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, 解放军总医院第四医学中心骨科医学部, 国家骨科与运动康复临床医学研究中心. 中国膝骨关节炎非手术治疗专家共识(2023年版)[J]. 中华关节外科杂志(电子版), 2024, 18(02): 151-159.
[2] 洪东琪, 叶臻. 真实世界研究在骨关节炎领域的研究进展[J]. 中华关节外科杂志(电子版), 2024, 18(01): 137-141.
[3] 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.
[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] 陈意志. 老年人肾小球滤过率估算公式的选择及预后意义:基于循证医学的证据解读[J]. 中华肾病研究电子杂志, 2023, 12(06): 360-360.
[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] 倪世豪, 董晓明, 刘浩辉, 何星灵, 刘东华, 李姿儒, 李思静, 姜艳辉, 黄婕, 张小娇, 鲁路, 杨忠奇. 治疗新型冠状病毒感染中成药的临床证据分析[J]. 中华临床医师杂志(电子版), 2023, 17(12): 1253-1269.
[10] 邱凯锋, 王则远, 何志超, 付凯利, 梅童霖, 关英杰, 高飞, 伍俊妍. 人工智能技术在超说明书用药循证中的应用研究[J]. 中华临床医师杂志(电子版), 2023, 17(12): 1212-1218.
[11] 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.
[12] 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.
[13] 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.
[14] 严锦阳, 谢天佑, 王一州, 冯慧敏, 陈丽灵, 张涛, 朱蓓, 裴小华. 问题导向学习教学模式的体会与思考[J]. 中华诊断学电子杂志, 2024, 12(01): 61-63.
[15] 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.
阅读次数
全文


摘要