围产医学的循证研究结果与我国临床实践的比较研究

Comparison on perinatal medicine between the results of evidence based medicine and current practice in China

目的:参考Cochrane图书馆的循证研究结果,发现并摒弃中国当前在围产医学实践中的不正确认识,倡导新的、正确的诊疗方法。方法:阅读Cochrane图书馆文献中妊娠与分娩小组完成的所有系统综述,对益处缺乏证据支持而且有明显害处、应该废除的方法进行进一步重点研究,查阅中国最新的医学相关专业教科书,并搜索国内对这一专题的研究现状,找出中国实践中仍然在使用的错误或不恰当的方法,推荐根据当前最好的证据确认的正确方法。结果:有11篇系统综述研究的方法是益处缺乏证据支持而且有明显害处、应该废除的方法,其中8种方法仍是国内教科书推荐或临床实践仍在应用的。结论:国内的教科书存在知识更新慢的问题,临床医生需要追踪国际上最新的研究结果,更新自己的专业知识。

Objective： To find and abandon incorrect clinical practices on perinatal medicine in China, and to advocate the newest correct methods according to the results of evidence based medicine research in Cochrane library, Methods： To read all the systematic reviews finalized by Cochrane Pregnancy and Childbirth Group to gather those methods without evidence - supported benefit but with obvious harm that should be abandoned. And then to compare them with Chinese current practices to lind incorrect methods still in use in China, by searching medical textbooks in the newest version and newly - published research literatures, Results： There were l l systematic reviews concerning methods with no evidence - supported benefit but with obvious harm that should be abandoned, in which 8 methods were recommended by textbook or still in use in China today. Conclusion： Some medical textbooks in China today have the problem of up -to -date, and doctors should trace the newest research results to renew profession knowledge.