基于文献的中医“治未病”临床应用现状及思考  

Clinical Application Status and Thoughts of “Preventive Treatment of Diseases” Based on Literature

作　　者：杨燕 熊婕 彭锦[2] 尹爱宁[3] YANG Yan;XIONG Jie;PENG Jin;YIN Ai-ning(Basic Medical College,Hubei University of Chinese Medicine,Wuhan 430065,China;Institute of Clinical Basic Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Institute of Information on Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]湖北中医药大学基础医学院,湖北武汉430065 [2]中国中医科学院中医临床基础医学研究所,北京100700 [3]中国中医科学院中医药信息研究所,北京100700

出　　处：《中国中医药信息杂志》2018年第11期87-91,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：中医药行业科研专项(201307003)

摘　　要：目的分析中医"治未病"临床应用现状及存在的问题,并提出相应对策。方法计算机检索2013年1月1日-2017年12月31日中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(维普网)中运用中医"治未病"思想的临床对照观察研究文献。对纳入文献防治人群、干预方法、效果评价标准、使用频次等情况进行分析。结果共纳入文献203篇,涉及受试者37 104例。"既病防变""瘥后防复"方面文献以常见慢性病及其并发症居多,"未病先防"文献涉及亚健康(28.08%)、健康(2.46%)人群。干预方法包括药物调治、中医特色疗法、健康管理、饮食调养、运动调养、心理调养等,以药物调治为主。效果评价标准多采用疾病疗效评价标准,其构成指标主要包括证候症征指标、生物学指标、量表测评指标、结局指标,以"证候/症状/体征"最常见(77.66%)。结论中医"治未病"临床应用广泛,目前研究主要存在对健康人群的研究文献报道较少、干预方法多样但缺乏循证依据、效果评价指标多照搬套用疾病评价指标体系、效果评价标准滞后等问题。Objective To analyze the clinical application status and existing problems of TCM“preventive treatment of diseases”;To propose corresponding countermeasures.Methods Contrast observation literature about application of TCM“preventive treatment of diseases”in CNKI,Wanfang Database and VIP from 1st January of 2013 to 31st December of 2017 was retrieved by computers.Prevention and treatment of people,intervention methods,evaluation criteria,frequency of use,etc.in the literature were analyzed.Results Totally 203 articles were included,involving 37 104 cases.The prevention and treatment of diseases were mostly caused by common chronic diseases and their complications.The prevention and treatment of“the undiseased”involved sub-healthy(28.08%)and healthy(2.46%)people.Intervention methods included medicine treatment,TCM treatment,health management,diet,sports rehabilitation,psychological rehabilitation,etc.,and medicine treatment was the main method.The evaluation criteria mostly adopted disease efficacy evaluation criteria.The constituent indicators mainly included syndrome symptom indicators,biological indicators,scale evaluation indicators,and outcome indicators.The most common were syndrome/symptoms/signs(77.66%).Conclusion The clinical application of TCM“preventive treatment of diseases”is widely used.At present,problems,such as few research reports on healthy people,diverse intervention methods but lack of evidence-based evidence,evaluation indicators the same as disease evaluation index system,and lagging effect evaluation standard still exist.

关 键 词：治未病 对照观察 文献计量学 

分 类 号：R2-05[医药卫生—中医学] R211