队列研究在针灸领域应用的实践与思考  

Practice and Thinking on Application of Cohort Study in Field of Acupuncture and Moxibustion

作　　者：王佳佳 裴丽霞[1,2] 孙建华 WANG Jiajia;PEI Lixia;SUN Jianhua(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210004,China;Key Laboratory of Acupuncture and Medication Combination of Ministry of Education,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210004 [2]南京中医药大学针药结合教育部重点实验室,江苏南京210023

出　　处：《中医药信息》2022年第9期75-79,共5页Information on Traditional Chinese Medicine

基　　金：国家自然科学基金青年项目(81804193);国家中医药管理局项目(2019XZZX-ZJ008);江苏省中医药管理局领军人才项目(SLJ0206);江苏省中医院高峰人才项目(y2018rc05)。

摘　　要：近些年队列研究在中医药领域得到广泛应用,在针灸领域的应用也日渐增多。通过对队列研究的概念进行介绍,对目前国内外队列研究在针灸领域的相关文献进行分类整理,得出队列研究在针灸领域多应用于探讨脑血管疾病后遗症及慢性难治性疾病的治疗或作为疾病的辅助治疗进行研究,并发现此类研究的一些问题,比如偏移风险高、样本量需求大、研究周期长、结局事件衡量标准单一等。并发现队列研究能够真实模拟临床实践环境,更贴近实际诊疗过程,相关队列研究试验结果都能得出“针灸有效”的结论。In recent years,cohort studies have been widely used in the field of TCM of acupuncture and moxibustion.By introducing the concept of cohort studies and sorting out the relevant literature of cohort studies in the field of acupuncture and moxibustion at home and abroad,it is concluded that cohort studies are mostly used in the field of acupuncture and moxibustion in treating sequelae of cerebrovascular diseases and chronic refractory diseases,or in the field of acupuncture and moxibustion as an auxiliary therapy.It is found that some problems in this kind of research,such as high deviation risk,large sample size demand,long research cycle,and single outcome event measurement standard.It is also found that cohort studies can genuinely mimic clinical practice environment,it is more close to practical procedure of the diagnosis and treatment.It is concluded in all relevant cohort studies that‘acupuncture and moxibustion are effective’.

关 键 词：队列研究 针灸 实践 思考 

分 类 号：R245[医药卫生—针灸推拿学]