国内针灸系统评价/Meta分析的方法学和发表质量评价  

Assessment of methodology and report quality of systematic evaluation and Meta-analysis of acupuncture-moxibustion in China

作　　者：熊俊[1] 杜元灏[2] 黎波[1] 石磊[1] 徐媛媛[1] 刘倩[1] 田涛涛[1] 刘维红[1] 付勇[1,3] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院 [3]江西省中医院

出　　处：《中国针灸》2009年第9期763-768,共6页Chinese Acupuncture & Moxibustion

基　　金：国家"十一五"科技支撑计划项目:2006BAI12B01

摘　　要：目的:评价国内针灸系统评价/Meta分析的方法学和发表质量。方法:检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普中文科技期刊全文数据库(VIP)和万方医药期刊数据库(WF),采用Epidata 2.1建立的信息采集表提取数据,选用QQAQ和QUOROM分别完成方法学质量和发表质量的评价,并计算"充分"的百分率。结果:共纳入38篇合格文献,均为干预措施的评价,26篇系统评价,12篇Meta分析,涉及22种病症,6个病症系统;方法学质量整体分值偏低(3.34±1.44),存在文献检索不够全面、选择性偏倚控制不佳、数据合并方法准确性不高等问题;发表质量的问题主要表现在摘要、方法、流程图、序言、数据合并等方面欠缺。结论:自2002年以来,国内针灸系统评价/Meta分析的文献数量逐步增多,但质量控制不甚理想,需要进一步提高方法学水平和规范发表现状。Objective To assess the methodology and report quality of systematic evaluation and Meta-anatysis of acupuncture and moxibustion in China. Methods Retrieve CBM, CNKI, WF and VIP database, collect data from the information system established by Epidata 2. 1, assess the methodology and report quality by using the QQAQ and QUOROM, calculate the percentage of adequate rate. Results Thirty-eight reviews, including twenty-six sys- tematic evaluation and twelve Meta-analyses, met the enrolled criteria. Twenty-two kinds of diseases and six diseases systems were included. The methodology quality scores were generally low （3.34± 1.44）. The causes of the problems were insufficient literature resource, bias in data collections and inaccurate merging methods. The report quality was relatively low in abstracts, methods, trial flow, introduction and data merging. Conclusion The amount of literatures on systematic evaluation and Meta-analysis of acupuncture is gradually increasing from 2002. However, the quality control is not ideal. It is important to improve the methodology and report quality.

关 键 词：针灸疗法 META分析 文献计量学 评价研究 

分 类 号：R195.1[医药卫生—卫生统计学] R282.71[医药卫生—卫生事业管理]