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中药复方是中医临床用药的主要形式, 也是中医药传承创新发展的重要载体。由于物质基础不清、作用机制不明、质量控制不稳定、循证医学证据缺乏等瓶颈问题, 中药复方屡遭质疑, 难以获得国际认可, 临床应用和产业发展十分受限。如何科学有效开展中药复方基础研究, 使其更好为临床服务成了中医药发展迫切需要解决的难题。近年来, 转化医学浪潮的兴起为中医药的创新发展带来了新的契机和思路。该文简述了中药复方临床应用和开发面临的困境, 转化医学视角下开展复方研究的现状以及存在的主要问题, 进一步凝练研究思路与方法, 以期为源于中医临床的中药复方转化医学研究提供有益指导。 相似文献
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随着人们对健康的追求及卫生知识的普及,已有越来越多的嗜烟者开始戒烟,为迎合社会需求,促进中医药发展事业,文章从古今中医药戒烟两方面谈谈中医药的戒烟思路、方法及其研究现状。 相似文献
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新型医学模式呼唤人文素质教育 总被引:11,自引:1,他引:11
论述了现代医学模式发展的要求是医学科学与人文素质的融合,分析了医学院校人文素质教育的意义和存在的问题,提出强化医学生的人文素质教育的策略。 相似文献
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当前,我国医学临床专业学位研究生的培养过程中医患沟通等人文素质方面的教育仍存在许多不足。叙事医学是着眼于患者的病痛体验及其人文关怀的新的医学理论和实践模式。它的产生和成长是现代临床医学发展中的必然产物。在临床专业研究生的培养过程中灌输叙事医学的理论和方法将从战略上影响我国未来的医学诊疗局面,必将对我国的临床医学发展产生深远的影响。 相似文献
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Translational medicine is a new concept presented in recent decades, the core of which is to build a bridge between basic medical research and clinical application. From the beginning of constitution of Chinese medicine, clinical application has been given priority. Therefore, the idea of translational medicine is fully demonstrated in the research into the three key scientific problems of "classification of constitution of Chinese medicine", "relationship between constitution and disease" and "adjustment of constitution". Under its guidance, not only was the systematic theory of constitution of Chinese medicine established, but also the Constitution of Chinese Medicine Scale and the Standards of Classification and determination of Constitution of Chinese Medicine were developed, which translates methods of classifying the nine constitutional types into guidance for prevention of disease, management of health and clinical application. The research findings of constitution of Chinese medicine have been applied in clinical practice and public health, establishing the diagnosis and treatment model of constitution-disease-syndrome differentiation. The nationwide application of constitution differentiation has shown good effect. In the future, constitution of Chinese medicine should strengthen the evidence-based research and multi-disciplinary cooperation, and establish a research team on comprehensive constitution of Chinese medicine and translational medicine, to translate the findings into clinical practice and public health more accurately and quickly. 相似文献
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There is an increased level of activity in the biomedical and health informatics world (e-prescribing, electronic health records, personal health records) that, in the near future, will yield a wealth of available data that we can exploit meaningfully to strengthen knowledge building and evidence creation, and ultimately improve clinical and preventive care. The American Medical Informatics Association (AMIA) 2008 Health Policy Conference was convened to focus and propel discussions about informatics-enabled evidence-based care, clinical research, and knowledge management. Conference participants explored the potential of informatics tools and technologies to improve the evidence base on which providers and patients can draw to diagnose and treat health problems. The paper presents a model of an evidence continuum that is dynamic, collaborative, and powered by health informatics technologies. The conference''s findings are described, and recommendations on terminology harmonization, facilitation of the evidence continuum in a “wired” world, development and dissemination of clinical practice guidelines and other knowledge support strategies, and the role of diverse stakeholders in the generation and adoption of evidence are presented. 相似文献
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循证医学是一种较好的指导临床实践的方法,但在循证医学实践中还存在一些缺陷,如最佳证据的过度化与绝对化,过度重视最佳证据的普遍性,忽视最佳证据获取过程中的缺陷等。在循证医学实践中,正确认识证据的相对性、普遍性和特殊性,遵循循序渐进的策略,临床医学实践将会少走弯路。 相似文献
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To explore advantages of Chinese medicine (CM) by analyzing differences in the origin of philosophy for human health between CM and Western medicine (WM). Methodologically, a distinctive feature of CM is its systems theory, which is also the difference between CM and WM. Since the birth of CM, it has taken the human body as a whole from the key concepts of “qi, blood, yin-yang, viscera (Zang-Fu), and meridian and channel”, rather than a single cell or a particular organ. WM evolves from the Western philosophic way of thinking and merely uses natural sciences as the foundation. The development of WM is based on human structures, or anatomy, and therefore, research of WM is also based on the way of thinking of decomposing the whole human body into several independent parts, which is the impetus of promoting the development of WM. The core of CM includes the holistic view and the dialectical view. Chinese herbal medicines contain various components and treat a disease from multiple targets and links. Therefore, Chinese herbal medicines treat a diseased state by regulating and mobilizing the whole body rather than just regulating a single factor, since the diseased state is not only a problem in a local part of the body but a local reflection of imbalance of the whole body. 相似文献
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中医药学有数千年的历史,是中国劳动人民长期同疾病作斗争的实践经验总结,并逐步形成、发展成为独特的医学体系。然而,由于其是一种典型的经验医学,疗效缺乏客观化、定量化的评价标准。中医药临床试验是20余年前才开始的,近10年来呈增长趋势,但在临床研究中仍存在不少问题, 相似文献
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循证医学被引入中国并传播推广已有20余年, 在中医药研究领域取得了阶段性的成绩, 该文通过对循证中医药学内涵的分析, 简要梳理了循证中医药研究发展的现状、面临的挑战, 总结了目前循证中医药学发展面临着的“四多”“四少”现象。该文结合对循证医学方法学体系(包括方法论和基本研究方法)的重新认识, 提出基于循证实践的中医临床相关研究实施建议, 以期促进中医药从“经验”到“证据”的转化, 发挥中医药原创优势, 助力中医药传承与创新发展。 相似文献
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袁冰 《中国结合医学杂志》2016,22(4):251-257
Precision medicine(PM) refers to the tailoring of the prevention and treatment strategies to the individual characteristics of each patient. Following the vigorous advocacy of the U.S. President Obama and China’s President Xi, PM has now become a hot topic of common concern worldwide. PM does not merely refer to the skill set level but rather a comprehensive medical methodology. Hence, there is PM that builds on the analytical methodology of Western medical system as well as PM that builds on Chinese medicine(CM). The differences between the two systems, fundamentally speaking, are the differences in methodology to describe the body constitution that based on reductionism and holism. Today, as science advances to complex systems, the mainstream analytical reductionism advances to the holistic synthesis era, it is imperative to introduce CM’s holistic body constitution to the modern medical system in order to progress to PM. PM with its foundation on holisticbody constitution, is a medical system that integrates Western medicine and CM, is the highest attainment of "PM" in the future. 相似文献
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<正>Chinese integrative medicine(CIM) focuses on the integration of conventional medicine (biomedicine) with Chinese medicine(CM).Although the CIM field has witnessed several advancements,the definition and classification of CIM is not quite clear,given that an independent theory system has not yet been established in this field.Therefore,future research and studies should focus on the following objectives:(1) emphasizing CM features,(2) improving CIM positioning,and(3) establishing CIM standards.These concerted efforts will help CIM be at par with international standards and criteria.With the development of CIM,the world will embrace a new medical system providing person-centered treatment with a balanced medicine approach. 相似文献
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循证医学在中国该走向何方? 总被引:3,自引:1,他引:2
循证医学(evidence-based medicine)的概念引入中国已有近五、六年的时间了.这期间,国内众多医学专业期刊,纷纷刊载了许多介绍循证医学的述评、评论等论文,出版了相关的专著,众多学者在不同场合,纷纷登台作学术报告,传播循证医学思想.可以说,循证医学的概念从最初不为广大临床医生所知,到现在,已在国内迅速得到推广和普及.但是,近几年来,关于循证医学的认识和宣传国内却出现了一些有待商榷的现象. 相似文献
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介绍作者在《中医内科学》肝病临床教学中贯彻实践循证医学理念的优点、重要意义和采取的具体措施。开拓学生的视野,锻炼独立解决临床医学问题的功能,培养和提高继续教育及日后学习的良好习惯和思维能力,为提升中医本科教学质量,实现医学教育的可持续发展提供有益的探索。 相似文献