循证医学证据在心脏外科中的应用

Application of Evidence-Based Medicine in Cardiac Surgery

心脏外科作为一门年轻的学科,在近代有了极快的发展,但仍然面临许多问题和争议。循证医学的出现给了心脏外科的发展以新的思维,循证医学强调最佳证据,并结合医师的临床经验做出最佳的判断。发表于Cochrane图书馆2004年第3期的4篇系统评价在心脏外科的不同领域很好地诠释了循证医学的思想在解决心脏外科实际问题中的重要作用。

A s a new discipline, the cardiac surgery has a great development in the modern ag e, but still faces many problems and disputes. The emergence of the evidence-b ased medicine(EBM),which emphasizes the best evidence, and combines the doctor s clinical experience to make the best judgment, gives the development of the cardiac surgery a new thinking . Four systematic reviews published in T he Cochrane Library (Issue 3, 2004) have interprated the importance of E BM on how to resolve the actual problems in different field of the cardiac surge ry.