CAJ | 학술논문

目的：评价国内针刺治疗脑卒中后足内翻随机对照试验的质量，了解针刺治疗脑卒中后足内翻研究的现状，以进一步提高研究者临床研究设计水平，从而更好地指导临床实践。方法：全面广泛收集针刺治疗脑卒中后足内翻的随机对照实验文献，采用CONSORT声明和STRICTA标准对2013年11月份以前发表的合格文献进行系统评价。结果：检索到符合纳入标准的临床随机对照实验文献21篇，所有文献均为针刺疗法与针刺疗法的对照，疗效的统计学分析基本正确；大部分文章对病例来源，随机方法，诊断标准，疗效标准，纳入和排除标准，统计学方法等基本内容进行了描述；所有文章均未对样本估算，分配隐藏，盲法的应用，随访情况进行描述。结论：针刺治疗脑卒中后足内翻的随机对照试验文献逐年增加，特别是近几年研究者更多采用了随机对照的方法，但亦存在不足，研究者的临床研究设计水平有待提高。
목적：평개국내침자치료뇌졸중후족내번수궤대조시험적질량，료해침자치료뇌졸중후족내번연구적현상，이진일보제고연구자림상연구설계수평，종이경호지지도림상실천。방법：전면엄범수집침자치료뇌졸중후족내번적수궤대조실험문헌，채용CONSORT성명화STRICTA표준대2013년11월빈이전발표적합격문헌진행계통평개。결과：검색도부합납입표준적림상수궤대조실험문헌21편，소유문헌균위침자요법여침자요법적대조，료효적통계학분석기본정학；대부분문장대병례래원，수궤방법，진단표준，료효표준，납입화배제표준，통계학방법등기본내용진행료묘술；소유문장균미대양본고산，분배은장，맹법적응용，수방정황진행묘술。결론：침자치료뇌졸중후족내번적수궤대조시험문헌축년증가，특별시근궤년연구자경다채용료수궤대조적방법，단역존재불족，연구자적림상연구설계수평유대제고。
Objective:In order to improve the level of clinical study design and guide clinical practice better, the current situation of strephenopodia after stroke was knew and literatures of RCT on treating strephenopodia after stroke by acupuncture were assessed. Methods:Literatures of RCT on treating strephenopodia after stroke by acupuncture before November 2013 were collected and assessed by the CONSORT statement and STRICTA standards published. Results:In eligible 21 literatures, statistical analysisof efficacy were correct;random methods, diagnostic and efficacy standards, inclusion and exclusion standards, the statistical methods are described, but the sample estimates, allocation concealment, blinding of the application, follow-up were not described. Conclusion: Literatures of acupuncture treatment are increasing every year, especially in recent years, more researchers take RCT, but their level of clinical experimental design need to be improved.