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[中医单独或联合抗生素治疗脓毒症临床实践指南的临床应用评价与修订建议]

[Clinical application evaluation and revision suggestions of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for sepsis].

作者信息

Zhang Rui, Chen Yi-Shan, Zhao Guo-Zhen, Wang Dong-Dong, Ha Yan-Xiang, Huang Po, Hu Jing, Feng Shuo, Guo Yu-Hong, Liao Xing, Xie Yan-Ming, Zhang Jun-Hua, Zhang Bo-Li, Li Bo, Liu Qing-Quan

机构信息

Beijing Institute of Traditional Chinese Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China.

Beijing University of Chinese Medical, Beijing 100029, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2018 Dec;43(24):4776-4781. doi: 10.19540/j.cnki.cjcmm.20180925.007.

Abstract

To investigate the clinical application of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for sepsis, in order to promote the follow-up revision and further promotion of the Guidelines. Copies of 500 application evaluation questionnaire and 500 copies of applicability evaluation questionnaire were given to the clinicians who had used this Guideline in China, both in a form of registered questionnaire, and a database was established by Excel 2016 for descriptive statistical analysis. Copies of 211 application evaluation questionnaire and 211 copies of applicability evaluation questionnaire were collected. We can conclude from the survey that we should adjust the whole content and structure on the basis of better evaluation of the present recommendation scheme, update the prescription selection and clinical evidence of the recommendation scheme, and put forward the improvement measures for the hindrance factors in the application of the Guideline. Furthermore, in order to promote the Guideline more clearly, we should strengthen the doctor-patient education, improve guidance quality and increase the publicity, providing basis for the implementation and promotion strategies of the Guideline.

摘要

为探讨中医单独或联合抗生素治疗脓毒症临床实践指南的临床应用情况,以促进该指南的后续修订及进一步推广。向国内使用过本指南的临床医生发放500份应用评价问卷及500份适用性评价问卷,均采用记名式问卷调查,并通过Excel 2016建立数据库进行描述性统计分析。回收应用评价问卷211份、适用性评价问卷211份。通过本次调查可知,应在更好地评估现有推荐方案的基础上,调整整体内容与结构,更新推荐方案的方剂选择及临床证据,并针对指南应用中的阻碍因素提出改进措施。此外,为更清晰地推广该指南,应加强医患教育,提高指导质量,加大宣传力度,为指南的实施及推广策略提供依据。

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