| 邵卓益.青少年特发性脊柱侧弯非手术治疗临床研究的评价指标综述[J].浙江中西医结合杂志,2025,35(5): |
| 青少年特发性脊柱侧弯非手术治疗临床研究的评价指标综述 |
| Review of evaluation indicators for non-surgical treatment of adolescent idiopathic scoliosis in clinical studies |
| 投稿时间：2024-07-01 修订日期：2024-09-19 |
| DOI： |
| 中文关键词: 特发性脊柱侧弯 青少年 临床研究 评价指标 |
| 英文关键词:Idiopathic scoliosis adolescent clinical research evaluating indicator |
| 基金项目:宁波市卫生健康科技计划项目(No：2023Y72) |
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| 摘要点击次数: 214 |
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| 中文摘要: |
| 目的 综述近5年国内外青少年特发性脊柱侧弯（AIS）非手术治疗临床研究的评价指标情况，为形成核心指标集提供参考。
方法 从中国期刊全文数据库（CNKI）、Web of science数据库中，检索2019年1月1日至2024年5月1日青少年特发性脊柱侧弯非手术治疗的随机对照研究（RCT），对这类研究的评价指标进行综述。
结果 本研究共纳入中文文献95篇，报告了78个指标，合计使用了333次；英文文献29篇，报告了27个指标，合计使用了83次。经过统计分析，发现存在以下问题：评价指标繁杂，同一指标表述多样，不同指标用同一名称表述，主次要指标区分不清，缺少安全性、依从性、经济学评价指标，指标定义不明等。
结论 国内外各个学者在开展AIS临床研究时需要加强沟通交流，统一评价指标域，从各个指标的信度、效度等多方面进行科学评估，规范指标命名，形成系统的核心指标集。对于各临床研究缺失依从性、安全性、经济学指标的问题，需要向国际上高水平的临床研究借鉴经验，规范临床研究的设计，从源头上补足这一缺陷。 |
| 英文摘要: |
| Objective To review the evaluation indicators of non-surgical treatment for adolescent idiopathic scoliosis (AIS) in recent 5 years both domestically and internationally, and provide reference for the formation of a core indicator set.
Method Randomized controlled trials (RCTs) of non-surgical treatment for adolescent idiopathic scoliosis from January 1, 2019 to May 1, 2024 were retrieved from the Chinese Journal Full Text Database (CNKI) and Web of Science databases, and the evaluation indicators of these studies were reviewed.
Result A total of 95 Chinese literature were included in this study, and 78 indicators were reported, with a total of 333 uses; 29 English literature reports 27 indicators, with a total of 83 uses. After statistical analysis, it was found that there are the following problems: complex evaluation indicators, diverse expressions of the same indicator, different indicators using the same name, unclear distinction between primary and secondary indicators, lack of safety, compliance, economic evaluation indicators, unclear definition of indicators, etc.
Conclusion Scholars both domestically and internationally need to strengthen communication and exchange when conducting clinical research on AIS, unify the evaluation criteria domain, scientifically evaluate the reliability and validity of each indicator, standardize indicator naming, and form a systematic core indicator set. For the lack of compliance, safety, and economic indicators in various clinical studies, it is necessary to draw on the experience of high-level international clinical studies, standardize the design of clinical studies, and make up for this deficiency from the source. |
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