中医药临床疗效评价的研究进展与思考

Research progress and thinking on clinical efficacy evaluation of traditional Chinese medicine

关键词:  中医药  疗效评价  评价指标  研究方法

Key words:  traditional Chinese medicine  clinical efficacy evaluation  evaluation outcome  research method

摘要:

中医药临床疗效评价创新方法与技术在中医药发展中具有至关重要的作用。然而，当前中医药临床疗效评价难以体现中医特色和优势，在一定程度上阻碍了中医药高质量发展。通过梳理中医药常用临床疗效评价指标的相关分类，总结中医临床疗效评价方面相关的新理念，提出构建中医临床评价体系时，应关注证的动态变化、个体化差异、临床疾病与干预机制的复杂性、指标选择的合理性，以期为中医药临床评价研究者提供参考。

Abstract:

For traditional Chinese medicine （TCM），innovative methods and techniques of clinical efficacy evaluation play a vital role in the development of TCM. However，the current clinical efficacy evaluation of TCM is difficult to reflect the characteristics and advantages of TCM，which hinders the high-quality development of traditional Chinese medicine to some extent. By reviewing outcome classification，new concepts related to clinical evaluation of TCM were summarized. Meanwhile，problems with respect to outcomes for clinical evaluation of TCM were put forward，pay attention to the dynamic changes of syndromes，individual differences，the complexity of clinical diseases and intervention mechanisms，and rationality of outcome selection. It is prospective to provide reference for researchers on clinical evaluation of TCM.