Evaluation and Analysis on the Methodology of Clinical Trials of Acupuncture Treatment of Dysphagia due to Ischemic Stroke
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Evaluation and Analysis on the Methodology of Clinical Trials of Acupuncture Treatment of Dysphagia due to Ischemic Stroke
Acupuncture ResearchIssue 1, Pages: 68-70(2007)
作者机构:
1. 成都中医药大学
2. 成都中医药大学,成都,610075
3. ,成都,610075
作者简介:
基金信息:
DOI:
CLC:
Published:2007
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HUANG Yin-lan, LIANG Fan-rong, WU Xi. Evaluation and Analysis on the Methodology of Clinical Trials of Acupuncture Treatment of Dysphagia due to Ischemic Stroke[J]. Acupuncture research, 2007, (1): 68-70.
DOI:
HUANG Yin-lan, LIANG Fan-rong, WU Xi. Evaluation and Analysis on the Methodology of Clinical Trials of Acupuncture Treatment of Dysphagia due to Ischemic Stroke[J]. Acupuncture research, 2007, (1): 68-70.DOI:
Evaluation and Analysis on the Methodology of Clinical Trials of Acupuncture Treatment of Dysphagia due to Ischemic Stroke
摘要
本文从临床研究方法学的角度入手
总结近10年来针刺治疗缺血性中风后吞咽障碍的临床研究相关文献内容。按文献报道的内容对其进行了分类
并依据临床研究中使用的随机方法、对照治疗、盲法实施、疗效评价、随访记录及统计方法等
分析评价了目前临床研究中存在的问题。针刺治疗本症方法简便
疗效确切
为了更好地证实针刺治疗缺血性中风后吞咽障碍的有效性和为临床研究者及实践者提供可靠的高质量临床证据
在进一步的研究中有必要采用设计严谨科学的临床试验方法。
Abstract
From the angle of clinical study methodology
the authors of the present paper sum up the related articles on acupuncture treatment of dysphagia caused by ischemic stroke published in the past decade from 1)randomized control trials
2)non-controlled observation on a group of cases
and 3)case report.The authors point out some defects as lack of description on the random method
lack of united standards for acupoint recipes
acupuncture-needle manipulations
duration of treatment
united and authorized standards for assessing the therapeutic effect
intent-to-treat analysis
etc in the current clinical studies on acupuncture treatment of apoplectic dysphagia
and thus
the rationality and reliability of conclusions about the therapeutic effects of acupuncture for apoplectic dysphagia in many articles are limited.In order to further confirm the effectiveness of acupuncture for dysphagia resulting from ischemic stroke and to provide enough and reliable clinical evidence
it is necessary to adopt the principles and methods of evidence-based medicine to improve our clinical trials and particularly to look for the best model favoring the development of acu-moxibustion study in the coming days.