摘要
目的:对国内循证针灸临床实践指南进行方法学质量评价和内容分析,以期为今后针灸指南的制定和更新提供参考。方法:利用AGREEⅡ指南评价工具,分别从范围和目的、参与人员、制定的严谨性、表达的明晰性、应用性、编辑的独立性6个领域,对国内已发布的20部循证针灸临床实践指南进行评价。同时对20部指南的内容进行了系统分析,分别从病症选择、操作技术种类、安全性等方面归纳总结纳入针灸指南特征。结果:20部循证针灸临床实践指南6个领域的得分分别为:范围和目的 91.1%、参与人员68.5%、制定的严谨性68.6%、表达的明晰性90.3%、应用性34.5%、编辑的独立性16.7%。20部针灸指南的推荐意见涵盖了诊断、治疗及注意事项等临床常见问题,从内容架构来说符合针灸临床特点。结论:目前国内的循证针灸临床实践指南制定的方法学符合AGREEⅡ关于指南质量评价的要求,整体质量尚可,其中指南的应用性及编辑的独立性两个方面仍有待提高。20部针灸指南推荐方案内容具体明确,符合针灸特点,具有临床参考价值。今后在指南制定过程中,应不断完善针灸指南制定方法,提高指南质量,同时也要重视指南的推广应用和临床适用性的评价。
Objective To carry out the methodological quality evaluation and content analysis of the evidence-based clinical practice guidelines for acupuncture-moxibustion in China, and to provide reference for the development and updating of future guidelines. Methods With Appraisal of Guidelines for Research and EvaluationⅡ(AGREEⅡ), 20 evidence-based clinical practice guidelines for acupuncture and moxibustion in China were evaluated from six aspects: scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability and editorial independence. In addition, the contents of 20 guidelines were systematically analyzed, and the characteristics of guidelines were summarized from the aspects of disease selection, operation technology type and safety. Results The scores of six domains were scope and purpose(91.1%), stakeholder involvement(68.5%), rigour of development(68.6%), clarity of presentation(90.3%), applicability(34.5%) and editorial independence(16.7%). The recommendations of the 20 acupuncture guidelines covered common clinical problems such as diagnosis, treatment and precautions, which were in line with the clinical characteristics of acupuncture and moxibustion in terms of content structure. Conclusion The methodology of the evidence-based clinical practice guidelines for acupuncture and moxibustion in China conformed to the requirements of AGREEⅡ on the quality evaluation, and the overall quality was moderate, but the aspects of applicability and editorial independence were still needed to be improved. The contents of recommendations in 20 guidelines were specific and clear, in line with the characteristics of acupuncture and moxibustion, presenting clinical reference value. In the future, in the process of guideline development, the method of developing acupuncture and moxibustion guidelines should be constantly improved to improve the quality of the guidelines;in the meantime, more attention should be paid to the generalization and clinical applicability evaluation.
作者
郭丽花
马圆
武晓冬
GUO Li-hua;MA Yuan;WU Xiao dong(Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Bejjing 100700,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2019年第11期1223-1228,共6页
Chinese Acupuncture & Moxibustion
基金
中国中医科学院针灸研究所基本科研业务费自主选题项目：ZZ16004
第四批全国中医（临床、基础）优秀人才研修项目
关键词
循证针灸临床实践指南
质量评价
AGREEⅡ
evidence-based clinical practice guidelines for acupuncture and moxibustion
quality evaluation
Appraisal of Guidelines for Research and EvaluationⅡ(AGREEⅡ)
