一起走进循证针灸ppt课件

LOGO 一起走进循证针灸学 作者：08030100240 目录 一起学习循证针灸学 1. 循证针灸学的概念 2. 循证针灸学的基本原则 3. 循证医学的实践步骤和方法 4. 针灸证据的评价 5. 针灸证据的应用 6. 其他 循证针灸 循证针灸学概念 循证医学：指医生对病人的诊断、治疗、预防、 康复和其他决策应建立在当前最佳临床研究证据 、临床专业知识技能及病人的需求三者结合的基 础之上的医学。 循证针灸学：是将循证医学的方法与原理应用于针灸的临床实践 、医疗决策和科学研究等方面，强调对病人的针灸诊断、治疗、 预防、康复和其他决策建立在当前最佳研究证据、临床专业知识 技能及病人的需求三者结合的基础之上的医学。 针灸学属经验医学，是以对疾病病因病机的经验积累性认识，加上所积累的临床技能和临床经验指导医疗实践 。因此，有必要吧循证医学引入针灸学，以促进针灸学的标准化，国际化。 循证针灸学的基本原则 含义：有效地、与 临床相关的研究数 据 偏重于以病人为中 心的临床研究 针灸古籍是最佳证 据的重要来源之一 含义：医生利用临 床技能和既往经验 快速评价病人。 低级别的证据，可 在证据缺乏时运用 在针灸的诊疗中， 临床经验尤为重要 含义：病人的价值 观是指每个病人对 其治疗的选择、关 注和期望。 ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc. 最佳证据 病人的价值观 临床经验 相互结结合，充分考虑虑 最佳 效果 Product 1 将所需要的信息转 化成一个可以回答 的问题。 Product 2 查找可以回答这一 问题的最佳证据 Product 3 严格评估证据的有效 性、效果和适用性 Product 4 把评价的结果和医师的临床 经验和病人独特的生物性、 价值观、个体特性相结合 Product 5 评估执行1-4的效率和效 果，寻求改善方案，以 便今后更好的应用 缺一不可 循证医学的实践步骤和方法 Part1 正确的提出可以回答的临床问题 1.提取主要矛盾，突出关键问题 2.关注病人所关心的问题 3.针对病人实际情况提出问题 4.确定问题的范围 背景问题组成法：（1）问题的词根加上动词 （2）一 种疾病检测、治疗、医疗实践的其他方面 前景问题的组成：（1）病人或问题（2）干预措施或 暴露因素（3）比较或对照（4）临床结局 Part2针灸研究证据的分类来源检索 分类： 1.原始证据的来源：（1）针灸古籍资源（针灸古籍数据资源数据库 、中华大典针灸总部、针灸古典聚珍、中华医典、海外古籍书目数 据库）（2）针刺研究资料库（3）中国中医药数据库（4）其他循证 医学常用数据库详见本帖连接 2.二级证据来源：详见连接处 3.证据应用系统资源 检索： 1.分析整理临床问题。 2.选择数据库。 3.选择恰当的检索词（主题词、关键词） 4.制订检索策略并实施 5.判断和评估检索结果能否回答临床问题 6.必要时对数据库进行再次检索或另行检索其他数据库 Part3针灸证据的评价 检索： Click to edit title style - ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc. - ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc. - ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc. 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