Analysis about combination and quantification on clinical indexes of low back pain with acupuncture treatment from 2014 to 2016 in China
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摘要: 目的 分析国内针刺治疗腰痛研究所选择的观察指标及相关疗效评定标准,为以后针刺治疗腰痛研究中观察指标及疗效评价指标的选择提供参考。 方法 在CNKI上检索2014-2016年针刺治疗腰痛的临床研究型文献,除去文献综述、经验总结、病例报道等,总结归纳其观察指标的选择,分析其特点和侧重评价的内容,在各类腰痛中的运用情况,组合运用的情况,观察每种组合在所有组合中所占的比重,运用描述性统计方法统计。 结果 检索到符合要求的47篇文献,发现其中涉及对疼痛、腰椎活动功能、生活质量、细胞因子等的多种观察指标,其中最常用的为疼痛和腰椎活动功能的评价,而疼痛中VAS最常用,有22篇;活动功能中JOA最常用,有10篇。 结论 对于针刺治疗腰痛相关临床研究中观察指标的选择,最基本的两项是疼痛的评价和腰椎活动功能的评价,但有时研究者观察并不全面,仅选择疼痛相关的指标,或活动功能相关指标;亦可以结合如致炎因子、抗炎因子等细胞因子进行定量分析,减少主观性因素的干扰;骨外科制定的腰痛相关观察指标及疗效评定标准,在评价针刺适宜的腰痛类型时并不是十分合理,可进行适当的变化。Abstract: Objective To provide references for choice of observation indexes and the therapeutic evaluation in studies about low back pain with acupuncture treatment and the suggestion about improvement of observation indexes, clinical indexes and the therapeutic evaluation of low back pain with acupuncture treatment were analyzed from 2014 to 2016 in China. Methods Clinical indexes of low back pain with acupuncture treatment from 2014 to 2016 were retrieved, from which the articles about literature review, summary of experiences and case reports were removed. The character and the evaluation content they focus on, composite application of observation indexes using in each type and the proportion of them were also analyzed, descriptive statistical methods were used. Results A total of 47 articles meeting the requirements were found, which involved indexes about pain, activity function of lumbar vertebrae, quality of life, Cytokines and other indexes in it. The former two were the most general, VAS were used most in indexes about pain,22 times were found, JOA were used most in activity function of lumbar vertebrae,10 times were found. Conclusion For choice of observation indexes in studies about low back pain with acupuncture treatment, the evaluation on pain and activity function of lumbar vertebrae is the most basic, but some researchers often choose one, which is incomplete. Quantitative analysis of cytokines can also be added, which can reduce the distraction of subjective factors. Observation indexes about low back pain constituted by orthopedic surgery can be appropriately changed, when used in studies about low back pain with acupuncture treatment.
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Key words:
- Low back pain /
- Acupuncture /
- Observational indexes
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