对中医药临床疗效评价研究的思考与临床疗效评价方法的探索

Thinking of traditional Chinese medicine clinical efficacy evaluation research and exploration of clinical efficacy evaluation methods

中医药的生命力在于临床,临床疗效评价研究是中医药发展的关键环节。文章拟通过对近30年中医药临床研究工作进行汇总,分析中医药临床证据不足的根源;并针对中医的学科特点、不同研究方法的临床特点,提出应用临床流行病学、循证医学、真实世界研究、人用经验及转换评价主体等多维度的研究方法,“兼容并蓄,多法并举”地实现对中医药临床疗效的评价。

The vitality of traditional Chinese medicine(TCM)lies in the clinical practice,and the clinical efficacy evaluation and research is the key link in the development of TCM.This paper summarizes the recent 30 years of the work of TCM clinical research and analyzes the causes of insufficient clinical evidence.According to the characteristics of TCM discipline and the clinical characteristics of different research methods,multi-dimensional research methods,such as clinical epidemiology,evidence-based medicine,real world study,human experience and conversion of evaluation subjects,are proposed to realize the evaluation of clinical efficacy of TCM by inclusiveness and multiple methods'.