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| Study on similarities and differences of effectiveness criteria of acupuncture in the treatment of lumbar intervertebral disc herniation |
| YAO Yuan1 ZHANG Hanwen2 HE Weipeng1 FANG Yunyun1 |
1.School of Management, Beijing University of Chinese Medicine, Beijing 100029, China;
2.the Second Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100078, China |
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Abstract Objective To study similarities and differences of effect evaluation of acupuncture in the treatment of lumbar disc herniation in the domestic literature, and to lay the foundation for improving the core outcome index set of acupuncture on lumbar disc herniation. Methods Through literature research and CNKI database, the key words of “acupuncture” + “lumbar disc herniation” literature were selected from January 2017 to March 2019, and 74 journal papers were finally included. Bibliometric analysis was based on the criteria and contents (dimensions, items), the main outcome and its measuring tools, scoring methods, the secondary outcome and its measuring tools, scoring methods, etc. Results The application frequency of the standard/scale was mainly based on the diagnostic effect standard of traditional Chinese medicine disease syndromes. The evaluation dimensions of standard/scale focused on pain, activity, daily life and physical function evaluation. The main outcome of acupuncture in the treatment of lumbar disc herniation was efficiency, while the secondary outcome was pain and lumbar function. The scoring method of effect measurement was not uniform. Conclusion The effect of acupuncture on lumbar disc herniation should pay attention to the dimensions of pain, limb mobility, motor ability and daily life. It is necessary to standardize the evaluation indexes of the effect of acupuncture on lumbar disc herniation, pay attention to the quality of life of patients, make clear the measurement tools and algorithms, and improve the comparability between different research results.
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