合理设置针刺安慰对照方法的思考  

Thinking on Control Methods in Acupuncture Trials

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：《中国循证医学杂志》2011年第11期1335-1338,共4页Chinese Journal of Evidence-based Medicine

基　　金：国家重点基础研究计划(973计划)项目(编号:2011CB505202)

摘　　要：针刺安慰对照设置是针刺临床试验的难点,寻找理想、标准化的针刺对照方法一直是国内外研究者关注的话题和热点。本文讨论了针刺对照设置的常见问题和困难,介绍了假针刺、非穴点针刺、穴位浅刺和非病症相关穴位针刺4种常用的针刺对照方法。其中,穴位浅刺蒙蔽性较好,但在很多疾病的使用中受到限制。非病症相关穴位对照、假针刺和非穴点针刺蒙蔽性稍逊,尤其对有针灸经验的患者,往往会对治疗持怀疑态度。选择头、颈、躯干后侧作为对照针刺部位可在蒙蔽性、生理效应和可行性因素间达到最佳平衡,故本文提出针刺安慰对照的设置应当在遵循传统针灸理论的前提下,采用在特殊部位取穴的理想对照模式,供今后的针刺临床试验参考。The use of placebo controls in acupuncture trials has been an international concern for many years.We discussed some common problems in placebo controls and introduced four kinds of control methods（sham acupuncture,non-points acupuncture,minimal acupuncture and non-specific sites acupuncture）.For sham acupuncture,non-points acupuncture and non-specific sites acupuncture,patients who have received acupuncture are liable to doubt the intervention they are taking.Minimal acupuncture has better reliability but is limited to use in many diseases for its physiological effect.Needling on some special parts of the body,for example,head and back side of the body,can make balance among factors as reliability,physiological effect and feasibility.This paper recommends a control method needling special parts according to the tradiontional acupuncture theory,which provides references for acupuncture clinical trials.

关 键 词：针刺 临床试验 安慰对照 

分 类 号：R246[医药卫生—针灸推拿学]