现有系统评价在临床实践指南制定中的作用初探

目的:以针灸治疗失眠为例,探讨现有系统评价在临床实践指南制定中的指导意义和存在的问题。方法:全面检索并详细阅读相关中英文系统评价文章共15篇,分析其基本信息,重点结合临床实践指南具体的制定过程,研究此类型文献对指南可能产生的指导意义和因其本身存在问题而在再利用时需要注意的事项。结果:系统评价文献在适用人群、推荐诊断和疗效评价标准、扩展推荐内容以及方法学方面对指南的制定有较重要的指导意义,而在直接应用其研究结果、解读评价结果等方面仍需谨慎,必要时需做数据的重新核对。结论:系统评价文献对于指南的指导作用是重要的,但想要最大限度应用其中的信息,还需结合研究目标具体分析。

Function of the present systematic evaluation in establishment of guidance for clinical practice

Objective Treatment of insomnia with acupuncture is taken as an example to explore the significance and problems existed in the present systematic evaluation in establishment of guidance for clinical practice.Methods Fifteen articles on systematic evaluation of both English and Chinese were retrieved and studied carefully,their basic information was analyzed.Through study on the establishing process of the guidance of clinical practice,researches were focused on the possible significance of the articles to the guidance as well as the notes in the reuse of those articles since problem still existed.Results It is held that the systematic evaluation has great significance on the establishment of the guidance from the aspects of applicable people,recommended standards of diagnosis and therapeutic evaluation,extended recommendation and methodology.Great importance should also be attached to the direct application of the research result and understanding of the evaluation result.The data should be rechecked when necessary.Conclusion Great guiding function can be found on the systematic evaluation of articles to the guidance.Moreover,if information needed to be taken into a full play,specific analysis should also be done on the concrete research targets.