture-Moxibustion,Beijing 100700, China )

Abstract: Objective: To discuss the acupuncture meta-analysis on Chinese journals through investigation about the meta-analysis of acupuncture versus generally accepted therapies (herbs, western medicine, physical therapy). Methods: Acupuncture meta-analyses on Chinese journals from January 2005 to June 2018 were retrieved and analyzed. Results: A total of 346 meta-analyses were retrieved and 92 diseases treated by acupuncture were evaluated. All the meta-analyses were positive results. Through further reading, the quality of the Randomized Controlled Trial(RCT) analyzed in the meta-analyses were poor. Conclusion: The authors believed that:1. The quality of the acupuncture RCT should be improved;2.The reasonable combination of modern scientific research method and acupuncture practice should be explored;3.The rules of control setting should be discussed;4. the rationality of the evaluation on acupuncture predominant disease with Evidence based medicine should be introspected;5.The Chinese scientific journals should avoid publication bias and the meta-analysis with both positive results and negative results should have equal chance to get published.

Keywords: Acupuncture; predominant disease; meta-analysis