Improving acupuncture research: progress, guidance, and future directions

doi:10.13703/j.0255-2930.20221205-0001

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Improving acupuncture research: progress, guidance, and future directions

更新时间：2023-05-10

- Improving acupuncture research: progress, guidance, and future directions
- Chinese Acupuncture and Moxibustion Vol. 43, Issue 1, Pages: 3-7(2023)
- 作者机构：
  
  1. 中国中医科学院针灸研究所
  2. 北京中医药大学循证医学中心
  3. 深圳市罗湖区中医院针灸科
  4. 广州中医药大学华南针灸研究中心
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20221205-0001
  CLC： R245
- Published：2023
- 稿件说明：
移动端阅览
Improving acupuncture research: progress, guidance, and future directions[J]. Chinese Acupuncture and Moxibustion, 2023, 43(1): 3-7.
DOI：

Improving acupuncture research: progress, guidance, and future directions[J]. Chinese Acupuncture and Moxibustion, 2023, 43(1): 3-7. DOI： 10.13703/j.0255-2930.20221205-0001.

摘要

对《英国医学杂志》（BMJ）发表的针灸专辑“如何提升针灸证据质量”系列文章进行解读。研究显示针灸随机对照临床试验（RCT）报告质量较低，多因素Meta回归分析未能证实多数通常认为的针灸效应影响因素；分析了针灸RCT面临的方法学挑战，形成如何设计高质量针灸RCT方法学共识，系统评价证据数量巨大但未得到充分应用，大量西医临床实践指南推荐针灸疗法但推荐意见实用性有待提高。针对该专辑中提到的针灸临床研究存在的问题，结合分析针灸临床研究目的与研究视角、研究类型以及研究证据与临床决策的关系，提出了针灸临床研究的五阶段研究模式。

Abstract

This paper makes an interpretation of the collection Acupuncture: how to improve the evidence base published by BMJ ＆ BMJ Open. Studies show that the quality of randomized controlled trial（RCT） of acupuncture is low

and multivariable Meta-regression analysis fails to confirm most factors commonly believed to influence the effect of acupuncture.The methodological challenges in design and conduct of RCT in acupuncture were analyzed

and a consensus on how to design high-quality acupuncture RCT was developed. The number of acupuncture systematic reviews was huge but the evidence was underused in clinical practice and health policy

and a large number of western clinical practice guidelines recommended acupuncture therapy

but the usefulness of recommendations needed to be improved. In view of the problems in clinical research on acupuncture mentioned in this collection

combined with the analysis of the purpose of clinical research on acupuncture

perspectives

study types

as well as the relationship between evidence and clinical decision-making

a five-stage study paradigm of clinical research on acupuncture is proposed.

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