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耳针治疗痤疮临床研究文献质量的调查王澍欣 洪 文 指导:王照浩


  [摘  要]  目的:研究耳针治疗痤疮临床文献科研方法的现状及其存在问题。方法:根据流行病学/dme方法学原则,对1994年3月~2000年9 月共7年间(实际检索为1979~2001年),国内有关耳针治疗痤疮的临床文献共39篇,进行调查和评价。结果:只有7篇文献(占17.95%)采用了对照的方法进行临床研究。从整体来讲,尚缺乏统一的诊断标准、纳入标准、排除标准和疗效评定标准;组间基线的均衡性不详;随机、对照、盲法等原则的执行描述不够清楚;设计方案不够合理和完善;数据的处理可信度较差等。结论:应根据耳针临床研究的特点,探索建立相对的黄金标准的证候量表,制定规范的临床研究方案,以提高临床疗效。

  [主题词]  痤疮/针灸疗法;耳针;中医药文献;循证医学

  investigation on quality of literature of clinical studies of  auricular acupuncture for treatment of acne

  wang shuxin1, hong wen2, wang zhaohao2 (1. the first  affiliated hospital of guangzhou tcm university, guangdong 510405, china; 2. g uangzhou tcm university)

  [abstract]  purpose  to study on the present situa tion and problem in clinical literature scientific studies of auricular acupunct ure for treatment of acne. methods  based on methodologica l principle of epidemiology/dme, 39 clinical papers about auricular acupuncture  for treatment of acne at home issued in the 7 years from march 1994 to september  2000, were investigated and evaluated. results  only 7 ar ticles, accounting for 17.95%, adopted control method in clinical study. genera lly, these studies lacked unified diagnosic criteria, crteria for enrolling, crit eria for excluding and criteria for therapeutic effects; and equitability of bas e lines between groups was not introduced in detail; random, control, blinding and other principles were not described enough clear; the design programs were not  enough reasonable and complete; the convincibility was poorer in processing of date, and so on. conclusion  should probe into establishment  of relative gold criteria of syndrome scale, and stipulate standard clinical st udy programs according to the characteristics of clinical studies of auricular a cupuncture for increasing clinical therapeutic effects.

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