摘要
临床指南对于规范临床实践具有重要作用。循证临床指南强调证据的分级与评价,尤其重视随机对照试验(RCT),根据证据的级别和强度提出推荐意见。中医药诊治疾病有其自身的理论体系,中西医结合更是以复杂干预为特点,按照现代医学研究证据制定临床指南的方法,对中医药及中西医结合指南的制定存在不完全适用的具体情况。本文即提出以临床实践数据为导向构建中西医结合临床指南,与循证临床指南互为补充,并结合初步的研究加以探讨,以期为中医药、中西医结合及现代医学临床指南的构建提供新的思路。
Clinical guideline is of important significance to standardize clinical practice. Clinical guideline of evidence-based medicine puts stress on the classification and evaluation of evidences, especially in randomy controlled trial and gives recommendation based on the different grades and intensities of evidences. Since Chinese medicine has its own theoretical system in diagnosis and treatment, and the integrative Western and Chinese medicine （ICWM） is characterized by complicated intervention, making up a clinical guideline for Chinese medicine or ICWM based on the evidence obtained from modern medical research is apparently not so suitable. In this paper, the authors offered to develop a practice-based ICWM clinical guideline, which could be used in complementation with the evidence-based medical clinical guideline, and have a discussion on our preliminary research, looking forward to provide a new thinking path for constructing clinical guideline for Chinese medicine, ICWM and modern medicine.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2009年第6期544-547,共4页
Chinese Journal of Integrated Traditional and Western Medicine
基金
北京市科技计划项目(No.D08050703020801)
中日友好医院重点学科建设项目
关键词
临床指南
中西医结合
循证医学
基于临床实践的指南
clinical guideline
integrative Chinese and Western medicine
evidence-based medicine
practice-based clinical guideline
