摘要
循证医学倡导以最佳证据支持临床决策,有助于客观评价中医药临床疗效,优化中医临床诊疗方案。但中医辨证论治诊疗模式因其显著的个体化特征,一定程度上与主要基于群体化证据的循证决策模式不相适应。近年来,中医药临床个体化疗效评价研究引入了一批新方法、新技术,致力于解决中医辨证论治诊疗形成的复杂多元信息问题,与循证医学的研究方法亦有相通之处,有望成为以循证决策模式优化中医辨证论治诊疗的中间纽带,引导中医临床决策基于证据良性发展。
Evidence-based medicine advocates to support clinical decision-making with the best evidence,which is useful to objectively evaluate the clinical efficacy of traditional Chinese medicine and optimize clinical diagnosis and treatment.However,significant individualized characteristics identified from syndrome differentiation and treatment are incompatible with evidence-based clinical decision-making,which highlights population-level evidence,to some extent.In recent years,a number of new methods and technologies have been introduced into individualized clinical efficacy evaluation research of traditional Chinese medicine to assist managing and processing complex and multivariate information.These methods and technologies share similarities with evidence-based medicine,and are expected to link the clinical practice of traditional Chinese medicine with evidence-based clinical decision-making.They will guide the development of evidence-based clinical decision-making in traditional Chinese medicine.
作者
关曼柯
魏旭煦
赵晨
商洪才
GUAN Manke;WEI Xuxu;ZHAO Chen;SHANG Hongcai(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,P.R.China;Institute of Basic Research in Clinical Medicine,China;Academy of Chinese Medical Sciences,Beijing 100700,P.R.China 3.International Evidence-Based Chinese Medicine Institute,Beijing University of Chinese Medicine,Beijing 100029,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2020年第10期1124-1129,共6页
Chinese Journal of Evidence-based Medicine
基金
国家杰出青年科学基金项目(编号:81725024)
国家自然科学基金青年项目(编号:81803963)。
关键词
中医临床疗效评价
个体化
循证决策
复杂多元信息
方法学
Clinical efficacy evaluation of traditional Chinese medicine
Individualization
Evidence-based decision-making
Complex and multivariate information
Methodology
