针灸临床实践指南:慢性便秘

标题: 针灸临床实践指南:慢性便秘
title: Guideline for Clinical Practice with Acupuncture and Moxibustion Chronic constipation
版本: 原创版
version: Original
分类: 中医药指南
classification: Traditional Chinese Medicine guideline
领域: 治疗
field: Treatment
国家和地区: 中国
Country and region: China
指南使用者:
Guide users:
证据分级方法:
Evidence grading method: Evidence and recommendation grades were determined using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system (Table 1). Ultimately the propriety of any specific procedure must be determined by the practitioner, taking into account all of the circumstances presented by each individual patient. TABLE 1. The GRADE system: grading recommendations No. Description Benefit vs. risks and burdens Methodologic quality of supporting evidence Implications 1A Strong recommendation, high-quality evidence Benefits clearly outweigh risks and burdens or vice versa RCTs without important limitations or overwhelming evidence from observational studies Strong recommendation, can apply to most patients in most circumstances without reservation 1B Strong recommendation, moderate-quality evidence Benefits clearly outweigh risks and burdens or vice versa RCTs with important limitations (inconsistent results, methodologic flaws, indirect, or imprecise) or exceptionally strong evidence from observational studies Strong recommendation, can apply to most patients in most circumstances without reservation 1C Strong recommendation, low- or very-low-quality evidence Benefits clearly outweigh risks and burdens or vice versa Observational studies or case series Strong recommendation but may change when higher quality evidence becomes available 2A Weak recommendation, high-quality evidence Benefits closely balanced with risks and burdens RCTs without important limitations or overwhelming evidence from observational studies Weak recommendation, best action may differ depending on circumstances or patient or societal values 2B Weak recommendations, moderate-quality evidence Benefits closely balanced with risks and burdens RCTs with important limitations (inconsistent results, methodologic flaws, indirect, or imprecise) or exceptionally strong evidence from observational studies Weak recommendation, best action may differ depending on circumstances or patient or societal values 2C Weak recommendation, low- or very-low-quality evidence Uncertainty in the estimates of benefits, risks and burdens Observational studies or case series Very weak recommendations; other alternatives may be equally reasonable; benefits and risks may be closely balanced Adapted with permission from Chest. 2006;129:174–181. GRADE = Grades of Recommendation, Assessment, Development, and Evaluation; RCT = randomized controlled trial.
制定单位: 中国中医科学院广安门医院
Formulating unit: Guang'anmen Hosptal, China Academy of Chinese Medical Sciences
注册时间: 2021-04-04
Registration time:
注册编号: IPGRP-2021CN078
Registration number:
指南制订的目的: 本研究旨在帮助针灸从业者根据临床情况,参考最佳临床证据,结合患者的价值观和意愿,作出适当的针灸治疗便秘的临床决策。
Purpose of the guideline: “Guideline for Clinical Practice with Acupuncture and Moxibustion: Chronic Constipation” aims to help clinicians and patients make appropriate decisions regarding acupuncture treatment for constipation based on the clinical situation and best clinical evidence, combined with each patient’s values and level of willingness.