儿科领域中医药临床实践指南可实施性评价  

Evaluation of the implementability of traditional Chinese medicine clinical practice guidelines in paediatrics

作　　者：胡紫腾 晏利姣 陈昭 明溪 张秀英[4] 张钰菁 张福强 杨一玖 王丁熠 张雪飞 赵国桢 李衣芗 梁宁 史楠楠[1] HU Ziteng;YAN Lijiao;CHEN Zhao;MING Xi;ZHANG Xiuying;ZHANG Yujing;ZHANG Fuqiang;YANG Yijiu;WANG Dingyi;ZHANG Xuefei;ZHAO Guozhen;LI Yixiang;LIANG Ning;SHI Nannan(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,P.R.China;The First Affiliated Hospital of Yunnan University of Chinese Medicine,Kunming 650021,P.R.China;Yunnan University of Chinese Medicine,Kunming 650500,P.R.China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,P.R.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]云南中医药大学第一附属医院,昆明650021 [3]云南中医药大学,昆明650500 [4]辽宁中医药大学附属医院,沈阳110032

出　　处：《中国循证医学杂志》2025年第3期280-288,共9页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目(编号:82105053);中央级公益性科研院所基本科研业务费专项基金(编号:ZZ14-YQ-039、Z0753);国家中医药管理局青年岐黄学者项目(编号:Z0841)。

摘　　要：目的对儿科领域中医药指南的可实施性进行评价。方法计算机检索CNKI、Wan Fang Data、VIP、Sino Med和Pub Med数据库及相关网站,搜集公开发表的与儿科相关的中医药指南,检索时限均为建库至2023年11月1日。采用临床实践指南实施性评价工具对纳入指南的可实施性进行评价。结果共纳入47部指南,涉及37种儿科疾病,推荐了包含中药汤剂、中成药、体针、小儿推拿、穴位贴敷等在内的27种中医药疗法。指南的可实施性评价结果显示:5部指南(10.6%)为高等级别,12部指南(25.5%)为中等级别,30部指南(63.8%)为低等级别。除可及性(多渠道获取方式)和沟通性的质量较高外,其余领域均有较大的提升空间,尤其是在应用性和易识别性两个领域。结论现有儿科中医药指南可实施性整体质量偏低,建议今后在制订儿科中医药指南过程中,从源头开始专注于提高指南本身的实施性质量,从而促进指南的实施应用。Objective To evaluate the implementability of traditional Chinese medicine(TCM)guidelines in the field of paediatrics.Methods We searched the paediatrics-related TCM guidelines published in CNKI,WanFang Data,VIP,SinoMed and PubMed databases,and related websites from inception to November 1,2023.The implementability of the included guidelines was evaluated using the clinical practice guideline implementability assessment tool.Results A total of 47 guidelines were included,covering 37 paediatric diseases and recommending 27 TCM therapies,including TCM decoction,Chinese patent medicines,acupuncture,paediatric massage,and acupoints.The results of the guideline implementability evaluation showed that 5 guidelines(10.6%)were of high grade,12 guidelines(25.5%)were of medium grade,and 30 guidelines(63.8%)were of low grade.With the exception of accessibility(multi-channel access methods)and communicability,which was of high quality,there is room for improvement in all areas,particularly in the areas of applicability and ease of recognition.Conclusion The overall quality of implementability of the included paediatric TCM guidelines was low,and it is recommended that in the process of developing paediatric TCM guidelines in the future,we focus on improving the quality of implementability of the guidelines themselves from the source,so as to promote the implementation and application of the guidelines.

关 键 词：中医药 儿童 指南 评价 实施科学 

分 类 号：R47[医药卫生—护理学]