摘要
中西医结合防治冠心病的疗效有目共睹,但相关防治方案仍缺乏高质量证据,亟待在临床研究中进一步优化循证设计与实施方法。现就当前循证研究中存在的主要问题提出建议,在临床中凝练并构建科学问题,并就在治疗中如何有效发挥中西医结合的优势互补、怎样实现循证优化的“规范产证”及“精准辨证”、加强临床试验实施的管理和质控等方面予以阐述。通过提供本研究团队的循证优化设计事例,进一步帮助临床研究者明确研究目标和研究方法,严格实施并规范表述,以期为临床工作者提供参考,提高中西医结合临床研究质量。
The efficacy of integrated traditional Chinese and Western medicine in the prevention and treatment of coronary heart disease is obvious to all,but the relevant prevention and treatment programs still lack high-quality evidence,and it is urgent to further optimize the evidence-based design and implementation methods in clinical research.This article puts forward suggestions on the main problems existing in the current evidence-based research.To condense and construct scientific questions in the clinic,and how to effectively play the complementary advantages of the combination of Chinese and western medicine in the treatment,how to realize the"standardized production certificate"and"precise dialectics"of evidence-based optimization,and strengthen the management and quality control of clinical trial implementation and so on.By providing examples of evidence-based optimization design of this research team,we hope to further help clinical researchers to clarify research objectives and research methods,strictly implement and standardize the expression,provide reference for clinical workers,and improve the quality of clinical research on integrated traditional Chinese and western medicine.
作者
万思琦
张晓雨
张晶晶
郑蕊
邱瑞瑾
赵晨
商洪才
WAN Siqi;ZHANG Xiaoyu;ZHANG Jingjing;ZHENG Rui;QIU Ruijin;ZHAO Chen;SHANG Hongcai(Dongzhimen Hospital,Beijing University of Chinese Medicine,Key Laboratory of Chinese Internal Medicine of Ministry of Education,Beijing 100700,China;International Evidence-based Chinese Medicine Institute,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中西医结合心脑血管病杂志》
2021年第17期2865-2870,共6页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
国家重点研发计划基金资助项目(No.2017YFC1700400)。
关键词
冠心病
中西医结合
循证决策
质量控制
证据转化
人工智能
coronary heart disease
integrated traditional Chinese and western medicine
evidence-based decision-making
quality control
evidence transformation
artificial intelligence