慢性阻塞性肺疾病稳定期中医临床实践指南(征求意见稿)  

Clinical practice guideline for stable chronic obstructive pulmonary disease with traditional Chinese medicine (draft version for comments)

作　　者：樊长征[1] 苗青[1] 樊茂蓉[1] 廖星[2] 张琼[1] 范艺龄 马秋晓 曹庆 王宁[1] 郝娅妮 FAN Chang-zheng;MIAO Qing;FAN Mao-rong;LIAO Xing;ZHANG Qiong;FAN Yi-ling;MA Qiu-xiao;CAO Qing;WANG Ning;HAO Ya-ni(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Center for Evidence-based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]中国中医科学院中医临床基础医学研究所循证医学基础研究室,北京100700 [3]北京中医药大学,北京100029

出　　处：《中国中药杂志》2020年第22期5309-5322,共14页China Journal of Chinese Materia Medica

基　　金：中国中医科学院“十三五”重点领域研究重点项目(Z0545);中国宋庆龄基金会慢阻肺临床研究专项(2018MZFZY-010)。

摘　　要：该指南在充分参考《世界卫生组织指南制定手册》编制规范与程序基础上,并在相关法律法规和技术文件指导下,本着"循证为举,共识为主,经验为鉴"的原则,在现有最佳证据的基础上,充分结合专家经验以及患者偏好,归纳整理8个临床问题:中医药治疗是否可改善慢性阻塞性肺疾病稳定期患者的临床症状及呼吸困难程度?中医药治疗是否可减少慢性阻塞性肺疾病稳定期患者的急性加重次数?中医药治疗是否可提高慢性阻塞性肺疾病稳定期患者的运动耐力?中医药治疗是否可提高慢性阻塞性肺疾病稳定期患者的生活质量?中医药治疗是否可延缓慢性阻塞性肺疾病稳定期患者的肺功能下降?中医药治疗是否可改善慢性阻塞性肺疾病稳定期患者的焦虑抑郁状态?贴敷治疗是否可使慢性阻塞性肺疾病稳定期患者获益?非药物疗法是否可使慢性阻塞性肺疾病稳定期患者获益?基于8个临床问题及中医药自身特点和临床实际情况形成了使用中医药治疗慢性阻塞性肺疾病稳定期的推荐意见。该指南旨在为临床医生使用中医药治疗稳定期慢性阻塞性肺疾病,以缓解症状、改善运动耐力、改善健康状态,以及预防疾病进展、预防和治疗急性加重、提高临床疗效等方面提供建议和指导。该指南由于受到使用者地域、民族、种族等因素的影响,在具体实施过程中,应依照实际情况而定。By referring to the standards and procedures of WHQ Handbook for Guideline Development, under the guidance of relevant laws, regulations, and technical documents, in line with the principle of "evidence-based, consensus-based, experience-based", and based on the best available evidences, fully combined with expert experience and patient preferences, we summarized eight clinical questions in this paper: can traditional Chinese medicine(TCM) treatment improve the clinical symptoms and the degree of dyspnea in patients with stable chronic obstructive pulmonary disease(COPD) Can TCM treatment reduce the number of exacerbations in patients with stable COPD? Can TCM treatment improve the exercise tolerance of patients with stable COPD? Can TCM treatment improve the quality of life of patients with stable COPD? Can TCM treatment delay the decline of lung function in patients with stable COPD? Can TCM treatment improve anxiety and depression in patients with stable COPD? Does the point application therapy benefit patients with stable COPD? Can non-pharmacological treatment benefit patients with stable COPD? Based on these eight clinical problems, the cha-racteristics of TCM itself, and actual clinical situation, the recommendations of TCM to treat the stable COPD were formed in this guideline, with intention to provide advice and guidance to clinicians in the use of TCM to treat stable COPD, to relieve symptoms, improve exercise tolerance, improve health status, prevent disease progression, prevent and treat exacerbations, and improve clinical efficacy. Due to the influence of the user′s region, nationality, race and other factors, the implementation of this guideline should be based on the actual situations.

关 键 词：慢性阻塞性肺疾病 稳定期 中医 临床实践指南 

分 类 号：R259[医药卫生—中西医结合]