四大顶级医学杂志发表针灸随机对照试验的特点分析

Features of acupuncture randomised controlled trials published in the top four journals

以"acupuncture"为主题词及自由词在PubMed数据库对《新英格兰医学杂志》《美国医学会杂志》《柳叶刀》和《英国医学杂志》进行检索。检索范围从创刊到2009年7月,纳入所有可以获得全文的针灸临床随机对照试验,对试验设计和试验质量等信息进行提取和分析。结果表明四大医学杂志上的大部分文章具有以随机对照试验为主、设计合理、质量高以及样本量大等特点。我国针灸研究人员要在这些杂志上发表文章,需要运用合理的临床设计结合针灸特色来设计试验以及按照国际规范随机对照试验报告标准(CONSORT)和针灸临床试验干预措施报告标准(STRIC-TA)推荐的要求报道试验。此外,获得国际针灸研究团队的帮助也很重要。

A PubMed search is carried out using the keyword ＂acupuncture＂ from in the top four journals： New England Journal of Medicine （ NEJM）, The Journal of American Medical Association （JAMA）, The Lancet, and British Medical Journal （BMJ）. The papers with full texts on randomized controlled trials （RCTs） of acupuncture are included up till July 2009, and the corresponding trial design and trial quality in these papers are extracted and analyzed. The results reveal that papers published in these four journals are mostly on randomized controlled trials with good design, high quality and large sample size. Therefore, if Chinese researchers publish papers in these journals, appropriate trial design adhering to the characteristics of acupuncture should be used; the results should be reported according to CONSORT statement and STRICTA recommendations. Moreover, obtaining assistance from foreign research team is also important.