力敏推拿治疗腰椎间盘突出症的试验设计原则与方案
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摘要
规范试验设计是进行临床研究的基础。笔者通过循证医学理念和流行病学方法,从科研设计的重复性、随机性、对照性、盲法等方面入手,具体细化阐述力敏推拿治疗腰椎间盘突出症的试验设计思路,完善力敏推拿治疗的临床试验方案,减少试验研究的偏倚因素,更真实、客观评价研究结果和结论,为临床针灸试验设计提供思路。
The standardized trial design is the basis of clinical research. This article through the concept of evidence-based medicine and epidemiology method,starting from the research and design of repetitive,random,control,blind method,detailed explained the experimental design of force sensitive massage treatment of lumbar disc herniation,which further improve the clinical trial program,reduce the influence of bias factors,so that we can get the research results and conclusions more realistic and objective. At the same time,we also hope that it can provide some ideas for the acupuncture experimental design through the trial design of this article.
The standardized trial design is the basis of clinical research. This article through the concept of evidence-based medicine and epidemiology method,starting from the research and design of repetitive,random,control,blind method,detailed explained the experimental design of force sensitive massage treatment of lumbar disc herniation,which further improve the clinical trial program,reduce the influence of bias factors,so that we can get the research results and conclusions more realistic and objective. At the same time,we also hope that it can provide some ideas for the acupuncture experimental design through the trial design of this article.
引文
[1]周秉文.腰背痛[M].北京:人民卫生出版社,2005:125-187.
[2]薛军.腰椎间盘突出症的非手术治疗:循证医学证据[A].浙江省医学会骨科学分会.2014年浙江省骨科学学术年会论文汇编[C].浙江省医学会骨科学分会,2014:1.
[3]廖希希,陈日新,张波,等.力敏腧穴推拿结合针刺治疗腰椎间盘突出症29例[J].江西中医药,2015,46(12):55-56.
[4]王家良.临床流行病学—临床科研设计、测量与评价[M].上海:上海科学技术出版社,2009:165.
[5]李竹.新编实用医学统计方法与技能[M].北京:中国医药科技出版社,1998:182.
[6]陈明雄,王云海,李杰,等.硬膜外麻醉下大推拿手法治疗急性剧痛型腰椎间盘突出症42例[J].河南中医,2017,37(1):152-154.
[7]杨朱洁,王雪梅.针刺推拿治疗腰椎间盘突出症临床观察[J].新中医,2016,48(11):93-94.
[8]路华杰,黄海,杨爱国.针刺天柱穴配合推拿治疗血瘀型腰椎间盘突出症临床研究[J].河南中医,2016,36(10):1 838-1 840.
[9]王之虹,于天源.推拿学[M].第9版.北京:中国中医药出版社,2012:177-179.
[10]吴娟妹,何立东,付勇,等.力敏腧穴针刺治疗腰椎间盘突出症的临床科研设计思路探讨[J].中华中医药学刊,2016,34(4):894-896.
[11]屠健如.论针灸随机对照试验设计的若干基本要则[J].中国针灸,2011,31(8):755-758.
[12]中华人民共和国卫生部药政局.中药新药临床研究指导原则(第三辑)[M].北京:中国医药科技出版社,1997:145-146.
[13]张林辉.腰椎间盘突出症推拿手法分期治疗疗效比较[J].实用医院临床杂志,2008,5(1):49-50.
[14]付勇,章海凤,张波,等.腰椎间盘突出症患者不同敏化类型施术方法选择临床观察[J].中国针灸,2015,35(12):1 253-1 257.
[15]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186.
[16]黄河,章海凤,付勇,等.热敏灸治疗腰椎间盘突出症不同灸位的临床疗效观察[J].时珍国医国药,2014,25(11):2 689-2 691.
[17]易静,迟振海,曾利元,等.热敏灸治疗腰椎间盘突出症不同灸量方案的疗效观察[J].江西中医药,2011,42(1):69-70.
[18]黄河,章海凤,付勇,等.热敏灸治疗腰椎间盘突出症不同灸位的临床试验方案设计思路与探讨[J].时珍国医国药,2014,25(9):2 280-2 281.
[19]王芃.手法治疗腰椎间盘突出症——基于文献的疗效评价和临床试验研究[D].北京:中国中医科学院,2010.
[2]薛军.腰椎间盘突出症的非手术治疗:循证医学证据[A].浙江省医学会骨科学分会.2014年浙江省骨科学学术年会论文汇编[C].浙江省医学会骨科学分会,2014:1.
[3]廖希希,陈日新,张波,等.力敏腧穴推拿结合针刺治疗腰椎间盘突出症29例[J].江西中医药,2015,46(12):55-56.
[4]王家良.临床流行病学—临床科研设计、测量与评价[M].上海:上海科学技术出版社,2009:165.
[5]李竹.新编实用医学统计方法与技能[M].北京:中国医药科技出版社,1998:182.
[6]陈明雄,王云海,李杰,等.硬膜外麻醉下大推拿手法治疗急性剧痛型腰椎间盘突出症42例[J].河南中医,2017,37(1):152-154.
[7]杨朱洁,王雪梅.针刺推拿治疗腰椎间盘突出症临床观察[J].新中医,2016,48(11):93-94.
[8]路华杰,黄海,杨爱国.针刺天柱穴配合推拿治疗血瘀型腰椎间盘突出症临床研究[J].河南中医,2016,36(10):1 838-1 840.
[9]王之虹,于天源.推拿学[M].第9版.北京:中国中医药出版社,2012:177-179.
[10]吴娟妹,何立东,付勇,等.力敏腧穴针刺治疗腰椎间盘突出症的临床科研设计思路探讨[J].中华中医药学刊,2016,34(4):894-896.
[11]屠健如.论针灸随机对照试验设计的若干基本要则[J].中国针灸,2011,31(8):755-758.
[12]中华人民共和国卫生部药政局.中药新药临床研究指导原则(第三辑)[M].北京:中国医药科技出版社,1997:145-146.
[13]张林辉.腰椎间盘突出症推拿手法分期治疗疗效比较[J].实用医院临床杂志,2008,5(1):49-50.
[14]付勇,章海凤,张波,等.腰椎间盘突出症患者不同敏化类型施术方法选择临床观察[J].中国针灸,2015,35(12):1 253-1 257.
[15]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186.
[16]黄河,章海凤,付勇,等.热敏灸治疗腰椎间盘突出症不同灸位的临床疗效观察[J].时珍国医国药,2014,25(11):2 689-2 691.
[17]易静,迟振海,曾利元,等.热敏灸治疗腰椎间盘突出症不同灸量方案的疗效观察[J].江西中医药,2011,42(1):69-70.
[18]黄河,章海凤,付勇,等.热敏灸治疗腰椎间盘突出症不同灸位的临床试验方案设计思路与探讨[J].时珍国医国药,2014,25(9):2 280-2 281.
[19]王芃.手法治疗腰椎间盘突出症——基于文献的疗效评价和临床试验研究[D].北京:中国中医科学院,2010.