以系统论为指导构建中医临床疗效评价指标体系.pdfVIP

中 华 中 医 药 学 刊 V01．26 No．2 第26卷 第2期 2 0 0 8年 2月 CHINESE ARCHIVES OF TRADITIoNAL CHINESE MEDICINE Feb．2 0 0 8 以系统论为指导构建中医临床疗效评价指标体系 罗智博，张 哲，张会永，杨关林，陈 岩 (辽宁中医药大学附属医院，辽宁 沈阳110032) 摘 要：中医的生命力在于疗效，而目前的疗效标准已不适应中医发展的要求，需建立一整套完整的临床疗 效评价体系，可以借鉴循证医学的思路和方法，引入模糊数学，以系统论整体性原理和系统论层次结构性原理为 指导，对结构复杂、又相互关联的评价指标，考虑各层次之间和内部的相互作用大小及对总体的影响，从整体出发 进行综合评价，创新中医药疗效评价方法，促进中医药疗效评价的研究。 关键词：疗效评价；系统论；模糊数学；方法学；循证医学；中医临床 中图分类号：R285．5 文献标识码：A 文章编号：1673～7717(2008)02—0257一O3 Construct the System of Chinese Medicine Curative Effect Evaluation under the Direction of System Theo~ LUO Zhi—bo，ZHANG Zhe，ZHANG Hui—yong，YANG Guan—lin，ZHANG Yah (Liaoning University of Traditional Chinese Medicine，Shenyang 1 10032，Liaoning，China) Abstract：The vitality of traditional Chinese medicine lies in curative effect，but current standard of curative effect already unwell at the request of traditional Chinese medicine~development，SO it need to be built up a whole evaluation system of clinical curative effect．We Can learn the thinking and methods of evidence—based medicine．introduee into fuzzy mathematics，take the holism principle and hierarchy principle of system theory as instruction．For the evaluate in· dex sign of complicated structure and mutually connection，should consider of each layer and the interaction of the inner part to the total influence．From wh ole set out to carry on a comprehensive evaluation．innovate in Chinese medieal ellra— tive effect evaluated method，promote the research of the Chinese medicine curative effect evaluatlon． Keywords：curative dffect evaluation；system theory；fuzzy mathematics；methodology；evidence—based medicine； Chinese medlcine clinic