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shineu欧博官网 | 循证医学助力中医药“守正创新”
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循证医学助力中医药“守正创新”

循证医学助力中医药“守正创新”

目前,根据《中共中央国务院关于促进中医药传承创新发展的意见》和全国中医药大会精神,各地已经加快中医药循证医学中心建设。

QISHI,“XUNZHENGYIXUE”ZUOWEIXIFANGDE“BOLAIPIN”,CONGDANSHENGDAOXIANZAIBUGUO30NIANZUOYOUDESHIJIAN,XUNZHENGYIXUESHISHENME,DUIZHONGYIYAOFAZHANYOUHEYINGXIANG。JIZHEDUICIZHUANFANGLEXUNZHENGZHONGYIYAOYANJIULIANMENGMISHUZHANG、TIANJINSHIZHONGYIYAOXUNZHENGYIXUEZHONGXINZHURENZHANGJUNHUA。

循证医学是什么

一种如何‘科学选择’的决策方法

2006NIAN,CHUANGBANYU1840NIAN,GUOJIZHUMINGSIDAZONGHEXINGYIXUEQIKANZHIYIDE《YINGGUOYIXUEZAZHI》(BMJ)FAGUOYICIZHUMINGDETOUPIAOYAOQING,YAOXUANCHUZICHUANGKAN166NIANLAI,YINGXIANGRENLEI15XIANGZUIWEIDADEYIXUECHENGJIUTUPO。

SHANGBANGDEMINGDANZHONG,WUYONGZHIYIBAOKUOKANGSHENGSU、YIMIAO、MAZUIJIDENGWEIZIRANKEXUEHERENLEIJIANKANGLIXIAHANMAGONGLAODEWEIDACHENGJIU,QIZHONG,ZUI“NIANQING”DEYIXIANGCHENGJIUBIANSHI“XUNZHENGYIXUE”。

1991NIAN,XUNZHENGYIXUEGAINIANSHOUCIYOUANDALVEHUMAIKEMASITEDAXUEYIGETUANDUITICHU。

“XUNZHENGYIXUEDEGENBENSIXIANGSHIZONGHEYANJIUZHENGJU、YISHENGJINGYANHEHUANZHEYIYUANLAIZHIDINGKEXUEHELIDELINCHUANGZHILIAOFANGAN,SHIYIZHONGRUHE ‘KEXUEXUANZE’DEJUECEFANGFA。”ZHANGJUNHUAXINGXIANGDITICHU,JIUXIANGCONGBEIJINGDAOSHANGHAI,YOUFEIJI、HUOCHE、QICHEDUOZHONGCHUXINGFANGSHI,XUANNAYIZHONGFANGSHI,XUYAOZONGHERUSHIJIANYAOQIU、JINGJIQINGKUANG、BIANJIECHENGDUDENGFANGMIANJINXINGXUANZE。TONGYANG,YISHENGCONGDUOZHONGZHILIAOFANGFAZHONGTUIJIANHESHIDEYAOJIHUANZHE,GENGXUYAOZONGHEGEZHONGYINSUJINXINGYANPAN,ZUIZHONGYAODESHILINCHUANGYOUXIAOXING、ANQUANXINGZHENGJU,YESHEJIDAOHUANZHEDEYIYUANHEZHIFUNENGLI。

“XUNZHENGYIXUEZHUYAORENWUJIUSHISHOUJI、ZHENGLI、PINGJIA、FENXIBINGZHUANHUAZHENGJU,WEIYISHENGHEHUANZHEGONGTONGZUOCHUZUIHAODELINCHUANGJUECETIGAOKEXUEYIJU。”ZHANGJUNHUASHUO。

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2004NIAN,YIZHANGBOLIYUANSHIWEIQIANTOUREN,ZUZHIQUANGUO88JIAYIYUAN,OUBOGUANWANGLEDIYIGEZHONGYIYAODUIXINJIGENGSIERJIYUFANGDEDUOZHONGXINDAYANGBENXUNZHENGPINGJIAYANJIUXIANGMU,JIANLIQIZHONGYIYAODUOZHONGXINDAYANGBENLINCHUANGSHIYANHEXUNZHENGYANJIUXILIEGUANJIANJISHU,BINGHUOGUOJIAKEJIJINBUERDENGJIANG。ZHEIKEWEISHIZHONGYIYAOXUNZHENGYIXUEFAZHANGUOCHENGZHONGDEYIGELICHENGBEI。

循证医学非大型临床试验

基于当前可得最佳证据做决策

DANSHI,ZHONGYIYAOJIEDUIYUXUNZHENGYIXUEDEYIJIANBINGBUWANQUANTONGYI,HENDUORENRENWEIXUNZHENGYIXUEJIUSHIDAYANGBENSUIJIDUIZHAOSHIYAN,BINGBUYIDINGFUHEZHONGYIYAOZISHENFAZHANTEDIAN。

YOUQISHIZAIKANGJIYIQINGGUOCHENGZHONG,YOURENSHUO“XUNZHENGYIXUEYIBENGKUI”,TAMENRENWEI,YISHIMEIYOULINCHUANGSHIYANZHENGJU,XUNZHENGYIXUESHIJIANJIUBUNENGJINXING,YEBUKENENGDENGLINCHUANGYANJIUZHENGJUCHANSHENGZAIZHIBINGJIUREN;ERSHIMEIYOUJINGGUOSUIJIDUIZHAOSHIYANPINGJIADEYAOWUZAILINCHUANGSHIYONG,YUXUNZHENGYIXUESHIJIANDEYUANZESHICHONGTUDE。BIRUDANGSHILINCHUANGSHIYONGDEYIXIEKANGBINGDUYAOWU、KANGSHENGSUYIJIZHONGYAODENGDOUMEIYOUJINGGUOLINCHUANGSHIYANPINGGU。

DUICI,ZHANGJUNHUABIAOSHI,DUIXUNZHENGYIXUEDEGAINIANLIJIEHAICUNZAIPIANCHA,XINGUANFEIYANFANGZHIGUOCHENGQIAQIASHIYUNYONGXUNZHENGYIXUESIWEIDEZUIHAOSHILI。

“XUNZHENGYIXUEBINGBUSHIDAXINGLINCHUANGSUIJIDUIZHAOSHIYAN,YEBUSHIXITONGPINGJIA/HUICUIFENXI,ERSHIJIYUDANGQIANZUIHAOZHENGJUDEJUECEFANGFA。”ZHANGJUNHUASHUO,WOMENDOUXIWANGHUOQUZUIGAOJIBIEDEZHENGJU,DANBUSHISUOYOUWENTIDOUYOUXIANCUNDEGAOJIBIEZHENGJU,ZHENGJUDECHANSHENGSHIYIGEBUDUANGENGXINWANSHANDEGUOCHENG。ANZHAOFENLEI,XUNZHENGYIXUEZHENGJUDENGJICONGDIDAOGAOYICIWEIXIBAOSHIYAN、DONGWUSHIYAN、SHIJIANJINGYAN、LINCHUANGYANJIU、ZHENGJUZONGHEDENG。

ZHANGJUNHUARENWEI,ZAIXINGUANFEIYANYIQINGZAOQI,NENGSHIYONGDEZUIHAOZHENGJUJIUSHIYIWANGJINGYANJIZHUANJIAGONGSHI,YESHIJIYUZHEIYANGDEZHENGJUZHIDINGLEZHENLIAOFANGAN,JICHULETUIJIANYIJIAN,RUKELIZHI、LVKUI、GANRAOSU、ZHONGYAODENGZAILINCHUANGSHIYONG。“ZHEISHIYIGEXUNZHENGSHIJIANDEJUECEGUOCHENG,YINWEIDANGSHIKEYONGDEZUIHAODEZHENGJUJIUSHIZHUANJIAJINGYAN。”ZHANGJUNHUASHUO。

SUIZHELINCHUANGJIUZHIHEKEXUEYANJIUTONGBUTUIJIN,QIANZHANXING、HUIGUXING、BINGANBAOGAO、SUIJIDUIZHAOSHIYANDENGBUTONGLEIXINGDELINCHUANGYANJIUJIEGUOLUXUFABU,“ZHONGYAOLINCHUANGZHENGJUYEZAIBUDUANZENGJIA,BUTONGDEYANJIUJIEGUOXINGCHENGLEZHENGJULIAN,BIAOMINGJIAYONGZHONGYAONENGGOUGAISHANHUANZHEZHENGZHUANG、SUODUANHESUANZHUANYINSHIJIAN、JIANSHAOBINGRENCONGQINGZHENGZHUANWEIZHONGZHENGDEGAILV,ZHANGXIANLEZHONGYAODELINCHUANGJIAZHI。”ZHANGJUNHUABIAOSHI,TONGSHI,ZHENGJUDEZENGJIA,YERANGSHIJIEWEISHENGZUZHIJIBENRENWEIXUDUOKANGBINGDUYAOWUBINGBUNENGJIHUANZHEDAILAIGENGDUODEHUOYI。

“YINCI,CONGMEIBANXINGUANFEIYANLINCHUANGZHENLIAOFANGANXIUDING,DAOSHAIXUANCHU‘SANYAOSANFANG’,YIJIGUOJISHANGYAOWUTUIJIANFANGANDEGAIBIAN,DOUSHIZUNCONGXUNZHENGSHIJIANDESIXIANG,JIYUKEXUEDEZHENGJUJIANYOUYILIE,CUJINLINCHUANGHELIYONGYAO,TIGAOZHILIAOXIAOGUO。”ZHANGJUNHUABIAOSHI,HENDUORENWURENWEIXUNZHENGYIXUESHIDAXINGLINCHUANGSUIJIDUIZHAOSHIYAN,QISHIBUSHIDE。

之于中医药发展的意义

诠释中医药疗效

XUNZHENGYIXUEDUIZHONGYIYAOFAZHANYOUHEYINGXIANG?

SHIJIANHUIDAO2019NIAN5YUE25RI,ZHEITIANFASHENGLEZHONGYIYAOFAZHANSHISHANGDEYIJIANDASHI。

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ZHANGJUNHUARENWEI,ZHONGYIYAOFAZHANMIANYANJIQIANNIANJINGJIUBUSHUAI,LIJIUMIXIN,CICIKANGJIYIQINGFAHUIJUDAZUOYONG,DOUSHIYINWEIZHONGYIYAODELINCHUANG“LIAOXIAO”。

DANDANGXIA,HENDUORENDUIZHONGYIYAODEYINXIANGRENGTINGLIUZAIYANGSHENG、ZHIWEIBING、KANGFUBAOJIANSHANG。DUIYUJIBINGZHILIAO、YINANWEIJIZHONGZHENGDEQIANGJIU,ZHONGYIRENGCHUZAI“CIYAO”DIWEI。

“RUHEYONGKEXUEDEYUYANCHANSHIZHONGYIYAODELIAOXIAO,JIANGQINGCHUZHONGYIYAODEJIAZHIYUYOUSHI,SHIZHONGYIYAOZHENXINGFAZHANBIXUJIEJUEDEWENTI。”ZHANGJUNHUASHUO。

2016NIAN,ZHONGGUOGONGCHENGYUANYUANSHIZHANGBOLIZAIDIYIJIEXUNZHENGZHONGYIYAOXUEGUOJILUNTANSHANGTICHU,“YONGGUOJIGONGRENDEXUNZHENGYIXUEFANGFALAIPINGJIAZHONGYIYAODETESEYOUSHI,YONGKEXUEDEYUYAN,QUANSHIZHONGYIYAODELIAOXIAO,SHIJICHENGHAO、FAZHANHAO、LIYONGHAOZHONGYIYAOXUEDEZHONGYAORENWU。”ZHANGYUANSHIDUIJIANGQINGCHUZHONGYIYAO“LIAOXIAO”DENANTITIGONGLEYITIAOJIEJUESILU,JISHIYONGGUOJIGONGRENDEXUNZHENGYIXUEFANGFA。

RUHEJIEJIANXUNZHENGYIXUEDEFANGFAJIANGQINGZHONGYIYAODE“LIAOXIAO”?ZHANGJUNHUADUICIZUOCHULEJIESHI。

XUNZHENGYIXUEZHIZAIBANGZHUYISHENGJINXINGHELIXUANZE,QISHIDUIYUZHONGYIYAODESHIYONGLAISHUO,“XUANZE”YEWUCHUBUZAI。XIANGJIAOYUXIYAOYOUMINGQUEDEDINGWEILAISHUO,BIRUMOUGEYAOYONGLAIJIANGXUETANG、MOUGEYAOYONGLAIJIANGXUEYA,LINCHUANGZUOYONGXIANGDUIBIJIAOQINGCHU;ZHONGYAOQUECUNZAIDINGWEI“BUMINGXI”WENTI。RUHUOXUEHUAYUZHILIAOGUANXINBINGDEZHONGYAOYOUSHANGBAIGE,SHUOMINGSHUNEIRONGCHABUDUO,JIUJINGXUANZENAGEGENGSHIHEHUANZHE?ZHEIBUJINJINXUYAOYIKAOJINGYAN,GENGXUYAOJIAQIANGLINCHUANGYANJIUZHENGJUDESHENGCHAN、PINGJIAHEYUNYONG。YOULELINCHUANGYANJIUDEZHENGJU,KEYIWEILINCHUANGYISHENG、TEBIESHIXIYISHENGHUONIANQINGZHONGYISHIXUNZHAO“ZUIJIAXUANXIANG”,YOULIYUBAOZHANGLINCHUANGYOUXIAO,YEJIUNENGGENGHAORANGHUANZHEHUOYI,ZHANGXIANZHONGYAODELIAOXIAOYOUSHI。

“WOMENBUJINYAOJIEJIANXUNZHENGYIXUEJILINCHUANGLIUXINGBINGXUEDENGFANGFA,YEXUYAOCHUANGXINSHIHEZHONGYIYAOTEDIANDEPINGJIAJISHUTIXI。”ZHANGJUNHUASHUO。BIRU,DUIYUSHANGHUO,XIYIMEIYOUDUIYINGPINGJIASHANGHUODEZHIBIAO,ZHONGYIQISHIYEMEIYOUKEGUANKEKAODEPINGJIABIAOZHUN,ZHIYOUYIZHONGHEWANMOUGEYAOHUANZHEGANJUEJIANHAODEMOHUGAN。“YINCIWOMENXUYAOCHUANGJIANFUHEZHONGYIYAOTEDIANDEPINGJIAFANGFAHEZHIBIAOTIXI,BAZHONGYIYAODEZUOYONGCELIANGCHULAI,YONGKEXUEDESHUJUBAZHONGYIYAODEYOUSHIZHANSHICHULAI。”ZHANGJUNHUASHUO,ZHEIYANGYILAI,ZHONGYAOYOUXIAODEMOHUXING,BIANKETONGGUOKEXUEKEGUANDEZHENGJUBEIQINGXIBIAODA,BUJINRANGGUORENRENKE,YENENGRANGSHIJIERENKE。

循证医学牵手中医药发展

守中医药之“正”

HUIWANGYILUZOULAIDEFAZHANZHILU,ZHANGJUNHUAGANKAIPOSHEN。

CONG2004NIANOUBOGUANWANGZHONGYIYAODAGUIMOLINCHUANGSHIYAN,2007NIANTIANJINZHONGYIYAODAXUEZHONGYIYAOXUNZHENGYIXUEZHONGXINCHENGLI,2016NIANDIYIJIEXUNZHENGZHONGYIYAOXUEGUOJILUNTANZHAOKAI,DIYICIMINGQUELEXUNZHENGZHONGYIYAOXUEDEGAINIAN,CHANSHUSHENRUTUIDONGXUNZHENGZHONGYIYAOXUEFAZHANDEZHONGDIANRENWU,DAO2019NIANCHENGLIZHONGGUOLINCHUANGSHIYANHEXINZHIBIAOJIYANJIUZHONGXIN,2020NIANTIANJINSHIZHONGYIYAOXUNZHENGYIXUEZHONGXINCHENGLI……TIANJINZHONGYIYAODAXUEZAIXUNZHENGZHONGYIYAOYANJIULINGYUYIBUYIGEJIAOYINZHASHIQIANXING。

“GUOQU20NIAN,ZHONGYIYAOXUNZHENGYANJIUJIBENCHUZAIMOFANGJIEDUAN,XIAYIGE20NIAN,XUNZHENGZHONGYIYAOYANJIUJIANGJINRUXINDEFAZHANJIEDUAN”ZHANGJUNHUASHUO。

TAMENZHENGZAIXINGDONG。

CONG2018NIANQI,YOUTIANJINZHONGYIYAODAXUEXUNZHENGYIXUEZHONGXINLIANHEZHONGGUOXUNZHENGYIXUEZHONGXIN、BEIJINGDAXUEXUNZHENGYIXUEZHONGXINDENG8JIAGUONEIWAIDANWEIGONGTONGZUJIANQIXUNZHENGZHONGYIYAOYANJIULIANMENG,ZHANGJUNHUARENLIANMENGMISHUZHANG。

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“ZHONGYAOCHANYEYAOSHIXIANGAOZHILIANGFAZHAN,JIUYIDINGYAOXIANDUIGUANGFANSHIYONGDEZHONGCHENGYAOOUBOGUANWANGXUNZHENGPINGJIAYANJIU”,ZHANGJUNHUASHUO。XIAYIBU,LIANMENGHAIJIANGJIXUOUBOGUANWANGSHENRUYANJIU,YITUIDONGZHENGJUXIANGWANSHANSHUOMINGSHU、ZHIXIUDINGLINCHUANGZHENLIAOZHINANHEWANSHANYIBAOZHENGCEDENGFANGMIANDEXUQIUJINXINGZHUANHUA。

2020NIAN12YUE22RI,TIANJINSHIZHONGYIYAOXUNZHENGYIXUEZHONGXINCHENGLI。“ZHEIBUJINSHITIANJINZHONGYIYAODAXUEXUNZHENGYIXUEZHONGXINDEKUODA,GENGDUODESHINEIHANDEFENGFUHEZHINENGDEZHUANBIAN。”ZHANGJUNHUABIAOSHI。CENGJINGDAXUEXUNZHENGYIXUEZHONGXINDEZHINENGSHIFANGFAXUECHUANGXINHEXUEXIAORENCAIPEIYANG,RUJINTIANJINSHIZHONGYIYAOXUNZHENGYIXUEZHONGXIN,JIANGYUTIANJINSHIYILIAOJIGOUHEQIYEGONGJIANPINGTAI,GENGTIEJINLINCHUANGXUQIU,GENGZHUDONGFUWULINCHUANGYANJIUHEZHONGYAOCHANYEFAZHAN。

“ZHONGYIYAOFAZHAN‘CHUANCHENGJINGHUA,SHOUZHENGCHUANGXIN’,WORENWEISHOUZHENGDEGUANJIANJIUSHISHOUZHUZHONGYIYAODE‘LIAOXIAO’。”ZHANGJUNHUABIAOSHI,BULUNSHIZHONGYILILUNDEZHENGBENQINGYUAN、DAODIYAOCAIZHILIANG,HUOSHIGAOPINZHIDECHANPINZHIZAO,ZUIZHONGDOUHUITIXIANZAILINCHUANGHUOYISHANG,“‘YOUXIAO’CAISHIZHONGYIYAOCHUANCHENGFAZHANDE‘ZHENGDAO’”。

ERNENGQUANSHIZHONGYIYAOLIAOXIAODEXUNZHENGYIXUEYANJIU,HUOZHENGSHIZHAOLIANGZHONGYIYAO“SHOUZHENGCHUANGXIN”DEYISHUGAOGUANG。

(LAIYUAN:ZHONGGUOZHONGYIYAOBAO ZUOZHE:LINA)

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