期刊文献+

临床指引——证据与临床实践的桥梁 被引量:5

Clinical guideline: the bridge between evidence and clinical practice
暂未订购
导出
摘要 临床指引是使用系统方法建立起来的对某一特定临床问题处理过程的描述,其作用是帮助医患双方正确地选择诊断和治疗决策,以使患者能得到最适当的医疗照顾。 临床指引的制订方法有基于证据的方法、基于一致性的方法和基于专家意见的方法。证据的强度可分为3个级别。对某一诊断性操作或具体治疗适应证的最终建议采用Ⅰ、Ⅱa、Ⅱb和Ⅲ类表述。 The clinical guidelines are intended to assist physicians and patients in clinical diagnosis and treatment decisions made by describing a range of generally acceptable approaches for special clinical conditions by systematic reviews, giving individual patients the best care. The clinical guidelines are produced by evidence-based methods, consensus methods and expert opinion. The weight of evidence in support of the recommendation is classified as three levels. Ⅰ、Ⅱa、Ⅱb and Ⅲ recommendations are used ultimately to summarize indications for a particular diagnostic procedure or therapy.
作者 刘金来
出处 《循证医学》 CSCD 2002年第1期44-45,共2页 The Journal of Evidence-Based Medicine
关键词 循证医学 治疗 诊断 临床指引 数据库 clinical guideline evidence-based medicine clinical practice
  • 相关文献

参考文献5

  • 1吴一龙,杨学宁.循证医学与临床研究[J].循证医学,2001,1(1):1-4. 被引量:40
  • 2A report of ACC/AHA task force on practice guideline (committee on management of acute myocardial infarction) . ACC/AHA guidelines for the management of patients with acute myocardial infarction [J]. J Am Coll Cardiol, 1996, 28:1328 - 1428
  • 3A report of ACC/AHA task force on practice guideline (committee on management of acute myocardial infarction) . 1999 Update:ACC/AHA guidelines for the management of patients with acute myocardial infarction [J]. J Am Coll Cardiol, 1999, 34(3): 890 -911
  • 4Sackett D L, Rosemberg W M C, Gray J A M, et al. Evidence-based medicine: What it is and what it is not [J]. Br Med J, 1996, 312:71 -72
  • 5A report of ACC/AHA task force on practice guideline (committee on management of unstable angina). ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction [J]. J Am Coll Cardiol, 2000, 36(3): 970 - 1062

二级参考文献4

  • 1Sackett D L, Rosenberg W M, Gray J A, et al. Evidence-based medicine: what it is and what it is not. Br Med J, 1996, 312:71 -72
  • 2吴一龙.肺癌临床研究的方法、方式、方向//吴一龙主编.肺癌多学科综合治疗的理论与实践.北京:人民卫生出版社,2000:333-341
  • 3Green S B. Basics of clinical trial design and interpretation.ASCO Educational Book, 1999:107 -111
  • 4Ellenberg S S. Noncompliance in clinical trials and the intention-to treat principle. ASCO Educational Book, 1997:196 - 198

共引文献39

同被引文献25

  • 1崔国勇.促肝细胞生长素联合丹参注射液及新鲜血浆治疗重型肝炎40例[J].中西医结合肝病杂志,2005,15(5):294-295. 被引量:6
  • 2王振常,毛德文,黄古叶,罗清.加用大黄煎剂灌肠治疗重型肝炎并发肝性脑病疗效观察[J].广西中医学院学报,2006,9(4):7-8. 被引量:31
  • 3邱华,武建华.毛德文辨病 辨证治疗重型肝炎的经验集要[J].辽宁中医杂志,2007,34(5):561-562. 被引量:21
  • 4A report of ACC/AHA task force on practice guidelines (committee to revise the 1995 guidelines for the evaluation and management of heart failure) . ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adults:executive summary [J]. J Am Coll Cardiol,2001, 38(7):2101 -2113
  • 5Packer M, Carver J R, Rodeheffer R J, et al. Prospective randomized milrinone survival evaluation trial [J]. N Engl J Med,1991, 325:1468 - 1475
  • 6The Digitalis Investigation Group. The effect of digoxin on mortality and morbidity in patients with heart failure [J]. N Engl J Med, 1997, 336:525 - 533
  • 7Cleland JG, McGowan J, Clark A. The evidence for beta blockers in heart failure [J]. BMJ, 1999, 318(7187): 824 - 825
  • 8The SOLVD Investigator. Studies Of Left Ventricular Dysfunction (SOLVD): rationale, design, and methods. 2 trials that evaluate the effect of enalapril in patients with reduced ejection fraction[J]. Am J Cardiol, 1990, 66:315 - 322
  • 9Pfeffer M A, Braunwald E, Moye L A, et al. Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction. Results of the Survival And Ventricular Enlargement trial [J] . N Engl J Med, 1992, 327:669 - 677
  • 10The AIRE Study Investigator. Effect of ramipril on mortality and morbidity of survivors of acute myocardial infarction clinical evidence of heart failure [J]. Lancet, 1993, 342:821 - 828

引证文献5

二级引证文献55

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部