外科领域常见的系统评价类型与研究方法  

Common types and methodologies of systematic reviews in surgical fields

作　　者：周劼怡 袁丽霞 陈英[2] 徐升 周旭[1,3] ZHOU Jieyi;YUAN Lixia;CHEN Ying;XU Sheng;ZHOU Xu(Evidence-based Medicine Research Center,Jiangxi University of Chinese Medicine,Nanchang,330004,P.R.China;Department of Preventive Medicine,Jiangxi University of Chinese Medicine,Nanchang,330004,P.R.China;Key Laboratory of Drug-Targeting and Drug Delivery System of Sichuan Province,Chengdu,610041,P.R.China)

机构地区：[1]江西中医药大学循证医学研究中心,南昌330004 [2]江西中医药大学预防医学教研室,南昌330004 [3]靶向药物与释药系统四川省重点实验室,成都610041

出　　处：《中国胸心血管外科临床杂志》2025年第3期406-415,共10页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：江西省学位与研究生教育教学改革课题(JXYJG-2023-146);江西省赣鄱俊才支持计划·高校领军人才培养项目(QN2023045);江西中医药大学校级科技创新团队(CXTD-22012);四川大学华西医院横向课题(53521011)。

摘　　要：证据是医学实践模式从经验医学向循证医学转变的驱动力。目前,外科医师很难从海量原始研究文献中寻获解决临床问题的证据。文献综述作为一种归纳性证据形式,对于精准、高效利用证据尤为重要。系统评价是循证医学框架下的一种新综述形式,在外科领域也得到了广泛应用。随着循证医学方法学的发展,系统评价的类型得到不断丰富。本文梳理和总结了外科领域中常见的系统评价类型和研究方法,旨在为具体临床问题下外科医师选择查证用证和创证用证提供一个清晰的框架。Evidence serves as the driving force shifting medical practice from empirical medicine towards evidence-based medicine.In the current era of information explosion,it is challenging for clinical surgeons to extract evidence from the vast pool of primary research literature to address clinical issues.Literature reviews,as a form of synthesized evidence,are particularly crucial for precise and efficient evidence utilization.A new form of review within the framework of evidence-based medicine,systematic reviews,also has widespread application in the surgical domain.With the development of methodological approaches in evidence-based medicine,the types of systematic reviews continue to diversify.This paper outlines and summarizes the common types and methodologies of systematic reviews in the surgical field,aiming to provide a clear framework for surgical practitioners to select evidence for both confirming and innovating clinical practices in specific clinical challenges.

关 键 词：外科 系统评价 循证医学 综述 

分 类 号：R47[医药卫生—护理学]