循证中医临床路径的制定与实施  

Establishment and Implementation of Evidence-based Clinical Pathway of Chinese Medicine

作　　者：刘建平[1] 王思成[1,2] 吴大嵘 牟钰洁[1] 吕玉波 

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]国家中医药管理局科技司,北京100009 [3]广州中医药大学第二附属医院,广州510120

出　　处：《中国中西医结合杂志》2011年第1期115-119,共5页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2006CB504602);国家中医药行业专项2007年资助项目(No.200707004);国际科技合作项目(No.2009DFA31460)

摘　　要：临床路径(clinical pathway)的本质目标是为了规范临床实践的水平,提高医疗质量,解决患者病痛。而循证医学的核心思想在于利用当前所能获得的最佳临床研究证据指导临床医疗决策,无论是制定临床实践指南,还是临床路径,都需要遵循研究证据。本文介绍了循证医学方法运用于临床路径制定的步骤与方法,包括建立临床路径编写小组、提出临床问题、查找相关证据,严格评价证据,应用证据于临床路径的制定过程,希望对今后中医临床路径的研制提供方法学的指导。The purpose of establishing an evidence-based clinical pathway is to standardize the clinical practice,improve the quality of health care and cure patients＇ illness. Since the core of evidence-based medicine （EBM） lies in implementing the current best available evidence of clinical research to direct the decision making in clinical practice,evidence obtained from research should be kept to either in formulating a clinical practice guideline or establishing a clinical pathway. The EBM method for establishing clinical pathway was introduced in this paper,including setting up a compilation team,raising clinical relevant problems,searching and critically appraising available evidence,and incorporating them into the process of clinical pathway establishment,expecting to provide methodological guidance for establishing TCM clinical pathway in future.

关 键 词：临床路径 循证医学 中医药 方法 

分 类 号：R24[医药卫生—中医临床基础]