【定量与定性统计分析方法在针灸临床试验中的充分应用】。

Ming T Tan, Jian-ping Liu, Lixing Lao
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引用次数: 0

摘要

近年来,统计方法在中医药随机对照试验(rct)中的应用越来越受到重视。基于假设检验的统计推断是临床试验和循证医学的基础。在这篇文章中,作者描述了中西方期刊上发表的文献在针灸随机对照试验的设计和分析以及基本统计原理的应用方面的方法差异。在中国,定性分析方法已广泛应用于针灸和中医临床试验中,而西方多采用临床症状评分的组间定量分析方法。根据评估针灸缓解疼痛的随机对照试验的数据,讨论了支持和反对这些分析差异的证据。作者认为,虽然两种方法都有其独特的优势,但应以定量分析为主,定性分析为辅。本文的目的是激发对临床研究设计中这些特殊问题的进一步讨论,从而有助于提高中医研究的科学严谨性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Adequate application of quantitative and qualitative statistic analytic methods in acupuncture clinical trials].

Recently, proper use of the statistical methods in traditional Chinese medicine (TCM) randomized controlled trials (RCTs) has received increased attention. Statistical inference based on hypothesis testing is the foundation of clinical trials and evidence-based medicine. In this article, the authors described the methodological differences between literature published in Chinese and Western journals in the design and analysis of acupuncture RCTs and the application of basic statistical principles. In China, qualitative analysis method has been widely used in acupuncture and TCM clinical trials, while the between-group quantitative analysis methods on clinical symptom scores are commonly used in the West. The evidence for and against these analytical differences were discussed based on the data of RCTs assessing acupuncture for pain relief. The authors concluded that although both methods have their unique advantages, quantitative analysis should be used as the primary analysis while qualitative analysis can be a secondary criterion for analysis. The purpose of this paper is to inspire further discussion of such special issues in clinical research design and thus contribute to the increased scientific rigor of TCM research.

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