《中医肛肠科常见病诊疗指南》临床应用评价研究

发布时间：2018-06-14 18:18

本文选题：中医药 + 肛肠科　；参考：《中国中药杂志》2017年17期

【摘要】：采用问卷调查和病例调查的方法,9家医院以中华中医药学会发布的7个肛肠科病种的中医常见病诊疗指南为研究对象,评价研究指南的质量和临床应用效果,包括适用性评价和应用性评价。263位临床医生接受《指南》的适用性调查,其中89.35%对《指南》比较熟悉,36.12%使用过该《指南》。在辨证论治相关内容中,评价合理性较高的是诊断要点(96.96%)、治则治法(96.20%)、辨证分类(88.59%);合理性较低的为调摄预防(65.02%),88.21%临床医生认为《中医肛肠科常见病诊疗指南》完全适用和基本适用。通过观察1 309份病例,对《指南》进行应用性评价,符合度较高的为西医疾病诊断(98.70%)、中医疾病诊断(90.76%);较低的为调摄预防(49.27%)。《指南》的安全性和经济性较好,分别为97.02%,95.11%。综合评价较好,总体疗效与技术水平、满意度、临床适用性7~9分的分别为81.52%,80.60%,79.30%,适合临床推广应用。
[Abstract]:The methods of questionnaire and case investigation were used in 9 hospitals to evaluate the quality and clinical application of the guidelines for the diagnosis and treatment of 7 kinds of anorectal diseases in Chinese medicine, which were published by the Chinese Society of traditional Chinese Medicine (TCM). Among them, 89.35% were familiar with the guidelines and 36.12% had used the guidelines. In the related contents of syndrome differentiation and treatment, the relatively high evaluation rationality is that the main points of diagnosis are 96.966.95, the principle of treatment is 96.20, the differentiation of symptoms and signs is 88.599.The less reasonable is to prevent 65.02% of the clinicians who think that the guidelines for the diagnosis and treatment of common anal and intestinal diseases in traditional Chinese medicine is completely applicable and basically applicable. By observing 1 309 cases and evaluating the application of the guidelines, the higher degree of conformity was the diagnosis of diseases in western medicine (98.70), the diagnosis of diseases in traditional Chinese medicine (90.7667), and the lower in prevention (49.2727). The safety and economy of the guidelines were better, 97.02 and 95.11, respectively. The overall curative effect, technical level, satisfaction degree and clinical applicability were 81.52and 80.6079.30, respectively, which were suitable for clinical application.
【作者单位】：中国中医科学院中医临床基础医学研究所;
【基金】：国家中医药管理局项目(SATCM-2015-BZ-[399],ZYYS-2014[34])
【分类号】：R266

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