国内近5年随机对照试验中安慰针刺运用分析

摘要

Objective To summarize the domestic design for placebo acupuncture and the placebo effect and explore an ideal design for placebo acupuncture.Method Three large Chinese databases CNKI, Wan Fang and Vip were searched to systematically review the application of placebo acupuncture in randomized controlled trials published at home in recent 5 years (2011.01—2016.11).Results and conclusions A total of 48 articles were included according the inclusion and exclusion criteria. An analysis was made of the kinds of diseases for acupuncture study, the methods of designing placebo acupuncture, the effects of placebo acupuncture and comparisons with foreign placebo acupuncture. Pain syndrome and insomnia were the main kinds of diseases for acupuncture study, accounting for 10 and 8 articles respectively. Acupuncture needles were the main kind of needles for placebo acupuncture, accounting for 66.6%. Sites beside acupoints were the main positions selected for placebo acupuncture, accounting for 58.3%. Not penetrating the skin predominated in the depth of needle insertion, accounting for 37.5%. The kinds of needles for placebo acupuncture were fewer than abroad. The effects of placebo acupuncture were not superior to those of acupuncture.%目的 总结国内安慰针刺的设计、安慰效果以及探索较为理想的安慰针的设计.方法 通过检索中文三大数据库——知网、万方、维普,系统性回顾国内近5年(2011.01—2016.11)已公开发表的随机对照试验中安慰针刺的运用情况.结果 与结论 按照纳入和排除标准共纳入48篇文章,分析针刺研究的病种、安慰针设计方式、安慰针刺效果及与国外安慰针的比较.针刺研究病种以痛证和失眠为多,分别为 10 篇,8 篇;安慰针的种类以针灸针为主,占 66.6%;安慰针的选择部位以穴位旁开为主,占 58.3%;针刺的深度以不透皮为主,占 37.5%.安慰针的种类较国外少,安慰针的效果均不优于针刺.