Ma Chong, Fan Chang-Zheng, Miao Qing, Xie Yan-Ming, Zhang Jun-Hua, Zhang Bo-Li, Liao Xing, Cong Xiao-Dong
Graduate School of Beijing University of Chinese Medicine, Beijing 100029, China.
Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100091, China.
Zhongguo Zhong Yao Za Zhi. 2018 Dec;43(24):4771-4775. doi: 10.19540/j.cnki.cjcmm.20181009.001.
The purpose of this article is to evaluate the clinical effect of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for acute tonsillitis. The applicability and application of the Guideline were evaluated based on the clinicians by using the electronic questionnaire. Questionnaires about 538 on application evaluation and 502 questionnaires on applicability evaluation were completed from April 28 to July 9, 2018. The subjects in the questionnaires include the clinicians with junior title, intermediate title, and senior title that have used this Guideline. The descriptive statistical analysis of the collected questionnaire was carried out. In the applicability evaluation, according to the classification of professional titles, the application rate was highest in intermediate title clinicians (26.77%), followed by junior (23.98%) and deputy senior (19.33%) professional title clinicians. In the quality evaluation, the rationality of application scope (98.61%) and the terminology accuracy (98.81%) scores were higher, and the rationality of differentiation and classification (96.05%) was the lowest. The applicability evaluation suggested that clinicians believed this Guideline had high safety (98.42%), reasonable content (98.03%), significant effect (99.6%), reduced use of antibiotics in Western medicine (93.89%), and a high applicability ratio (96.44%). In the application evaluation, Department of lung disease showed the highest application rate (44.24%); rationality of the Guideline was more than 97% in treatment rules and prophylaxis except the syndrome differentiation (92.75%); a high ratio of clinicians believed the recommended scheme was good: curative effect 97.4%, safety 97.59%, and economy 93.87%. The study shows that the clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for acute tonsillitis is of good quality, high clinical use and good effect. It can be used as a standardized treatment scheme for acute tonsillitis in traditional Chinese medicine. But there are some unsuitable contents and need to be further improved. The Guideline should strengthen the revision on differentiation of symptoms and signs as well as prophylaxis.
本文旨在评估中医单独治疗或联合抗生素治疗急性扁桃体炎的临床实践指南的临床效果。通过电子问卷对临床医生进行调查，以评估该指南的适用性和应用情况。2018年4月28日至7月9日共完成了538份应用评价问卷和502份适用性评价问卷。问卷的调查对象包括使用过该指南的初级职称、中级职称和高级职称的临床医生。对收集到的问卷进行描述性统计分析。在适用性评价中，按职称分类，中级职称临床医生的应用率最高（26.77%），其次是初级职称（23.98%）和副高级职称（19.33%）的临床医生。在质量评价中，应用范围合理性（98.61%）和术语准确性（98.81%）得分较高，辨证分类合理性（96.05%）得分最低。适用性评价表明，临床医生认为该指南安全性高（98.42%）、内容合理（98.03%）、疗效显著（99.6%）、减少了西药抗生素的使用（93.89%）、适用性比例高（96.44%）。在应用评价中，肺病科的应用率最高（44.24%）；除辨证（92.75%）外，该指南在治疗原则和预防方面的合理性均超过97%；较高比例的临床医生认为推荐方案良好：疗效97.4%、安全性97.59%、经济性93.87%。研究表明，中医单独治疗或联合抗生素治疗急性扁桃体炎的临床实践指南质量良好、临床使用率高、效果良好。它可作为中医治疗急性扁桃体炎的标准化治疗方案。但存在一些不合适的内容，需要进一步改进。该指南应加强对辨证论治和预防方面的修订。
