推拿治疗儿童急性腹泻循证临床指南  

Tuina for children with acute diarrhea:an evidence-based clinical guideline

作　　者：葛龙 曹晓[6] 张迁 王琪[1] 杨秋玉 谢倩文 后亮瑛 周奇 郭新峰 蔡坚雄 刘少南 杨丽虹 杨克虎 陈耀龙 李华南[9] 葛湄菲 许丽[11] 邱丽漪[12] 万力生 孙武权[14] 王宇峰 林秀华[16] 王立新[15] 吴大嵘[7,17] 无 GE Long;CAO Xiao;ZHANG Qian;WANG Qi;YANG Qiuyu;XIE Qianwen;HOU Liangying;ZHOU Qi;GUO Xinfeng;CAI Jianqiong;LIU Shaonan;YANG Lihong;YANG Kehu;CHEN Yaolong;LI Huanan;GEI Meifei;XU Li;QIU Liyi;WAN Lisheng;SUN Wuquan;WANG Yufeng;LIN Xiuhua;WANG Lixin;WU Darong;无(Evidence Based Social Science Research Centre,School of Public Health,Lanzhou University,Lanzhou 730000,P.R.China;WHO Collaborating Center for Guideline Implementation and Knowledge Translation,Lanzhou 730000,P.R.China;Department of Guidelines and Standards,Lanzhou University Institute of Health Data Science,Lanzhou 73000,P.R.China;Key Laboratory of Evidence-based Medicine and Clinical Transformation in Gansu Province,Lanzhou 730000,P.R.China;GRADE Chinese Centre,Lanzhou University,Lanzhou 730000,P.R.China;Evidence-based Nursing Center,School of Nursing,Lanzhou University,Lanzhou 730000,P.R.China;State Key Laboratory of Dampness Syndrome of Chinese Medicine,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,P.R.China;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,P.R.China;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,P.R.China;Haici Medical Group of Qingdao City,Qingdao 266033,P.R.China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,P.R.China;Beijing Massage Hospital,Beijing 100035,P.R.China;Shenzhen Children’s Hospital,Shenzhen 518038,P.R.China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,P.R.China;The Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130117,P.R.China;Foshan City Nanhai District Maternity and Child Health Hospital,Foshan 528212,P.R.China;Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome,Guangzhou 510120,P.R.China;on behalf of Trustworthy Traditional

机构地区：[1]兰州大学公共卫生学院循证社会科学研究中心,兰州730000 [2]世界卫生组织指南实施与知识转化合作中心,兰州730000 [3]兰州大学健康数据科学研究院指南与标准研究中心,兰州730000 [4]甘肃省循证医学与临床转化重点实验室,兰州730000 [5]GRADE中国中心,兰州730000 [6]兰州大学护理学院循证护理中心,兰州730000 [7]省部共建中医湿证国家重点实验室(广州中医药大学第二附属医院)/广东省中医院,广州510120 [8]兰州大学基础医学院循证医学中心,兰州730000 [9]天津中医药大学第一附属医院,天津300193 [10]青岛市海慈医疗集团,山东青岛266033 [11]浙江中医药大学附属第三医院,杭州310005 [12]北京按摩医院,北京100035 [13]深圳市儿童医院,深圳518038 [14]上海中医药大学附属岳阳中西医结合医院,上海200437 [15]长春中医药大学附属医院,长春130117 [16]佛山市南海区妇幼保健院,广东佛山528212 [17]广东省中医证候临床研究重点实验室,广州510120 [18]代表TCM Rees工作组

出　　处：《中国循证医学杂志》2021年第7期745-753,共9页Chinese Journal of Evidence-based Medicine

基　　金：国家重点研发计划项目(编号:2019YFC1709800、2019YFC1709805)。

摘　　要：儿童急性腹泻是儿童的急性高发病。推拿治疗已广泛应用于儿童急性腹泻的临床实践中,但暂无推拿治疗儿童急性腹泻的临床指南。本指南严格按照循证医学原则,根据《世界卫生组织指南制订手册》要求制订。其中系统评价制作方法参照Cochrane协作网要求,证据评价和推荐意见分级使用GRADE方法,并参照RIGHT报告规范进行撰写。本指南通过文献调研和专家共识进行临床问题遴选,最终确定了7个临床问题(2个前景性问题和5个背景性问题)。基于系统评价结果,综合考虑证据利弊、证据质量、患者偏好和其他资源,通过德尔菲法专家共识形成推荐意见:在西医常规治疗基础上,建议使用推拿治疗儿童急性腹泻(弱推荐,低质量证据)。本指南可供中医儿科、小儿推拿科的医生和护士、中医推拿相关从业人员使用,西医相关人员也可作参考,亦适用于全部开展推拿治疗的机构。Acute diarrhea has a high incidence in children.Pediatric tuina has been widely used in children with acute diarrhea in China.However,there is no guideline on the treatment of tuina for children with acute diarrhea.This guideline was developed following evidence-based principles and the World Health Organization handbook for guideline development.The linked systematic review was conducted following the Cochrane handbook.The quality of evidence and the strength of recommendations were evaluated using the GRADE approach.The reporting followed the RIGHT statement.Seven clinical questions(2 foreground questions and 5 background questions)were identified by literature review and expert consensus.Based on the linked systematic review and through comprehensive consideration of the balance of benefit and harm,quality of evidence,patient preferences,and other resources,we formulated the recommendations using Delphi expert consensus.We suggested combination of a weak recommendation for tuina with Western medicine usual care to treat children with acute diarrhea.This guideline can be used by clinicians and nurses in the department of traditional Chinese medicine pediatrics,and department of pediatric tuina,and can also be used as a reference for relevant clinicians of Western medicine and is also applicable to all institutions that practice tuina treatment.

关 键 词：推拿 儿童 急性腹泻 指南 

分 类 号：R244.1[医药卫生—针灸推拿学]