循证医学方法与中医疗效评价.pdfVIP

2007 4 A pr. 2007 2 8 2 Journal of C ap italM ed ical U niversity V o l. 28 N o. 2 循证医学方法与中医疗效评价 刘建平 ( ) R 25 3 Evidencebased M edicine Approach and TCM Therapeu tic E valuation L iu Jianp ing ( Centref or E v idenceB ased Ch inese M ed ic ine, S chool of P reclin icalM ed ic ine, B e ij ing Un iv er sity of Ch inese M ed ic ine) AB STRA CT WH O prom otes ev idenceb ased traditiona l m edic ine. M ethodo log ica l issu es lmi it eva lu ation o f therap eu tic e ffect o f T CM. Current m ethods fo r evalua tion do no t prop erly re flect the hum an ity ch aracter istics and ho listic approach and d iffe rentia tion o f syndrom e and prescr iption. TCM the rap eutics is a com plex intervention and there is a lmi itation o f m ethodo logy by only random ized doubleblind p lacebocontrolled tr ia ls as it doesn t comp ly w ith b iop sychoso cia lenv ironm enta l and sp ir itu a lmode l fo r modern m edic ine. T o fa ir ly eva lu ate TCM therap eutic w e need to com bine bo th qu antitative and qua lita tive m ethods tog ether so as to create modality and m ethodology fo r TCM d ifferentiation o f syndrom e and treatm ent. ( ev idencebased m edic ine EBM ) (WHO ) EBM