首页|中成药临床实践指南制定方法(四)——证据检索与评价

中成药临床实践指南制定方法(四)——证据检索与评价

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证据的检索与评价是中成药临床实践指南制定的基础.鉴于中医药学与现代医学有着不同的发展轨迹和使用特点,中医药学在证据构成、检索、整合等方面相较于既往临床实践指南制定体系有其特殊之处.因此在制定中成药指南时应基于现代循证医学和古籍医案证据构建中成药多来源证据体.列举了不同类型中成药证据的检索平台并分析检索过程中可能出现的问题和解决策略;再针对不同类型中成药证据提供适当的评价工具;并给出了针对同一临床问题存在多种不同级别证据或存在多种同级别证据的整合思路;最终形成完善的中成药多来源证据的检索-评价-整合方案,可为中成药临床实践指南制定工作者提供方法学参考.
Methodology for the Development of Clinical Practice Guidelines for Chinese Patent Medicine(Part 4):Evidence Retrieval and Evaluation
The retrieval and evaluation of evidence is the basis for the development of clinical practice guidelines for Chinese patent medicine.As traditional Chinese medicine has a different development trajectory and utilization characteristics from modern medicine,there is certain differences in terms of evidence composition,retrieval and inte-gration.This paper discussed multi-source body of evidence on Chinese patent medicine based on modern evidence-based medicine and ancient medical literature,and summarized the retrieval strategy as well as the possible problems and solving methods.For different types of evidence on Chinese patent medicine,the corresponding evaluation tools have been recommended,and the order to integrate the evidence based on the quality of the evidence from high to low is suggested.Finally,a multi-source based evidence retrieval-evaluation-integration scheme for Chinese patent medi-cine has been formed,which will provide a methodological reference for practitioners in the development of clinical practice guidelines for Chinese patent medicine.

clinical practice guidelinesChinese patent medicineevidence retrievalevidence evaluationevidence synthesismethodology

张福强、晏利姣、胡紫腾、张钰菁、陈雅馨、宗星煜、陈昭、王巍力、李鹤、梁宁、史楠楠、王燕平

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中国中医科学院中医临床基础医学研究所,北京市东城区东直门内南小街16号,100700

临床实践指南 中成药 证据检索 证据评价 证据综合 方法学

中国中医科学院科技创新工程项目国家自然科学基金中央级公益性科研院所基本科研业务费专项国家中医药管理局青年岐黄学者项目

CI2021A0550582174532Z0753Z0841

2024

10.13288/j.11-2166/r.2024.01.012

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(1)
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