循证性中医临床诊疗指南研究的现状与策略

Status and strategies of evidence-based guidelines for clinical practice in traditional Chinese medicine

概述国内外循证性临床实践指南现状,指出目前国内中、西医临床实践指南多数属于基于专家共识的临床诊疗指南,循证性临床实践指南的制订尚处于起步阶段,尤其循证性中医临床诊疗指南制订的方法学在许多方面尚需探索。文章提出制订循证性中医临床诊疗指南必须符合中医学术特点,同时在形式上尽量与国际接轨,要在研究的基础上建立循证性中医临床诊疗指南编写技术规范。同时就其中的若干重要问题如古今中医专家经验证据评价、建立具有中医特色的推荐等级标准体系、提高循证性中医临床指南证据质量、中医临床诊疗指南的评价及更新等提出了制订策略和建议。

Compared with the status of evidence-based guidelines for clinical practice in the world,it is obvious that most of guidelines for clinical practice in traditional Chinese medicine and western medicine published in China are based on expert consensus,while evidence-based guidelines for clinical practice are still at the beginning stage,especially in the formulating methodologies of evidence-based guidelines for clinical practice in TCM,which should be appropriated to the academic characteristics of TCM and be geared to international standards.And also the compiling specification should be set up by reaseach.Relavant strategies and advice are also discussed,including evidence elaluation of experts’ experience in ancient and modern times,grade-recommendation system appropriated to the characteristics of TCM,how to improve the quality of evidence-based guideline for clinical practice in TCM,the appraisal and update aspects.