从腧穴动态特性探讨针刺临近非穴对照法  

Close Non-Acupoint Control Method in Clinical Trial: Dynamic Characteristics of Acupoints

作　　者：苗艳换 云洁[1] 李宏彦[1] 赵吉平[2] 王燕平[1] 

机构地区：[1]北京中医药大学针灸推拿学院,北京市100029 [2]北京中医药大学东直门医院

出　　处：《中医杂志》2014年第7期563-566,共4页Journal of Traditional Chinese Medicine

摘　　要：随机对照试验是循证医学研究中的一级证据,在针灸疗效评价的对照试验中,合理的对照方法是得到可靠研究结果的方法学保证。国外针刺随机对照研究中,多采用针刺临近非穴安慰对照法,一些试验得出了"安慰针刺与治疗针刺疗效无差异"的结论。分别从腧穴为应天气而动的立体结构、腧穴为脏腑经络病变的反应点、腧穴在体表有征可循及腧穴的体表面积动态可变4个方面对腧穴的动态特性进行分析,提出临近非穴对照法并非恰当的安慰针刺对照法。Randomized controlled trial is the first class evidence in evidence-based medicine research. Reasona- ble control method is a methodology assurance to obtain reliable research results. The close non-acupoint placebo con- trol method is commonly used in randomized controlled trials of acupuncture abroad. Some trails obtained a result that there was no significant difference between placebo acupuncture and acupuncture. We think that the close non-acu- point control method is not an appropriate placebo acupuncture control method according to analysis on dimensional structure, lesion responses, surface characteristics and body surface area of acupoints.

关 键 词：腧穴 非穴对照法 腧穴动态特性 穴位体表面积 病变反应点 

分 类 号：R245[医药卫生—针灸推拿学]