肠易激综合征的针灸疗效评价指标现状与分析

Review on Efficacy Indexes of Acupuncture for Irritable Bowel Syndrome

目的分析近年来针灸治疗肠易激综合征的临床报道中采用的疗效评价指标,寻找能够准确评价针灸治疗肠易激综合征临床疗效的方法。方法检索2008-2018年间针灸治疗肠易激综合征的国内外文献,再对文献进行手工剔除,并分析其采用的疗效评价指标。结果共检索到相关文献485篇,纳入93篇,评价指标主要包括基于症状证候的评价指标、基于生活质量的评价指标、基于心理状态的评价指标、其他评价指标。结论用现有疗效评价标准评价针灸治疗的疗效是不全面的,尤其是能充分反映针灸整体调节优势的生活质量、心理状态评价未得到重视。建立包含症状证候、生存质量、心理状态及内脏敏感性指标的疗效评价体系,客观评价针灸疗效势在必行。

Objective Look for the method to accurately evaluate the clinical efficacy of acupuncture in the treatment of irritable bowel syndrome by analyzing the efficacy indexes in recent years that are used in the acupuncture and moxibustion treatment for irritable bowel syndrome.Methods Research domestic and foreign literature databases published between 2008 and 2018 related to treating irritable bowel syndrome by acupuncture and moxibustion,then analyze and select the efficacy evaluation indexes.Results A total of 485 relevant articles were retrieved and 93 were selected for the review.The main efficacy indexes include four aspects:clinical symptoms,mental state,quality of life and visceral sensitivity index.Conclusion It is not comprehensive enough to evaluate the efficacy of acupuncture treatment with the existing efficacy evaluation criteria,for instance,the quality of life and psychological status,which can adequately reflect the overall regulatory advantages of acupuncture and moxibustion,haven t got much attention.As a result,the establishment of a therapeutic evaluation system including symptom syndrome,quality of life,mental state and visceral sensitivity index,as well as the objective evaluation of acupuncture efficacy is imperative.