中医临床实践指南及专家共识制订的方法学思考  

Methodology on Traditional Chinese Medicine Formulation of Clinical Practice Guidelines and Expert Consensus

作　　者：何伟伟 安莹 张乐怡 洪玉颖 张根明[2] HE Weiwei;AN Ying;ZHANG Leyi;HONG Yuying;ZHANG Genming(The First School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing China 100700;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing China 100700)

机构地区：[1]北京中医药大学第一临床医学院,北京100700 [2]北京中医药大学东直门医院,北京100700

出　　处：《中医学报》2025年第1期33-38,共6页Acta Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1712003)。

摘　　要：制订中医临床实践指南需要科学规范的方法学指导。在中医药标准化工作推动下,我国发布的中医指南数量快速增长,虽然指南的方法学质量逐渐提升,但仍存在一定的方法学问题。因此,针对指南制订的关键环节,如建立指南工作组、利益冲突声明、临床问题的构建、证据检索与筛选、证据分级与推荐意见、指南更新等方面进行了分析与思考。此外,部分中医指南存在“辨证分型”数量、名称不统一及推荐方法不规范等问题,并提出构建中医指南与共识中“辨证分型”证据筛选与评价体系的思路。The development of clinical practice guidelines for traditional Chinese medicine(TCM)requires scientific and standardized methodological guidance.Driven by the standardization of traditional Chinese medicine,the number of TCM guidelines issued in China has increased rapidly,and although the methodological quality of the guidelines has gradually improved,certain methodological problems still exist.Therefore,key aspects of guideline development,such as the establishment of guideline working groups,declaration of conflict of interest,construction of clinical questions,evidence retrieval and screening,evidence grading and recommendation,and guideline updating,were analyzed and considered.In addition,some Chinese medicine guidelines have problems such as the number and name of"syndrome identification and typing",and the recommendation method is not standardized,etc.We also put forward the idea of constructing a system for screening and evaluating the evidence of"syndrome identification and typing"in Chinese medicine guidelines and consensus.

关 键 词：中医临床实践指南 专家共识 方法学 辨证分型 

分 类 号：R241[医药卫生—中医诊断学]