循证中医临床路径的制定与实施.pdfVIP

2011 1 31 1 CJITWM, January 2011, Vol. 31, No1 115 思路与方法学 1 1, 2 3 1 3 临床路径( clinicalpathway)的本质目标是为了规范临床实践的水平, 提高医疗质量, 解决患 病 痛而循证医学的核心思想在于利用当前所能获得的最佳临床研究证据指导临床医疗决策, 无论是制定临 床实践指南,还是临床路径, 都需要遵循研究证据本文介绍了循证医学方法运用于临床路径制定的步骤与 方法, 包括建立临床路径编写小组提出临床问题查找相关证据, 严格评价证据,应用证据于临床路径的制 定过程, 希望对今后中医临床路径的研制提供方法学的指导 临床路径;循证医学; 中医药; 方法 Establishmentand mI plementation of Evidencebased Clinical Pathway ofChinese Medicine LIU Jian ping, WAN Sicheng, WU Darong, et al Cen tre f or E vid enceBa sed Ch ineseM ed icine, B eij ing Un iversity of Ch in ese M ed icin e, B eij ing (100029 ) ABSTRACT The purpose of establishing an evidencebased clinical pathway is to standardize the clinical practice, mi prove the quality of health care and cure patientsillness. Since thecore of evidencebasedmedicine (EBM) lies in mi plementing the current best availabel evidence ofclinical research to direct the decision making inclinicalpractice, evidence obtained from research should be kept to either in formulating a clinical practci e guideline orestablishing a clinci alpathway. The EBM method forestablishing clinicalpathwaywas introduced in this paper, including setting upa compial toi n team, raising clinical reel vantprobelms, searching and criticallyap praising available evdi ence, and incorporating them into the process ofclinicalpathway establishment, expecting to provide methodologicalgudi ance forestablishingTCM clinicalpathway in future. KEYWORDS clinicalpathway; evidencebased medicine; Chinese medicine and drugs; method ( clinical pathway) , , , , , 1 , () 11 , ,