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| 近5年针灸临床实践指南研制的现状、问题及对策研究 |
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皇甫铭宣1, 孙彧1, 郭义1,2,3,4, 任海燕1,2,4, 史丽萍1,4
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1.天津中医药大学中医学院, 天津 301617;2.天津中医药大学中医药标准化研究所, 天津 301617;3.国家中医药管理局针灸标准化研究中心, 天津 300070;4.天津市现代中医理论创新转化重点实验室, 天津 301617
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| 摘要: |
| [目的] 分析针灸临床实践指南研制的现状，找出关键问题，提出相应对策。[方法] 通过文献梳理及分析的方法进行研究。[结果] 现状方面，针灸临床实践指南研制的流程和规范虽较为完善，但仍存在以下问题：对针灸优势病种指南研制数量不足；证据收集和推荐意见不够规范；推荐方案的形成对患者意愿考虑不足；随机对照试验（RCT）数量有限，质量不高；缺乏交叉型人才；针灸临床实践指南国际化面临挑战。对策方面，建议增加对针灸优势病种相关标准的研制；形成推荐意见环节清晰化；适当考虑患者意愿；提高RCT质量；大力培养专业人才，在保留针灸自身特色的前提下与国际接轨。[结论] 针灸临床实践指南的研制存在一定问题，需进一步改进与完善。 |
| 关键词: 针灸临床实践指南 现状 问题 对策 |
| DOI：10.11656/j.issn.1673-9043.2023.05.07 |
| 分类号:R245 |
| 基金项目:天津市卫生健康委员会重点项目(2021018);国家重点研发计划项目(2022YFB4703104)。 |
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| Research on the current situation，problems and countermeasures of the development of clinical practice guideline on acupuncture and moxibustion in the recent five years |
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HUANGFU Mingxuan1, SUN Yu1, GUO Yi1,2,3,4, REN Haiyan1,2,4, SHI Liping1,4
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1.School of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.Institute of Standardization of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;3.Acupuncture Standardization Research Center of State Administration of Traditional Chinese Medicine, Tianjin 300070, China;4.Tianjin Key Laboratory of Innovation and Transformation of Modern Traditional Chinese Medicine Theory, Tianjin 301617, China
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| Abstract: |
| [Objective] To analyze the current situation of the development of clinical practice guidelines on acupuncture and moxibustion,find out the existing problems at the emerging stage,and propose corresponding countermeasures. [Methods] Analyze and review through manual literature search. [Results] In terms of current situation,although the process and specification of the development of clinical practice guidelines on acupuncture and moxibustion are constantly improving,there is a shortage of the development of acupuncture and moxibustion guidelines for dominant diseases. Evidence collection and recommendation opinions are not standardized enough. Insufficient consideration of patient willingness in the formation of recommended plans. The number of randomized controlled trials(RCTs) is limited and there is a lack of cross disciplinary talent. The internationalization of clinical practice guidelines on acupuncture and moxibustion faces challenges. In the aspect of countermeasures,it is suggested to increase the development of relevant standards for acupuncture and moxibustion dominant diseases;clarify the process of forming recommendation opinions. Properly consider the patient's wishes;improving the quality of RCTs. Vigorously cultivate professional talents,and keep in line with international standards on the premise of retaining acupuncture and moxibustion's own characteristics. [Conclusion] The development of clinical practice guidelines on acupuncture and moxibustion is progressing,but it still needs further improvement and perfection. |
| Key words: clinical practice guideline on acupuncture and moxibustion current situation problem countermeasure |
