世界科学技术-中医药现代化2025，Vol.27Issue(4)：973-981,9.DOI:10.11842/wst.20240409003
针刺干预神经系统疾病的高质量临床随机对照试验发表概况及未来发展趋势
The Overview and Future Trend of High-quality Clinical Randomized Controlled Trial of Acupuncture for Neurological Disorders
摘要
Abstract
Objective Neurological disorders,constitute the majority of acupuncture-treated ailments.By critically examining a comprehensive selection of high-quality clinical randomized controlled trials(RCTs)from both domestic and international sources,we aimed to uncover the prevailing hot research topic and potential future directions in acupuncture therapy for these conditions.Methods Four databases,including PubMed,Web of science,Cochrane Library and EMBASE were searched.The search period is set from the establishment of each database to November 30,2023.And the search content was RCTs of acupuncture for neurological diseases classified as Ⅰ and Ⅱ by the Chinese Academy of Sciences were extracted.Key aspects extracted included annual publication volume,journals,disease types,outcomes,conclusions,acupuncture methods and control groups.Results A total of 81 high-quality RCTs were identified,revealing a consistent annual publication trend of acupuncture for neurological disorders.Key journals contributing to this research were Cephalalgia,Clinical Rehabilitation and Clinical Journal Of Pain,etc.The studies predominantly focused on migraine and sequela of apoplexy with migraine days/frequency and Ashworth scale and its modifications as commonly used primary outcome indicators,respectively.Overall,there were 73 RCTs that concluded that acupuncture for neurologic disorders were effective,8 were ineffective.The acupuncture methods were diverse,encompassing acupuncture,individualized acupuncture and transcutaneous electrical nerve stimulation,etc.The control measures were also varied,featuring sham acupuncture,sham-acupoint and micro-needle,etc.Conclusion With the development of acupuncture RCTs,their international influence has expanded.Research has shifted from validation of effectiveness to exploration of mechanisms,and despite the expansion of the disease spectrum of acupuncture,acupuncture trials have yet to be regulated and standardized,and the assessment of acupuncture efficacy remains controversial and challenging for the discipline.It is recommended to promote multi-center cooperation and strengthen the training of trialists etc.to provide more high-quality clinical evidence.关键词
针刺/神经系统疾病/随机对照试验/数据挖掘Key words
Acupuncture/Neurological disorders/Randomized controlled trials/Data mining分类
医药卫生引用本文复制引用
姚瑾,保琼楠,吴可欣,钟婉琪,张欣悦,陈子雯,银子涵,梁繁荣..针刺干预神经系统疾病的高质量临床随机对照试验发表概况及未来发展趋势[J].世界科学技术-中医药现代化,2025,27(4):973-981,9.基金项目
国家自然科学基金委员会重大课题(81590951):穴位敏化现象的临床研究 （81590951）
负责人:梁繁荣. （）
