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[中医药临床试验的方法学质量评估:循证医学原则]

[Methodological quality assessment of clinical trials in traditional Chinese medicine: the principles of evidence-based medicine].

作者信息

Liu Jian-Ping

出版信息

Zhong Xi Yi Jie He Xue Bao. 2006 Jan;4(1):1-6.

Abstract

The quality of clinical trials in traditional Chinese medicine (TCM) was analyzed with respect to their methodology and outcome assessment according to the concepts of evidence-based medicine (EBM). It was suggested that the essential methodological principles of EBM should be applied in clinical trials of TCM, including randomization, control and blindness. The sample size estimation, optimal parameter selection for outcome assessment, compliance and intention-to-treat analysis are all important aspects of randomized controlled trials. To bring the benefits of EBM into clinical trials will improve the quality of research in TCM and also promote international co-operation and communications. It is necessary to establish an assessment system of clinical outcome for TCM on the basis of EBM in order to evaluate the efficacy and safety of TCM objectively and scientifically.

摘要

根据循证医学(EBM)的理念,从方法学和结果评估方面对中医药临床试验的质量进行了分析。研究表明,循证医学的基本方法学原则应应用于中医药临床试验,包括随机化、对照和盲法。样本量估计、结果评估的最佳参数选择、依从性和意向性分析都是随机对照试验的重要方面。将循证医学的优势引入临床试验将提高中医药研究质量,也有助于促进国际合作与交流。有必要在循证医学基础上建立中医药临床疗效评估体系,以便客观、科学地评价中医药的疗效和安全性。

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