针推治痛特异性效果评价方法探究  

The specific outcome Assessment Modal of acupuncture and Tuina treatment for pain

作　　者：兰晓雪 陈红[2] 陈千吉 张英 翁志文[2] 邵辉 贾宝林[2] 郭俊明[2] 孙亚男[3] 于长禾[2] Lan Xiaoxue;Chen Hong;Chen Qianji;Zhang Ying;Weng Zhiwen;Shao Hui;Jia Baolin;Guo Junming;Sun Yanan;Yu Changhe(The First Clinical Medical College,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Tuina,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Traditional Chinese Medicine,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]北京中医药大学第一临床医学院,北京100700 [2]北京中医药大学东直门医院推拿疼痛科,北京100700 [3]首都医科大学宣武医院中医科,北京100053

出　　处：《国际中医中药杂志》2023年第5期521-526,共6页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81803956);首都卫生发展科研专项青年优才项目(首发2020-4-4195)。

摘　　要：针刺、推拿是国内外指南首推治疗疼痛的非药物疗法。针推治痛效果除可缓解疼痛等状态结局外,还可改善精神、情绪等非状态结局。针推治痛疗效评价存在特异性效果评价不足、特色结局评价不清等问题,基于定性叙述和定量测量方法构建针推治痛效果特色结局的评价模式(STEAM-A&T)是解决问题的关键。通过患者叙述接受针推治疗的经历、体验、感受和需求,构建针推治痛效果的条目库,筛选针推治痛的特色结局,进而构建、优化针推治痛结局关系模型,从多维度、多层次、多角度体现针推治痛特点,揭示针推治痛效果的结局间关系,为以患者为中心构建中医疗效评价体系提供新理论、新方法。Acupuncture and Tuina are the main non-drug therapies for low back pain,which are recommended by the guidelines.Acupuncture and Tuina can alleviate pain,which is regarded as conditional specific outcome,and improve mental,emotional problems,as non-conditional specific outcomes.There are some problems of the outcome assessment of acupuncture and Tuina treatment for pain such as insufficient evaluation of specific effect and unclear evaluation of characteristic outcome.Therefore,the key to above problems is to construct a Specific ouTcomE Assessment Modal of acupuncture and Tuina treatment for pain(STEAM-A&T)based on the qualitive and quantitative methods.By describing the experience,narrative expression,feelings and needs of patients who receiving acupuncture and Tuina treatment,the item banks of acupuncture and Tuina treatment effect are constructed,and the characteristic outcome of acupuncture and Tuina for pain will be screened,and then the relationship model among outcomes is constructed and optimized,which reflected the characteristics of acupuncture and Tuina for pain from multiple dimensions,multiple levels and multiple views.We reveal the relationship between the outcome of acupuncture and Tuina for pain.It will provide a new theory and methods for the construction of specific outcome assessment modal of Traditional Chinese Medicine.

关 键 词：针刺 推拿 模型 疗效评价 混合方法研究 

分 类 号：R246[医药卫生—针灸推拿学]