《中医药单用/联合抗生素治疗急性咽炎疾病临床实践指南》临床应用评价与修订意见  

Clinical application evaluation and revision suggestions of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for acute pharyngitis

作　　者：姚晓燕[1] 边永君[1] 高扬[1] 王毅[1] 谢雁鸣[2] 张俊华[3] 张伯礼[3] 李光熙[1] YAO Xiao-yan;BIAN Yong-jun;GAO Yang;WANG Yi;XIE Yan-ming;ZHANG Jun-hua;ZHANG Bo-li;LI Guang-xi(Gnang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]中国中医科学院中医临床基础医学研究所,北京100700 [3]天津中医药大学,天津300193

出　　处：《中国中药杂志》2018年第24期4765-4770,共6页China Journal of Chinese Materia Medica

基　　金：中央级公益性科研院所基本科研业务费专项(ZZ10-018-02,ZZ11-021,Z0546)

摘　　要：通过开展实地调研,分析《中医药单用/联合抗生素治疗急性咽炎疾病临床实践指南》临床应用中的阻碍因素,为该《指南》的后续修订及推广提供借鉴。对全国27个地区181家医院临床医师进行在线问卷调查,对阻碍该《指南》应用的因素进行统计分析。结果分别回收501份适用性评价调查问卷及503份应用评价问卷,临床应用阻碍因素主要集中在《指南》内容局限性及获取不便、基层医疗结构应用特殊性及调研对象分布不均。在修改意见上,中医方面建议完善辨证分型、适应症、适用方剂以及增加其他中医特色疗法;西医方面建议明确联用抗生素的使用时机。此次调研,为下一步推广该指南的临床应用以及修订提供了切实有效的信息。The purpose of this study is to analyze the obstructive factors of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for acute pharyngitis,and summarize the revision suggestions for follow-up revision and promotion. Clinical physicians from 181 hospitals in 27 regions of China were selected to complete the online questionnaire survey for statistical analysis of obstructive factors. We collected 501 copies of the applicability evaluation questionnaire and 503 copies of the application evaluation questionnaire. The obstructive factors mainly focused on limitation of the Guideline,inconvenience of access,particularity of primary medical structure and uneven distribution of surveyed subjects. As for amendments,it was suggested to improve the syndrome differentiation,indications,prescriptions,and add characteristic TCM therapies in Chinese medicine;it was suggested to clarify the time to use antibiotics in Western medicine. According to the results of this study,the relevant contents of the Guideline should be further improved so as to be better applied in clinical practice.

关 键 词：中医药 急性咽炎 阻碍因素 修订 

分 类 号：R766.14[医药卫生—耳鼻咽喉科]