分析比较国内外针灸治疗高血压病临床研究设计及实施过程中的差异,为探索高质量的针灸降压临床研究设计方案提供借鉴。通过查阅文献可知,目前已有高质量的针灸降压临床研究结果发表,而国内文献在样本量计算依据、随机方法、盲法实施、对照组选择及其实施过程报告方面还存在不足,应该结合针刺自身优势和高血压痛临床特点,建立符合针灸自身特点又能被现代医学认可的高质量研究方案,并在研究报告中规范化报告血压测量方法、样本量计算、对照措施选择、随机方法和盲法实施等过程。
Differences in design and implementation of clinical research on hypertension treatment with acupuncture and moxibustion were analyzed in this article so as to provide experiences to the design of clinical research on its treatment. Through document retrieval, it can be acquired that results of high quality clinical researches on treatment of hypertension with acupuncture and moxibustion have already been published. However, limitations in terms of sample size calculation, stochastic method, implementation of the blind method, selection of the control group and report on implementation process still existed in domestic documents. Therefore, high quality design proposals which not only in compliance with the features of acupuncture-moxibustion, but also accepted by modern medicine should be established with the combination of the advantages of acupuncture-moxibustion and clinical features of the disease. Moreover, standardizations on measuring the blood pressure, sample size calculation, selection of the control measurements, stochastic method and implementation of the blind methods should be established as well.