摘要
中医药防治急性病毒性呼吸道传染病疗效确切,其主要作用并不针对相应的病原体,而是从整体上改善机体的状态、减轻病理损害,以减轻病情、缩短病程和减少并发症,从而起到非特异性治疗的作用;同时,中医药作用多靶点,不易产生耐药性,且无不良反应或不良反应较少。但中医药防治研究中须亟待解决的问题有1建立客观、规范的证候诊断标准。一方面,应深入挖掘中医药防治急性病毒性呼吸道传染病的丰富经验;另一方面,采用证候研究的方法和技术客观地分析急性病毒性呼吸道传染病的证候特点及其演变规律,制定客观、规范的证候诊断标准,以更加科学地指导中医临床实践。2高级别循证证据支撑的治疗方案、方法、技术。应引入现代临床研究的多中心、随机、盲法、对照或者前瞻性队列研究等方法,以提高研究结果的可信度和可重复性,为中医药防治急性病毒性呼吸道传染病提供高级别循证证据支撑。3深入研究病证结合的作用机制。应积极探索基于病证结合模式的作用机制研究,以便在更高的科学层次上,充分发挥中医学"整体观念"和"辨证论治"理论以及非特异性治疗方法的优势。
TCM prevention and treatment of acute viral respiratory tract infectious disease has curative effect, its main function is not aim at the corresponding pathogens, but on the whole body to improve the status, reduce the pathological damage and to alleviate the condi- tion, shorten the course of the disease and reduce the complications, which have the effect of nonspecific treatment. At the same time, the effect of traditional Chinese medicine more targets, not easy the creation bears the medicine, and no adverse reactions or less adverse re- action. But in the prevention and control of traditional Chinese medicine research must have the problems to be settled urgently. ①Toestablish the objective diagnosis,justification of specification standard. On the one hand, we should dig into TCM prevention and treat- ment of acute viral respiratory infections experience, on the other hand, research methods and techniques to objectively analyze acute vi- ral respiratory infectious disease syndromes characteristics and evolution law,formulate the objective,justification of specification, for it in a more scientific guide of TCM clinical practice. ②The treatment of high-level evidence-based evidence supporting scheme, method and technology. Modern clinical research should be introduced, muhicenter, randomized, blinded, controlled or prospective cohort study, in order to improve the reliability and repeatability of the findings, provides the high level for the prevention and treatment of acute viral respiratory tract infectious disease of traditional Chinese medicine of evidence-based evidence support.③Study the mechanism of action of combined disease. Should actively explore mechanism based on the model of combined disease research, so that at a higher scientific level,give full play to the traditional Chinese medicine "holistic concept" and " syndrome differentiation" theory and the advantage of nonspecific treatment.
出处
《中医学报》
CAS
2015年第8期1095-1098,共4页
Acta Chinese Medicine
基金
河南省创新型科技人才队伍建设工程(132101510003)
郑州市科技人才队伍建设计划-科技领军人才项目(131PJRC659)