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Journal of Chinese Integrative Medicine ›› 2008, Vol. 6 ›› Issue (6): 555-560.doi: 10.3736/jcim20080602

• Editorial • Previous Articles     Next Articles

Application of consensus methods in making clinical practice guidelines of traditional medicine

Xing Liao, Yan-ming Xie()   

  1. Institute of Basic Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
  • Received:2008-02-14 Online:2008-06-20 Published:2008-06-15
  • Contact: XIE Yan-ming E-mail:caigong4408@vip.sohu.com

For a long time, in the field of medical research, due to lack of proper methods, research decision-making process has not made the most of human experience, recommendations and different opinions, viewpoints, and expositions related to subjective interpretation. At present, this problem in the course of the standardized clinical research on traditional Chinese medicine is particularly prominent and needs to be solved urgently. Consensus methods can be used for studying different perspectives within the group and get different levels of "consent" in order to achieve "consensus", especially in the formation of a consensus of experts, which are widely used now. Consensus methods include three frequently used methods such as Delphi method, nominal group technique and consensus development conference. The research team of WHO Western Pacific Regional Primary Osteoporosis Clinical Practice Guideline of Traditional Medicine completed the preparation of good practice points in the first draft after three expert consensus meetings by using consensus development conference method. This article discusses the application of consensus development conference method in the developing process of clinical practice guidelines of traditional medicine.

Key words: traditional medicine, clinical decision process, guideline, methodology

CLC Number: 

  • R-3

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邮寄问卷 决议由个体得出 正式反馈群体的选择 面对面地交流讨论 结构化 共识总结方法
正式会议法
德尔斐法 清晰明了
名义群体法 清晰明了
改良名义群体法 清晰明了
共识会议法 不明了
其他非正式共识法 不明了

"

"

"

GPP 具体内容
A 中医药膳选用怀杞甲鱼汤、生地黄鸡、羊脊骨粥(见指南讨论稿P11-12)。
B 1 健康教育:定期体检,以早期发现和动态监测骨量变化(见指南讨论稿P11)。
C 2.3 生活习惯:顺应四时气候变化,生活起居有规律,不妄劳作(见指南讨论稿P12)。
D 2.4 中药预防:偏肾阴虚可选用山茱萸、枸杞子等单味配方颗粒剂(见指南讨论稿P12)。
E 3 早期监测:对于出现骨量减少,并且临床出现骨痛、腰膝酸软、行动能力下降、足跟痛、下肢抽搐等症者要及时检查骨密度,并采取相应的中医预防措施(见指南讨论稿P12)。
F 血瘀气滞证汤剂用身痛逐瘀汤加减(见指南讨论稿P17),中成药用骨疏康胶囊和骨疏康颗粒(见指南讨论稿P16)。
G 5 护理:中药烫疗(Grade GPP, Level 错误!未找到引用源)(见指南讨论稿P20)。
H 6 随访:中药的使用根据病情变化随证加减,服药一年以上者要监测肝肾功能(见指南讨论稿P20)。
I 原发性骨质疏松症属于"骨痿"的范畴(见指南讨论稿P7)。
J 可将原发性骨质疏松症分为4个证候类型(见指南讨论稿P15)。
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