天津中医药2026，Vol.43Issue(4)：477-484,8.DOI:10.11656/j.issn.1672-1519.2026.04.10
基于多指标决策法的针刺治疗强直性脊柱炎的优势方案研究
Acupuncture treatment of ankylosing spondylitis based on multi-index decision making method
摘要
Abstract
[Objective]To construct a multidimensional evaluation system by integrating network Meta-analysis with multi-criteria decision-making(MCDM)methods,aiming to identify the optimal acupuncture protocol for treating ankylosing spondylitis(AS)and provide a scientific basis for clinical decision-making.[Methods]Randomized controlled trials(RCTs)of acupuncture for AS were retrieved from eight databases including CNKI,Wanfang database,VIP,SinoMed,PubMed,EMbase,Cochrane Library and Web of Science up to January 1,2025.The modified Jadad scale was used to assess evidence quality.Network meta-analysis was performed to calculate the relative risk(RR)for effectiveness,surface under the cumulative ranking curve(SUCRA)values for Bath Ankylosing Spondylitis Disease Activity Index(BASDAI)scores,weighted intervention frequencies,and modified Jadad scores,forming a decision matrix.The entropy weight method is used to determine and redistribute the index weights,and the TOPSIS method,VIKOR method and PROMETHEE method are used to screen the optimal acupuncture protocol.[Results]Seventeen studies were included,involving 14 intervention protocols and 4 evaluation indicators.The results of the three decision-making methods showed high consistency,with the Tongdu Rezhen method method identified as the optimal protocol for AS.[Conclusion]This study combined network Meta-analysis with multi-criteria decision-making to identify the most effective acupuncture protocol for AS,with Tongdu Rezhen method emerging as the top recommendation.The integration of these methods offers a novel approach for selecting optimal acupuncture protocols and provides a reference for clinical decision-making of acupuncture.关键词
强直性脊柱炎/针刺/多指标决策/优势方案筛选Key words
ankylosing spondylitis/acupuncture/multi-index decision-making/advantage scheme screening分类
医药卫生引用本文复制引用
李金超,王喆,陈芊秀,张佳美,韩晶..基于多指标决策法的针刺治疗强直性脊柱炎的优势方案研究[J].天津中医药,2026,43(4):477-484,8.基金项目
泰山学者工程专项经费资助:泰山学者青年专家(tsqn202312376) （tsqn202312376）
山东省中医药疗效机理重点实验室(PKL2024C23) （PKL2024C23）
济南市中医针灸临床医学研究中心(济科技[2023]1号). （济科技[2023]1号）
