| 循证医学在促进中医药学发展中的作用 |
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| 引用本文： | 张慧芬,汪天林,郦柏平,王珏,李筠. 循证医学在促进中医药学发展中的作用[J]. 中华医院管理杂志, 2006, 22(8): 546-548 |
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| 作者姓名： | 张慧芬 汪天林 郦柏平 王珏 李筠 |
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| 作者单位： | 310003,杭州,浙江大学医学院附属儿童医院 |
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| 基金项目： | 浙江省中医药科技计划项目资助（2003ZC001） |
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| 摘 要： | 讨论了中药疗效评价存在的问题,提出将循证医学应用于中药学是中药现代化和国际化的需要,在实践中可为药品遴选和临床治疗决策提供科学依据.论述了应用循证医学进行药物遴选的程序：①编制检索策略;②对证据分级;③进行Meta分析并总结成文.最后,讨论了目前将循证医学引入中药学存在的困难：缺乏高质量的临床试验、中药的标准化有待完善、复合型人才匮乏,以及存在发表性偏倚.
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| 关 键 词： | 循证医学 中药学 中药疗效评价 中药现代化 中药国际化 |
| 收稿时间： | 2006-03-06 |
| 修稿时间： | 2006-03-06 |
Role of evidence-based medicine in advancing the science of Chinese pharmacology |
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| ZHANG Hui-fen,WANG Tian-lin,LI Bai-ping et al. Role of evidence-based medicine in advancing the science of Chinese pharmacology[J]. Chinese Journal of Hospital Administration, 2006, 22(8): 546-548 |
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| Authors: | ZHANG Hui-fen WANG Tian-lin LI Bai-ping et al |
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| Abstract: | The paper discusses problems in evaluating the therapeutic effect of TCM and argues that the application of evidence-based medicine to Chinese pharmacology, indispensable to the modernization and internationalization of TCM, can provide scientific evidence for drug selection and decision-making concerning clinical treatment. It describes the procedure for applying evidence-based medicine to drug selection: (1)formulating retrieval strategies;(2)grading evidence;(3) conducting meta-analyses and writing summaries. The paper also discusses difficulties in applying evidence-based medicine to Chinese pharmacology:lack of quality clinical trials, imperfection in TCM standardization, shortage of well-rounded personnel, and presence of publication bias. |
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| Keywords: | Evidence-based medicine Science of Chinese pharmacology Evaluation of the therapeutic effect of TCM Modernization of TCM Internationalization of TCM |
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