穴位敷贴治疗稳定型心绞痛的临床随机对照试验文献质量评价  

Quality Evaluation of Randomized Controlled Trials in the Treatment of Point Application Therapy for Stable Angina Pectoris

作　　者：张玲霖 张洁[1] 李德华[1] 赵凌[1] 梁繁荣[1] 

机构地区：[1]成都中医药大学,四川成都610075

出　　处：《针灸临床杂志》2015年第2期70-73,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划(973计划)项目;编号:2012CB518501;四川省科技支撑计划项目;编号:2011SZ0302;成都市科技计划项目;编号:12DXYB215JH-002

摘　　要：目的：评价穴位敷贴治疗稳定型心绞痛的临床随机对照试验研究的文献质量。方法：检索PubMed、Cochrane图书馆、Clinical trials、MEDLINE等英文数据库,以及Wan Fang Data（1990-2013年）、CBM（1990-2013年）、CNKI（1990-2013年）、VIP（1990-2013年）等中文数据库。筛选、纳入符合标准的研究,并对纳入研究的质量（包括研究的方法学质量、诊断标准、纳入标准、排除标准、干预措施、疗效评价标准、终点指标、不良反应等）进行评价。结果：共纳入9篇随机对照试验,Jadad评分为低质量研究（I〈3分）。9篇研究有明确的诊断标准,4篇研究有较完整的纳入、排除标准,2篇研究有明确的疗效评价标准,3篇研究报道了不良反应。结论：有限的纳入文献显示,穴位敷贴治疗稳定型心绞痛的文献整体质量偏低,缺乏高质量的临床研究。Objective：To evaluate the quality of randomized controlled trials on treatment of point application therapy for stable angina pectoris （ SAP） .Methods：We performed an extensive literature search in four English medical databases which were PubMed,Cochrane Library,Clinical trials and MEDLINE,and four Chinese medi-cal databases that were WanFang Data （ 1990 -2013 ） , CBM （ 1990 -2013 ） , CNKI （ 1990 -2013 ） and VIP （1990-2013）for randomized controlled trials（RCTs）.The appropriate RCTs in accordance with inclusion and exclusion criteria were included.We evaluated the quality of the included trials,containing methodological qual-ity,diagnostic criteria,inclusion and exclusion criteria,intervention measures,curative effect evaluation stand-ards,endpoint criteria and adverse effects.Results：Our literature search identified 10 RCTs relevant to point ap-plication therapy for SAP.But the 10 studies were of low quality according to the Jadad scale （I〈3）.The in-cluded studies had clear diagnostic criteria;4 trials had integrated inclusion and exclusion criteria;9 trials had curative effect evaluation standards;6 trials reported adverse effects.Conclusion：The results show that the in-cluded trials are of poor methodological quality,and high quality trials about point application therapy for SAP are in need.

关 键 词：穴位敷贴疗法 稳定型心绞痛 随机对照试验 文献质量评价 

分 类 号：R246.1[医药卫生—针灸推拿学]