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针刺临床试验中假针刺的设计方法 被引量:11

The Experimental Design Method of Sham Acupuncture in Clinical Trials of Acupuncture
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摘要 现阶段假针刺对照是RCT研究的必要组成部分,但如何设计合理的假针刺方案是针刺临床试验所面临的一个难点。本文通过总结近年来国内外针刺临床试验常用的几种假针刺设计现状,从选穴、浅刺法和辅助针具角度分析不同假针刺的优缺点,以探索不同试验设计中更加合理的假针刺设计方法。非经非穴对照多用于穴位特异性研究,浅刺法对照应选择不引起靶器官效应反应研究,辅助针具对照更适用于研究对象为皮肤疾患或感觉障碍类疾病研究。 At present,sham acupuncture control is a necessary part of RCT research,but how to design a reasonable sham acupuncture scheme is difficult in clinical acupuncture trials.By summarizing the current situation of several kinds of sham acupuncture designs commonly used in clinical trials of acupuncture and moxibustion at home and abroad in recent years,this paper analyzes the advantages and disadvantages of different sham acupuncture points from the perspectives of acupoint selection,shallow needling and auxiliary needles,so as to explore more reasonable sham acupuncture design methods in different trial designs.Non-meridian and non-point control,mostly used for acupoint specificity research.The shallow needing method should not cause the target organ effect response research.Auxiliary needle control is more suitable for the study of skin diseases or sensory disorders.
作者 刘小钰 鲁海 秦晴晴 张春红 LIU Xiao-yu;LU Hai;QIN Qing-qing;ZHANG Chun-hong(The First Affiliated Hospital of Tianjin University of TCM,Tianjin 300193,China;Tianjin University of TCM,Tianjin 300193,China;SHI Xue-min National Medicine Master inheritance Studio,Tianjin 300193,China;WU Lian-zhong NationalFamous Traditional Chinese Medicine Inheritance Studio,Tianjin 300193,China)
出处 《中国中医基础医学杂志》 CAS CSCD 北大核心 2020年第10期1531-1534,共4页 JOURNAL OF BASIC CHINESE MEDICINE
基金 国家重点研发计划项目(2018YFE0181700)-针刺对缺血性卒中后下肢运动功能康复的疗效评价及脑神经关联机制研究。
关键词 假针刺 安慰针 RCT 选穴 浅刺法 辅助针具 Sham acupuncture Placebo acupuncture RCT Acupoints selection Shallow needling Auxiliary needle
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