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解决阿育吠陀医学临床实践的变异性:制定临床实践指南的迫切需求。

Addressing clinical practice variability in Ayurveda: An urgent need for developing clinical practice guidelines.

作者信息

Ashwathykutty V, Payyappallimana Unnikrishnan, Rakesh Narayanan V

机构信息

Central Council for Research in Ayurvedic Sciences, New Delhi, India.

University of Trans-Disciplinary Health Sciences and Technology (TDU), Bengaluru, India.

出版信息

J Ayurveda Integr Med. 2025 Aug 30;16(5):101201. doi: 10.1016/j.jaim.2025.101201.

Abstract

Clinical practice guidelines (CPGs), which incorporate current evidence with the pondered judgment of experts, represent a promising approach to reducing unwarranted practice variation and promoting the application of research findings in clinical settings. Globally, CPGs are developed by numerous local, national, and international organizations, and their production has significantly increased in the last two decades. In the realm of Traditional and Complementary Medicine (T&CM), CPGs are gaining popularity, offering evidence-based recommendations for implementing T&CM interventions in clinical practice. While Korean medicine, Traditional Chinese medicine, and Kampo medicine have established robust CPGs guiding their healthcare practices and research in selected areas, the utilization of CPGs in any of the Ayush (term that represents the traditional and complementary systems of medicine, namely Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa Rigpa and Homoeopathy) systems of medicine remains largely unexplored. This paper advocates for investigating the feasibility of CPGs as a promising research program, outlining areas where they could be implemented and the benefits they could bring. It represents one of the initial studies exploring the potential of CPGs in Ayurveda. The authors argue that it is crucial for stakeholders to provide the necessary momentum to develop robust and effective CPGs that integrate research with clinical practice to enhance patient care.

摘要

临床实践指南(CPGs)将当前证据与专家的审慎判断相结合,是减少不必要的实践差异并促进研究成果在临床环境中应用的一种很有前景的方法。在全球范围内,CPGs由众多地方、国家和国际组织制定,在过去二十年中其产量显著增加。在传统和补充医学(T&CM)领域,CPGs越来越受欢迎,为在临床实践中实施T&CM干预提供基于证据的建议。虽然韩医学、中医学和汉方医学已经建立了强有力的CPGs来指导其在特定领域的医疗实践和研究,但阿育吠陀医学(Ayush,代表传统和补充医学体系,即阿育吠陀、瑜伽与自然疗法、尤那尼、悉达、索瓦里格帕和顺势疗法)系统中任何一种对CPGs的利用在很大程度上仍未得到探索。本文主张研究CPGs作为一个有前景的研究项目的可行性,概述其可以实施的领域以及可能带来的益处。它是探索CPGs在阿育吠陀医学中潜力的初步研究之一。作者认为,利益相关者提供必要动力以制定将研究与临床实践相结合以改善患者护理的强有力且有效的CPGs至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f3/12418824/5b998c5f1114/gr1.jpg

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