中国循证针灸学研究现状与展望

Current State and Prospect in Research of Evidence-based Acupuncture and Moxibustion in China

关键词:  循证针灸学  国内发展状况  针灸临床

Key words:  evidence-based acupuncture and moxibustion  domestic developing state  clinial acupuncture

摘要:

针灸学属于传统经验医学,循证医学是新兴的医学方法学,是经验医学的发展。自20世纪90年代以来,中国从事针灸学研究的工作者已开始吸收和借鉴循证医学的方法和原理,用于指导针灸临床研究与医疗实践,现在国内已有越来越多的针灸临床工作者采用和遵循循证医学的原则和方法。从目前Cochrane图书馆发表的与针灸有关的系统评价来看,以往认为有效的针灸疗法却没有足够的证据表明有效,这与目前国内随机对照试验(RCT)质量不高直接有关。今后,发展并形成针灸临床研究专业化队伍和针灸临床研究中心,才能从根本上提高针灸临床研究和评价的水平。同时,发展中国循证针灸学,应结合中国针灸学的自身特点,如重视古籍中的原始研究证据,开展高质量的单个随机对照试验,重视非随机研究的系统评价等。

Abstract:

The science of acupuncture and moxibustion is belonged to the traditional experienced medicine.The evidence-based medicine is a rising medical methodology and the developmental result of experienced medicine.Since 1990s the workers of that who have engaged in research on the science of acupuncture and moxibustion have initiated to absorb and use the experiences of the methods and principles of the evidence-based medicine.Now more and more clinical workers in acupuncture and moxibustion field are adopting and following the methods and principles of the evidence-based medicine.The current systematic reviews concerning acupuncture and moxibution published in Cochrane library has showed that there isn’t enough evidence to indicate that acupuncture and moxibution are effective for the treatment of many kinds of diseases,which was directly related to the small and low quality of clinical trials.In the future,the developing and forming a professional research talents teams and clinical research center only can ultimately raise the level of clinical study evaluation.At the same time,the developing evidence-based acupuncture and moxibustion in China should be combined with their own characteristics of domestic acupuncture and moxibustion,such as putting emphasis on the original evidences in the ancient books,carrying on some randomly controlled RCT with high quality,paying attention to the systematic evaluation of the nonrandom trials,and so on.