Easterling Caryn
University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Dysphagia. 2017 Feb;32(1):50-54. doi: 10.1007/s00455-016-9769-8. Epub 2017 Jan 2.
As deglutologists, we strive to use the best evidence available in the treatment of swallowing disorders. Evidence-based medicine is a bottom-up approach that thoughtfully combines the best external evidence with individual clinical expertise and the patients' choice reflective of their clinical state and preferences for their specific care plan. Evidence-based medicine is not restricted to randomized clinical trials and meta-analyses; rather, evidence-based medicine includes our ability to discriminate the best external evidence with which to answer clinical questions and then skillfully and appropriately being able to apply this evidence in the care and treatment of our patients (Sackett et al. in BMJ 312:71-72, 1996). Translation of efficient and effective dysphagia rehabilitative clinical practice implies the need to use treatment that has proven therapeutic value, yields measurable physiologic results and most importantly allows appreciable qualitative outcomes for the patient.
作为吞咽障碍专家，我们致力于在吞咽障碍治疗中运用现有的最佳证据。循证医学是一种自下而上的方法，它将最佳的外部证据与个人临床专业知识以及反映患者临床状况和对其特定护理计划偏好的患者选择进行审慎结合。循证医学并不局限于随机临床试验和荟萃分析；相反，循证医学包括我们辨别用于回答临床问题的最佳外部证据的能力，以及随后能够巧妙且适当地将此证据应用于患者护理和治疗的能力（萨克特等人，《英国医学杂志》312:71 - 72，1996年）。高效且有效的吞咽障碍康复临床实践的转化意味着需要使用已证明具有治疗价值、能产生可测量生理结果且最重要的是能为患者带来显著定性结果的治疗方法。
