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针灸临床实践指南的发展
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袁静云,丁楠,刘清国,赵楠琦,刘保延,景向红,武晓冬
科技导报 | 专题:中医真实世界临床研究 2023,41(14): 56-63
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科技导报 | 专题:中医真实世界临床研究 2023, 41(14): 56-63
针灸临床实践指南的发展
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袁静云,丁楠,刘清国,赵楠琦,刘保延,景向红,武晓冬
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武晓冬(通信作者),主任医师,研究方向为针灸标准与临床评价,电子信箱:wuxiaodong73@sina.com
Exploration on the development of the clinical practice guidelines of acupuncture-moxibustion
YUAN Jingyun, DING Nan, LIU Qingguo, ZHAO Nanqi, LIU Baoyan, JING Xianghong, WU Xiaodong
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出版时间: 2023-07-28 doi: 10.3981/j.issn.1000-7857.2023.14.007
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梳理了针灸指南的研制现状,发现在当前针灸指南的研制过程中,制定者不仅面临着证据困境,同时因未充分考虑针灸学特性,从而影响针灸指南对临床实践的指导作用。为解决以上问题,提出了针灸指南临床问题的确定方法、古今医家经验在指南中的转化应用方法,并针对推荐方案的共识过程提出了方法学建议。建议未来在发展针灸指南及针灸学科时,应重点关注:构建符合针灸学特性的“证据体系”、规范指南的共识过程以及建立适应针灸学科的科研成果推广体系等方面。
临床实践指南  /  针灸  /  临床问题  /  推荐意见  /  古今医家临床经验
This article reviews the status of acupuncture-moxibustion clinical practice guidelines (CPGs), and discovers that during the formulation of acupuncture-moxibustion CPGs, the developers not only face the evidence dilemma, but also pay less attention to the disciplinary characteristics of acupuncture-moxibustion, which affects the clinical guidance of acupuncture-moxibustion CPGs. To solve these problems, this article presents the determination methods of clinical questions in acupuncture-moxibustion CPGs, the transformation and application methods in guidelines of clinical experiences of ancient and modern acupuncturists, and the methodological suggestions related to the consensus process of forming the treatment protocols. In the future, the aspects which should be taken into account during the development of acupuncture-moxibustion CPGs and disciplines include the construction of the "evidence system" conformed to the characteristics of acupuncture-moxibustion, the standardization of the consensus process of CPGs and the establishment of a promotion system of research achievements conformed to the characteristics of acupuncture-moxibustion.
clinical practice guideline  /  acupuncture-moxibustion  /  clinical problem  /  recommendation  /  clinical experience of ancient and modern physicians
袁静云,丁楠,刘清国,赵楠琦,刘保延,景向红,武晓冬. 针灸临床实践指南的发展. 科技导报, 2023 , 41 (14) : 56 -63 . DOI: 10.3981/j.issn.1000-7857.2023.14.007
YUAN Jingyun, DING Nan, LIU Qingguo, ZHAO Nanqi, LIU Baoyan, JING Xianghong, WU Xiaodong. Exploration on the development of the clinical practice guidelines of acupuncture-moxibustion[J]. Science & Technology Review, 2023 , 41 (14) : 56 -63 . DOI: 10.3981/j.issn.1000-7857.2023.14.007
2023年第41卷第14期
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doi: 10.3981/j.issn.1000-7857.2023.14.007
  • 接收时间:2023-01-14
  • 首发时间:2023-08-15
  • 出版时间:2023-07-28
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  • 收稿日期:2023-01-14
  • 修回日期:2023-03-07
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武晓冬(通信作者),主任医师,研究方向为针灸标准与临床评价,电子信箱:wuxiaodong73@sina.com
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2种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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