摘要
中医药对缓解慢性疼痛的症状、提高患者生活质量及改善抑郁焦虑情绪等方面具有确切的疗效,但因其临床评价以主观结局指标为主,且结局指标单一,导致对其疗效和安全性的认可度不高。鉴于现有的慢性疼痛评估量表不适用于慢性疼痛的长时程综合评价,且不能够反映中医药诊疗的特点,故提出借鉴循证医学和叙事医学的理念和研究方法,将医患共建平行病历与核心结局指标集引入中医药治疗慢性疼痛的临床研究,探讨多维度评价中医药治疗慢性疼痛临床研究的新思路。
Traditional Chinese Medicine(TCM)has definite curative effect on relieving symptoms of chronic pain,improving patients quality of life and depression and anxiety.However,as its clinical evaluation is mainly based on subjective outcomes,the efficacy and safety of TCM in treating chronic pain are not well acknowledged.Since the existing assessment scales of chronic pain are not suitable for the long-time and comprehensive evaluation of chronic pain and inconsistent with the characteristics of diagnosis and treatment of TCM,we put forward to introduce the doctor-patient co-built medical records and core outcome set into the clinical trials of TCM in treating chronic pain based on the idea and methods of evidence-based medicine and narrative medicine.We explored the new thoughts about multidimensional evaluation in clinical trials of TCM in treating chronic pain.
作者
胡嘉元
邱瑞瑾
李心怡
商洪才
田贵华
Hu Jiayuan;Qiu Ruijin;Li Xinyi;Shang Hongcai;Tian Guihua(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2020年第1期1-6,共6页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家自然科学基金委员会项目(81674050):电针对CPSP大鼠星形胶质细胞介导的Wnt/β-catenin信号通路调控作用,负责人:田贵华
国家科技部国家重点研发计划(2018YFC1707604):中医智能气血津液评估切诊设备与穴位探测仪的研发,负责人:田贵华.
关键词
慢性疼痛
中医
临床研究
医患共建平行病历
核心结局指标集
Chronic pain
traditional Chinese medicine
clinical trials
doctor-patient co-built medical records
core outcome set
