中国中药杂志

2017, v.42(17) 3238-3242

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

刘孟宇;杨伟;王丽颖;赵学尧;王跃溪;刘玉祁;韩学杰;吕爱平;
LIU Meng-yu;YANG Wei;WANG Li-ying;ZHAO Xue-yao;WANG Yue-xi;LIU Yu-qi;HAN Xue-jie;LV Ai-ping;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;

摘要(Abstract):

《中医儿科常见病诊疗指南》临床应用评价是为了整体了解该指南的质量水平和临床应用情况。采用调查问卷和前瞻性病例调查分析方法,开展基于临床医生问卷调查的适用性评价和基于临床病例观察的应用性评价。适用性评价,医生熟悉和使用《指南》的比例分别为85.06%,62.76%,按照职称分类,中级职称人员熟悉和使用率较高,初级职称人员较低;《指南》质量水平评价,除调摄预防(70.80%)、其他治法(87.82%)合理性较低,其他条目评价合理性较好的比例均在96%以上;适用情况评价,除"简便性"评分略低(82.07%),其他条目评分较好的比例均在91%以上;综合评价,《指南》适用的比例为94.94%。应用性评价,指南应用符合度除组方用药(88.43%)、其他治法(67.96%)、调摄预防(65.86%),其他辨证论治内容符合率均在96%以上;应用效果评价较好以上的比例,疗效92.96%,安全性99.89%,经济性97.45%。该研究表明《中医儿科常见病诊疗指南》质量水平较好,临床基本适用,可作为中医儿科常见病的规范性诊疗方案推荐使用;但存在部分不适用内容,有待于进一步完善;《指南》应加强调摄预防、其他治法方面内容的修订。
Clinical application evaluation research of Guidelines for the Diagnosis and Treatment of Common Diseases of Pediatrics in Traditional Chinese Medicine intends to evaluate the quality level and clinical application of the guideline. A questionnaire and prospective case survey methods were used to evaluate the applicability evaluation based on the clinician questionnaire and the application evaluation based on clinical case observation. The applicability evaluation,familiarity and utilization rate of doctors ' guidelines were 85. 06%,62. 76%; Sort by technical grade,intermediate grade doctors have a higher familiarity rate and utilization rate,while the junior grade doctor's is lower; Guide quality level of applicability evaluation,other items' rational percentage are better than 96% except the items of health preserving and prevention and other treatment is relatively low; Items' applicable percentage of applicability evaluation are more than 91% except the item of guide simplicity. Comprehensive applicability evaluation,The percentage of the guideline applicable to clinical practice accounted for 94. 94%. The consistency rate of syndrome differentiation and clinical application is more than 96% in addition to prescription medication,other treatments and health preserving and prevention of the guidelines apply consistency of application evaluation. The percentage of good treatment effect accounted for 92. 96% of application effect evaluation.The safety percentage is 99. 89% and economy is 97. 45%. The research shows that of Guidelines for the Diagnosis and Treatment of Common Diseases of Pediatrics in Traditional Chinese Medicine quality level is good and is basically applicable to pediatric clinical practice which can be used as a standardized recommendation of pediatric common diseases' treatment specification. A small part of the guidelines are not applicable and need to be further consummated. Health preserving and prevention and other treatment of the guide-line need to be revised.

关键词(KeyWords): 儿科;中医诊疗指南;指南应用评价
pediatrics;traditional Chinese medicine guideline;application evaluation

Abstract:

Keywords:

基金项目(Foundation): 国家中医药管理局中医药标准化项目(ZYYS-2013[0010],ZYYS-2014[20],ZYYS-2016[0013])

作者(Author): 刘孟宇;杨伟;王丽颖;赵学尧;王跃溪;刘玉祁;韩学杰;吕爱平;
LIU Meng-yu;YANG Wei;WANG Li-ying;ZHAO Xue-yao;WANG Yue-xi;LIU Yu-qi;HAN Xue-jie;LV Ai-ping;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;

Email:

DOI: 10.19540/j.cnki.cjcmm.20170623.001

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