针灸临床实践指南制订中证据体的评估方法探索——分层证据评分法
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摘要
研究适用于针灸临床实践指南制订中证据体的评估方法,为针灸临床实践指南的制订提供方法学支持,推动针灸标准的制订与应用。根据中医针灸学的学科特点,提出"分层证据评分法",首先从古代文献、现代文献、现代名医经验等方面多角度收集证据,并客观科学地辨别证据、评价证据,再通过层次分析法将证据集合形成证据体,最终根据综合评分指数的高低举荐针灸方案。基于"分层证据评分法"形成的针灸实践指南推荐方案,证据更加全面充分,使针灸临床实践指南推荐方案更具有科学性、客观性。
To explore the evaluation method of evidence body for acupuncture and moxibustion clinical practice guidelines(CPGs), and to provide methodological support for the development of acupun cture and moxibustion CPGs and to promote the establishment and application of acupuncture and moxibustion standard. Based on the academic characteristics of TCM acupuncture, the stratified evidence evaluation method was proposed. Firstly, evidences were collected from the ancient literature, modern literature and clinical experience, and were scientifically dis tinguished and evaluated. Secondly, all the evidences were integrated as body of evidence by analytic hierarchy process(AHP). Lastly, based on the general index(GI), the clinical recommendations for acupuncture were proposed. Based on the stratified evidence evaluation method, acupuncture and moxibustion CPGs were developed in a more scientific and objective way with the comprehensive and sufficient evidences.
To explore the evaluation method of evidence body for acupuncture and moxibustion clinical practice guidelines(CPGs), and to provide methodological support for the development of acupun cture and moxibustion CPGs and to promote the establishment and application of acupuncture and moxibustion standard. Based on the academic characteristics of TCM acupuncture, the stratified evidence evaluation method was proposed. Firstly, evidences were collected from the ancient literature, modern literature and clinical experience, and were scientifically dis tinguished and evaluated. Secondly, all the evidences were integrated as body of evidence by analytic hierarchy process(AHP). Lastly, based on the general index(GI), the clinical recommendations for acupuncture were proposed. Based on the stratified evidence evaluation method, acupuncture and moxibustion CPGs were developed in a more scientific and objective way with the comprehensive and sufficient evidences.
引文
[1]杜元灏,肖延龄.现代针灸临床病谱的初步探讨[J].中国针灸,2002,22(5):59-62.
[2]熊俊,杜元灏,黎波,等.现代针灸疾病谱的发展历史与研究现状[J].辽宁中医杂志,2009,36(12):2155-2157.
[3]杜元灏,李晶,孙冬纬,等.中国现代针灸病谱的研究[J].中国针灸,2007,27(5):373-378.
[4]杨宇洋,沈志祥,吴中朝,等.针灸学科“一带一路”发展的战略觃划[J].中国针灸,2017,37(4):343-348.
[5]李幼平,李静,孙鑫,等.循证医学在中国的起源与发展:献给中国循证医学20周年[J].中国循证医学杂志,2016,16(1):2-6.
[6]GUO Y,ZHAO H,WANG F,et al.Recommendations for acupuncture in clinical practice guidelines of the national guideline clearinghouse[J].Chin J Integr Med,2017,23(11):864-870.
[7]Atkins D,Best D,Briss PA,et al.Grading quality of evidence and strength of recommendations[J].BMJ,2004,328(7454):1490-1494.
[8]齐蕊,李桂兰,郭义,等.运用层次分析法评价针灸技术操作觃范标准临床适用性的可行性分析[J].辽宁中医杂志,2014,41(1):144-146.
[2]熊俊,杜元灏,黎波,等.现代针灸疾病谱的发展历史与研究现状[J].辽宁中医杂志,2009,36(12):2155-2157.
[3]杜元灏,李晶,孙冬纬,等.中国现代针灸病谱的研究[J].中国针灸,2007,27(5):373-378.
[4]杨宇洋,沈志祥,吴中朝,等.针灸学科“一带一路”发展的战略觃划[J].中国针灸,2017,37(4):343-348.
[5]李幼平,李静,孙鑫,等.循证医学在中国的起源与发展:献给中国循证医学20周年[J].中国循证医学杂志,2016,16(1):2-6.
[6]GUO Y,ZHAO H,WANG F,et al.Recommendations for acupuncture in clinical practice guidelines of the national guideline clearinghouse[J].Chin J Integr Med,2017,23(11):864-870.
[7]Atkins D,Best D,Briss PA,et al.Grading quality of evidence and strength of recommendations[J].BMJ,2004,328(7454):1490-1494.
[8]齐蕊,李桂兰,郭义,等.运用层次分析法评价针灸技术操作觃范标准临床适用性的可行性分析[J].辽宁中医杂志,2014,41(1):144-146.