首页> 中文期刊> 《针灸临床杂志》 >针刺治疗小儿脑性瘫痪的临床随机对照试验文献质量评价

针刺治疗小儿脑性瘫痪的临床随机对照试验文献质量评价

         

摘要

目的:评价针刺治疗小儿脑瘫的临床随机对照试验研究的文献质量。方法:以“针刺”or“针灸”and“脑瘫”or“脑性瘫痪”为检索词,通过中国期刊全文数据库( CNKI )、万方数据库和维普数据库获取国内中文期刊文献全文,采用CONSORT声明条款、STRICTA标准和JADAD文献评分量表,对1995年1月至2014年12月期间发表符合纳入标准的文献进行系统评价。结果:共纳入116篇随机对照试验文献,2010—2014年合计发文75篇(占64.66%);大部分文献对诊断、干预措施、组间均衡性、统计学方法等内容进行描述;虽然纳入的文献中均提到随机,但只有42篇(占36.21%)文献注明使用随机数字表法。所有的文献均没有样本估算、分配隐藏、意向分析的描述;记录不良事件发生的文献4篇(3.45%),有随访记录的文献3篇(2.59%)。102篇为低质量文献,14篇文献评分属高质量文献。结论:近几年针刺治疗小儿脑瘫的随机对照试验的文献量增加迅速,但研究质量和文献水平整体偏低,应着力提高研究者的临床研究设计水平。%Objective:To evaluate the quality of the clinical randomized controlled trials of acupuncture for the treatment of children with cerebral palsy .Methods:The “acupuncture” or “acupuncture and moxibustion ”and “cerebral palsy” or“of cerebral palsy”were as the search terms .Through the Chinese journal full text data-base (CNKI), Wanfang database and VIP database access to domestic Chinese Journals Full -text document, by terms of the CONSORT statement , STRICTA standard and score of JADAD literature quantity ,from the peri-od of January 1995 to December 2014 ,which met the inclusion criteria of literature evaluation system .Results:A total of 116 randomized controlled trials were included in this study , which were published in 75 papers (64.66%) between 2010 and 2014;most of the literatures on the diagnosis , intervention measures , the bal-ance between groups , statistical methods and other content description .Although the inclusion of the literature was referred to the random , only 42 (36.21%) of the literatures indicated the use of a random number table method .All of the literatures had no description of the samples , the distribution of the hidden , the intention of the analysis.The records of adverse events were recorded in 4 (3.45%),and there were 3 (2.59%) of the follow-up records .There were 102 low quality literatures ,and 14 papers were high quality literatures .Conclu-sion:In the recent years , the number of literatures on acupuncture in the treatment of cerebral palsy in children with cerebral palsy has increased rapidly , but the quality of research and the level of literatures are low , we should focus on improving the clinical research design level .

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