针灸治疗溃疡性结肠炎随机对照临床研究文献质量评价

目的评价针灸治疗溃疡性结肠炎的临床试验文献质量。方法：检索1981年至2004．年国内主要数据库。对符合纳入标准的文献，根据国际Cochrane协作网Cochrane手册的评价指标，对其①研究对象(样本量、纳入与排除标准、基线情况)；②随机化、盲法的应用；③诊断标准与疗效标准；④干预措施；⑤统计方法；⑥随访情况等进行质量评价。结果：获得21篇纳入文献。结论：RCT临床试验设计在方法学上存在诸多不足。亟需改进。现有证据尚不能提供符合循证医学思想的有效性证明。

Literature Quality Evaluation of Clinical Research on Random Comparison of Acupuncture Treating Ulcerative Colitis

Objective: to evaluate the literature quality of clinical experiment of acupuncture treating UC. Methods: main databases at home from 1981 to 2004 were searched. According to the evaluating indicator in Cochrane handbook of the international Cochrane network, the following were evaluated: subject investigated (sample amount, standards of including and excluding, baseline condition); application of randomization and blind method; diagnostic and effective criteria; intervention measures; statistical method; follow-up survey; etc. Conclusion: the design of RCT clinical experiment has a good many flaws in methodology, which needs improving urgently. Evidence available now is unable to provide evidence of validity up to the evidence-based medicine.