胎动不安中医诊疗指南临床应用评价研究  

Clinical application evaluation on clinical practice guideline of Chinese medicine for threatened abortion

作　　者：王东梅[1] 王宪[1] 李伟莉[2] 赵瑞华[3] 闫颖[4] 魏绍斌[5] 刘孟宇[6] 韩学杰[6] 

机构地区：[1]山东中医药大学附属医院,济南250014 [2]安徽中医药大学第一附属医院,合肥230031 [3]中国中医科学院广安门医院,北京100053 [4]天津中医药大学第一附属医院,天津300192 [5]成都中医药大学附属医院,成都610075 [6]中国中医科学院中医临床基础医学研究所,北京100700

出　　处：《中华中医药杂志》2016年第4期1320-1322,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局中医药标准化项目(No.ZYYS-2013[0010]);国家自然科学基金青年科学基金项目(No.81502898)~~

摘　　要：目的:评价胎动不安中医诊疗指南临床应用效果,拓展应用评价内容。方法:按照国家中医药管理局中医诊疗指南临床应用评价实施方案要求,由5家国家中医药管理局中医药标准研究推广基地采用前瞻性临床病例观察方法,观察临床胎动不安病例,进行临床诊疗实践与指南内容的比较,评估指南符合度(一致性)。结果:300例临床资料与指南比较,诊断要点和证候分类、治则治法及方药的符合率较高,其他疗法的符合率较低。拓展研究显示:肾虚是本病的根本病机,补肾的原则与方法贯穿始终,指南与临床实际一致。结论:该指南临床应用符合度(一致性)好,可作为临床诊疗本病的规范方案。指南中未涉及调摄预防等内容,可进一步修订完善。拓展中医诊疗指南应用性评价内容,可以更准确地评估指南内在质量。Objective： To evaluate the application effect of clinical practice guideline of Chinese medicine for threatened abortion, and to expand its application range. Methods： According to the requirement of State Administration of Traditional Chinese Medicine（TCM）, using prospective clinical case observation method, threatened abortion cases were observed by five standardization research bases of State Administration of TCM. The clinical practice was compared with guideline theory, and the consistency of the theory and practice was evaluated. Results： The coincidence rate between 300 cases and TCM clinical practice guideline in the respects of Chinese and western medicine diagnosis, syndrome classification, principle and method of treatment and medication was higher, in the respects of others was lower. The extension research showed that the basic pathogenesis of this disease was kidney deficiency, the principle and method of invigorating kidney was used throughout the treatment, and the TCM clinical practice guideline was conformed to clinical treatment scheme. Conclusion： This guideline is applicable, which could be used as the standard guideline for clinical treatment of this disease. However, the content of prevention and regulation of threatened abortion is not involved, so it could be further revised. To expand the application evaluation content of TCM guideline might help to precisely evaluate the quality of the TCM Guidelines.

关 键 词：胎动不安 中医诊疗指南 指南应用性评价 

分 类 号：R271.9[医药卫生—中西医结合]