切换至 "中华医学电子期刊资源库"

中华肺部疾病杂志(电子版) ›› 2020, Vol. 13 ›› Issue (03) : 293 -296. doi: 10.3877/cma.j.issn.1674-6902.2020.03.001

循证医学与临床

循证医学应用中临床经验的重要性
任成山1, 林辉1, 杨仕明1,()   
  1. 1. 400037 重庆,陆军(第三)军医大学第二附属医院消化内科
  • 收稿日期:2020-06-16 出版日期:2020-06-25
  • 通信作者: 杨仕明
  • 基金资助:
    国家自然科学基金资助项目(81773468)

Importance of clinical experience in the application of evidence­based medicine

Chengshan Ren1, Hui Lin1, Shiming Yang1()   

  • Received:2020-06-16 Published:2020-06-25
  • Corresponding author: Shiming Yang
引用本文:

任成山, 林辉, 杨仕明. 循证医学应用中临床经验的重要性[J]. 中华肺部疾病杂志(电子版), 2020, 13(03): 293-296.

Chengshan Ren, Hui Lin, Shiming Yang. Importance of clinical experience in the application of evidence­based medicine[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2020, 13(03): 293-296.

1
许 锐,陈前军. 人性化医疗与循证医学[J]. 医学与哲学,2019, 40(23): 5-7, 10.
2
李幼平,李 静,孙 鑫,等. 循证医学在中国的发展:回顾与展望[J]. 兰州大学学报:医学版,2016, 42(1): 25-28.
3
Wang JY, Jin XJ. Evidence-based medicine in China[J]. Chronic Dis Transl Med, 2019, 5(1): 1-5.
4
Evidence-based medicine working group. Evidence-based medicine:A new approach to teaching the practice of medicine[J]. JAMA, 1992, 268(17): 2420-2425.
5
Sackett DL, Rosenberg WM, Gray JA, et al. Evidence based medicine:what it is and what it isn′t[J]. BMJ, 1996, 312(7023): 70-72.
6
O′Sullivan JW, Albasri A, Koshiaris C, et al. Diagnostic test guidelines based on high-quality evidence had greater retes of adherence: a meta-epidemiological study[J]. J Clin Epidemiol, 2018, 103: 40-50.
7
Kelly MP. The need for a rationalist turn in evidence-based medicine[J]. J Eval Clin Pract, 2018, 24(5): 1158-1165.
8
Spence JD. The need for clinical judgement in the application of evidence-based medicine[J]. BMJ Evid Based Med, 2019: doi: 10.1136/bmjebm-2019-111300.
9
Jada G, Hamilton JG, Lillie SE, et al. What is a good medical decsion? A research agenda guided by perspectives from multiple stakeholders[J]. J Behav Med, 2017, 40(1): 52-68.
10
Dolan JG, Veazie PJ. Harnessing expert judgment to support clinical decisions when the evidence base is weak[J]. Med Decis Making, 2019, 39(1): 74-79.
11
刘哲然. 从经验医学、循证医学到精准医学的演变及评价[J]. 医学与哲学,2017, 38(10B): 81-84.
12
Armitage J, Baigent C, Barnes E, et al. Efficacy and safety of statin therapy in older people: a meta-analysis of individual participant data from 28 randomised controlled trials[J]. Lancet, 2019, 393(11): 407-415.
13
刘 俊. 正确运用循证医学证据指导临床实践[J]. 医学与哲学,2019, 40(23): 15-18.
14
Fanaroff AC, Califf RM, Windecker S, et al. Levesls of evidence supporting American College of Cardiology/American Heart Association and European Society of Cardiology Guidelines, 2008-2018[J]. JAMA, 2019, 321: 1069-1080.
15
Herrera-Perez D, Haslam A, Crain T, et al. A comprehensive review of randomized clinical trials in three medical journals reveals 396 medical reversals[J]. Elife, 2019, 8: e45183.
16
Huo Y, Li J, Qin X, et al. Efficacy of folic acid therapy in primary prevention of stroke among adults with hypertension in China: the CSPPTrandomized clinical trial[J]. JAMA, 2015, 313*(13): 1325-1335.
17
Emdn CA, Odutayo A, Hsiao AJ, et al. Association between randomized trial evidence and global burden of disease: cross sectional study(epidemiological study of randomized trials-ESORT)[J]. BMJ, 2015, 350: h117.
18
Rabinstein AA, Brinjikji W, Kallmes DF. Equipoise in clinical trials:angst and progress[J]. Circ Res, 2016, 119(7): 798-800.
19
Scott IA. Filling the Glass of Evidence-Based Medicine[J]. Intern Med J, 2020, 50(1): 15-16.
20
任成山,林 辉,杨仕明. 结核病的流行特征与耐多药的窘迫及其策略[J/CD]. 中华肺部疾病杂志(电子版), 2019, 12(3): 269-274.
21
任成山,王关嵩,钱桂生. 慢性阻塞性肺疾病的成因及其治疗的困惑与希望[J/CD]. 中华肺部疾病杂志(电子版), 2019, 12(2): 127-141.
22
任成山,林 辉,杨仕明,等. 冠状病毒及新型冠状病毒肺炎防控策略[J/CD]. 中华肺部疾病杂志(电子版), 2020, 13(1): 1-5.
23
关于印发新型冠状病毒肺炎诊疗方案(试行第七版)的通知.

URL    
24
Wan Y, Shang J, Graham R, et al. Receptor Recognition by the Novel Coronavirus from Wuhan: an Analysis Based on Decade-Long Structural Studies of SARS Coronavirus[J]. J Virol, 2020, 94(7): e00127-20.
25
20200608-COVIDv19-sitrep-140.pdf

URL    
26
李少峰,兰智慧,张元兵,等. 循证医学时代探讨名老中医经验传承模式的关键点[J]. 时珍国医国药,2017, 28(4): 930-931.
27
Li L, Fu HQ. China′s health care system reform: Progress and prospects[J]. Int J Health Plann Manage, 2017, 32(3): 240-253.
28
Djulbegovic B, Guyatt GH. Progress in evidence-based medicine: a quarter century on[J]. Lancet, 2017, 390(10092): 415-423.
29
Kim K, Lee CJ, Shim CY, et al. Statin and clinical outcomes of primary prevention in individuals aged>75 years: The SCOPE-75 study[J]. Atherosclerosis, 2019, 284: 31-36.
30
Ouchi Y, Sasaki J, Arai H, et al. Ezetimibe lipid-lowering trial on prevention of atherosclerotic cardiovascular disease in 75 or older(EWTOPIA 75)[J]. Circulation, 2019, 140(12): 992-1003.
[1] 中华医学会骨科学分会关节外科学组, 云南省创伤骨科临床医学中心(解放军联勤保障部队第九二〇医院). 中国髋关节置换入路选择临床实践指南(2021年版)[J]. 中华关节外科杂志(电子版), 2021, 15(06): 651-659.
[2] 白雪, 李珺, 邢婵, 高济越, 赵海东. 中华医学会乳腺癌术后淋巴水肿临床实践指南解读[J]. 中华普外科手术学杂志(电子版), 2023, 17(03): 245-249.
[3] 刘荣, 汪洋, 赵国栋, 柳俨哲, 张修平, 刘渠, 李梦阳. 单通道机器人肝胰手术初步临床实践与评价[J]. 中华腔镜外科杂志(电子版), 2021, 14(06): 321-325.
[4] 刘骞. 直肠癌侧方淋巴结清扫中国临床开展的现状[J]. 中华结直肠疾病电子杂志, 2022, 11(05): 367-371.
[5] 王锡山. 随机对照临床试验在外科中的局限性[J]. 中华结直肠疾病电子杂志, 2021, 10(05): 457-461.
[6] 郑颖, 孟金铃, 蔡广研, 冯哲. 混合式教学模式在肾脏病学专业学位研究生循证医学课程中的实践与思考[J]. 中华肾病研究电子杂志, 2023, 12(01): 48-50.
[7] 康庆林. 临床实践与体会能够促进骨外科学事业发展[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 257-262.
[8] 吴宗盛, 谢剑锋, 邱海波. 2021版拯救脓毒症运动指南:早期复苏的八大“陷阱”[J]. 中华重症医学电子杂志, 2023, 09(01): 14-18.
[9] 严楠, 杜丽雪, 依斯坎德尔·依沙江, 宋美娜, 王非, 王仲. 医疗决策中的循证与叙事依据[J]. 中华临床医师杂志(电子版), 2022, 16(11): 1142-1145.
[10] 辛灵, 向泓雨, 刘倩, 刘荫华. 科学研究与临床规范并重,努力提高中国乳腺外科诊治水平[J]. 中华临床医师杂志(电子版), 2021, 15(10): 721-725.
[11] 景安娜, 黎波, 吴育真, 崔莹, 马玉萍, 李玉仙, 姜诗怡, 周雨桐. 基于临床证据的醒脑开窍针刺法适应症研究[J]. 中华针灸电子杂志, 2023, 12(04): 167-172.
[12] 汤志刚, 杨继若, 蒲宁, 白晶梅. 头体针并用治疗周围性面瘫验案[J]. 中华针灸电子杂志, 2023, 12(02): 53-53.
[13] 杨利娟, 赵鹏浩. 针刺治疗渗透性脱髓鞘综合征验案[J]. 中华针灸电子杂志, 2022, 11(02): 69-70.
[14] 王晓玲, 杨婷, 尹专叶, 张颖. 脑卒中后抑郁状态识别与预防的最佳证据总结[J]. 中华脑血管病杂志(电子版), 2023, 17(01): 51-56.
[15] 侯多朵, 李彩宏, 吕茵茵, 武剑. 脑卒中个案管理模式的临床实践及效果评价[J]. 中华脑血管病杂志(电子版), 2021, 15(06): 382-385.
阅读次数
全文


摘要