对目前针灸治疗中风病研究的几点建议

Several Suggestions on the study of acupuncture and moxibustion for apoplexy at present

对针灸治疗中风病研究现状作系统分析 ,发现存在临床实验方法学随机分配方法不明确、对照选择不合理、疗效判定不全面等问题 ;证据的应用带有随意性、盲目性和倾向性 ;对针刺治疗优选方案、针刺在卒中单元中的作用及地位、针刺与其它方法间的交互作用、针刺对中风危险因素的干预等问题的研究较少 ;机理研究不深入等一系列问题。建议开展多中心大样本随机对照研究 ;对针灸治疗中风文献等证据进行循证医学系统评价 (Meta 分析 ) ;并从残损、残疾、残障、生活质量 4个层次 ,量化评定针刺治疗中风的作用 ;加强针刺治疗优选方案、针刺在卒中单元中的作用及地位、针刺与其它方法间的交互作用、针刺对中风危险因素的干预等研究 ;机理研究应注重缺血性半暗带的定量研究。

In systematical analysis of present situation of acupuncture and moxibustion for treatment of apoplexy, it is found that in clinical experiment randomized methods is not clear and definite, selection of controls is unreasonable, assessment of therapeutic effect is incomplete and so on; application of evidences is of voluntaryness, blindness and tendentiouness; there are a less studies in optimum seeking of acupuncture and moxibustion program, role and position of acupuncture in apoplexy unit, interaction of acupuncture and other methods, interference of acupuncture with dangerous factors of apoplexy; the mechanism is not deeply studied and so on. It is proposed that multi-central and randomized controlled studies of large sample number should be made; literature and other evidences of acupuncture and moxibustion for treatment of apoplexy should be systematically assessed by evidence-based medicine (Meta-analysis); the actions of acupuncture and moxibustion should be assessed quantitatively from 4 layers, i.e, from injury, deformity, disability and quality of life; and optimum seeking of acupuncture treatment program, role and position of acupuncture in apoplexy unit, interaction of acuppuncture and other methods, interference of acupuncture with dangerous factor of apoplexy and other studies should be strengthened; in the mechanism studies, quantitative studies should pay attention to ischemic penumbra.