中外针灸戒烟随机对照试验文献质量比较分析

Analysis on Quality of Studies on Acupuncture Assisting Quitting Smoking in China and other Countries

目的:比较分析国内外针灸戒烟随机对照试验文献,为今后针灸戒烟临床研究提供参考。方法:以国内知网、万方、维普、生物医学文献数据库及国外Pubmed、Embase、Web of Science为数据源,采用CONSORT声明37条标准及STRICTA标准20条标准对国内外发表的针灸戒烟随机对照试验文献进行比较分析。结果:通过筛选共纳入文献19篇,其中国内8篇,国外11篇。结论:国内存在的问题主要是试验描述表浅,研究设计缺乏标准,国外研究描述与国内相比侧重点有所不同,但距离标准水平仍有相当差距。具体主要有:文献报告信息不够充分;试验设计不够严谨;缺少盲法及远期随访;统计方法不明确,不标准;国外治疗措施细节不够具体;理论依据不够充分。今后研究人员须不断强化临床随机对照试验方案设计,提高研究质量。文献报告也应严格按照CONSORT声明和STRICTA标准进行报告,提高文献质量。

Objective：To compare and analyze randomized controlled trials on acupuncture help quit smoking at home and abroad, and to provide reference for the clinical research of acupuncture in the future. Methods ： Taking CNKI, Wanfang, VIP, biomedical literature databases, and foreign Pubmed, Embase and Web of science as the data source, comparative analysis on randomized controlled trials on acupuncture help quit smoking at home and abroad were conducted according to CONSORT statement article 37 and STRICTA standards of article 20 standard. Results ：Through the screening of participants 19 trials were included, including 8 domestic ones and 11 from abroad. Conclusion：Domestic trials mainly describe superficial test with the problems existing in the study design that are lack of standards. The foreign studies is different from description compared with domestic focus, but there are still quite a gap from the perfect standard. Specific mainly include： literature report information is inadequate; not rigorous test design; lack of blinding and long-term follow-up; Statistical method is not clear, not standard; foreign treatment details are not specific enough; the theory basis is inadequate. Future researchers must strengthen clinical randomized controlled trial design, im- prove the quality of research. Literature reports should also be in strict accordance with the CONSORT statement and STRICTA standards for reporting, improve the quality of the literature.