以临床证据和病谱分级为导向的循证针灸治疗方案构建方法学研究

针灸学与循证医学融合已成为必然的趋势，应用循证医学的方法来分析总结当前针灸临床研究中的证据信息，推广循证针灸治疗理念才能为针灸临床的科学发展注入新的活力。本项目是基于针灸病谱分级理论，针对目前针灸临床评价与实践模式的自身特点，吸收国际通行的GRADE证据评价体系，逐步构建循证针灸治疗方案的方法学，并选取若干代表性病症为撰写对象，以示成效。每个病症的循证针灸治疗方案包括9个方面，即临床流行病学资料、临床评估和诊断分类（级）标准、针灸治疗的效能等级和治疗目标、针灸治疗推荐方案、影响针灸疗效因素、针灸治疗的环节和机制、预后、代表性的临床试验等。本项目可为科学合理评价、系统总结现代针灸临床证据提供方法学支持，也为针灸学界理性看待现有证据资源提供一个新的视角。

Acupuncture and evidence-based medicine merged together and has become an inevitable trend.It is very important to analyze and summarize the current acupuncture clinical research evidence by the method of evidence-based medicine. Promoting evidence-based acupuncture treatment concept brings new vitality to the scientific development of the acupuncture clinical.The project is based on acupuncture disease spectrum grade theory, aiming at the acupuncture characteristics and mode of clinical practice and evaluation, absorbs the international evidence GRADE evaluation system, and gradually builds a evidence-based acupuncture treatment methodology, and then it completes charpters based on some typical symptoms. Each of the disease evidence-based acupuncture treatment plan includes nine aspects, that is, clinical epidemiological data, clinical diagnosis and evaluation rank standard, acupuncture treatment level and efficiency goals, acupuncture treatment recommendations, influence factors, acupuncture therapeutic effect of acupuncture treatment process and the system, prognosis, representative of the clinical trial, etc. This project can provide methodological support for scientific and reasonable evaluationi n the modern acupuncture clinical evidence, and provide a new perspective for acupuncture rational view existing academic evidence resources .