Bibliographic record
Abstract
目的：评价＂杨氏＂絮刺拔罐法治疗膝骨关节炎的临床疗效。方法：进行多中心、随机、平行对照试验,将171例膝骨关节炎患者随机分为絮刺拔罐组（89例）和常规针刺组（82例）。两组取穴均为内膝眼、犊鼻穴和阿是穴,絮刺拔罐组采用＂杨氏＂絮刺拔罐法进行治疗,用七星针轻叩穴位,待微出血后加拔火罐;常规针刺组采用半标准化的毫针刺法进行治疗,共治疗4周（次数规定为最少5次,最多10次）,治疗结束后随访4周。采用西安大略麦马斯特大学骨性关节炎指数（Ontario and McMaster Universities Osteoarthritis Index,WOMAC）和疼痛视觉模拟评分表（visual analogue scale,VAS）评价患者疗效。结果：治疗4周后与随访时,两组患者WOMAC疼痛评分、僵硬评分、日常生活难度评分、总分均低于治疗前（均P〈0.0001）;除治疗4周后,絮刺拔罐组的WOMAC僵硬评分与常规针刺组比较差异无统计学意义（P〉0.05）外,絮刺拔罐组在治疗4周后与随访时WOMAC其余各项评分和总分均低于常规针刺组（P〈0.0001,P〈0.01）。治疗2周、4周后和随访时,两组患者VAS评分均低于治疗前（均P〈0.0001）,且随疗次增加VAS评分降低更明显（均P〈0.0001）;治疗4周后和随访时絮刺拔罐组VAS评分均低于常规针刺组（P〈0.01,P〈0.0001）。结论：＂杨氏＂絮刺拔罐与常规针刺疗法均能明显改善膝骨关节炎患者关节疼痛及功能,且相对安全。在取穴相同的前提下,絮刺拔罐疗法较常规针刺疗法更有优势。
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.010 |
| Scholarly communication | 0.010 | 0.009 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".