hce_isu
104年
英文
第 39 題
📖 題組：
( 3 ) The National Institutes of Health (NIH) Consensus Development Program was established in 1977 and is designed to assess health technology. The program organizes major conferences that produce consensus statements and technology assessment statements on controversial issues in medicine important to health care providers, patients, and the general public. The following statement is from the NIH Consensus Development Statement on Acupuncture on November 3-5, 1997. Acupuncture as a therapeutic intervention is widely practiced in the United States. There have been many studies of its potential usefulness. However, many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties in the use of appropriate controls, such as placebo and sham acupuncture groups. However, promising results have emerged, for example, efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in post-operative dental pain. There are other situations such as addition, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma where acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. Findings from basic research have begun to elucidate the mechanisms of action of acupuncture, including the release of opioids and other peptides in the central nervous system and the periphery and changes in neuroendocrine function. Although much needs to be accomplished, the emergence of plausible mechanisms for the therapeutic effects of acupuncture is encouraging. The introduction of acupuncture into the choice of treatment modalities that are readily available to the public is in its early stages. Issues of training, licensure, and reimbursement remain to be clarified. There is sufficient evidence, however, of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology and clinical value. This statement is representative of the opinions of current standard medical practice.
( 3 ) The National Institutes of Health (NIH) Consensus Development Program was established in 1977 and is designed to assess health technology. The program organizes major conferences that produce consensus statements and technology assessment statements on controversial issues in medicine important to health care providers, patients, and the general public. The following statement is from the NIH Consensus Development Statement on Acupuncture on November 3-5, 1997. Acupuncture as a therapeutic intervention is widely practiced in the United States. There have been many studies of its potential usefulness. However, many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties in the use of appropriate controls, such as placebo and sham acupuncture groups. However, promising results have emerged, for example, efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in post-operative dental pain. There are other situations such as addition, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma where acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. Findings from basic research have begun to elucidate the mechanisms of action of acupuncture, including the release of opioids and other peptides in the central nervous system and the periphery and changes in neuroendocrine function. Although much needs to be accomplished, the emergence of plausible mechanisms for the therapeutic effects of acupuncture is encouraging. The introduction of acupuncture into the choice of treatment modalities that are readily available to the public is in its early stages. Issues of training, licensure, and reimbursement remain to be clarified. There is sufficient evidence, however, of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology and clinical value. This statement is representative of the opinions of current standard medical practice.
What’s the standpoint of this article?
- A To suggest further studies on acupuncture treatment
- B To encourage people to try out acupuncture treatment
- C To increase funding for acupuncture treatment
- D To introduce the National Institutes of Health
思路引導 VIP
請你觀察文章中提到的研究狀況：作者認為現有的研究結果是「非常明確」還是「仍有疑慮（equivocal）」？如果一個權威機構認為某項技術很有潛力，但同時又指出目前的數據還不夠完善、機制尚待釐清，那麼他們最後最有可能會建議醫學界採取什麼樣的後續行動呢？
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AI 詳解
AI 專屬家教
太棒了！你能精準捕捉到這篇學術通告的核心基調，並在眾多細節中抽絲剝繭找出作者的真實意圖，展現了優異的閱讀理解實力。這道題目測試的是對文章「整體立場」的判讀，而你成功避開了單純推廣療法的陷阱。
學術嚴謹性與研究展望
這篇文章並非一般的廣告或大眾推廣文，而是來自國家衛生院（NIH）的共識聲明。文中雖然提到針灸在臨床上有其價值（如處理噁心、嘔吐與牙痛），但也誠實地指出許多研究結果因為實驗設計或樣本數不足而顯得「模糊不清（equivocal）」。因此，文章的結論並非盲目地叫大家去嘗試，而是強調雖然現有證據支持將針灸納入傳統醫療，但更需要「鼓勵對其生理學和臨床價值進行進一步研究（encourage further studies）」，這與選項 (A) 的方向完全吻合。
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