Yao Xiao-Yan, Bian Yong-Jun, Gao Yang, Wang Yi, Xie Yan-Ming, Zhang Jun-Hua, Zhang Bo-Li, Li Guang-Xi
Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.
Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhong Yao Za Zhi. 2018 Dec;43(24):4765-4770. doi: 10.19540/j.cnki.cjcmm.20181009.009.
The purpose of this study is to analyze the obstructive factors of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for acute pharyngitis, and summarize the revision suggestions for follow-up revision and promotion. Clinical physicians from 181 hospitals in 27 regions of China were selected to complete the online questionnaire survey for statistical analysis of obstructive factors. We collected 501 copies of the applicability evaluation questionnaire and 503 copies of the application evaluation questionnaire. The obstructive factors mainly focused on limitation of the Guideline, inconvenience of access, particularity of primary medical structure and uneven distribution of surveyed subjects. As for amendments, it was suggested to improve the syndrome differentiation, indications, prescriptions, and add characteristic TCM therapies in Chinese medicine; it was suggested to clarify the time to use antibiotics in Western medicine. According to the results of this study, the relevant contents of the Guideline should be further improved so as to be better applied in clinical practice.
本研究旨在分析单独使用中医治疗或联合抗生素治疗急性咽炎的临床实践指南的阻碍因素,并总结后续修订和推广的修订建议。选取中国27个地区181家医院的临床医生完成在线问卷调查,对阻碍因素进行统计分析。我们收集了501份适用性评价问卷和503份应用评价问卷。阻碍因素主要集中在指南的局限性、获取不便、基层医疗结构的特殊性以及被调查对象分布不均衡。关于修订,建议在中医方面完善辨证、适应证、方剂,并增加中医特色疗法;建议在西医方面明确使用抗生素的时机。根据本研究结果,应进一步完善指南的相关内容,以便更好地应用于临床实践。