针刺临床研究中的安慰剂效应  

Placebo effect in acupuncture clinical study

作　　者：谢依璇 熊芝怡 刘存志[1] 闫世艳 Yi-xuan XIE;Zhi-yi XIONG;Cun-zhi LIU;Shi-yan YAN(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,中国北京100029

出　　处：《World Journal of Acupuncture-Moxibustion》2023年第4期309-313,共5页世界针灸杂志（英文版）

基　　金：Supported by The National Natural Science Foundation of China:82174234.

摘　　要：Placebo control is designed to evaluate the specific effect of one intervention.Relevant studies showed that acupuncture has a considerable placebo effect affected by many factors.In this paper,the relevant articles of acupuncture placebo studies all around the world were reviewed comprehensively to clarify the definition of acupuncture placebo effect and its psychological mechanism.The factors of acupuncture placebo effect were discussed in view of three aspects,i.e.types of sham acupuncture as control,patient-doctor interaction and outcome types.Eventually,the issues encountered in current studies of acupuncture placebo effect were described,e.g.lack of relevant studies especially with systematic and in-depth approaches in this field,inappropriate classification of specific non-needling effect relevant with acupuncture theory,and inaccurate assessment of acupuncture placebo effect due to the dificulty of sham-acupuncture design.In order to drive the future research direction of acupuncture placebo effect,it is suggested that more attention should be paid on the topic,including but not limited to correct recognition of the holistic effect of acupuncture,the appropriate design of sham acupuncture and in-depth research of mechanism of acupuncture placebo effect and its contributing factors.

关 键 词：ACUPUNCTURE Sham-acupuncture PLACEBO Clinical study Nonspecific effect 

分 类 号：R245[医药卫生—针灸推拿学]