中医临床疗效评价指标数据库构建思路

Construction Thoughts of Traditional Chinese Medicine Clinical Efficacy Evaluation Index Database

临床疗效是中医发展的基石和关键,科学合理的疗效指标是疗效评价的前提和保障。目前中医临床疗效评价指标的选择异质性大、主观性强,尚未形成科学、统一的指标选择标准。建立中医药临床疗效评价指标数据库,提供选择规范且实用的临床疗效指标的便捷途径,提高研究者选择疗效评价指标的科学性必要且可行。通过文献计量学遴选中医优势病种,文献调查法结合横断面调查初步提取指标,完成指标术语规范表达,指标测量工具、疗效标准、测量时点选择,德尔菲法实现指标筛选及顺序设置,并结合相关指南及共识,逐步实现指标规范化,为中医临床疗效评价指标数据库构建提供思路。

Clinical efficacy is the cornerstone and for the development of traditional Chinese medicine(TCM),and scientific and reasonable indexes are the premise and guarantee for efficacy evaluation.At present,the selection of TCM clinical efficacy evaluation indexes is heterogeneous and subjective,without scientific and unified index selection criteria.It is necessary and applicable to construct a TCM clinical efficacy evaluation index database to provide a convenient way to select standardized and practical clinical efficacy indexes,and to improve the scientificity of researchers’selection of efficacy evaluation indexes.Through bibliometrics,dominant diseases in TCM were selected,through literature investigation method combined with cross-sectional investigation,indexes were extracted,the standardized expression of index terms,the selection of index measurement tools,judgment criteria,and selection of measurement time points were completed,and through Delphi method,the screening and sequential setting of indexes were conducted.Besides,combined with relevant guidelines and consensus,the indexes were gradually standardized,which can provide thoughts for the construction of TCM clinical efficacy evaluation index database.