综合评价法在中医药临床疗效评价中的应用

胡晶; 张会娜; 王宏; 李博

doi:10.16025/j.1674-1307.2023.05.005

您当前的位置：

首页 >

文章列表页 >

综合评价法在中医药临床疗效评价中的应用

专题——循证方法在中医领域的应用 | 更新时间：2023-06-25

- 综合评价法在中医药临床疗效评价中的应用
- Application of comprehensive evaluation methods in efficacy evaluation of traditional Chinese medicine
- 北京中医药 2023年42卷第5期页码：482-486
- 作者机构：
  
  1.首都医科大学附属北京中医医院北京市中医药研究所北京中医药循证医学中心，北京 100010
- 作者简介：
  
  胡晶，女，41岁，博士研究生，副研究员。研究方向：中医药循证医学和中医药临床疗效评价。
  李博，E-mail：dr.libo@vip.163.com
- 基金信息：
  
  国家自然科学基金项目(81973694);北京市东城区优秀人才项目(2022-dchrcpyzz-56)
- DOI：10.16025/j.1674-1307.2023.05.005
  中图分类号：
扫描看全文
胡晶，张会娜，王宏，等.综合评价法在中医药临床疗效评价中的应用［J］.北京中医药，2023，42（5）：482-486.

HU Jing,ZHANG Hui-na,WANG Hong,et al.Application of comprehensive evaluation methods in efficacy evaluation of traditional Chinese medicine[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(05):482-486.
胡晶，张会娜，王宏，等.综合评价法在中医药临床疗效评价中的应用［J］.北京中医药，2023，42（5）：482-486. DOI： 10.16025/j.1674-1307.2023.05.005.

HU Jing,ZHANG Hui-na,WANG Hong,et al.Application of comprehensive evaluation methods in efficacy evaluation of traditional Chinese medicine[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(05):482-486. DOI： 10.16025/j.1674-1307.2023.05.005.

摘要

临床疗效是中医药传承和发展的根本，而缺乏被中西医共同认可的疗效评价方法目前仍是一个亟待解决的问题。综合评价法是对一个复杂系统多个指标进行总评价的方法，其核心思想是根据不同的评价目的，利用被评价对象的各种属性信息，采用科学的评价方法对被评价对象进行客观、公正、合理的全面比较、判断及排序的过程，它可以将实验室指标、中医证候、生存质量等多个维度指标组合成一个单维度的综合指标，能够体现中医药多靶点、多维度的治疗优势，近年来已逐渐应用于中医药临床疗效评价。本文对目前中医药领域常用的几种综合评价法的原理、在中医药疗效评价应用的具体实例、以及注意事项进行介绍，以期指导中医药研究者正确选择和使用综合评价法，为全面客观地评价中医药临床真实疗效提供方法学支持。

Abstract

Clinical efficacy is the foundation of the inheritance and development of traditional Chinese medicine （TCM）. The lack of efficacy evaluation methods recognized by both Chinese and western medicine is still an urgent issue to be solved. Comprehensive evaluation method is a kind of method for multiple indicators of a complex system.According to different evaluation purposes， it utilizes various attribute information of the evaluated object and use scientific evaluation methods to conduct an objective， fair and reasonable comprehensive comparison， judgment and sequencing process for the evaluated object. It can combine multiple dimensional outcomes such as western medicine-related outcomes， TCM-related syndromes， and quality of life into a single-dimensional comprehensive index，which can reflect the advantages of the multi-target and multi-dimensional efficacy of TCM， and has been gradually applied to the clinical efficacy of TCM in recent years. This article introduces the principles of several comprehensive evaluation methods commonly used in the field of traditional Chinese medicine， and specific examples of their application in the clinical efficacy evaluation of TCM and matters needing attention. We hope to help TCM researchers to correctly select and use comprehensive evaluation methods in order to provide methodological support for the comprehensive and objective evaluation of the true clinical efficacy of TCM.

关键词

综合评价法随机对照试验中医药疗效评价

Keywords

Comprehensive evaluation methodrandomized controlled trialstraditional Chinese medicineefficacy evaluation

references

中国科学技术协会.中国科协发布2019重大科学问题和工程技术难题[J].科技传播,2019,11(14):10.

陈可冀,钱振淮,张问渠,等.精制冠心片对冠心病心绞痛双盲望法治疗112例疗效分析[J].医学研究通讯,1982(11):24-25.

郭蕾,韩俊莉,刘宁.论现代医学架构下中医证候临床疗效评价体系的瓶颈[J].中华中医药杂志,2017,32(8):3357-3360.

LI B,GAO HY,GAO R,et al.Joint development of evidence-based medical record by doctors and patients through integrated Chinese and Western medicine on digestive system diseases[J].Chin J Integr Med,2016,22(2):83-87.

HU J,LIU S,LIU W,et al.Establishing an evaluation mode with multiple primary outcomes based on combination of diseases and symptoms in TCM clinical trials[J].Ann Transl Med,2017,5(21):420.

胡晶,刘卫红,张会娜,等.“病证结合”多主要终点评价法在中医药临床研究中的应用[J].世界中医药,2017,12(6):1214-1217.

RAUCH G,JAHN-EIMERMACHER A,BRANNATH W,et al.Opportunities and challenges of combined effect measures based on prioritized outcomes[J].Stat Med,2014,33(7):1104-1120.

郭亚军.综合评价理论、方法及拓展[M].北京:科学出版社,2012：59.

NURIA R,JEROME M,LEONIDE C,et al.IBQS:A synthetic index of soil quality based on soil macro-invertebrate communities[J].Soil BiolBiochem,2011,43(10):2032-2045.

冉川莲.中医药多维评价疗效分析方法研究[D].成都：成都中医药大学,2016.

王明航,李建生.多维属性指标常用综合评价方法及其比较[J].中华中医药杂志，2013，28(10):2988-2990.

史焱,梁茂新,李新,等.基于原发性骨质疏松症疗效评价指标综合评价方法研究[J].辽宁中医杂志,2016,43(11):2254-2257.

LIBERATORE MJ,NYDICK RL.Wash criteria and the analytic hierarchy process[J].Comput Oper Res,2004,31(6):889-892.

VIDAL L,MARLE F,BOCQUET J.Using a Delphi process and the Analytic Hierarchy Process (AHP) to evaluate the complexity of projects[J].Expert Syst Appl,2011,38(5):5388-5405.

王列,张哲,马帅,等.德尔菲法和层次分析法在冠心病稳定型心绞痛(痰瘀互结证)疗效评价指标体系构建中的应用[J].辽宁中医杂志,2013,40(6):1077-1079.

CHARNES A,COOPER WW,RHODES E.Measuring the efficiency of decision making units[J].Eur J Oper Res,1978,2(6):429-444.

邢晨.基于数据包络分析的早中期糖尿病肾病综合方案疗效评价[D].广州:广州中医药大学,2018.

OPRICOVIC S,TZENG G.Compromise solution by MCDM methods:A comparative analysis of VIKOR and TOPSIS[J].Eur J Oper Res,2004,156(2):445-455.

王安安,李文娟,谢霞,等.中西医结合治疗脑梗死恢复期气虚血瘀证的临床疗效[J].中西医结合心脑血管病杂志,2020,18(4):661-663.

RAMLI N,MOHAMAD D,SULAIMAN NH.Evaluation of teaching performance with outliers data using fuzzy approach[J].Procedia Soc Behav Sci,2010,8:190-197.

张艳霞,张允岭,金香兰,等.脑白质疏松轻度认知障碍中医干预模糊综合评价研究[J].中华中医药杂志,2014,29(12):3708-3711.

TOWHIDI N,TAVAKKOLI-MOGHADDAM R,PEYMANDAR M.Iron-making technology selection using a fuzzy hierarchical TOPSIS method[J].J Iron Steel Res Int,2009,162(2):1039-1044.

王明航,李建生,易洪刚,等.基于辨证治疗COPD多维结局指标的模糊层次理想点法综合评价研究[J].中华中医药杂志,2018,33(1):65-68.

王贤良,毛静远,侯雅竹.病证结合、系统分段、多维指标中医临床效应评价方法建立初探[J].中国中西医结合杂志,2013,33(2):270-273.

赖世隆.中医药临床疗效评价若干关键环节的思考[J].广州中医药大学学报,2002,19(4):245-250.

卞立群,陆芳,王凤云,等.关于肠易激综合征中医药临床疗效评价指标体系中若干问题的专家共识[J].中华中医药杂志,2021,36(1):302-307.

王一任.综合评价方法若干问题研究及其医学应用[D].长沙:中南大学,2012.

易平涛,李伟伟,郭亚军.综合评价理论与方法[M].2版.北京:经济管理出版社,2019:156.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

中医药循证叙事临床评价研究概述

颐脑解郁方对脑出血后抑郁大鼠神经再生和修复的影响及机制

补肾强督清化汤治疗强直性脊柱炎肾虚湿热证临床疗效评估

中药治疗2型糖尿病随机对照试验对照设置合理性分析