中医辨证论治疗效评价研究进展  

Research progress on efficacy evaluation of TCM syndrome differentiation and treatment

作　　者：张迪 雒琳[1] 文天才[2] 秦宇宁 卢恩仕 王世华 何丽云[1] 王超 ZHANG Di;LUO Lin;WEN Tiancai;QIN Yuning;LU Enshi;WANG Shihua;HE Liyun;WANG Chao(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Data Center of TCM,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]中国中医科学院中医药数据中心,北京100700

出　　处：《科技导报》2023年第14期32-41,共10页Science & Technology Review

基　　金：国家自然科学基金项目(81230086,81673964)。

摘　　要：辨证论治疗效评价是用科学合理的方法,对医者辨证论治患者群体的效果做出客观的评价。以中医药为主的辨证论治在临床上大体可分为个体化干预和专病专方干预2种形式。对比2013年(265篇)与2022年(281篇)2个年度的辨证论治的疗效评价研究文献,依据PICOS原则,从中西医疾病诊断、中医证候诊断、治疗方式、治疗内容、治疗时间、对照组选择、分组方式等方面,分析辨证论治疗效评价的研究进展。研究发现,不同辨证论治文献之间,在评价对象、治疗方式和分组等疗效评价关键要素方面虽然有一定的集中性,但是因研究目的不同,也存在一定的差异性,影响了辨证论治疗效评价的结果。评价辨证论治过程中医生的治疗效果,将是辨证论治不断提升和优化的发展方向。The evaluation of the efficacy of syndrome differentiation and treatment is to use scientific and reasonable methods to objectively evaluate the effect of the doctor's syndrome differentiation and treatment of the patient group.Syndrome differentiation and treatment based on TCM can be roughly divided into two forms:Individualized intervention and special disease intervention.The efficacy evaluation research literatures on syndrome differentiation and treatment in 2013(265 articles)and 2022(281 articles)were compared in this article.According to the PICOS principle,the research progress of efficacy evaluation of syndrome differentiation and treatment was analyzed from the aspects of TCM and Western medicine disease diagnosis,TCM syndrome diagnosis,treatment method,treatment content,treatment time,control group selection,and grouping method.The study found that among different literatures on syndrome differentiation and treatment,although there was a certain degree of concentration in the key elements of efficacy evaluation such as evaluation objects,treatment methods,and grouping,there were also certain differences due to different research purposes,which affected the results of syndrome differentiation treatment efficacy evaluation.Evaluating the curative effect of doctors who control intervention methods in the process of syndrome differentiation and treatment will be the development direction of continuous improvement and optimization of syndrome differentiation and treatment.

关 键 词：辨证论治 疗效评价 个体化干预 专病专方干预 

分 类 号：R242[医药卫生—中医临床基础]