中国中药杂志

2017, v.42(17) 3252-3256

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《中医肛肠科常见病诊疗指南》临床应用评价研究
Clinical application evaluation of Guidelines for Diagnosis and Treatment of Common Diseases of Coloproctology in Traditional Chinese Medicine

赵学尧;刘孟宇;韩学杰;王丽颖;宇文亚;史楠楠;王跃溪;刘玉祁;
ZHAO Xue-yao;LIU Meng-yu;HAN Xue-jie;WANG Li-ying;YUWEN Ya;SHI Nan-nan;WANG Yue-xi;LIU Yu-qi;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;

摘要(Abstract):

采用问卷调查和病例调查的方法,9家医院以中华中医药学会发布的7个肛肠科病种的中医常见病诊疗指南为研究对象,评价研究指南的质量和临床应用效果,包括适用性评价和应用性评价。263位临床医生接受《指南》的适用性调查,其中89.35%对《指南》比较熟悉,36.12%使用过该《指南》。在辨证论治相关内容中,评价合理性较高的是诊断要点(96.96%)、治则治法(96.20%)、辨证分类(88.59%);合理性较低的为调摄预防(65.02%),88.21%临床医生认为《中医肛肠科常见病诊疗指南》完全适用和基本适用。通过观察1 309份病例,对《指南》进行应用性评价,符合度较高的为西医疾病诊断(98.70%)、中医疾病诊断(90.76%);较低的为调摄预防(49.27%)。《指南》的安全性和经济性较好,分别为97.02%,95.11%。综合评价较好,总体疗效与技术水平、满意度、临床适用性7~9分的分别为81.52%,80.60%,79.30%,适合临床推广应用。
To provide reference for revising the Guidelines for Diagnosis and Treatment of Common Diseases of Coloproctology in Traditional Chinese Medicine( TCM) through clinical research. 9 TCM hospitals worldwide have conducted a survey and questionnaires for 7 CPGs have been received. 263 cases clinical doctors accepted the applicability survey of guidelines. 89. 35% is more familiar to the guidelines and 36. 12% have been used the guidelines. In syndrome differentiation and treatment related contents,diagnostic point,treatment and syndrome differentiation are higher,accounted for 96. 96%,88. 59%,96. 20%,respectively. Rationality of prevention is lower,accounted for 65. 02%. 88. 21% clinical doctors believe that the Guidelines for Diagnosis and Treatment of Common Diseases of Coloproctology in Traditional Chinese Medicine is applicable. The application of the guidelines is evaluated by prospective observation of 1 309 cases. The higher consistency between guidelines and clinical practice is Western medicine disease diagnosis and traditional Chinese medicine disease diagnosis,accounted for 98. 70%,90. 76%,respectively. The lower is rationality of prevention,accounted for 49. 27%. The safety and economy of the guidelines are better,accounted for 97. 02%,95. 11%,respectively. The comprehensive evaluation results showed that the overall treatment effect and technical level,satisfaction degree,applicability in clinical practice which were 7-9 points is 81. 52%,80. 60%,79. 30%. The complex evaluation of diagnosis and treatment of common diseases of coloproctology in TCM guidelines is good,and suitable for clinical application with increase the content of rationality of prevention.

关键词(KeyWords): 中医药;肛肠科;质量分析;指南评价
traditional Chinese medicine;coloproctology;quality analysis;guidelines evaluation

Abstract:

Keywords:

基金项目(Foundation): 国家中医药管理局项目(SATCM-2015-BZ-[399],ZYYS-2014[34])

作者(Author): 赵学尧;刘孟宇;韩学杰;王丽颖;宇文亚;史楠楠;王跃溪;刘玉祁;
ZHAO Xue-yao;LIU Meng-yu;HAN Xue-jie;WANG Li-ying;YUWEN Ya;SHI Nan-nan;WANG Yue-xi;LIU Yu-qi;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;

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DOI: 10.19540/j.cnki.cjcmm.20170623.004

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