摘要
把无效的治疗误认为有效,不仅在大众中非常普遍,而且很多医生也常如此。造成这种疗效假象有许多原因,主要由于疾病的自愈或自发缓解、药物和治疗的安慰效应、缺乏严格的评价疗效标准以及诊断不确实,以及把良性疾病误诊为严重或恶性疾病所造成的。对传统医疗的信仰也是原因之一。因此,对任何药物或医疗的效果必须进行严格的随机对照临床试验,并且得到同行的检验和公认。
An ineffective drug or treatment to be confused as effective one is very common not only in patients, but also in our medical professionals. Many reasons contribute to this false impression, such as the selflimiting or spontaneous remission of diseases, placebo effect, inappropriate evaluative criteria and the misdiagnosis of benign illnesses as severe diseases or malignancies. In addition, the belief in our traditional medicine is also an influential factor. Therefore, any drug or treatment should be evaluated by randomized, controlled and double blinded clinical trial, whether new or ancient treatment. The results of the clinical trial also need to be evaluated critically by international academic circles.
出处
《医学与哲学(A)》
北大核心
2007年第4期6-9,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
关键词
疗效评价
临床试验
疾病自限性
安慰效应
中医药
efficacy evaluation, clinical trial, self - limiting, placebo effect, TCM