中风病针灸诊疗特点和疗效评价的思考  

Thinking on diagnosis,treatment and efficacy evaluation of acupuncture for stroke

作　　者：王扬[1] 刘志顺[1] 

机构地区：[1]中国中医科学院广安门医院针灸科,北京100053

出　　处：《中华中医药杂志》2011年第4期757-761,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药行业科研专项(No.200707001)~~

摘　　要：中风病是针灸疗法的优势病种,临床疗效显著,但系统评价得到的结论却是无效或疗效不确切。针对临床实践和评价结果之间的差异进行分析,详细阐述了针灸治疗中风病"病-症-位"结合的诊疗特点,即根据患者的主症明确病位所及和病变经脉辨证选穴,并阐述了针灸疗法通过致残主症的改善降低残疾率、提高生活自理能力的疗效特点。提出应据此选用针对主症的金标准作为主要结局评价指标,适当结合患者自我评价,以最大程度减少偏倚、突出针灸治疗的优势,从而客观、恰当、公正地评价针灸在中风病治疗中的地位。Acupuncture is effective for stroke,but conclusion of systematic reviews is always ＂not effective＂ or ＂not sure＂.Reasons for this kind of conclusion are analyzed and features of diagnosis and treatment in acupuncture are detected.The diagnosis and treatment of acupuncture for stroke should follow the principle of ＂combination of disease,symptom and location＂,namely to determine disease location and relative meridian according to primary symptom.And its effectiveness is embodied by the improvement of primary symptom which can decrease disability rate and raise self-care ability.Choose outcome measures corresponding to the primary symptom combined with self-evaluation to diminish bias and evaluate the status of acupuncture objectively,properly and justly.

关 键 词：中风病 针灸 诊疗特点 疗效评价 

分 类 号：R246[医药卫生—针灸推拿学]