中医疗效评价的现状分析与解决思路探析  

Analysis of the present situation of curative effect evaluation of traditional Chinese medicine and its solutions

作　　者：赵琼 张俊龙 窦志芳 ZHAO Qiong;ZHANG Jun-long;DOU Zhi-fang(Shanxi Univeristy of Chinese Medicine,Jinzhong 030619,China;Shanxi Medical Univeristy,Jinzhong 030606,China)

机构地区：[1]山西中医药大学,晋中030619 [2]山西医科大学,晋中030606 [3]山西中医药大学基础医学院,030619

出　　处：《中华中医药杂志》2023年第2期772-774,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.81874420)。

摘　　要：中医疗效评价的方法主要有基于中医“证”变化判断疗效,完全利用西医指标与方法判断疗效,运用生活质量测评方法判断疗效,借鉴循证医学Meta分析的方法判断疗效。目前为止,中医学尚缺乏符合中医诊疗特色且能够客观评价临床疗效的方法和标准,导致中医学难以步入循证医学之轨,影响到中医药走向世界的进程。强调基于标准化技术的疗效判定研究与创新,将是中医药疗效评价体系建立的主要方向。实现标准化技术的疗效判定关键在于辨证论治诊疗技术能不能实现标准化。如何实现辨证论治诊疗技术的标准化,需要医学统计学、高等数学等多学科交叉融合,从个性化数据中寻找标准化证据;需要规范中医药基础理论名词术语,围绕中医优势治疗病种常见中医证候类型规律及治疗用药标准研究;需要注重系统指标之间关联性作用。The methods of traditional Chinese medicine(TCM)efficacy evaluation mainly include judging the efficacy based on the changes in the‘syndrome’of TCM,taking advantage of Western medicine indicators and methods to judge the efficacy,using the quality of life assessment method to judge the efficacy and drawing on the method of evidence-based medical Meta-analysis to judge the efficacy.So far,due to the lack of methods and standards that meet the characteristics of TCM diagnosis and treatment and can objectively evaluate clinical efficacy,it is difficult for TCM to enter the track of evidence-based medicine,which in turn affects the process of TCM going global.Emphasizing the research and innovation of efficacy judgment based on standardized technology will be the main direction of the establishment of the efficacy evaluation system of TCM.The key to determining the efficacy of standardized technology lies in whether dialectical treatment diagnosis and treatment technology can be standardized.The realization of the standardization of dialectical treatment technology needs to be cross-integrated with medical statistics,advanced mathematics and other disciplines to find standardized evidence from personalized data,in addition to the common symptom types and medication standards in the dominant diseases of TCM to standardize the basic theoretical terminology of TCM,and also need to pay attention to the role of correlation between system indicators.

关 键 词：中医疗效评价 辨证论治 诊疗技术标准化 循证医学 

分 类 号：R242[医药卫生—中医临床基础]