世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2013年
12期
1490-1492,1495
,共4页
慢性胃炎%文献质量评价%中医药
慢性胃炎%文獻質量評價%中醫藥
만성위염%문헌질량평개%중의약
Chronic gastritis%Quality assessment of study%Traditional Chinese Medicine
目的：评价我国关于中医药治疗慢性胃炎的临床随机对照试验文献的质量。方法：检索中国知网（ CNKI）、中文科技期刊数据库（ VIP），纳入凡文中有“随机”字样或“随机分组”“随机对照”的慢性胃炎为目标疾病的研究，并对其质量进行评价，检索年限从1999年至2008年。结果：共检索出1088篇文献，其中排除非随机对照文献12篇，将1076篇文献纳入分析。1）仅有119篇文献说明了分配序列产生的方法，而其中分配序列产生方法恰当的有64篇；2）文献中说明分配的隐藏方法的仅3篇文献，在这3篇文献中分配被充分隐藏的仅2篇；3）对干预措施实施盲法的文章有4篇，而对分配的干预措施盲法足够的有2篇；4）5篇文献报告了未完成的病例数，仅1篇文献进行了意向治疗分析；5）选择性结果的文献为351篇，725篇文献无选择性结果报告；6）没有使研究处于风险的其他问题的文献共22篇。结论：目前，我国慢性胃炎的中医药临床研究中，高质量的RCT文献量较少，中医药临床研究的整体水平有待提高。 RCT还没有真正的应用于中医临床研究。
目的：評價我國關于中醫藥治療慢性胃炎的臨床隨機對照試驗文獻的質量。方法：檢索中國知網（ CNKI）、中文科技期刊數據庫（ VIP），納入凡文中有“隨機”字樣或“隨機分組”“隨機對照”的慢性胃炎為目標疾病的研究，併對其質量進行評價，檢索年限從1999年至2008年。結果：共檢索齣1088篇文獻，其中排除非隨機對照文獻12篇，將1076篇文獻納入分析。1）僅有119篇文獻說明瞭分配序列產生的方法，而其中分配序列產生方法恰噹的有64篇；2）文獻中說明分配的隱藏方法的僅3篇文獻，在這3篇文獻中分配被充分隱藏的僅2篇；3）對榦預措施實施盲法的文章有4篇，而對分配的榦預措施盲法足夠的有2篇；4）5篇文獻報告瞭未完成的病例數，僅1篇文獻進行瞭意嚮治療分析；5）選擇性結果的文獻為351篇，725篇文獻無選擇性結果報告；6）沒有使研究處于風險的其他問題的文獻共22篇。結論：目前，我國慢性胃炎的中醫藥臨床研究中，高質量的RCT文獻量較少，中醫藥臨床研究的整體水平有待提高。 RCT還沒有真正的應用于中醫臨床研究。
목적：평개아국관우중의약치료만성위염적림상수궤대조시험문헌적질량。방법：검색중국지망（ CNKI）、중문과기기간수거고（ VIP），납입범문중유“수궤”자양혹“수궤분조”“수궤대조”적만성위염위목표질병적연구，병대기질량진행평개，검색년한종1999년지2008년。결과：공검색출1088편문헌，기중배제비수궤대조문헌12편，장1076편문헌납입분석。1）부유119편문헌설명료분배서렬산생적방법，이기중분배서렬산생방법흡당적유64편；2）문헌중설명분배적은장방법적부3편문헌，재저3편문헌중분배피충분은장적부2편；3）대간예조시실시맹법적문장유4편，이대분배적간예조시맹법족구적유2편；4）5편문헌보고료미완성적병례수，부1편문헌진행료의향치료분석；5）선택성결과적문헌위351편，725편문헌무선택성결과보고；6）몰유사연구처우풍험적기타문제적문헌공22편。결론：목전，아국만성위염적중의약림상연구중，고질량적RCT문헌량교소，중의약림상연구적정체수평유대제고。 RCT환몰유진정적응용우중의림상연구。
Objective:To assess the quality of published randomized controlled trials on traditional Chinese medicine ( TCM) treating chronic gastritis .Methods:Studies on treating chronic gastritis with the terms of “random” or“randomized”,“randomized controlled”published form 1999 to 2008 were retrieved on CNKI and VIP .Results: Among the retrieved 1088 studies, 12 non-randomized ones were excluded , and the remaining 1076 papers were accorded with the inclusion criteria .1) There were only 119 articles describing the allocation method, and the appropriate allocation method was described in 64 of them.2) Only 3 articles described allocation conceal-ment, and two of them adopted sufficient allocation concealment .3) Four studies mentioned the blind method of intervention , and two of them studies noted double-blind.4) Five studies reported the number of unfinished cases , and only one study finished intention-to-treat. 5) There were altogether 351 literatures reporting selective results , and 725 ones were non-selective results report .6) There were only 22 articles without the problems which would lead studies to be at risk .Conclusion:Till now, it was lack of high-quality RCT literatures in the clinical research of chronic gastritis treated with TCM , therefore, the overall level of Chinese medicine clinical researches needs to be improved.RCT has not been truly used in Chinese medicine clinical research .
