摘要
目前,我国中成药临床应用指南类建设存在高质量临床证据较少、推荐强度普遍不高、证据分级和推荐标准缺失或不一、面向西医师的指南类建设不充分、部分指南类修订不及时、部分优势病种中医药治疗指南类建设薄弱、部分指南类制订者的广泛性与代表性欠缺等问题。今后,应加强中成药临床试验研究水平,提高临床证据质量;适度扩大中成药临床证据来源;尝试建立符合中医药特点的证据分级和推荐标准;加强以现代医学语言描述指南类内容;进一步规范和完善中成药说明书;根据最新临床证据及时修订指南;进一步加强中成药在大病、慢病治疗中的指南建设;在国家层面统一标准,制订和发布指南;积极参考应用已发布的指南。
At present,there are problems in the construction of guidelines of clinical application of Chinese patent medicines:little high-quality clinical evidence,generally not high recommendation strength,missing or inconsistent evidence classification and recommendation standards,insufficient building of relevant guidelines for Western physicians,not timely revision of some guidelines,insufficient building of relevant guidelines of some dominant diseases treated with TCM,and insufficient extensiveness and representativeness of some guideline makers.In the future,it is necessary to strengthen the research level of clinical trials of Chinese patent medicines to improve the quality of clinical evidence;appropriately expand the sources of clinical evidence;try to establish evidence classification and recommendation standards that meet the characteristics of TCM;strengthen the guideline description in modern medical language;further standardize and improve the instructions of Chinese patent medicines;revise relevant guidelines in time based on the latest clinical evidence;further strengthen the building of relevant guidelines for the treatment of serious and chronic diseases;standardize,formulate and publish guidelines at the national level;actively refer to the published guidelines.
作者
顾志荣
葛斌
郑修丽
薛春苗
曹俊岭
GU Zhirong;GE Bin;ZHENG Xiuli;XUE Chunmiao;CAO Junling(Gansu Provincial People’s Hospital,Lanzhou 730000,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2023年第4期6-11,共6页
Chinese Journal of Information on Traditional Chinese Medicine
基金
北京市中医管理局中医药改革专项(2018年)
第四批甘肃省省级中医药师承教育工作继承人项目(2021年)
甘肃省中医药管理局科研项目(GZK-2019-41)
甘肃省人民医院研发攻关项目(18GSSY2-3)。
关键词
中成药
临床用药
指南
专家共识
技术规范
循证医学
Chinese patent medicines
clinical medication
guidelines
expert consensus
technical specifications
evidence-based medicine
