制定中医药技术国际标准:中医治疗咳嗽临床实践指南。

Fang Hanyu, Hong Zheng, L I Deming, Zhang Hongchun, Shi Yihang, L I Xiaojuan, Sun Zengtao, Chen Wei, Zhang Chuchu, Z U Yaqi
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引用次数: 0

摘要

目的:方法:基于建议分级评估、发展和评价(GRADE)系统方法,包括临床证据、古代文献评价和专家共识,制定首个中医治疗咳嗽的临床实践指南:在制定过程中,遵循 "循证、共识辅助、实证 "的原则,采用建议评估、GRADE、循证评价、专家共识、德尔菲法等综合系统方法。在指南制定过程中,首次纳入了古代文献的循证评价,并将临床证据与临床专家共识充分结合:结果:在综合考虑循证评价和专家意见后,制定了《中药治疗咳嗽临床实践指南》。指南建议重点推荐了中药复方煎剂和中成药治疗不同病症的咳嗽。基于GRADE系统方法,我们对推荐的中成药逐一进行了循证评价,同时采用专家共识法对两者的推荐意见进行了统一:结论:基于临床证据、古代文献评价和专家共识,制定了中医治疗咳嗽的临床实践指南,为国内外中医、西医,尤其是国内外呼吸专业人员提供了第一份现行的临床实践指南。
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Formulation of international standards of Chinese medicine technology: clinical practice guide of Chinese medicine for cough.

Objective: To formulate the first clinical practice guideline for the treatment of cough using Chinese medicine based on the grading of recommendations assessment, development, and evaluation (GRADE) systematic approach, including clinical evidence, evaluation of ancient literature, and expert consensus.

Methods: In the process of development, the regulation of "evidence-based, consensus-assisted, and empirical" was followed, and a comprehensive systematic approach of recommendation assessment, GRADE, evidence-based evaluation, expert consensus, and the Delphi method was used. In the process of guideline development, evidence-based evaluation of ancient literature was included for the first time, and clinical evidence was fully integrated with clinical expert consensus.

Results: The clinical practice guidelines for the treatment of cough with Chinese herbal medicine were developed after a comprehensive consideration of evidence-based evaluation and expert opinions. The guideline recommendations focused on recommending herbal compound decoctions and Chinese patent medicines for cough in different conditions. Based on the GRADE systematic approach, we conducted an evidence-based evaluation of the recommended Chinese patent medicines one by one; meanwhile, the expert consensus method was used to unify the recommendations of both.

Conclusion: Based on clinical evidence, ancient literature evaluation, and expert consensus, a clinical practice guideline for Traditional Chinese Medicine (TCM) in the treatment of cough was developed, providing the first current clinical practice guideline for domestic and foreign TCM and Western medicine practitioners, especially respiratory professionals at home and abroad.

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