Clinical Practice Guideline of Integrative Chinese and Western Medicine for Acute Myocardial Infarction  

作　　者：LIAO Peng-da CHEN Ke-ji GE Jun-bo ZHANG Min-zhou 

机构地区：[1]Guangdong Provincial Hospital of Chinese Medicine,Guangzhou(510120),China [2]The Second Clinical College of Guangzhou University of Chinese Medicine,Guangzhou(510120),China [3]Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing(100091),China [4]Shanghai Institute of Cardiovascular Diseases,Zhongshan Hospital,Fudan University,Shanghai(200032),China

出　　处：《Chinese Journal of Integrative Medicine》2020年第7期539-551,共13页中国结合医学杂志（英文版）

基　　金：Supported by Guangdong Provincial Science and Technology Project(No.2014A020221103);Traditional Chinese Medicine Science and Technology Research Project of Guangdong Provincial Hospital of Chinese Medicine(No.YK2013B2N14);Joint Scientific Project of Department of Science and Technology of Guangdong Province and Guangdong Provincial Academy of Traditional Chinese Medicine(No.2014A020221048)。

摘　　要：With increasing morbidity and mortality,acute myocardial infarction(AMI)has become one of the major causes of human death,leading to heavy burdens to individuals,families and society.Previous researches have found that though large amount of resources and great effort were devoted,no significant improvements were achieved in reducing the in-hospital mortality of AMI patients.Meanwhile,extensive studies about Chinese medicine(CM)have found that CM has special advantages in treating AMI patients.However,there is no standardized and unified clinical practice guideline(CPG)of CM for AMI.Therefore,a CPG with strict standard and generally acknowledgement is urgent to be established.This guideline was developed following the methodological process established by the World Health Organization Handbook for Guideline Development.Extensive search on clinical evidences including systematic review(SR),randomized controlled trial(RCT),observational study and case reports was launched,covering evidence of CM for AMI on several aspects,such as diagnosis,CM patterns,CM interventions on AMI and complications,cardiac rehabilitation and clinical pathway management.Besides,the application of Grading of Recommendations Assessment,Development and Evaluation(GRADE)approach enabled the evaluation of evidence and formulation of grade of recommendation(GOR)and level of evidence(LOE).With the help of GOR and LOE,this CPG recommends the integrative CM and WM treatment method in AMI patients and provides useful information on medical decision for clinical physicians.

关 键 词：acute myocardial infarction integrative Chinese and Western medicine clinical practice guideline 

分 类 号：R542.22[医药卫生—心血管疾病]