针刺不良事件与针刺不良反应探析

Analysis on the concepts related to adverse events and adverse reactions of acupuncture

随着针刺疗法在全球知名度不断提升,针刺安全性问题越来越受到大家的关注,客观、公正评价针刺安全性至关重要。针刺不良事件和针刺不良反应是针刺安全性研究中常用概念。笔者基于"不良事件"及"不良反应"概念的范畴,结合针刺自身特点,浅析针刺不良事件与针刺不良反应定义的内涵及特点,总结两者的联系和区别。针刺不良事件及针刺不良反应都属于不良医疗事件,但针刺不良事件既包括由针刺疗法导致的伤害,也包括与针刺疗法无关的伤害,而针刺不良反应是由针刺疗法自身导致的不良结局,与针刺疗法有确定因果关系,因此应用针刺不良反应概念评价针刺安全性更为客观、准确。

With the increasing popularity of acupuncture therapy in the world, the safety of acupuncture has attracted more attention. The objective and impartial assessment of the safety of acupuncture becomes very important. The ＂adverse events of acupuncture＂ and ＂adverse reactions of acupuncture＂ are the common concepts in the research of acupuncture safety. In the paper, on the basis of the conceptual characteristics of ＂adverse events＂ and ＂adverse reactions＂ and in combination with the particular characteristics of acupuncture itself, the connation and features of the concepts of the＂adverse events of acupuncture＂ and ＂adverse reactions of acupuncture＂ are analyzed. The interaction and differences are summarized. Both ＂adverse events of acupuncture＂ and ＂adverse reactions of acupuncture＂ are in the category of adverse medical events. The＂adverse events of acupuncture＂includes the damages induced by acupuncture therapy and also those without relationship with acupuncture therapy. The ＂adverse reactions of acupuncture＂ refers to the adverse outcomes induced by acupuncture therapy specially. It has the definite relationship with acupuncture therapy. Hence, the application of＂adverse reactions of acupuncture＂is more objective and accurate in the assessment of acupuncture safety.