临床实践指南制订过程中临床问题的构建——基于病例引导式方法  

Clinical Questions Construction in Clinical Practice Guidelines:Based on Case-guided Approach

作　　者：高一城 于子津 王雅琪 方锐[5] 王程[5] 李媛媛[5] 邓迎杰[5] 摆雪 向文远 费宇彤[1,2,3] GAO Yicheng;YU Zijin;WANG Yaqi;FANG Rui;WANG Cheng;LI Yuanyuan;DENG Yingjie;BAI Xue;XIANG Wenyuan;FEI Yutong(Centre for Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Institute for Excellence in Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Beijing GRADE Center,Beijing 100029,China;School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China;Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]北京中医药大学国际循证中医药研究院,北京100029 [3]北京GRADE中心,北京100029 [4]北京中医药大学针灸推拿学院,北京100029 [5]新疆医科大学附属中医医院,乌鲁木齐830000

出　　处：《协和医学杂志》2025年第1期198-203,共6页Medical Journal of Peking Union Medical College Hospital

基　　金：新疆维吾尔自治区重点研发计划(2021B03006-4)。

摘　　要：在临床实践指南制订过程中,临床问题的构建存在技术难点。临床医生或指南制订者在构建临床问题时较少基于真实病例情景,导致结构化临床问题与实际临床内涵之间存在一定的信息缺失。为解决此难点,本文提出病例引导式临床问题构建方法,并在指南制订过程中进行了实例验证,发现其可更高效、科学地辅助临床问题构建,为临床医生或指南制订者提供参考。Currently,there are practical and technical difficulties in the construction of clinical questions in the development of clinical practice guidelines.Clinicians or guideline developers seldom construct clinical questions based the actual case scenario,leading to some information loss between structured and actual clinical connotation.To overcome this challenge,we proposed a case-guided questions construction approach,and carried out case research and verification in the formulation of the guideline.We found that this method could more efficiently and scientifically assist the formulation of clinical questions,and provide reference for clinicians or guideline developers.

关 键 词：临床问题 病例引导式 结构化 方法学 临床实践指南 

分 类 号：R181.2[医药卫生—流行病学] R-3[医药卫生—公共卫生与预防医学]