临床均势原则的争议及其道德困境

The Controversy and Moral Dilemma of Clinical Equipoise Principle

医学研究产生了巨大的社会利益,但同时也带来了众多棘手的伦理问题。作为医学随机对照试验伦理基础的"临床均势原则"在一定程度上缓解了医学研究的内在道德张力,即保护受试者利益的同时亦可促进医学的进步。但此原则本身也具有一定的争议性和内在道德困境,其混淆了临床研究伦理和临床医疗伦理。

Medical research has a huge social benefit, but also brings a lot of controversial ethical issues. The clinical equipoise principle as the ethical basis of randomized controlled trial in medicine eases the inner moral tension of medical research, namely how to protect the interests of participants also improves the development of medicine. However, the principle holds some controversial moral dilemma which confuses the clinical research ethics and clinical medical ethics.