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变应性鼻炎治未病的标准化制订研究

发布时间:2018-08-21 07:40
【摘要】:目的:开展变应性鼻炎(鼻鼽)治未病标准化制订研究,建立科学、规范、实用的《中医治未病实践指南·鼻鼽》。方法:首先进行古代与现代文献研究。通过设定检索词,运用检索工具,广泛查找有关文献。根据文献的不同类型采用相应的评价方法对文献质量进行评估,选择有价值的中医、中西医结合诊断、防治的资料,撰写关于鼻鼽的文献研究报告。其次,采用德尔菲(Delphi)法进行三轮问卷调查,每一轮专家返回问卷后,我们对其进行统计分析,并研究专家修改意见,形成指南草稿。随之,邀请本行业专家、文献学专家及国家中医药管理局总指导组专家对草稿进行论证,修改完善后形成指南初稿。其后,我们向相关行业专家发送指南初稿征求意见,按照"循证"等原则,决定采纳与否并提出相应理由,据此修改指南初稿形成了评价稿。对于形成的评价稿,邀请了 10个三级医院开展200例临床一致性评价。与此同时,中华中医药学会耳鼻喉科分会指定了中医耳鼻喉科、中西医结合耳鼻喉科等的4位专家对指南进行方法学质量评价(AGREEⅡ工具)。基于临床评价反馈的意见,对评价稿进行全面的整理、修改,并经专家指导组审定,形成《中医治未病实践指南·鼻鼽》公开征求意见稿。结果:制订出符合临床实际的、具有循证依据及中医药特色的《中医治未病实践指南·鼻鼽》(公开征求意见稿)。结论:变应性鼻炎治未病的标准化研究成果不仅为指导各地鼻鼽"治未病"工作,也将推进中医治未病及标准化事业的发展,促进中医标准化的进程,提高国民健康管理意识,降低医疗费用,融洽医患关系。
[Abstract]:Objective: to establish a scientific, standardized and practical guide for the treatment of allergic rhinitis (rhinitis). Methods: firstly, the ancient and modern literature were studied. By setting the key words and using retrieval tools, the relevant documents are searched extensively. According to the different types of literature, the quality of the literature was evaluated by the corresponding evaluation methods, and valuable Chinese medicine, integrated traditional Chinese and western medicine diagnosis, prevention and treatment materials were selected, and the literature research report on rhinitis was written. Secondly, using Delphi (Delphi) method to carry out three rounds of questionnaire, after each round of experts return questionnaire, we carry on statistical analysis to it, and study expert's revision opinion, form the draft of the guide. Subsequently, experts in the industry, literature experts and experts of the General steering Group of the State Administration of traditional Chinese Medicine were invited to demonstrate the draft, and to revise and improve the draft to form a first draft of the guide. Subsequently, we sent the first draft of the guide to the relevant industry experts for comments. According to the principle of "evidence-based", we decided whether or not to adopt it and put forward the corresponding reasons, and then revised the first draft of the guide to form an evaluation draft. Ten tertiary hospitals were invited to evaluate the clinical consistency of 200 cases. At the same time, the Otolaryngology Branch of the Chinese Academy of traditional Chinese Medicine has appointed four experts from Otolaryngology of TCM and Otolaryngology of Integrated Chinese and Western Medicine to evaluate the methodological quality of the guide (AGREE 鈪,

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