基于《循证针灸临床实践指南:失眠》研制探讨针灸临床研究的问题与对策

Problems and countermeasures in clinical studies on acupuncture and moxibustion in course of developing Guideline for Clinical Practice of Acupuncture and Moxibustion:Insomnia

以《循证针灸临床实践指南:失眠》研制中的关键步骤为视角,探讨针灸临床研究存在的问题与解决对策。针对疾病名称混乱和诊断标准不统一、对亟需解决的临床问题提炼不足、缺乏对疗效评价指标的针对性分析、缺乏对常规针法的充分研究、创新性和普适性难以兼顾、缺乏对介入时机重要性的强调、缺乏对健康生活方式和自我护理的关注等问题,提出针灸临床研究疾病名称、诊断标准应当参考权威标准;临床设计应从关注度较高或亟需解决的实际临床问题出发;结合临床需求选择疗效评价指标和进行有针对性的数据分析;深入开展临床常用针法或疗法研究等建议。

To explore the problems and countermeasures existing in acupuncture and moxibustion clinical studies,in the perspective of the key steps of Guideline for Clinical Practice of Acupuncture and Moxibustion:Insomnia.The problems include:confusion of disease names and disunity of diagnostic criteria,inadequate refined clinical problems that need to be addressed,lack of targeted analysis of efficacy evaluation index,lack of adequate research on common acupuncture,difficulty to balance innovation and universality,lack of emphasis on the importance of timing for acupuncture,lack of attention to healthy lifestyles and self-care.We suggests that the disease name and diagnostic criteria should refer to the authoritative standards;the clinical study design should based on the realistic clinical problems;the efficacy evaluation index should based on the clinical needs and be analyzed targetedly;further research on common acupuncture or therapy should be carried out.