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缺血性脑卒中中医康复治疗指南的系统评价

Traditional Chinese Medicine Rehabilitation Guidelines for Ischemic Stroke:A Systematic Review

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原文链接
  • 国家科技期刊平台
  • NETL
  • NSTL
  • 维普
  • 万方数据
目的:系统评价缺血性脑卒中中医康复治疗指南的质量,为指南的制定规范提供借鉴.方法:计算机检索数据库:PubMed、国家知识基础设施数据库、中国学术期刊数据库、中文科技期刊数据库、中国生物医学文献数据库,检索指南相关网站:卫生保健规范研究所(NICE)、国际网指南(GIN)数据库,梅斯医学数据库,中华中医药学会标准化委员会网站(http://www.cacm.org.cn/category/zyzn/bzh/)、中国中西医结合学会网站(http://www.caim.org.cn/),检索时限为建库至2021年9月,收集缺血性脑卒中中医康复治疗指南.应用研发与评价指南评估Ⅱ(AGREE Ⅱ)工具对纳入指南进行质量评价,并汇总中等质量及以上的指南推荐意见.结果:共纳入13部指南,AGREE Ⅱ的平均得分分别为范围和目的65.67％、参与人员43.02％、严谨性43.64％、清晰性63.82％、应用性19.87％和独立性32.05％.13部指南中7部指南为中等质量,6部指南为低质量.本研究得到23条中医康复治疗的推荐意见,其中2条为强推荐.结论:指南总体质量不高,未来指南的制定应该从指南应用性、严谨性和独立性方面规范,同时重视开展高质量的临床研究,为指南的制定提供证据支持.
Objective:To systematically evaluate the quality of traditional Chinese medicine(TCM)rehabilitation guidelines for is-chemic stroke,and provide reference for the formulation of guidelines.Methods:TCM rehabilitation guidelines for ischemic stroke were collected from PubMed,China National Knowledge Infrastructure(CNKI),Chinese Science Citation Database(CSPD),Chi-nese Citation Database(CCD),China Biology Medicine(CBM)the National Institute for Health and Care Excellence(NICE),Guidelines International Network(GIN),MedSci,China Association of Chinese Medicine(http://www.cacm.org.cn/category/zyzn/bzh/),and Chinese Association of Integrated Traditional and Western Medicine(http://www.caim.org.cn/)from the incep-tion of the databases to September,2021.The Appraisal of Guidelines for Research and Evaluation(AGREE)Ⅱ was used to evalu-ate the quality of the included guidelines,and the recommendations from the guidelines of medium quality and above were summa-rized.Results:A total of 13 guidelines were included.The average scores of the guidelines in six domains of AGREE Ⅱ were:scope and purpose 65.67％,stakeholder involvement 43.02％,rigor of development 43.64％,clarity of presentations 63.82％,applica-bility 19.87％,and independence 32.05％.In the 13 guidelines,7 were of medium quality and 6 were of low quality.And 23 rec-ommendations for TCM rehabilitation treatment were obtained,of which 2 were highly recommended.Conclusion:The overall quali-ty of the included guidelines is not high.Future guidelines should be standardized from the aspects of applicability,rigor and inde-pendence.Moreover,high quality clinical research should be carried out to provide evidence support for the formulation of guide-lines.

Ischemic strokeTraditional Chinese medicineRehabilitationGuidelineQuality assessmentAppraisal of Guide-lines for Research and Evaluation(AGREE)ⅡRecommendations

付国静、刘少姣、徐榛敏、吕健、刘红喜、刘悦、邱文然、王柳丁、魏竞竞、梁晓、张允岭

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中国中医科学院西苑医院,北京,100091

北京中医药大学研究生院,北京,100029

缺血性脑卒中 中医药 康复 指南 质量评价 研发与评价指南评估Ⅱ 推荐意见

中央级公益性科研院所基本科研业务费专项资金资助项目中国中医药循证医学中心业务研究室主任专项国家中医药管理局中医药创新团队及人才支持计划项目中医药防治脑病传承创新团队项目中国中医科学院科技创新工程项目国家中医药管理局中医药传承与创新"百千万"人才工程(岐黄学者)项目——国家中医药领军人才支持计划项目首都卫生发展科研专项项目

ZZ13-024-32020YJSZX-3ZYYCXTD-C-202007CI2021B006CI2021A01301国中医药人教发[2018]12号首发2020-2-4173

2023

10.3969/j.issn.1673-7202.2023.19.008

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子：1.266
ISSN：1673-7202
年,卷(期)：2023.18(19)
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