Röckl-Wiedmann I, Kranke P, Porzsolt F, Roewer N
Abteilung für Anästhesie und Intensivmedizin, Rotkreuz-Krankenhaus München, Munich.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2003 Jul;38(7):456-62. doi: 10.1055/s-2003-40068.
Whenever evidence-based medicine (EbM) is mentioned among physicians, it evokes many different and contradictory reactions. On the one hand a lot of physicians have heard of this concept, but may hardly associate anything with it. On the other hand most of the physicians seem to be skeptical rather than in favour of evidence-based medicine. They seem to be concerned about restrictions in daily clinical decision-making or negative implications for the relationship between patient and physician. In this article we would like to deal with the question whether evidence-based medicine is useful for clinicians and which chances are provided for both the physicians and the patients by using it. First, the methodology and aims of evidence-based medicine are introduced. Second, by using an example of clinical anaesthesiology, we discuss the six formal steps for implementing this method. Third, important points which help to assess clinical studies are mentioned. In conclusion we would like to point out that evidence-based medicine is no entirely new concept of medicine but aims to highlight a solid and conscientious scientific basis of clinical decision-making. Thus, evidence-based medicine may act as a methodological strategy helping to clear the proceedings of decision-making and improve the provision of medical care to patients. Furthermore, it may guarantee a rapid transfer of knowledge from outcome-related research to patient care.
每当在医生中提及循证医学（EbM）时，都会引发许多不同且相互矛盾的反应。一方面，很多医生听说过这个概念，但可能几乎联想不到与之相关的任何内容。另一方面，大多数医生似乎持怀疑态度而非支持循证医学。他们似乎担心日常临床决策会受到限制，或者担心这会对医患关系产生负面影响。在本文中，我们想探讨循证医学对临床医生是否有用，以及使用循证医学能为医生和患者带来哪些机遇。首先，介绍循证医学的方法和目标。其次，通过临床麻醉学的一个例子，我们讨论实施该方法的六个正式步骤。第三，提及有助于评估临床研究的要点。总之，我们想指出循证医学并非全新的医学概念，而是旨在突出临床决策坚实且严谨的科学基础。因此，循证医学可作为一种方法策略，有助于理清决策过程并改善对患者的医疗服务。此外，它可确保将与结果相关的研究知识迅速转化为患者护理。
