| 《中医药单用/联合抗生素治疗社区获得性肺炎临床实践指南》临床应用评价与修订意见 |
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| 引用本文： | 李得民,齐蕊涵,张洪春,廖星,谢雁鸣,张俊华,张伯礼. 《中医药单用/联合抗生素治疗社区获得性肺炎临床实践指南》临床应用评价与修订意见[J]. 中国中药杂志, 2018, 0(24): 4759-4764 |
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| 作者姓名： | 李得民 齐蕊涵 张洪春 廖星 谢雁鸣 张俊华 张伯礼 |
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| 作者单位： | 中日友好医院中医肺病科;中国中医科学院中医临床基础医学研究所;天津中医药大学 |
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| 基金项目： | 中央级公益性科研院所基本科研业务费专项(ZZ10-018-02,ZZ11-021,Z0546) |
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| 摘 要： | 为明确中华中医药学会团体标准(T/CACM 1035-2017)--《中医药单用/联合抗生素治疗社区获得性肺炎临床实践指南》的临床应用情况,了解《指南》的临床适用性,选取全国各级医院中曾进行《指南》培训过的临床工作者为调研对象,采用问卷调查的方法,共收集应用评价调查问卷494份和适用性调查问卷511份,构建《指南》后效评价的数据库,利用Excel软件进行统计分析。结果该《指南》总体评价分别为疗效92. 31%、安全性91. 06%、经济性87. 45%,在临床中的应用情况良好,愿意遵从《指南》推荐方案的高达99. 41%;对于治法治则、辨证分型、并发症预防方法、康复调摄方法合理性评价分别为97. 98%,92. 37%,94. 53%,92. 71%;对于《指南》所推荐方药使用效果评价均在65%以上,在80%以上的方药为痰热清注射液、银翘散、清金化痰汤、麻杏石甘汤、生脉散合沙参麦冬汤。中成药物不良反应、作用成分不明及经济性是影响药物使用及其疗效的重要因素,为之后更新修订该标准提供了临床依据。
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| 关 键 词： | 社区获得性肺炎 中医药 抗生素 《指南》 应用评价 临床适用性 |
Clinical application evaluation and revision suggestions of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for community acquired pneumonia |
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| LI De-min,QI Rui-han,ZHANG Hong-chun,LIAO Xing,XIE Yan-ming,ZHANG Jun-hua,ZHANG Bo-li. Clinical application evaluation and revision suggestions of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for community acquired pneumonia[J]. China Journal of Chinese Materia Medica, 2018, 0(24): 4759-4764 |
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| Authors: | LI De-min QI Rui-han ZHANG Hong-chun LIAO Xing XIE Yan-ming ZHANG Jun-hua ZHANG Bo-li |
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| Affiliation: | (National Clinical Research Center for Respiratory Diseases,Center for Respiratory Diseases,the Department of Traditional Chinese Medicine Pulmonary Diseases,China-Japan Friendship Hospital,Beijing 100029,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Bering 100700,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China) |
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| Abstract: | LI De-min;QI Rui-han;ZHANG Hong-chun;LIAO Xing;XIE Yan-ming;ZHANG Jun-hua;ZHANG Bo-li(National Clinical Research Center for Respiratory Diseases,Center for Respiratory Diseases,the Department of Traditional Chinese Medicine Pulmonary Diseases,China-Japan Friendship Hospital,Beijing 100029,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Bering 100700,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China) |
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| Keywords: | community acquired pneumonia Chinese-medicine antibiotics Guidelines application evaluation clinical applicability |
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