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作 者:Xiao-xu LIU Ying-ying GUO Yu-tong FEI Man HUANG Yong-ming YE Jin-na YU Hui-ze LIN Wen-xi YAN Lan-ping LIU Ke-xin ZHU Jun LIANG Tao YANG 刘晓旭;郭盈颖;费宇彤;黄漫;叶永铭;于金娜;林惠泽;闫文茜;柳兰萍;朱可欣;梁军;杨涛(中国中医科学院广安门医院针灸科,北京100053;北京中医药大学循证医学中心,北京100029;中国中医科学院广安门医院,北京100053)
机构地区:[1]Department of Acupuncture and Moxibustion,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China [2]Center for Evidence-Based Medicine,Beijing University of Chinese Medicine,Bejing 100029,China [3]Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Bejing 100053,China
出 处:《World Journal of Acupuncture-Moxibustion》2024年第3期213-221,共9页世界针灸杂志(英文版)
基 金:Supported by the National Key Research and Development Program of China:2019YFC1712200,2019YFC1712203。
摘 要:Clinical Practice Guideline on Acupuncture and Moxibustion:Nonspecific low back pain was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023.This is the first clinical practice guideline(CPG)on acupuncture and moxibustion for nonspecific low back pain approved by an international academic organization,which provides the evidence-based recommendations and practical therapeutic protocols for international acupuncture practitioners.This CPG was developed by following Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)methodology,and the Principles of the World Health Organization Handbook for Guideline Development.The guideline development group(GDG)from different countries,with different professions,played a critical role in the formulation of clinical questions,recommendations,and therapeutic protocols.Recommendations are the key content of a CPG and the direct answers to clinical questions.Hence,this article focuses on the recommendations of this CPG.The recommendations were formulated using the modified Delphi method and the GRADE grid rules,based on the updated systematic reviews of clinical evidence.A total of seven recommendations for ten clinical questions were formulated in this CPG,including one conditional recommendation for either the intervention or the comparison based on very low quality of evidence,and six conditional recommendations for the intervention based on very low quality of evidence.《针灸临床实践指南:非特异性腰痛》于2023年10月9日,经世界针灸学会联合会(WFAS)标准工作委员会审议通过、发布。这是首部由国际学术组织发布的非特异性腰痛针灸临床实践指南(CPG),将为国际针灸临床从业者提供非特异性腰痛的循证推荐意见及切实可行的推荐方案。这部指南的编研遵循了《世界卫生组织(WHO)指南制定手册》的规范,采用了推荐意见分级评估、制定和评价(GRADE)方法,充分借助了指南制定小组(GDG)成员不同国家、不同专业的代表性。推荐意见是CPG的核心内容,亦是对临床问题的直接解答,因此,本文重点介绍该指南的推荐意见。本指南的推荐意见是根据最新的系统评价,通过改良德尔菲共识法和GRADE网格法制定的。针对10个临床问题中的7个提出了7条推荐意见,包括6条基于极低质量证据的条件性推荐干预措施。1条基于极低质量证据的条件性推荐干预或对照措施。
关 键 词:Nonspecific lowbackpain Acupuncture MOXIBUSTION Clinical practice guideline RECOMMENDATIONS
分 类 号:R246.9[医药卫生—针灸推拿学]
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