《中医耳鼻咽喉科常见病诊疗指南》临床应用评价研究  

Clinical application evaluation of Guidelines for Diagnosis and Treatment of Common Diseases of Otolaryngology in Traditional Chinese Medicine

作　　者：刘玉祁[1] 刘孟宇[1] 李淳[2] 史楠楠[1] 王跃溪[1] 王丽颖[1] 赵学尧[1] 寇爽[1] 韩学杰[1] 王燕平[1] 

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]中国中医科学院,北京100700

出　　处：《中国中药杂志》2017年第17期3243-3246,共4页China Journal of Chinese Materia Medica

基　　金：中国中医科学院中医临床基础医学研究所自主选题项目(Z0411);中国中医科学院自主选题项目(Z0483);国家中医药管理局资助项目(ZYYS-2016[0013];ZYYS-2014[20])

摘　　要：对《中医耳鼻咽喉科常见病诊疗指南》进行临床应用评价,为《指南》修订提供依据。评价分为适用性评价和应用性评价两部分,前者采用调查问卷方法,由中医师独立填写《中医临床诊疗指南适用性调查问卷》;后者采用前瞻性病例调查分析方法,由主管医生填写《中医临床诊疗指南应用评价病例调查表》。采用描述性统计分析方法。完成适用性评价调查问卷151份,应用性评价观察了1 016例患者。结果显示:88.74%熟悉《指南》,45.70%使用过《指南》;《指南》的质量、应用相关项目在适用性和应用性评价中比较一致,除"调摄预防"外,其他项目好评度均超过85.00%。提示《中医耳鼻咽喉科常见病诊疗指南》质量较高,并且能够较好指导和应用于临床。未来《指南》修订过程中,应改进"调摄预防"部分内容,并纳入循证医学证据,以最终提高临床使用率。This study is to assess the Guidelines for Diagnosis and Treatment of Common Diseases of Otolaryngology in Traditional Chinese Medicine in clinical application and provide evidence for further guideline revision. The assessment was divided into applicability assessment and practicability assessment. The applicability assessment based on questionnaire survey and the traditional Chinese medicine（ TCM） practitioners were asked to independently fill the Questionnaire for Applicability Assessment on the Guidelines for Diagnosis and Treatment in Traditional Chinese Medicine. The practicability assessment was based on prospective case investigation and analysis method and the TCM practitioners-in-charge filled the Case Investigation Questionnaire for Practicability Assessment on the Guidelines for Diagnosis and Treatment in Traditional Chinese Medicine. The data were analyzed in descriptive statistics. 151 questionnaires were investigated for applicability assessment and 1 016 patients were included for practicability assessment. The results showed that 88. 74% of them were familiar with the guidelines and 45. 70% used them. The guidelines quality and related items were similar in applicability assessment and practicability assessment,and scored highly as more than 85. 00% except the ＂ recuperating and prevention＂. The results suggested that the quality of Guidelines for Diagnosis and Treatment of Common Diseases of Otolaryngology in Traditional Chinese Medicine was high and could better guide the clinical practice. The ＂ recuperating and prevention＂ part should be improved and the evidence data should be included in future guideline revision,so that the clinical utilization rate could be increased.

关 键 词：中医诊疗指南 适用性评价 应用性评价 耳鼻咽喉科 

分 类 号：R276.1[医药卫生—中医五官科学]