摘要
随机对照试验是循证医学研究中的一级证据,在针灸疗效评价的对照试验中,合理的对照方法是得到可靠研究结果的方法学保证。国外针刺随机对照研究中,多采用针刺临近非穴安慰对照法,一些试验得出了"安慰针刺与治疗针刺疗效无差异"的结论。分别从腧穴为应天气而动的立体结构、腧穴为脏腑经络病变的反应点、腧穴在体表有征可循及腧穴的体表面积动态可变4个方面对腧穴的动态特性进行分析,提出临近非穴对照法并非恰当的安慰针刺对照法。
Randomized controlled trial is the first class evidence in evidence-based medicine research. Reasona- ble control method is a methodology assurance to obtain reliable research results. The close non-acupoint placebo con- trol method is commonly used in randomized controlled trials of acupuncture abroad. Some trails obtained a result that there was no significant difference between placebo acupuncture and acupuncture. We think that the close non-acu- point control method is not an appropriate placebo acupuncture control method according to analysis on dimensional structure, lesion responses, surface characteristics and body surface area of acupoints.
出处
《中医杂志》
CSCD
北大核心
2014年第7期563-566,共4页
Journal of Traditional Chinese Medicine
关键词
腧穴
非穴对照法
腧穴动态特性
穴位体表面积
病变反应点
acupoints
non-acupoint control
dynamic characteristics of acupoints
body surface area of acupoints
lesion responses
