摘要
目的:评价不同学科领域相同病种(大肠癌)指南的协调配套性。方法:对比《肿瘤中医诊疗指南-大肠癌》与《中医肛肠科常见病诊疗指南-结肠癌》的基本结构和内容;根据国家中医药管理局《公共卫生专项资金中医临床诊疗指南应用评价项目实施方案》填写《中医临床诊疗指南应用评价病例调查表》,评价两个指南的应用符合度(包括中、西医疾病诊断要点、证候分类、治则治法、方药、其他疗法)。应用SPSS 21.0软件,采用描述性分析方法进行数据分析。结果:两个指南各有侧重,部分内容如术式选择、中成药、其他治法方面有一定互补作用,但重复内容较多;指南应用符合度评价,符合率多介于70%-90%之间,肿瘤科的大肠癌指南多项内容(中医疾病诊断、证候分类、治则、方药)的符合率高于肛肠科结肠癌指南。结论:两个指南临床符合度较好,对于相应学科具有一定的适用性,但需要修订完善;两个指南部分内容具有协调互补性,但总体协调配套性欠佳。
Objective： To evaluate coordination and compatibility of the guidelines of different disciplines in the same diseases（colorectal cancer）. Methods： To compare the basic structure and contents of Guideline for Diagnosis and Treatment of Commom Diseases of Coloproctology in TCM-Colorectal Cancer with Guideline for Diagnosis and Treatment of Tumor in TCMColorectal Cancer. The evaluation questionnaire for cases application of TCM clinical diagnosis and treatment guideline was filled out according to the Special funds of public health of traditional Chinese medicine clinical practice guidelines application evaluation project implementation program by the State Administration of TCM. The application consistency of two guidelines（including Chinese and western medicine therapy and disease diagnosis, syndrome classification, therapeutic principle, formulas and other treatments） were assessed. The data of descriptive analysis in SPSS 21.0 statistical software was used to compare the application consistency. Results： There was difference in the particular emphasis laid by the two guidelines, so it was complementary for each other in some aspects such as the operation choice, proprietary Chinese medicine treatment, and curative measures. But, it showed lots of duplicate contents in the two guidelines. The results of guidelines application consistencyshowed that the coincidence ratereached the range of 70% to 90%. The coincidence rate of many items including diagnosis, syndrome type, treatment principle and prescription in the colorectal cancer guideline of oncology department was higher than that in the colorectal cancer guideline of anorectal department. Conclusion： Both of the two guidelines are well consistent in clinical work, and have certain applicability for the corresponding subject, but still need to be revised and perfected. There is harmonizing complementarity in some contents of the two guidelines but poor coordination and compatibility overall.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2016年第11期4611-4614,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家中医药管理局中医标准化项目(No.ZYYBZ-2013[PJ52]
No.ZYYS-2013[0010])
北京中医药科技发展资金项目(No.JJ2015-61)~~
关键词
大肠癌
中医诊疗指南
协调配套性
应用性评价
Colorectal carcinoma
Clinical practice guideline of TCM
Consistency evaluation
Evaluation of CPG application
