中医和中西医结合临床治疗指南存在的问题与对策

目前参与中医、中西医结合指南制订的成员构成并没有严格要求，制订指南最大的问题是证据不足，没有根据证据的可信度注明推荐意见。建立指南应根据临床治疗指南开发的原则，首先要筛选好人员，成立指南开发小组，对证据进行合理的分类处理，对临床治疗指南进行分级说明推荐理由，以利于临床实际应用。严格遵循指南制订的原则和流程，才能制订出符合我国国情的中医药及中西医结合治疗疾病的临床医疗指南。

Problems-solving strategies in clinical treatment guideline for traditional Chinese medicine and integrative medicine

The members of guideline development of traditional Chinese medicine and integrative medicine were not chosen according to strict standards at present. The major problems in clinical guideline development include the insufficiency of evidence and the missing recommendation according to evidence reliability. In order to establish a clinical guideline for the treatment, we should abide by the principle for guideline development in this field, Firstly, a guideline development group must be set up and the evidences are needed to be classified correctly. To facilitate the clinical practice, the recommendations in the treatment guideline should be divided into different classes and the referring recommendation reasons should be given at the same time. Only when the guideline development principles and procedures are strictly followed can a clinical guideline for the treatment suitable to the situation in China be established.