针刺镇痛临床评价指标的选择

Selection of clinical evaluation index for acupuncture analgesia

针刺治疗疼痛性疾病具有确切的疗效,而疼痛作为一种主观的感受不便于测量,缺乏量化指标;因此,针刺镇痛疗效的评价工具也不一致,临床研究之间缺乏可比性。笔者总结了临床上常用针刺镇痛的评价工具,认为针刺镇痛的临床研究应在对主观指标进行定性和定量的基础上,从疼痛严重程度、伴随症状以及生活质量等方面,多角度进行综合评价,以充分体现针刺镇痛的优势和特色。

Acupuncture has a definite curative in treating pain. Pain is a subjective feeling, which is not easy to be measured because of lack of quantifiable index. Besides, because evaluation measures for acupuncture analgesia are not unanimous, it is lack of comparability among the different clinical researches. The author summarized the clinical evaluation measures of acupuncture analgesia which are used in clinical commonly, and considered that the clinical study on acupuncture analgesia should be globally evaluated from the extent of pain, complication symptoms and life quality on the basis of determining the nature and fixing quantity of the subjective index.