In the October 2014 edition of JAMA, Dr. Hinman and her colleagues published an acupuncture clinical trial entitled Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial" and concluded that in patients olde...In the October 2014 edition of JAMA, Dr. Hinman and her colleagues published an acupuncture clinical trial entitled Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial" and concluded that in patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients[1].展开更多
In the October 2014 publication of JAMA, Dr. Hinman and colleagues published the study “Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial,” which concluded that in patients older than 50 years with mod...In the October 2014 publication of JAMA, Dr. Hinman and colleagues published the study “Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial,” which concluded that in patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients.展开更多
Two randomized controlled trials of acupuncture concerning polycystic ovary syndrome(PCOS) and stress urinary incontinence(SUI) were published simultaneously in the 24 th issue, 2017 of The Journal of the American...Two randomized controlled trials of acupuncture concerning polycystic ovary syndrome(PCOS) and stress urinary incontinence(SUI) were published simultaneously in the 24 th issue, 2017 of The Journal of the American Medical Association(JAMA). A trial involving PCOS indicated that active acupuncture did not increase live birth compared with sham acupuncture; meanwhile, another trial referring to SUI showed that electroacupuncture resulted in less urine leakage compared with sham electroacupuncture. With an eye to the negative and positive results of acupuncture, three pivotal factors should be contemplated:(1) proper illness for acupuncture, that is, a problem need to be solved in current medical science, and acupuncture may really work for it;(2) proper pre-studied primary outcome, which is better be objective and repeatedly measurable to reveal the therapeutic effect of acupuncture truly and objectively;(3) proper sham control, which can blind the patients to the upmost extent with minimal biological effects. Through the publication of clinical trials of acupuncture in high-impact journals in recent years, researchers should have confidence in their clinical trials by pondering over these three pivotal factors.展开更多
目的 :分析SCI源期刊针灸治疗腰痛的临床RCT论文的特点,为以后相关RCT试验的设计和成果发表提供参考。方法:从Web of Science数据库中检索出2011年1月至2017年4月针灸治疗腰痛的相关RCT文献,进行筛选数据提取和分析。结果:共纳入10...目的 :分析SCI源期刊针灸治疗腰痛的临床RCT论文的特点,为以后相关RCT试验的设计和成果发表提供参考。方法:从Web of Science数据库中检索出2011年1月至2017年4月针灸治疗腰痛的相关RCT文献,进行筛选数据提取和分析。结果:共纳入10篇相关SCI文章临床试验设计上方法学质量较高。其特点主要是均采用了随机分组与盲法设计,但在纳入标准、主要指标和评价标准方面各有不同。研究表明,针刺比安慰对照、康复锻炼等疗法效果更好。结论:多数RCT研究中肯定了针刺治疗腰痛的疗效,我们应学习高质量的临床试验设计方法,从多角度阐释中医理论。展开更多
文摘In the October 2014 edition of JAMA, Dr. Hinman and her colleagues published an acupuncture clinical trial entitled Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial" and concluded that in patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients[1].
文摘In the October 2014 publication of JAMA, Dr. Hinman and colleagues published the study “Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial,” which concluded that in patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients.
文摘Two randomized controlled trials of acupuncture concerning polycystic ovary syndrome(PCOS) and stress urinary incontinence(SUI) were published simultaneously in the 24 th issue, 2017 of The Journal of the American Medical Association(JAMA). A trial involving PCOS indicated that active acupuncture did not increase live birth compared with sham acupuncture; meanwhile, another trial referring to SUI showed that electroacupuncture resulted in less urine leakage compared with sham electroacupuncture. With an eye to the negative and positive results of acupuncture, three pivotal factors should be contemplated:(1) proper illness for acupuncture, that is, a problem need to be solved in current medical science, and acupuncture may really work for it;(2) proper pre-studied primary outcome, which is better be objective and repeatedly measurable to reveal the therapeutic effect of acupuncture truly and objectively;(3) proper sham control, which can blind the patients to the upmost extent with minimal biological effects. Through the publication of clinical trials of acupuncture in high-impact journals in recent years, researchers should have confidence in their clinical trials by pondering over these three pivotal factors.
文摘目的 :分析SCI源期刊针灸治疗腰痛的临床RCT论文的特点,为以后相关RCT试验的设计和成果发表提供参考。方法:从Web of Science数据库中检索出2011年1月至2017年4月针灸治疗腰痛的相关RCT文献,进行筛选数据提取和分析。结果:共纳入10篇相关SCI文章临床试验设计上方法学质量较高。其特点主要是均采用了随机分组与盲法设计,但在纳入标准、主要指标和评价标准方面各有不同。研究表明,针刺比安慰对照、康复锻炼等疗法效果更好。结论:多数RCT研究中肯定了针刺治疗腰痛的疗效,我们应学习高质量的临床试验设计方法,从多角度阐释中医理论。