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[稳定期慢性阻塞性肺疾病中医临床实践指南(征求意见稿)]

[Clinical practice guideline for stable chronic obstructive pulmonary disease with traditional Chinese medicine (draft version for comments)].

作者信息

Chang-Zheng Fan, Qing Miao, Mao-Rong Fan, Xing Liao, Qiong Zhang, Yi-Ling Fan, Qiu-Xiao M A, Qing Cao, Ning Wang, Ya-Ni Hao

机构信息

Xiyuan Hospital,China Academy of Chinese Medical Sciences Beijing 100091,China.

Center for Evidence-based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences Beijing 100700,China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2020 Nov;45(22):5309-5322. doi: 10.19540/j.cnki.cjcmm.20200726.503.

Abstract

By referring to the standards and procedures of WHQ Handbook for Guideline Development, under the guidance of relevant laws, regulations, and technical documents, in line with the principle of "evidence-based, consensus-based, experience-based", and based on the best available evidences, fully combined with expert experience and patient preferences, we summarized eight clinical questions in this paper: can traditional Chinese medicine(TCM) treatment improve the clinical symptoms and the degree of dyspnea in patients with stable chronic obstructive pulmonary disease(COPD) Can TCM treatment reduce the number of exacerbations in patients with stable COPD? Can TCM treatment improve the exercise tolerance of patients with stable COPD? Can TCM treatment improve the quality of life of patients with stable COPD? Can TCM treatment delay the decline of lung function in patients with stable COPD? Can TCM treatment improve anxiety and depression in patients with stable COPD? Does the point application therapy benefit patients with stable COPD? Can non-pharmacological treatment benefit patients with stable COPD? Based on these eight clinical problems, the cha-racteristics of TCM itself, and actual clinical situation, the recommendations of TCM to treat the stable COPD were formed in this guideline, with intention to provide advice and guidance to clinicians in the use of TCM to treat stable COPD, to relieve symptoms, improve exercise tolerance, improve health status, prevent disease progression, prevent and treat exacerbations, and improve clinical efficacy. Due to the influence of the user's region, nationality, race and other factors, the implementation of this guideline should be based on the actual situations.

摘要

参照《世界卫生组织指南制定手册》的标准和程序,在相关法律法规及技术文件的指导下,遵循“循证、共识、经验”原则,基于最佳可得证据,充分结合专家经验与患者偏好,本文总结了八个临床问题:中医治疗能否改善稳定期慢性阻塞性肺疾病(COPD)患者的临床症状及呼吸困难程度?中医治疗能否减少稳定期COPD患者的急性加重次数?中医治疗能否提高稳定期COPD患者的运动耐量?中医治疗能否改善稳定期COPD患者的生活质量?中医治疗能否延缓稳定期COPD患者肺功能下降?中医治疗能否改善稳定期COPD患者的焦虑和抑郁状态?穴位敷贴疗法对稳定期COPD患者是否有益?非药物治疗对稳定期COPD患者是否有益?基于这八个临床问题、中医自身特点及实际临床情况,本指南形成了中医治疗稳定期COPD的推荐意见,旨在为临床医生运用中医治疗稳定期COPD、缓解症状、提高运动耐量、改善健康状况、预防疾病进展、防治急性加重及提高临床疗效提供建议和指导。由于受使用者地区、国籍、种族等因素影响,本指南的实施应结合实际情况。

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