中医骨伤科循证临床实践指南制定面临的问题和对策

发布时间：2018-05-27 10:11

本文选题：中医骨伤科 + 循证医学　；参考：《中华中医药学刊》2017年05期

【摘要】：中医骨伤科循证临床实践指南制定存在尚无骨伤科国际循证临床实践指南、中医药在国际骨科指南中占的比重少、指南制定的方法学不规范、采用的证据评价及推荐体系尚需完善、临床研究证据级别低、临床研究未经伦理审查的现象普遍、临床医师科研能力整体有待提升等问题。针对以上问题提出了对策:提高临床医师的科研能力,遵循规范的指南制定流程,开展多学科、跨学科合作,采用GRADE证据评价及推荐体系,制定骨伤科国际循证临床实践指南,推行伦理审查制度,推广药物临床试验管理规范培训。
[Abstract]:There is no international evidence-based clinical practice guide for orthopedics and trauma in traditional Chinese medicine. The proportion of traditional Chinese medicine in the international orthopedic guidelines is small, and the methodology of the guidelines is not standardized. The system of evidence evaluation and recommendation should be perfected, the level of clinical research evidence is low, the phenomenon of clinical research without ethical review is common, and the overall ability of clinicians' scientific research needs to be improved. In view of the above problems, some countermeasures were put forward: to improve clinicians' scientific research ability, to follow the standard guidelines and make the process, to carry out multidisciplinary and interdisciplinary cooperation, to adopt the GRADE evidence evaluation and recommendation system, and to formulate the guidelines for the international evidence-based clinical practice of orthopedics and injury. Carry out ethical review system and popularize training of drug clinical trial management standard.
【作者单位】：广州中医药大学第二附属医院(广东省中医院)骨伤科;
【基金】：国家自然科学基金项目(81473698) 教育部高等学校博士点科研基金项目(20124425110004) 国家中医药管理局中医药标准化项目(SATCM-2015-BZ115,SATCM-2015-BZ173) 广东省科技计划项目(2012B061700037) 广东省财政厅项目([2014]157号) 广东省中医药管理局项目(20164020) 广东省中医院中医药科学技术研究专项项目(YK2013B2N19,YN2015MS15)
【分类号】：R274

【相似文献】