骨关节炎_____]_骨关节炎,_膝;_随机对照临床试验;

针刺治疗骨关节炎的疗效评价——介绍马里兰大学的一种循序渐进研究的方法

http://www.100md.com 《中西医结合学报》 2005年第6期

骨关节炎,,],骨关节炎,膝;,随机对照临床试验;,结果评价;,针刺疗法,1引言,2马里兰大学关于针刺治疗骨关节炎的疗效评

     [摘要] 骨关节炎是一种最常见的关节炎。常规疗法治疗不仅常伴有令人苦恼的副作用，而且屡屡无效。针灸和中医药疗法用于治疗疼痛和其他机能障碍病症已有数千年历史。然而，针灸和中医药疗法有效性的科学证据尚不明确，用西方生物医学模式来评价其有效性是一个巨大的挑战。十余年来，马里兰大学研究小组采用系统的、循序渐进的研究方法，致力于评估针刺治疗膝骨关节炎的功效。其成功经验可能为未来研究针灸和中医药提供一种有效的模式。

    [关键词] 骨关节炎, 膝; 随机对照临床试验; 结果评价; 针刺疗法

    Evaluating the effects of acupuncture on knee osteoarthritis: A stepwise approach to research, University of Maryland experience

    Lixing Lao, Ph.D., L.Ac., and Brian Berman, MD

    (Center for Integrative Medicine, School of Medicine, University of Maryland, Third Floor, James Kernan Hospital Mansion, 2200 Kernan Drive, Baltimore, Maryland 21207, USA)

    ABSTRACT Conventional treatments for osteoarthritis (OA), the most common form of arthritis, are associated with unpleasant adverse effects and often ineffective. Acupuncture and traditional Chinese medicine (TCM) have been used for thousands of years to treat pain and other dysfunctions. However, the scientific evidence on the efficacy of acupuncture and TCM is equivocal, and adapting the Western biomedical model to assess them is a great challenge. By adopting a systematic, stepbystep approach, the research team at the University of Maryland has been carefully evaluating the effectiveness of acupuncture on knee OA over the past 10 years. Their successful experience may be a useful model for future acupuncture and TCM research. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/05/31/98/26/37.htm

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