《中医内科常见病诊疗指南》临床应用评价研究

发布时间：2018-06-18 18:21

  本文选题：中医内科 + 中医临床诊疗指南　； 参考：《中国中药杂志》2017年17期

【摘要】：该文评价《中医内科常见病诊疗指南》的适用性和临床应用情况,为《指南》修订提供依据。由中医药标准研究推广基地完成,评价方法包括适用性评价和应用性评价。适用性评价采用调查问卷方法,评价《指南》的熟悉和使用情况、质量水平、临床适用情况等;应用性评价采用前瞻性病例调查分析方法,评价《指南》的临床应用符合度和应用效果(包括疗效、安全性、经济性)。结果显示,《中医内科常见病诊疗指南》包括中医病证部分(简称中医指南)和西医疾病部分(简称西医指南)。适用性评价结果显示,中医、西医《指南》整体熟悉和使用程度相当,熟悉程度分别为85.43%,84.57%,使用程度分别为52.10%,54.47%;《指南》整体质量较好,其中适用范围和术语使用合理性评分较高,分别为91.94%,93.35%,辨证论治相关内容合理性均在75%以上;适用情况评价较好,其中安全性评分最高;综合评价显示,中医、西医《指南》的适用比例分别为77.73%,75.46%。应用性评价结果显示,《指南》与临床实际应用的符合度较高,除"其他治法"和中医《指南》的"调摄预防"以外评分均达到90%以上;应用效果评价显示,安全性经济性疗效;综合评价结果,选择较好的比例(≥7分)在75%~80%。《中医内科常见病诊疗指南》在临床实践中获得了较好的普及和应用,质量水平较高,临床适用性较好,具有良好的安全性和经济性。但存在缺少循证医学方法和创新性等不足,需要在修订中不断完善。
[Abstract]:This article evaluates the applicability and clinical application of the guidelines for the diagnosis and treatment of Common Diseases in Internal Medicine of traditional Chinese Medicine, and provides the basis for the revision of the guidelines. The evaluation method includes applicability evaluation and application evaluation. A questionnaire was used to evaluate the familiarity and use of the guidelines, the quality level, the clinical application and so on, and the prospective case investigation and analysis methods were used to evaluate the applicability of the guidelines. To evaluate the clinical consistency and efficacy (including efficacy, safety, and economy) of the guidelines. The results showed that the guidelines for the diagnosis and treatment of common diseases in internal medicine of traditional Chinese medicine included the part of disease and syndrome of traditional Chinese medicine (TCM guide for short) and the part of disease of western medicine (abbreviated as western medicine guide). The results of applicability evaluation showed that the whole familiarity and usage degree of Chinese medicine and western medicine were the same, the familiarity degree was 85.43 and the usage degree was 52.1010 and 54.47.The whole quality of the guide was better, and the scope of application and the reasonableness of terminology were higher. The rationality of the related contents based on syndrome differentiation is above 75%; the evaluation of application is better, in which the safety score is the highest; the comprehensive evaluation shows that the applicable proportion of traditional Chinese medicine and western medicine is 77.73 and 75.46 respectively. The results of application evaluation showed that the degree of conformity between the guidelines and clinical practice was high, except for "other treatment methods" and "adjustment and prevention" of traditional Chinese medicine (TCM), the scores were above 90%, and the evaluation of application effect showed that the safety and economic effect were higher than that of the traditional Chinese medicine. Comprehensive evaluation results showed that a better proportion (鈮，

本文编号：2036438