肩关节周围炎的循证针灸治疗

Acupuncture and moxibustion evidence-based treatment method for periarthritis of shoulder

目的:从循证医学的角度,向临床医生介绍肩关节周围炎的循证针灸治疗方案的确立方法。方法:以一位具体的肩关节周围炎患者为例,介绍如何提出临床问题,怎样检索相关文献,如何对所检索的文献进行评价,如何结合本病例的具体情况和医生的个人经验,运用所检索的证据拟定治疗方案。结果:采用按照循证医学方法确立的肩关节周围炎的针灸治疗方案治疗15次后,患者生活质量明显好转。结论:通过临床提出问题、寻找证据、分析证据、循证决策、循证实践过程,不但患者可达到满意疗效,主管医生也提高了理论水平和临床能力。

Objective To introduce to establishment method of evidence-based acupuncture and moxibustion treatment program for periarthritis of shoulder from the point of view of evidence-based medicine. Methods One patient of periarthritis of shoulder was used as an example, and it was introduced how to raise clinical questions, to retrieval relative literature, to evaluate the retrieval literature, and at last, how to use the retrieval evidences to stipulate treatment program in combination with concrete condition of this case and the doctor's experience. Results The acupuncture and moxibustion treatment program for periarthritis of shoulder established by evidence-based medicine was adopted to treat the patient for 15 sessions, as a result the life quality of the patient improved obviously. Conclusion Through clinically raising questions, searching for evidences, analyzing evidences, making a strategic decision, practising evidence-based course, the patient can attain satisfactory therapeutic effect, and the physician can raise theoretical level and clinical ability.