63-循证医学基础知识（63- basic knowledge of evidence based medicine）.docVIP

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63-循证医学基础知识（63- basic knowledge of evidence based medicine）.doc

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63-循证医学基础知识（63- basic knowledge of evidence based medicine） Basic knowledge of evidence based medicine I. definition of evidence based medicine Evidence based medicine (Evidence-based Medicine, EBM), which follows the evidence of medicine, is a new medical model developed rapidly in the international clinical field in recent years. The core idea is: to determine any medical decisions should be based on objective based on clinical research; any clinical diagnosis and treatment decision-making, must be based on the best research evidence with clinical expertise and patient value on the combination. This is Professor David Sacketts definition of evidence-based medicine. This statement defines a new model of clinical medicine, emphasizing the combination of the best evidence, professional knowledge and experience, the needs of patients of the three, and pointed out that the three are indispensable and complement each other, together constitute the main body of evidence-based thinking. Evidence based medicine requires clinicians to grasp the disease in more ways and to grasp the relationship between doctors and patients. As a result, doctors and patients form a diagnosis and treatment alliance that allows patients to achieve the best clinical results and quality of life. Two, the basic thinking of evidence-based medicine Identify any medical decisions, are the best evidence of clinical research based on the acquired, namely whether clinicians determine the treatment plan and determine the expert treatment guidelines should be based on the best available evidence; evidence is the cornerstone of evidence-based medicine, which is mainly derived from the Research Report of medical journals, especially randomized clinical trials (RCT) the research results, and the study of Meta analysis; application of evidence-based medicine to guide the clinical practice, the most important content is the system of literature retrieval according to clinical problems, understand the progress