中成药标准化指南制订的思考与建议：以慢性肾脏病为例  

Considerations and suggestions for standardizing clinical practice guideline of traditional Chinese patent medicine-chronic renal disease as an example

作　　者：喻佳洁[1] 高学敏[2] 李平[3] 李磊[4] 严美花[3] 李幼平[1] YU Jiajie;GAO Xuemin;LI Ping;LI Lei;YAN Meihuan;LI Youping(Chinese Evidence-Based Medicine Center,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;School of Chinese Materia Medica,Beijing University of Chinese Medicine,Beijing,100029,P.R.China;Institute of Clinical Medical Science,China-Japan Friendship Hospital,Beijing,100029,P.R.China;Medical Research and Assessment Center,China Association of Traditional Chinese Medicine,Beijing,100101,P.R.China)

机构地区：[1]四川大学华西医院中国循证医学中心,成都610041 [2]北京中医药大学中药学院,北京100029 [3]中日友好临床医学研究所,北京100029 [4]中国中药协会药物研究评价技术中心,北京100101

出　　处：《中国循证医学杂志》2019年第12期1477-1480,共4页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目（编号：71704120）

摘　　要：目前国内与中医药相关指南数量增加迅速,但质量不高且缺少与中成药相关的指南。针对中医药理论体系和中成药的特性,我们建议:中成药标准化指南需循证选题、保证选题的科学性;明确共性问题;正确理解证据强度与临床推荐;吸收优势单位、专家团队加盟;注意疾病谱和临床特点的变化趋势及新技术、新方法和新模式带来的影响;非共识的少数专家意见应注意意见内容及专家提供的证据和理由;坚持质量第一、速度第二。The number of clinical practice guidelines for traditional Chinese patent medicine has been increasing recently. However, the quality of guidelines was still low compared to international guidelines. Considering the characteristics of traditional Chinese patent medicine, we suggested the following items should be taken into account when developing traditional Chinese patent medicine guidelines: ensuring the standardized guidelines of traditional Chinese patent medicine research problem is scientific based on reliable evidence;identifying the common questions according to these research problems;understanding the strength of evidence and how to recommend correctly;inviting some experts in other fields to take part in the development of guidelines;paying more attention on the changes of disease burden and the impact of new methods and technologies when developing the guideline;paying more attention to the nonconsensus opinions and evidence supporting these opinions;insisting on quality is the priority, while speed is secondary.

关 键 词：中成药 标准化指南 慢性肾脏病 

分 类 号：R28[医药卫生—中药学]