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中医药循证医学的发展思路 预览 被引量:1

The Developing idea of Evidence -based Traditional Chinese Medicine
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摘要 阐述了西医临床随机对照试验(RCT)的特征和中医临床随机对照试验的困境,以及中医药“证”和“辨证论治”的哲学基础,提出了中医药循证医学的发展思路和哲学原则:树立整体检验思想,建立以临床疗效为先导的中医临床评价体系,通过临床随机对照试验,检验病程中理法方药的整体;“以病人和医生为中心”,重视医患之间的沟通互动,尊重病人的感受和医生在遵循最好证据前提下的主动权和创造权;进而通过疗效检验医生和医疗团队。 This paper introduced the feature of randomized controlled trial (RCT) of Western medicine, the dilemma of Traditional Chinese Medicine (TCM) in developing RCT, and the philosophical basis of TCM's " Zheng" and Differential Treatment, and put forward the developing idea and philosophical principles of Evidence - based TCM : to establish the idea of whole - test and the clinical evaluation system of TCM as guide with clinical curative effect to examine entirely the TCM theory of principle, method, prescription, medicine in the course of the disease through RCT; the patient and doctor as the center, the communication and interaction between patients and doctors should be highly emphasized. The patients'feeling should be respected, and the initiative and creativity of doctors based on the best evidence. We should also test the level of doctor or medical teams through curative effects.
作者 张容瑜 尹爱田 安健 ZHANG Rong - yu, YIN Ai - tian,AN Jian ( The Research Center for Health Policy and Management, Shandong University, Jinan 250012, China )
出处 《中国医学伦理学》 2011年第5期 616-618,646,共4页 Chinese Medical Ethics
关键词 中医药 循证医学 辨证论治 临床疗效为先导 整体检验 以病人和医生为中心 Traditional Chinese Medicine, Evidence -based Medicine, Philosophy, The Efficacy Driven Approach, Whole- test, Patient and Doctor Centered
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