[Transformation of the domestic standard (Guideline for Clinical Practice of Acupuncture-Moxibustion: Migraine) to international standard: in the perspective of the differences in clinical questions]

Zhongguo Zhen Jiu. 2020 Nov 12;40(11):1245-9. doi: 10.13703/j.0255-2930.20200309-k0003.
[Article in Chinese]

Abstract

Through analyzing the differences in the clinical questions of Guideline for Clinical Practice of Acupuncture- Moxibustion: Migraine (Guideline) between the domestic standard and international standard (under development), the specific issues are determined in the transformation from domestic standard to international one. Taking acupuncture practitioners as investigation object, by means of the survey, the basic information and clinical questions were investigated. The survey results show that the following aspects should be supplemented in terms of the international requirements during the development of this international Guideline: suitable patient population, applicable types of disease, the optimal intervention time of acupuncture for migraine, common methods in treatment as well as the other involved health problems. Moreover, it needs to update the key clinical questions, recommended regimens for the newly supplemented types of disease, as well as the more specified assessment on therapeutic effect. The ultimate solution of these questions relies on the quality of clinical evidence.

通过分析《偏头痛针灸临床实践指南》(《指南》)国内、国际(研制中)标准临床问题的差异,明确国内标准向国际标准转化的具体问题。以针灸从业者为主要对象,采用问卷调查方式,从基本信息和临床问题两方面进行调研,调研结果显示,《指南》国际标准需要对下列内容进行补充:适用的患者群体、适用的疾病类型、针灸治疗偏头痛的最佳介入时机、治疗偏头痛的常用针灸方法以及《指南》涉及的其他健康问题。对于关键问题、针对新增的适用疾病类型的治疗方案、疗效评价细化程度也需要进行更新,但这些问题的解决最终取决于临床证据的情况。.

Keywords: acupuncture and moxibustion; clinical issue; guideline for clinical practice; international standard; migraine.

MeSH terms

  • Acupuncture Therapy*
  • Acupuncture*
  • Humans
  • Migraine Disorders* / therapy
  • Moxibustion*
  • Reference Standards