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來源資料
頁籤選單縮合
題名 | 中醫藥療效評估之文獻研究=A Literary Review of Curative Effects of Traditional Chinese Medicine |
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作者姓名(中文) | 林昭庚; 張世良; | 書刊名 | 中醫藥年報 |
卷期 | 24:1 民95.10 |
頁次 | 頁317-356 |
專輯 | 中醫藥療效評估之研究 |
分類號 | 414.5 |
關鍵詞 | 中醫藥; 針灸; 實證醫學; 文獻評讀; Traditonal Chinese medicine; Acupuncture; Curative evaluation; Evidence basied medicine; |
語文 | 中文(Chinese) |
中文摘要 | 中國醫學傳承至今已經有幾千年的歷史。最近十幾年來,世界各國對於傳統醫學日趨重視。世界衛生組織於2002年5月發表「2002-2005世界衛生組傳統醫學策略」「WHO TRADITIONAL MEDICINE STRATEGY 2002-2005」,WHO建請各國將傳統醫學納入現有醫療政策體系中,並將透過提供技術指南來確保傳統醫學療法被適當、安全且有效地使用。然而現今中醫政策或醫療體系之推行,實證數據之有效與否便成為第一道門檻。由於世界各國對於傳統醫藥日趨重視,中醫藥療效評估之文獻也越來越多,過去各類中醫藥療效評估的報告分別發表在國際上的各類期刊中,但未能有效的整合。 本研究的目的:將這些國際文獻作一有系統的回顧研究與資料整理,除了可與世界衛生組織所發表之傳統醫學策略相呼應,讓中醫藥重要療效評估與相關文獻中文化,加強中醫藥相關研究人員的國際觀,並有利於中醫政策之推展。研究的方法將以美國國家醫學圖書館(National Library of Medicine, NLM)提供每週更新的PubMed(Medline+PreMedline)資料庫所列的期刊為主,依照不同的生理系統之疾病分類來評讀整理針灸的療效評估。 本研究已於第一年初步依計畫完成了針灸之研究文獻匯整及分類總結,第二年並根據告專家建議,應對文獻之研究方法與質量進行深入研究,規劃文獻研析表,對於已蒐集完成的針灸文獻進行評讀,建立適合中醫藥文獻之評讀模式(Appraising Model)。此一成果發現針灸療效積分較高者集中在骨骼肌肉系統疾病,如OA、Low Back Pain等,亦有部份非骨骼肌肉系統疾病有較佳的研究表現,如Asthma、Vomiting等,而對於針刺的安全性與經濟效益亦有較高積分,且獲較佳影響係數雜誌的支持,在所有主題排名前十名。 完成此一研究建立適合中醫藥文獻之評讀模式,除針灸之領域外,尚可運用此一模式,進行內科疾病的文獻療效評讀的工作,從藥物的療效角度而言,亦可進行療效證據之比較,作為選擇進行一步研究開發之參考。 |
英文摘要 | Objective: Traditional Chinese Medicine (TCM) has several thousand years' history of practice. For the past decade, the value of TCM has been inceasing recognized in the world. According to a new World Health Organization (WHO) stategy 「WHO TRADITIONAL MEDICINE STRATEGY 2002-2005」 lanched on 16 May in 2002, it promoted that countries must integrate TCM into their national existing health care systems. WHO also asked government to evaluate the curative effects of TCM and by developing policies to regulate “alternative” medical practices to make it safer to their people. Efficacy of TCM is the crucial basis and promise of its development. Many clinical trials have been conducted all over the world to evaluate the effectiveness of TCM; However, much of the information is incomprehensible to Traditional Chinese doctors. Acupuncture/moxibution will be discussed according to diseases in different physical systems. Material and Method: A systematic literature review of Evidence-Based curative effects of TCM will be undertaken from the database of PubMed (Medline+PreMedline). This literature review not only responds to WHO TRADITIONAL MEDICINE STRATEGY, but also makes the importance international liteartures comprehensible to Chinese doctor and promotes execution of Traditional Medical policy. Result and Discussion: This project had established an new appraising model. The primary result was conducted that the more curative effect of acupuncture was on the diseases of skeletal muscle system e.g. OA, Low back pain, and the more performance of the diseases in non-skeletal muscle system was also conducted like asthma and vomit was ranked in top ten of this study. The safety and cost effect of acupuncture was supported by international publications with higher performance in this appraising model. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。