海内外针灸戒烟文献类别和质量分析研究

Study on the category and quality analysis of literature in domestic and foreign acupuncture for smoking cessation

目的:分析比较海内外针灸戒烟文献的类别和质量,了解其研究动态和评价方法,为今后研究提供有益参考。方法:以知网、万方、Pubmed、Embase等数据库为基础,应用统计和文献计量法,对海内外期刊针灸戒烟文献的类别和质量分析比较。结果:获得国内文献136篇,海外62篇。文献构成比比较:临床试验国内65.2%,海外55.2%,其中大样本文献国内4.5%,海外21.9%;随机对照试验国内12.5%,海外64.5%;综述国内11.1%,海外29.3%;其它国内23.7%,海外17.2%。结论:国内文献种类丰富,融入辨证论治特色。但存在临床设计简单、缺乏随访和远期戒断率观察及RCT样本量不足、缺少系统评价分析和机制研究的问题。今后应建立客观统一疗效评价标准、重视远期戒断率和随访、开展大样本随机对照试验和作用机制探讨,同时开展与重点国家和地区交流与合作。

Objective： Analyzing and understanding of the research dynamic and evaluation method, to provide a better reference in further research by comparing category and quality of literature in acupuncture for smoking cessation. Methods： Based on the database such as CNKI, WANFANG, PUBMED and EMBASE, the statistical and bibliometric method were used to compare and analyze the domestic and foreign acupuncture for smoking cessation. Results： 136 domestic literatures and 62 foreign literatures were obtained. Comparison with constituent ratio of literature showed that domestic literatures accounting for 65.2% and foreign literatures accounting for 55.2% in the clinical experiment, and domestic literature accounting for 4.5% and foreign literatures accounting for 21.9% in large sample experiment, and domestic literature accounting for 12.5% and foreign literatures accounting for 64.5% in randomized controlled trial, and domestic literature accounting for 11.1% and foreign literatures accounting for 29.3% in review experiment, and domestic literature accounting for 23.7% and foreign literatures accounting for 17.2% in others. Conclusion： The domestic literature category was rich and integrated the feature of syndrome differentiation and treatment. But, there were disadvantages on domestic literature： the clinical design was simple, and lack of follow-up, long-term abstinence rates, RCT sample size and systematical evaluation. So, in the future research, objective and unified curative effect valuation standard should be established, and long-term abstinence rates, follow-up, RCT sample size and systematical evaluation should be explored. At last, the communication and cooperation between key nation and region should be developed.