关于针刺临床研究中假针刺若干问题的思考

Thoughts on Some Problems of Sham Acupunture in Acupuncture Clinical Study

针灸医学是一种安全和有效治疗疾病成熟的临床学科,被很多大型权威临床观察所证实。但国外近几年也出现了一些大样本假针刺对照试验,但大多数试验仍显示针刺效应与假针刺效应没有显著性差异。针灸临床研究有其自身的规律的学科,方法论的特点,我们应该在针刺研究过程中根据不同实际情况采用临床上已有明确疗效的药物作为针刺的对照,或者选择不同假针刺或不使用假针刺作为对照,加上合理、严谨的设计使安慰针的治疗效果最小化,才能使针灸的治疗效应被国际认可。

Acupuncture and moxibustion is a clinical subject that is safe and effective for the treatment of disease,which has been confirmed by many large authoritative clinical observations.However,in recent years,some large sample sham acupunture control trials have also appeared,but most experiments still show that there is no significant difference between acupuncture and sham acupunture.Clinical study on acupuncture and moxibustion has its own rules of discipline and methodology,and we should study acupuncture process according to the actual situation of the different drug trials which have clear effect as control,or choose a different sham acupuncture or use sham acupuncture as control,and reasonable and rigorous design to minimize the therapeutic effect of acupuncture in order to make the treatment effect of acupuncture internationally recognized.