Building the clinical therapeutic evaluation system by combing the evaluation given by doctors and patients can form a more comprehensive and objective evaluation system.A literature search on the practice of evidence-based evaluation was conducted in key biomedical databases,i.e.PubMed,Excerpt Medica Database,China Biology Medicine disc and China National Knowledge Infrastructure.However,no relevant study on the subjects of interest was identified.Therefore,drawing on the principles of narrative medicine and expert opinion from systems of Chinese medicine and Western medicine,we propose to develop and pilot-test a novel evidence-based medical record format that captures the perspectives of both patients and doctors in a clinical trial.Further,we seek to evaluate a strategic therapeutic approach that integrates the wisdom of Chinese medicine with the scientific basis of Western medicine in the treatment of digestive system disorders.Evaluation of therapeutic efficacy of remedies under the system of Chinese medicine is an imperative ongoing research.The present study intends to identify a novel approach to assess the synergistic benefits achievable from an integrated therapeutic approach combining Chinese and Western system of medicine to treat digestive system disorders.
目的:对针灸治疗肝癌疼痛的文献进行质量评价。方法:电子检索PUBMED、WEB OF SCI、EMBASE、COCHRANE LIBRARY、CBM、CNKI、中国维普、中国万方数据库,并手工检索《中国针灸》等中文期刊及其他方法补充检索。对文献研究类型及方法学、一般情况、疾病诊断及纳入和排除标准、疗效判定标准、样本含量估计、随访等方面进行评价。结果:纳入的26篇研究中,随机对照试验6篇,半随机对照试验3篇,正交随机双盲试验1篇,非随机病例对照1篇,病例观察8篇,有明确诊断标准者20篇,提及纳入标准的22篇,提及排除标准的8篇,有明确疼痛评分标准的21篇,有随访记录0篇,记录不良反应的10篇。结论:以往发表的针灸治疗肝癌疼痛的高质量研究文献数量有限,今后应积极开展高质量、大样本的随机对照试验。
