《中医妇科常见病诊疗指南》临床应用评价研究

发布时间：2018-04-23 19:38

本文选题：妇科常见病 + 诊疗指南　；参考：《中国中药杂志》2017年17期

【摘要】：为评价《中医妇科常见病诊疗指南》的临床适用性和应用性,采用调查问卷和前瞻性病例调查分析方法,在全国16家中医药标准研究推广基地(试点)建设单位,对11个病种的《中医妇科常见病诊疗指南》,开展适用性评价和应用性评价。结果显示,361位临床医生接受《指南》的适用性调查,其中87.26%比较熟悉,25.21%使用过该《指南》,辨证论治相关内容中,评价合理性较高的为组方用药(91.69%)、辨证分类(86.98%),合理性较低的为调摄预防(44.6%),75.62%临床医生认为《中医妇科常见病诊疗指南》完全适用和基本适用。前瞻性观察2 935份病例,对《指南》的应用性进行评价,《指南》与临床实际应用一致性较高的为中医疾病诊断、西医疾病诊断,分别占98.30%,94.11%;较低的为调摄预防,占59.39%。《指南》的安全性、经济性较好,分别为95.64%,94.75%。《指南》综合评价结果显示,总体疗效与技术水平、《指南》满意度、在临床实践中的适用性7~9分的分别为77.38%,74.00%,76.90%。该《指南》临床符合度较好,可作为临床治疗中医妇科常见病的规范性方案,但也存在部分内容适用性较差、不符合临床实际的情况,有待进一步修订。
[Abstract]:In order to evaluate the clinical applicability and application of the guidelines for the diagnosis and treatment of gynecological common diseases of traditional Chinese medicine (TCM), the questionnaire and prospective case analysis methods were used to construct 16 Chinese medicine standard research and promotion bases (pilot units) in China. The applicability and application evaluation of 11 kinds of TCM gynecologic common diseases diagnosis and treatment guide were carried out. The results showed that 361 clinicians were investigated for the applicability of the guidelines, of which 87.26% were familiar with the guidelines and 25.21% had used them. The most rational medicine was 91.69, the differentiation of symptoms and signs was 86.98, and the lower rationality was 44.66.62% of the clinicians thought that the guidelines for the diagnosis and treatment of gynecological diseases in traditional Chinese medicine was completely applicable and basically applicable. In a prospective study of 2 935 cases, the application of the guidelines was evaluated. The diagnosis of diseases in traditional Chinese medicine and western medicine accounted for 98.30 and 94.11, respectively. The results of comprehensive evaluation showed that the overall efficacy and technical level, the satisfaction of the guidelines were 77.38% and 74.00% and 76.90% respectively in clinical practice. The guideline has good clinical consistency and can be used as a standard scheme for the treatment of gynecological diseases in TCM. However, some of the contents are not suitable for clinical practice and need to be further revised.
【作者单位】：中国中医科学院中医临床基础医学研究所;
【基金】：国家中医药管理局中医药标准化项目(ZYYS-2016[0013],ZYYS-2014[01]) 北京市中医药科技发展基金项目(JJ2015-61)
【分类号】：R271.1

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