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循证中医药与下一代循证医学

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循证医学诞生30年后,下一代循证医学的概念被提出和系统总结。下一代循证医学应用于广泛的主题,并充分利用现有的数据资源,兼顾了个体化的诊疗,更具包容性,提高了研究结果的外推性,使医学研究更加高效,缩短了研究周期。中医药研究领域同病异治、异病同治、多疗程随证加减、个体化诊疗的实践场景和数据特征,与下一代循证医学有着非常高的契合度。下一代循证医学时代的循证中医药策略是:仍要尽可能的设计高质量的随机对照试验,根据临床数据特征和因果推断法则进行良好的设计,并基于建议评估、发展和评价的分级标准(GRADE)的证据质量评价标准进行综合的证据质量等级评价,倡导利用人工智能技术高效率的开展中医决策支持系统的应用和真实世界研究。多学科融合、方法学创新和坚定不移实践循证医学,是实现循证中医药高质量发展的必由之路。
Evidence-based Chinese Medicine and Next Generation of Evidence-based Medicine
Thirty years after the birth of evidence-based medicine,the concept of the next generation of evidence-based medicine has been proposed and systematic summary.The next generation of evidence-based medicine is applied to a wide range of topics,fully utilizing existing data resources,balancing personalized diagnosis and treatment,making it more inclusive,improving the extrapolation of research results,making medical research more efficient,and shortening the research cycle.The practical scenarios and data characteristics of different treatments for the same disease,same treatment for different diseases,multiple courses of treatment with individualized diagnosis and treatment in the field of Chinese medicine research have a very good fit with the next generation of evidence-based medicine.The evidence-based medicine of Chinese medicine strategy in the next generation of evidence-based medicine era is:still need to design high-quality randomized controlled trials as much as possible,design better based on clinical data characteristics and causal inference rules,and comprehensively evaluate the quality of evidence based on Grading of Recommendations Assessment,Development and Evaluation(GRADE)'evidence quality evaluation standards,advocate for the efficient use of artificial intelligence technology to carry out the application of Chinese medicine decision support systems and real-world research.The integration of multiple disciplines,methodological innovation,and firm practice of evidence-based medicine are the main ways to achieve high-quality development of evidence-based Chinese medicine.

evidence-based medicineevidence-based medicine of Chinese medicinenext generation of evidence-based medicineevidence transformation

季聪华

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浙江中医药大学公共卫生学院(杭州 310053)

循证医学 循证中医药 下一代循证医学 证据转化

浙江省中医药科技项目

2023ZL360

2024

中国中西医结合杂志
中国中西医结合学会 中国中医科学院

中国中西医结合杂志

CSTPCD北大核心
影响因子:2.149
ISSN:1003-5370
年,卷(期):2024.44(7)
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