英美针灸临床实践指南收录与推荐情况分析
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摘要
总结美国国立临床诊疗指南数据库(NGC)和英国国家卫生与服务优化研究院(NICE)中推荐针灸治疗的疾病、推荐意见,并对其推荐疾病进行对比分析。检索NICE和NGC中提及针灸的指南,并根据推荐疾病种类和推荐强度进行分类后比较分析。本研究最后纳入NGC 45篇指南,共59条推荐意见;纳入NICE 29篇指南,共29条推荐意见。NGC和NICE推荐疾病以疼痛为主,NGC推荐的疾病更多,范围更广。两者对针灸的具体操作方法的描述都需要进一步补充。
The diseases recommended to be treated by acupuncture and the recommendation in the National Guideline Clearinghouse(NGC) and the National Institute for Health and Care Excellence(NICE) were summarized, and the diseases recommended were analyzed. The guidelines which mentioned acupuncture in NICE and NGC were searched and classified according to the types of diseases and intensity of recommendations. As a result, 45 guidelines in NGC were included,involving 59 recommendations; 29 guidelines in the NICE, involving 29 recommendations. The diseases recommended by NICE and NGC were mainly pain-related diseases, and the diseases recommended by NGC were wider. However, both needed to further describe the specific operation methods of acupuncture.
The diseases recommended to be treated by acupuncture and the recommendation in the National Guideline Clearinghouse(NGC) and the National Institute for Health and Care Excellence(NICE) were summarized, and the diseases recommended were analyzed. The guidelines which mentioned acupuncture in NICE and NGC were searched and classified according to the types of diseases and intensity of recommendations. As a result, 45 guidelines in NGC were included,involving 59 recommendations; 29 guidelines in the NICE, involving 29 recommendations. The diseases recommended by NICE and NGC were mainly pain-related diseases, and the diseases recommended by NGC were wider. However, both needed to further describe the specific operation methods of acupuncture.
引文
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[29]Lee GM,Lee EY,Han JH,et al.Effects of Wonli Acupuncture Procedure in Patients with LSS:A Clinical,Retrospective Study[J].Evid Based Complement Alternat Med,2014,2014(1):212098.doi:10.1155/2014/212098.Epub2014Jun22.
[30]World Health Organization.Acupuncture:Review and Analysis of Reports on Controlled Clinical Trials[M].Geneva:World Health Organization,2002:1-87.
[2]Graham R,Mancher M,Wolman D,et al.Clinical Practice Guidelines We Can Trust[M].Washington(DC):National Academies Press,2011.
[3]中国中医科学院,中国针灸学会.中医循证临床实践指南--针灸分册[M].北京:中国中医药出版社,2011:20-162.
[4]詹思延.临床实践指南的制定应当科学、规范[J].中华儿科杂志,2009,47(3):163-166.
[5]国瑶,赵宏,朱民,等.美国临床实践指南中对针灸疗法的推荐意见现状分析[J].中医药导报,2017,23(13):1-4.
[6]Qaseem A,Wilt TJ,McLean RM,et al.Noninvasive treatments for acute,subacute,and chronic low back pain[J].Ann Intern Med,2017,166(7):514-530.
[7]National Clinical Guideline Centre.Headaches:Diagnosis and Management of Headaches in Young People and Adults[M].London(UK):National Institute for Health and Clinical Excellence(NICE),2012:1-38.
[8]Colorado Division of Workers'Compensation.Low Back Pain Medical Treatment Guidelines[M].Denver(CO):Colorado Division of Workers'Compensation,2014:1-112.
[9]Colorado Division of Workers'Compensation.Cervical Spine Injury Medical Treatment Guidelines[M].Denver(CO):Colorado Division of Workers'Compensation,2014:1-96.
[10]Hopman K,Krahe L,Lukersmith S,et al.Clinical Practice Guidelines for the Management of Rotator cuff Syndrome in the Workplace[M].Port Macquarie(Australia):University of New South Wales,2013.
[11]Toward Optimized Practice.Guideline for Primary Care Management of Headache in Adults[M].Edmonton(AB):Toward Optimized Practice,2012:1-71.
[12]National Guideline Centre.Low Back Pain and Sciatica in over16s:Assessment and Management[M].London(UK):National Institute for Health and Care Excellence(NICE),2016:1-18.
[13]National Clinical Guideline Centre.Osteoarthritis Care and Management in Adults[M].London(UK):National Institute for Health and Care Excellence(NICE),2014:1-36.
[14]National Collaborating Centre for Women's and Children's Health.Induction of Labour[M].London(UK):National Institute for Health and Clinical Excellence(NICE),2008:1-32.
[15]National Clinical Guideline Centre for Acute and Chronic Conditions.Lower Urinary Tract Symptoms in Men:Assessment and Management[M].London(UK):National Institute for Health and Care Excellence(NICE),2015:1-38.
[16]Fihn SD,Gardin JM,Abrams J,et al.2012 guideline for the diagnosis and management of patients with stable ischemic heart disease[J].J Am Coll Cardiol,2012,60(24):e44-e164.
[17]Qaseem A,Fihn SD,Dallas P,et al.Management of stable ischemic heart disease:summary of a clinical practice guideline[J].Ann Intern Med,2012,157(10):735-743.
[18]National Clinical Guideline Centre.Irritable Bowel Syndrome in Adults:Diagnosis and Management[M].London(UK):National Institute for Health and Care Excellence(NICE),2008:1-22.
[19]National Clinical Guideline Centre.Stable Angina:Management[M].London(UK):National Institute for Health and Care Excellence(NICE),2011:1-22.
[20]National Public health guideline.Stop Smoking Services[M].London(UK):National Institute for Health and Care Excellence(NICE),2008:1-85.
[21]National Public health guideline.Weight management before,during and after pregnancy[M].London(UK):National Institute for Health and Care Excellence(NICE),2010:1-59.
[22]张吉,张宁.针刺镇痛机制的探讨[J].中国针灸,2007,27(1):72-75.
[23]田学锋,任民峰.阿片肽及有关因素在脊髓损伤中的作用[J].生理科学进展,1992(3):24-28.
[24]魏锋.脊髓背角痛觉传递和调制的一些化学解剖学观察[J].生理科学进展,1996(4):327-330.
[25]Cui X,Liu K,Xu D,et al.Mast cell deficiency attenuates acupuncture analgesia for mechanical pain using c-kit gene mutantrats[J].J Pain Res,2018(11):483-495.
[26]Liu L,Skinner M,McDonough S,et al.Acupuncture for low back pain:an overview of systematic reviews[J].Evid Based Complement Alternat Med,2015,2015:328196.doi:10.1155/2015/328196.Epnb2015Mar4.
[27]Furlan AD,Tulder MWV,Dan C,et al.Acupuncture and dry‐needling for low back pain[J].Cochrane Database Syst Rev,2005,44(1):CD001351.
[28]Yuan QL,Guo TM,Liu L,et al.Traditional Chinese medicine for neck pain and low back pain:a systematic review and meta-analysis[J].PLos One,2015,10(2):e0117146.
[29]Lee GM,Lee EY,Han JH,et al.Effects of Wonli Acupuncture Procedure in Patients with LSS:A Clinical,Retrospective Study[J].Evid Based Complement Alternat Med,2014,2014(1):212098.doi:10.1155/2014/212098.Epub2014Jun22.
[30]World Health Organization.Acupuncture:Review and Analysis of Reports on Controlled Clinical Trials[M].Geneva:World Health Organization,2002:1-87.
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