国内针灸临床实践指南制定中存在问题的思考

对国内已发布的35部《循证针灸临床实践指南》(团体标准)中存在的问题进行梳理,发现存在制定方法和制定过程欠清晰、证据评价体系还不能充分体现针灸特色的问题。因此,《针灸临床实践指南制定及其评估规范》应要求针灸临床实践指南在充分考虑针灸学科特色、综合评价现代文献证据、整合古籍文献与医家经验基础上,形成临床指导作用较好的推荐意见;同时应在指南制定过程提出针对性要求以促使制定过程更加清晰,研究方法更加严谨。

Consideration on existing problems in development of clinical practice guidelines for acupuncture and moxibustion in China

To sort out the existing problems within the published 35 evidence-based acupuncture-moxibustion clinical practice guidelines(group standards)in Chinese:the development methods and the development process are not clear and strict enough;the evidence evaluation system fails to fully reflect the characteristics of acupuncture and moxibustion.Therefore,Norms for Formulation and Evaluation of the Guidelines on Clinical Practice of Acupuncture-Moxibustion,should require the guideline developers to consider the characteristics of acupuncture discipline,evaluate modern literature evidence comprehensively,and integrate ancient literature and medical experts’experience,to form proper recommendations for clinical practice.Specific requirements should be made simultaneously in the development process to make it clearer and stricter.