Theoretical Exploration of Intervention Component Analysis(ICA)Identifying the Critical Features of Traditional Chinese Medicine Complex Interventions——Application of ICA on Tuina Treatment for Knee Osteoarthritis as an Example
10.11842/wst.20220826001
- VernacularTitle:干预成分分析法(ICA)用于识别系统评价中中医复杂干预关键特征的理论探究——以推拿治疗膝骨关节炎为示例的ICA应用
- Author:
Yanan SUN
1
;
Changhe YU
Author Information
1. 首都医科大学宣武医院 北京 100053
- Keywords:
Traditional Chinese medicine;
Qualitative research;
Effect evaluation;
Intervention component analysis
- From:
World Science and Technology-Modernization of Traditional Chinese Medicine
2023;25(8):2851-2857
- CountryChina
- Language:Chinese
-
Abstract:
Complex intervention of traditional Chinese medicine has the characteristics of individuality,dynamic and time space view.That how to implement process standardization,how to explain the mechanism of action of different interventions in complex treatment and how to establish the theoretical basis of the complex intervention become the key point of TCM complex intervention study.Intervention Component Analysis(ICA)is a qualitative Analysis technique to identify key characteristics of different interventions affecting outcome changes.It is suitable for situations where existing theories cannot explain the impact of Intervention schemes on outcome,or intervention information description is incomplete in methodological evaluation.ICA could not solve complex intervention in clinical trials of traditional Chinese medicine report fully and analyzes in-depth problems such as insufficient understanding,background factors,to assist the key feature of complex intervention affect curative effect of traditional Chinese medicine and its theoretical basis.In this paper,the application of ICA in the treatment of knee osteoarthritis by Tuina was explored,the evidence of the effectiveness of Tuina in the treatment of KOA was comprehensively compared,the characteristics of Tuina in the treatment of KOA were identified,and the mechanism of Tuina in the treatment of KOA was elucidated,and the key elements of Tuina in the treatment of KOA were clarified.Among them,the targeted areas,the purpose of treatment and the application of corresponding manipulations were the key factors affecting the efficacy.The strength of manipulations during treatment,the changes of the patient's condition and the risk factors after treatment were the key factors to maintain the efficacy and ensure the safety.However,the application of acupuncture points and complex traditional Chinese medicine prescriptions in ICA has not been carried out.Therefore,researchers need to further improve the ICA to suit the best conditions for the research and analysis of TCM interventions.Criticism and corrections from academic colleagues are welcome.
