陈耀龙;刘萧;王燕平;张誉清;温成平;何东仪;费宇彤;谢雁鸣;史楠楠;李博;李慧;陈昊;杨书;马艳芳;商洪才;杨克虎;
CHEN Yao-long;LIU Xiao;WANG Yan-ping;ZHANG Yu-qing;WEN Cheng-ping;HE Dong-yi;FEI Yu-tong;XIE Yan-ming;SHI Nan-nan;LI Bo;LI Hui;CHEN Hao;YANG Shu;MA Yan-fang;SHANG Hong-cai;YANG Ke-hu;Lanzhou University Institute of Health Data Science;Evidence-based Medicine Center,School of Basic Medical Sciences,Lanzhou University;WHO Collaborating Center for Guideline Implementation and Knowledge Translation;Chinese GRADE Center;School of Public Health,Lanzhou University;Institute of Basic Research in Clinica

• 1:兰州大学健康数据科学研究院
• 2:兰州大学基础医学院循证医学中心
• 3:世界卫生组织指南实施与知识转化合作中心
• 4:GRADE中国中心

摘要(Abstract)：

中西医并举是中国医疗卫生体系的特色之一,西医指南和中医药指南在指导中国医疗实践方面均具有重要意义和价值。本文将对西医指南和中医药指南的发展现状、制订区别与联系及彼此需要或值得学习的内容展开讨论,并就如何促进西医和中医药指南交流与合作,共同改进和提升指南质量提出思考与建议。
The combination of traditional Chinese medicine(TCM) and western medicine is one of the characteristics of Chinese health system. Clinical practice guidelines of western medicine and TCM all are meaningful and valuable for guiding Chinese clinical practice. Thus, we discuss the current development, differences and relationship between western clinical practice guidelines and TCM clinical practice guidelines, and give consideration and suggestions for how to promote mutual learning between western clinical practice guidelines and TCM guidelines, and in order to improve the quality of healthcare in China.

关键词(KeyWords)： 临床实践指南;中医药;循证医学
clinical practice guidelines;traditional Chinese medicine;evidence-based medicine

Abstract:

Keywords:

基金项目(Foundation): 国家重点研发计划(2018YFC1705500)

作者(Author): 陈耀龙;刘萧;王燕平;张誉清;温成平;何东仪;费宇彤;谢雁鸣;史楠楠;李博;李慧;陈昊;杨书;马艳芳;商洪才;杨克虎;
CHEN Yao-long;LIU Xiao;WANG Yan-ping;ZHANG Yu-qing;WEN Cheng-ping;HE Dong-yi;FEI Yu-tong;XIE Yan-ming;SHI Nan-nan;LI Bo;LI Hui;CHEN Hao;YANG Shu;MA Yan-fang;SHANG Hong-cai;YANG Ke-hu;Lanzhou University Institute of Health Data Science;Evidence-based Medicine Center,School of Basic Medical Sciences,Lanzhou University;WHO Collaborating Center for Guideline Implementation and Knowledge Translation;Chinese GRADE Center;School of Public Health,Lanzhou University;Institute of Basic Research in Clinica

Email:

DOI:

参考文献(References)：

• [1] Institute of Medicine.Clinical practice guidelines we can trust[M].Washington (DC):National Academies Press,2011.
• [2] Djulbegovic B,Guyatt GH.Progress in evidence-based medicine:a quarter century on[J].Lancet,2017,390:415- 423.
• [3] Chen YL,Zhao C,Zhang L,et al.Toward Evidence-Based Chinese Medicine:Status Quo,Opportunities and Challenges[J].Chin J Integr Med,2018,24:163- 170.
• [4] Hesketh T,Zhu WX.Health in China:Traditional Chinese medicine:one country,two systems[J].BMJ,1997,315:115- 117.
• [5] 陈耀龙,罗旭飞,王吉耀,等.如何区分临床实践指南与专家共识[J].协和医学杂志,2019,10:403- 408.
• [6] Chen Y,Wang C,Shang H,et al.Clinical practice guidelines in China[J].BMJ,2018,360:j5158.
• [7] 韦当,王小琴,吴琼芳,等.2011年中国临床实践指南质量评价[J].中国循证医学杂志,2013,13:760- 763.
• [8] 李楠,姚亮,吴琼芳,等.2012～2013年中国大陆期刊发表临床实践指南质量评价[J].中国循证医学杂志,2015,15:259- 263.
• [9] 王琪.中国临床实践指南质量评价研究[D].兰州:兰州大学,2017.
• [10] 令娟,王明霞,王琪,等.2015年中国临床实践指南的报告质量分析[J].中国循证医学杂志,2018,18:721- 728.
• [11] 杨钦博,周奇,黄天相,等.2017年中国大陆期刊发表的临床实践指南的报告质量评价[J].中国循证医学杂志,2019,19:1325- 1332.
• [12] Yao L,Chen YL,Wang XQ,et al.Appraising the quality of clinical practice guidelines in traditional Chinese medicine using AGREE Ⅱ instrument:a systematic review[J].Int J Clin Pract,2017,71.doi:10.1111/ijcp.12931.
• [13] 陈耀龙,周奇,崔荣荣,等.基于基于AGREE Ⅱ的中医药临床指南质量评价[J].中国循证医学杂志,2016,16:1331- 1337.
• [14] Xia Y,Chen YL,Zeng Z,et al.Using the RIGHT statement to evaluate the reporting quality of clinical practice guide-lines in traditional Chinese medicine[J].PLoS One,2018,13:e0207580.
• [15] 陈耀龙,商洪才,杨克虎,等.临床实践指南的国际经验和中国道路[J].协和医学杂志,2019,10:289- 292.
• [16] 李慧,陈耀龙,杜亮,等.促进循证中医药指南制定的策略与建议:广州宣言[J].中国循证医学杂志,2016,16:745- 748.
• [17] 赵国桢,冯硕,张霄潇,等.中医药临床实践指南:现状和思考[J].中国循证医学杂志,2018,18:1386- 1390.
• [18] 中华中医药学会.传染性非典型肺炎(SARS)中医诊疗指南[J].中国医药学报,2003,18:579- 586.
• [19] 姚亮.中医药临床实践指南方法学质量研究[D].兰州:兰州大学,2016.
• [20] 中国中医科学院,中国针灸协会.中医循证临床实践指南·针灸[M].北京:中国中医药出版社,2011.
• [21] 中国中医科学院.中医循证临床实践指南·中医内科[M].北京:中国中医药出版社,2011.
• [22] 中国中医科学院.中医循证临床实践指南·专科专病[M].北京:中国中医药出版社,2011.
• [23] Tang XD,Lu B,Zhou LY,et al.Clinical Practice Guideline of Chinese Medicine for Chronic Gastritis[J].Chin J Integr Med,2012,18:56- 71.
• [24] 中华中医药学会.中医临床诊疗指南编制通则[S].北京:中国中医药出版社,2015:12.
• [25] 卢传坚,杨克虎.中西医结合诊疗指南制定手册[M].北京:人民卫生出版社,2016.
• [26] 中华中医药学会.《中医药单用/联合抗生素治疗常见感染性疾病临床实践指南社区获得性肺炎》等7项团体标准发布公告[EB/OL].(2017- 06- 07).http://www.cacm.org.cn/zhzyyxh/bzhsj/201706/d1eb3d69569e4034b7612980ccf8c 419.shtml.
• [27] Luo H,Li H,Wang YY,et al.Clinical practice guidelines for treating headache with Traditional Chinese Medicine:quality assessment with the appraisal of guidelines for research and evaluation instrument[J].J Tradit Chin Med,2018,38:339- 350.
• [28] 国家中医药管理局.关于2018年度中医药国际合作专项项目清单的公示[EB/OL].(2018- 05- 28).http://ghs.satcm.gov.cn/zhengcewenjian/2018- 05- 28/7225.html.
• [29] Tang CZ,Lu LM,Duan YT,et al.Developing an extension of the RIGHT statement for clinical practice guidelines on acupuncture:RIGHT for acupuncture-A protocol[J].Euro J Integr Med,2019,29:100908.
• [30] Wu L,Chen YL,Ma YF,et al.Clinical Practice Guideline on Treating Influenza in Adult Patients with Chinese Patent Medicines[J].Pharmacol Res,2020,160:105101.
• [31] 陈薇,方赛男,刘建平.基于证据体的中医药临床证据分级标准建议[J].中国中西医结合杂志,2019,39:103- 109.
• [32] 李承羽,赵晨,陈耀龙,等.中医药临床指南/共识中推荐意见分级标准的制订[J].中医杂志,2020,61:486- 492.
• [33] 马彬.中医药临床研究方法与报告质量研究[D].兰州:兰州大学,2013.
• [34] 国家中医药管理局.传统医学正式纳入《国际疾病分类第十一次修订本(ICD- 11)》[EB/OL].(2019- 05- 27).http://ghs.satcm.gov.cn/gongzuodongtai/2019- 05- 25/9884.html.
• [35] 于洋.第十六届世界中医药大会在匈牙利举行:造福人类,推进中医药国际化进程[N].人民日报,2019- 11- 19(17).
• [36] Ren J,Li X,Sun J,et al.Is traditional Chinese medicine recommended in Western medicine clinical practice guide-lines in China?A systematic analysis[J].BMJ Open,2015,5:e006572.
• [37] 中华中医药学会脑病分会.中西医结合脑卒中循证实践指南2019[J].中国循证医学杂志,2020,20:901- 912.
• [38] Ni XJ,Lin H,Li H,et al.Evidence based practice guideline on integrative medicine for stroke 2019[J].J Evid Based Med,2020,13:137- 152.
• [39] 中华人民共和国中央人民政府.中医常见病诊疗指南系列标准发布会在北京举行[EB/OL].(2012- 07- 18).http://www.gov.cn/jrzg/2012- 07/18/content_2185526.htm.
• [40] 中华人民共和国国务院新闻办公室.国家中医药管理局“中医药标准化工作”新闻发布.[EB/OL].(2013- 12- 10).http://www.scio.gov.cn/xwfbh/gbwxwfbh/xwfbh/zyyj/Document/1353570/1353570.htm.