循证医学在针灸临床研究中的应用与思考

Application and thinking of evidence-based medicine in clinical acupuncture-moxibustion research

论述了循证医学对针灸临床研究的重要意义,回顾了其在针灸临床研究中的应用现状和存在问题,提出了如何更好地将针灸临床疗效评价与循证医学相结合的思考和设想。由于针灸学自身的特点,决定了针灸临床研究的设计不能完全照搬循证医学的方法,应努力探索符合针灸临床实际的整体科研设计方法,既要保持传统疗法的特色,又要充分借鉴循证医学的科研方法,提高针灸临床研究的可信度和可重复性,促进针灸临床评价标准和体系的建立。

The importance of evidence-based medicine （EBM） in clinical acupuncture-moxibustion research is discussed in the paper. The application of EBM and problems in clinical acupuncture-moxibustion research are reviewed. It is put forward that thinking and assumptions of the combination of the evaluation of clinical effectiveness and EBM. The characteristics of acupuncture-moxibustion theory determine that the design of clinical research of acupuncture cannot completely apply the methods of EBM. Future efforts should be made to explore the integrated research design which is adhering to the guidelines of clinical practice of acupuncture. The features and advantages of traditional therapeutic practices should be preserved, and the advanced methods in EBM should be applied. It is great to improve the reliability and repeatability of clinical acupuncture-moxibustion research and to improve the standard and the evaluation system of clinical acupuncture.