循证中医肿瘤学的现状与发展对策

20世纪80年代以来,医学临床实践由经验医学模式向循证医学模式转变,传统的中医肿瘤诊断难以与现代医学的诊断相衔接,辨证分型难以量化和统一,临床研究常缺乏严谨合理的设计和严格的操作规范,没有迅速适应现代医学模式的转变.因此,提出应进一步完善临床病证诊断的标准化与疗效评定的规范化,先建立和利用小规模单中心的随机对照试验(RCT),以系统评估技术对相关研究结果进行科学评价;并且对名老中医丰富的临床经验进行科学系统的整理和严格的再验证.总之,应以循证医学的工作原则来指导和规范恶性肿瘤的中医诊治和科研.

Present Situation and Development Countermeasures of Evidence-Based TCM Oncology

Since 1980s, medical clinical practice turns towards evidence-based medicine model from experimental medical model, traditional TCM diagnosis of tumor difficultly link up with diagnostic methods of modern medicine, and syndrome differentiation typing is difficultly qualified and unified. Clinical studies often lack strict and reasonable design and rigorous manipulation standardization, and do not rapidly adapt changes of modern medicine model. Therefore. in the present paper it is put forward that standardization of clinical diagnosis and assessment of therapeutic effects should be further completed. First establishing and adopting randomized control test of small scale and single center, and using systematical assessing techniques to scientifically evaluate results of relative studies; and scientifically and systematically systematize and strictly re-test and verify rich clinical experiences of famous and older physicians of TCM. In brief, principles of evidence-based medicine should be adopt to guide and standard TCM diagnosis and treatment and scientific studies of malignant tumor.