首页|基于循证理念的经典名方医案人用经验研究思路

基于循证理念的经典名方医案人用经验研究思路

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经典名方医案人用经验产生数据量大、研究价值高,如何从这些海量的数据资料中提取出有价值的信息,是经典名方研究面临的重要问题.认为当前经典名方医案人用经验研究存在数据量繁多、质量良莠不齐、外推性和临床应用性不强等问题,严重影响经典名方医案人用经验的证据强度和对经验积累、理论支撑的贡献度.基于此,从研究问题的结构化角度,提出经典名方医案人用经验的研究思路:首先,根据中医医案特点,基于研究对象(P)、干预措施(I)、对照措施(C)、结果/结局(O)的PICO模型构建符合循证理念的中医医案评价工具以评价医案质量;其次,构建标准化经典名方医案人用经验数据库,并融合利用数据挖掘算法发掘人用经验隐藏的深层次关系;最后,进行临床价值评估来验证经典名方诊疗规律的有效性以实现临床转化.
Research Ideas on Human Experience in Medical Cases of Classic Formulas Based on Evidence-Based Concept
The amount of data generated by the human experience in medical cases of classic formulas is large and the research value is high,but how to extract valuable information from these massive data is an important prob-lem of researches on classical formulas.It is concluded that there are many problems in the current study of human ex-perience in classical formulas,such as large amount of data,uneven quality,weak extrapolation and clinical applica-tion,which seriously affected the evidence strength of human experience in classical formulas and the contribution to experience accumulation and theoretical support.Therefore,from the structural perspective of the research questions,this paper proposed the research ideas of human experience in medical cases of classic formulas:firstly,accord-ing to the characteristics of traditional Chinese medicine(TCM)cases,based on the PICO model,which refers parti-cipants(P),intervention(I),comparisons(C),and outcomes(O),a TCM medical record evaluation tool in line with the evidence-based concept was constructed to evaluate the quality of medical cases;secondly,constructing a standardized database of human experience in classical formulas and using data mining algorithms to explore the deep relationship hidden in human experience;finally,the clinical value evaluation is carried out to verify the effectiveness of the diagnosis and treatment rules of classical formulas to achieve clinical transformation.

classical formulashuman experienceevidence-based medicinemedical cases evaluationPICO model

崔鸿雁、邵明义、赵瑞霞、张容容、吕兰青、方雨萱

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河南中医药大学第一附属医院,河南省郑州市金水区人民路19号,450003

河南中医药大学第一附属医院河南省中医药循证医学中心

河南中医药大学第一临床医学院

经典名方 人用经验 循证医学 医案评价 PICO模型

2024

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(22)