关于针刺治疗多囊卵巢综合征疗效的讨论

摘要

就《美国医学会杂志》(JAMA)发表的“针刺联用克罗米芬治疗中国妇女多囊卵巢综合征之疗效”的阴性结果研究报告组织中国专家展开讨论,来自中国北京、南京、四川的针灸临床、科研、妇科的专家发表了他们的观点.专家们从临床治疗方案的确定、结局指标的选择、统计方法的运用、研究结果的阐述以及临床实际疗效等各个方面进行了深入的探讨.专家们指出,阴性结果的产生是医学临床研究的常见现象,关键是要通过对阴性结果的研究探讨研究本身是否存在缺陷,修正研究方向,以便使临床研究更好地为提高临床疗效服务.%Discussion on the negative result of the paper "Effect of acupuncture and clomiphene in Chinese women with polycystic ovary syndrome:a randomized clinical trial" from Chinese experts were organized,and experts from Beijing,Nanjing,Chengdu who's major were clinical acupuncture,acupuncture research and gynecology have made their points.In-depth discussion were made by the experts from the perspective of confirmation of therapeutic program,selection of outcome indices,application of statistical analysis,the illustration of research results and clinical effects.The experts have pointed out that the negative result is commonly seen in medical research and the key point is to find out the defects of the trial so as to modify the research orientation and better serve the clinical practice.