关于中医临床疗效评价的思考

作者	单位
胡随瑜	中南大学湘雅医院中西医结合研究所长沙410008
金益强	中南大学湘雅医院中西医结合研究所长沙410008

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中文摘要:

针对如何评价中医临床疗效的问题 ,阐述了疗效评价标准研究趋势及病证结合诊疗标准应用情况 ;并以中医肝的脏象证候标准研究为例 ,指出标准制订的基本原则和存在的问题。论述了以“评定量表”为工具 ,建立中医临床疗效评价体系的可能性 ,提出量表编制的理论构思必须与中医理论相符 ,并遵循科学测量原理 ;以“样本”调查为基础 ,建立量表条目库 ,确定具有相应检查程序和评分标准的条目 ,使“评定量表”符合信度、效度检验要求。同时指出 ,“量表”必须与辨证标准配套使用 ,才能建立科学、实用的中医临床疗效评价体系。

英文摘要:

How to assess the therapeutic effectiveness of TCM is the focus of this paper, the trend of study on standard for therapeutic effectiveness assessment and application of standard for disease combined with symptom diagnosis and treatment were described. Taking the study on standard for TCM syndrome of Gan as an example, the basic principle and existing problem in standard formulation were pointed out. The possibility in establishing the therapeutic effectiveness assessment system of TCM by using the quantified scale for therapeutic effectiveness assessment as a tool, i.e., the theoretical design of the scale formation should be in accord with the theories of TCM, and followed with scientific measuring principle, based on the sample investigation to establish the database of quantified scale, to make sure the scale that having corresponding checking process and scoring criteria so as to make the scale meeting the need of reliability and validity. It was also pointed owt that the scale should be used in combination with the standard for syndrome differentiation, thus, the scientific, practical therapeutic effectiveness assessment system of TCM could be built up.

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