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对《针灸临床研究规范》中“对照”的认识


□ 王竹行等

  [摘 要]WHO制定的《针灸临床研究规范》运用现代医学的科研原则与方法,保证针灸临床研究结果的可靠性。强调采用随机对照试验的设计方法来抵消研究中非实验因素的干扰和影响,提高试验结果的可重复性,对确定针灸适应症和准确评价针灸效果都是极其重要的。尽管在齐同对比原则和对照中,伦理学要求下针灸临床研究将面临许多困难,而正确地应用《规范》中的对照方法及原则,提高针灸技术水平及学术水平是我们从事针灸临床科研工作者的责任。

  [主题词]《针灸临床研究规范》*;针灸学;临床试验;随机对照试验

  Knowledge on “control” in the guidelines for clinical res earch on

acupuncture

  Wang Zhuxing, Lei Hong, Lu Yu (Depart ment of Acupuncture & Moxibustion,

Chongqing City Institute of TCM, Chongqing 400013, China)

  ABSTRACT The guidelines for clinical research on acupuncture stipulated

by WHO applies modern medical scientific research principles and methods to

guarantee reliability of the results of acupuncture and moxibustion studies;

emphasizes application of design methods of randomized control trial to offset

the influence and interfere of non-experimental factors in the study, increase

reproducibility of the experimental results, and it is very im portant for

determining indications of acupuncture and moxibustion, and accurately

assessing effects of acupuncture and moxibustion. Although clinical studies of

acupuncture and moxibustion will face a lot of difficulties for the requirment

of the control principle and ethics in the control, correct application of the

control methods and principle in the guidelines, increasing technical and

academical levels of acupuncture and moxibustion are responsibility of our

scient ific research and clinical workers.

  KEY WORDS Guidelines for Clinical Research on Acupuncture; Acup Mox

Science; Clinical Trials; Randomized Controlled Tria ls

  随着世界卫生组织对针灸技术及其疗效的承认和重视,由各国专家共同制定的《针灸临床研 究规范》中要求临床科研工作者采用现代医学科研的基本原则与方式方法来保证研究课题结果的可靠性,按照这样的临床研究规范进行的工作将使针灸疗法的效果上升到医学科学的水平。

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