| 摘要: | 由西方醫學觀點，實證醫學是以流行病學和統計學的方法，從龐大的醫學資料庫中嚴格評讀，綜合分析找出值得信賴的部份，並將所能獲得的最佳文獻證據，應用於臨床工作中，使病人獲得最佳的照顧，推動實證醫學確實能進一步提昇臨床研究及醫療品質。我們先前已經出版「中醫藥療效評估之文獻研究－針灸實證醫學」一書，此係以實證醫學文獻分析之方法，探討傳統醫學之療效。本計畫旨在更進一步對穴位按壓、整脊治療、太極拳及氣功進一步進行實證醫學文獻分析，並蒐集各國之相關管理法規，以提供政策管理規劃之參考。 執行結果如下： 1.分別以「Acupressure」、「Spinal manipulation therapy」、「Tai-Chi-Chuan」、「Qi-Gong」為關鍵字，限制條件為「human」與「clinical trial」，搜尋2000-2010年期刊，將非SCI文獻、非療效評估及非主題相關研究文獻剔除後，篩選出評讀文獻分別為77篇、63篇、81篇、32篇，共253篇文獻，均完成評讀及比較。 2.蒐集美國、加拿大、英國、澳洲、中國大陸及日本之相關管理法規，並列表比較各國管理情形，以提供政策管理規劃之參考。 3.召開專家會：於100年11月3日召開專家研討會，由專家學者對本計畫之成果提出建議。
In Western medicine, evidence-based medicine (EBM) is popular. EBM adopts methods of epidemiology and statistics, in order to analyze data from an enormous medical database, to define which parts are trustworthy. Practitioners are thereby able to optimize patient care, by referring to the best research. In medical education, EBM is regarded as a lifelong skill and one that aims to encourage medical practitioners to think independently. Promotion of EBM will certainly improve the quality of clinical research and medical care. We have previously published a book entitled “A Literary Review of Curative Effects of Traditional Chinese Medicine”. This work utilize the EBM literary review method for exploring the efficacy of traditional Chinese medicine. In the present study, we aimed to (1) conduct an EBM literary review on acupressure, spinal manipulation therapy, Tai-Chi-Chuan and Qi-Gong and (2) compare the regulations regarding the manipulation therapy between other authorities. In the results: 1. A literature search was conducted using PubMed database. The keywords are “Acupressure”, “Spinal manipulation therapy”, “Tai-Chi-Chuan” and “Qi-Gong”, respectively. The search conditions were limited to “human” and “clinical trial”. English language articles published between 2000 and 2010 were initially reviewed. The non-SCI articles, irrelevant articles or articles which are not for efficacy evaluation were excluded. Eventually, 77, 63, 81 and 32 papers for “Acupressure”, “Spinal manipulation therapy”, “Tai-Chi-Chuan” and “Qi-Gong”, respectively, were included for systemic analysis. 2. We searched and compared the regulations regarding the manipulation therapy between the authorities, including U.S., U.K., Australia, Canada, mainland China and Japan. 3. We hosted an expert meeting on Nov. 3, 2011 to discuss the above mentioned results. Some suggestions were made. |
