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复发性流产中西医结合诊疗指南

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复发性流产是妇产科最常见的妊娠并发症之一,对复发性流产规范性诊治已成为生殖健康领域亟待解决的重要问题。中西医结合为复发性流产提供了安全有效的治疗方法,但目前尚无复发性流产中西医结合诊疗指南。该指南根据《世界卫生组织指南制订手册》要求,按照循证医学原则,通过文献预检索、专家访谈、临床调研和会议共识法确定 16 个临床问题,采用PICO原则进行证据检索、筛选与综合,对纳入的证据体进行证据质量评价,通过 3 轮德尔菲法专家问卷调查形成推荐意见及共识建议,召开专家会议定稿,广泛征求中医、西医、中西医结合、方法学和药学专家意见。指南包含范围、术语与定义、诊断、治疗、中西医结合诊疗流程 5 个部分,中西医结合诊断和治疗的临床问题均有相应的推荐意见及证据概要。该指南以临床问题为导向,辨病与辨证相结合,孕前调治和孕后保胎相结合,突出中西医结合的治疗优势,以期进一步规范复发性流产的临床诊断与治疗,促进复发性流产中西医结合诊疗水平的提高。
Guideline for diagnosis and treatment of recurrent spontaneous abortion with integrated traditional Chinese and western medicine
Recurrent spontaneous abortion is one of the most common pregnancy complications in obstetrics and gynecology.The normative diagnosis and treatment of recurrent spontaneous abortion has become an important problem to be solved urgently in the field of reproductive health.The integrated traditional Chinese and western medicine provides a safe and effective treatment method for recur-rent spontaneous abortion,but there is no guideline for diagnosis and treatment of recurrent spontaneous abortion with integrated tradi-tional Chinese and western medicine.The guideline is based on the requirements of World Health Organization(WHO)handbook for guideline development and follows the principles of evidence-based medicine.Through literature pre-search,expert interviews,clinical research,and conference consensus,16 clinical problems are identified in this guideline.PICO principles are used for evidence re-trieval,screening,and synthesis.The evidence quality is evaluated for the included evidence bodies.Recommendation opinions and consensus suggestions are formed through three rounds of the Delphi expert questionnaire survey.An expert meeting is held to finalize the draft.The opinions of experts in traditional Chinese medicine,western medicine,integrated traditional Chinese and western medi-cine,methodology and pharmacy are widely solicited.The guideline contains five parts:scope,term and definition,diagnosis,treat-ment,and diagnosis and treatment flow chart of integrated traditional Chinese and western medicine.There are corresponding recom-mendations and summaries of evidence for clinical problems related to the diagnosis and treatment of integrated traditional Chinese and western medicine.This guideline is guided by clinical problems,combining disease differentiation and syndrome differentiation and in-tegrating pre-pregnancy regulation and treatment and post-pregnancy preservation,highlighting the therapeutic advantages of integrated traditional Chinese and western medicine,so as to further standardize the clinical diagnosis and treatment of recurrent spontaneous abortion and promote the diagnosis and treatment level of integrated traditional Chinese and western medicine for recurrent spontaneous abortion.

recurrent spontaneous abortionintegrated traditional Chinese and western medicinediagnosistreatmentguideline

中国中西医结合学会、中华中医药学会、中华医学会、杜惠兰

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复发性流产 中西医结合 诊断 治疗 指南

国家自然科学基金

U21A20403

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(9)
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