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本帖最后由 BeWater 于 2016-7-19 19:51 编辑
我对针灸一窍不通，针灸到底有没有用 我也不知道，以下言论仅从文献和学术严谨性出发
文献我看了，有趣的是这篇2014年的文章争议很大，到今天为止被引用31次。引用它的31文章我也基本都扫了一遍，有些是文献有些是同行评议，当然一般这种问题出声的都是反对者，所以大部分引用此文的文章都反对作者的结论以及质疑实验严谨性，于是我又跑回去看文章的实验结果和结论 。
部分引用：
Results:
Compared with control, needle and laser acupuncture resulted in modest improvements in pain (−1.1; 95% CI, −1.8 to −0.4, and −0.8; 95% CI, −1.5 to −0.1, respectively) at 12 weeks, but not at 1 year. Needle acupuncture resulted in modest improvement in function compared with control at 12 weeks (−3.9; 95% CI, −7.7 to −0.2) but was not significantly different from sham (−1.7; 95% CI, −6.1 to 2.6) and was not maintained at 1 year.
Conclusions and Relevance:
In patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients.
12周时有效果，1年就没效果了，结论为没效果，这有点牵强。
当然引用文中很多作者看名字都是中国人，估计是针灸的支持者，不过也有部分文章在表示出对于结论严谨性的质疑时也质疑了针灸的效果，最中肯的应该是这一篇：
Physical therapies in the management of osteoarthritis: current state of the evidence
Bennell, Kim L.a; Buchbinder, Rachelleb,c; Hinman, Rana S.a
部分引用：
There is inconsistency in recommendations regarding the role of acupuncture for osteoarthritis. However, the newest recommendations published since 2012 show an increasing lack of support for acupuncture in managing people with osteoarthritis (Table 2) [38–42]. Variation in recommendations across guidelines is related to differences in judgement regarding the most appropriate comparator for determining acupuncture efficacy (no acupuncture/usual care or sham acupuncture), as well as lack of consensus about what constitutes the minimum clinically important difference in patients with osteoarthritis to determine acupuncture's clinical effectiveness. Interpreting the acupuncture evidence base remains challenging and it is likely that an individual patient with osteoarthritis who holds positive beliefs about acupuncture will derive some benefit from the addition of acupuncture to their usual care, although most of the benefit may be attributable to nonspecific contextual effects of acupuncture. On the contrary, policy makers and funders of healthcare services may be increasingly unlikely to want to invest in treatment options that have small and questionable clinical effects relative to sham treatments.
2012年后质疑针灸的文献越来越多，针灸有效性正在遭受业界质疑。
作为一个局外人扫完这几十篇文献后的感觉：业界对针灸业界并未达成共识，近年来质疑者占上风，针灸这个问题可以吵，非常有话题吵(paopaobing(88)) ，但是没头没尾贴一篇文献除了说明您的论点有人支持以外，说明不了实质性问题
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发表于 2016-7-19 15:56
