针推治痛特异性效果评价方法探究

The specific outcome Assessment Modal of acupuncture and Tuina treatment for pain

针刺、推拿是国内外指南首推治疗疼痛的非药物疗法。针推治痛效果除可缓解疼痛等状态结局外,还可改善精神、情绪等非状态结局。针推治痛疗效评价存在特异性效果评价不足、特色结局评价不清等问题,基于定性叙述和定量测量方法构建针推治痛效果特色结局的评价模式(STEAM-A&T)是解决问题的关键。通过患者叙述接受针推治疗的经历、体验、感受和需求,构建针推治痛效果的条目库,筛选针推治痛的特色结局,进而构建、优化针推治痛结局关系模型,从多维度、多层次、多角度体现针推治痛特点,揭示针推治痛效果的结局间关系,为以患者为中心构建中医疗效评价体系提供新理论、新方法。

Acupuncture and Tuina are the main non-drug therapies for low back pain,which are recommended by the guidelines.Acupuncture and Tuina can alleviate pain,which is regarded as conditional specific outcome,and improve mental,emotional problems,as non-conditional specific outcomes.There are some problems of the outcome assessment of acupuncture and Tuina treatment for pain such as insufficient evaluation of specific effect and unclear evaluation of characteristic outcome.Therefore,the key to above problems is to construct a Specific ouTcomE Assessment Modal of acupuncture and Tuina treatment for pain(STEAM-A&T)based on the qualitive and quantitative methods.By describing the experience,narrative expression,feelings and needs of patients who receiving acupuncture and Tuina treatment,the item banks of acupuncture and Tuina treatment effect are constructed,and the characteristic outcome of acupuncture and Tuina for pain will be screened,and then the relationship model among outcomes is constructed and optimized,which reflected the characteristics of acupuncture and Tuina for pain from multiple dimensions,multiple levels and multiple views.We reveal the relationship between the outcome of acupuncture and Tuina for pain.It will provide a new theory and methods for the construction of specific outcome assessment modal of Traditional Chinese Medicine.