指南的个体化是临床实践的基础——以常见心血管病治疗为例  

The Individualization of Guidelines is the Basis of Clinical Practice:Taking the Treatment of Cardiovascular Disease as An Example

作　　者：陶贵周 毛慧子 TAO Gui-zhou;MAO Hui-zi(Department of Cardiology,The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China)

机构地区：[1]锦州医科大学附属第一医院心内科,辽宁锦州121000

出　　处：《医学与哲学》2021年第2期6-12,共7页Medicine and Philosophy

基　　金：2016年国家重点研发计划基金项目(2016YFC1301300)。

摘　　要：临床指南是建立在大量循证医学证据基础上对临床实践有指导意义的重要文件。结合临床实践中遇到的常见心血管疾病及其相关指南,通过对指南应用中的个体化治疗、诊疗指南完善中的治疗方案个体化、与指南标准不一样的治疗目标、与指南基本条件不一致、指南中没有的治疗方法等问题的探讨,思考指南应用中的现实问题。根据具体患者的个体特点和差异制定个体化治疗方案,提出破解指南与实践中差异的建议,要将目标定在安全与有效、患者最大受益,这是医务工作的方向。The clinical guideline is an important document in clinical practice based on evidence-based medicine(EBM).This paper studies common cardiovascular diseases under the guideline and struggles on practical problems in application by using the perfecting individualized treatment,and by exploring treatments inconsistent with the guideline.It is suggested to eliminate differences between the guideline and practice by making individualized plans.The development direction of medical practice is safety,effectiveness and patient-benefit maximization.

关 键 词：临床指南 个体化原则 安全性 有效性 

分 类 号：R-02[医药卫生]