Evidence-based medicine and cardiopulmonary bypass.docVIP

 PAGE \* MERGEFORMAT 9 Evidence-based medicine and cardiopulmonary bypass Along with clinical medicine, medical statistics, clinical epidemiology, computer, Internet and other disciplines and technical The rapid development of surgery at home and abroad the rise of a new discipline - Evidence-based Medicine (Evidence-BasedMe dicine, EBM). Evidence-based medicine refers to medical evidence, to follow to promote the personal experience, the patient’s needs and Already exists on the basis of objective scientific evidence to make medical decisions, advocacy based on personal clinical experience and research based on Agency Li patients [1]. Is responsible, clear, judicious use of best available evidence to determine the different diagnosis and treatment of patients with Measures [2]. Its core idea is that the medical decision-making (ie, the patient’s treatment, treatment guidelines and medical decision making , Etc.) should be the best available evidence base of clinical research to make, but also attach importance to the clinical experience of individuals . According to the definition of EBM, clinical practice, scientific evidence should be emphasized that according to the evidence act. The main evidence in evidence-based medicine To refer to evidence of human clinical studies, according to the quality and reliability can be divided into five (in order of decreasing reliability). 1 Class: All randomized controlled trials (randomizedcontrolledtrials, RCT) A Systematic Review / Meta Analysis. 2: a single RCT of adequate sample size results. 3: There should be the control group but not with the random method sub - Group. 4: no observation of the control cases. 5: expert opinion. As regards treatment, an internationally recognized large sample R Systematic evaluation of CT and RCT’s (systematicreviewSR, or the Meta analysis) The result is that some kind of therapy The efficacy and safety of the most reliable basis for (gold standard). However, there is n