郭新峰 赖世隆 杨小波 李先涛 温泽淮 梁伟雄

    摘要：目的：对中风的中医药临床治疗性文献进行科研设计质量的分析。方法：按照临床流行病学/DME原则，制订《中风中医药临床研究文献评价表》，经测试其重复性较好(主要条目Kappa值为0.46～0.48，中度一致)；用其对1992～1996年间的中风中医药临床治疗性文献进行评价。结果：28.4%的研究采用了随机对照方法，但随机的质量和可信度较差；盲法极少被采用；其他需要注意的问题还有组间基线均衡性的比较、结局指标的选择、发表性偏倚等方面。并对中风病结局指标的选择、中医药临床研究在方法学上的难点与解决方法进行了讨论。

    主题词：中风/中医疗法；中风/中药疗法；中风/中西医结合疗法；中医药学文献；质量，获取，评价；@循证医学

    中图分类号：R319；R743.3 文献标识码：A

    文章编号：1007-3213(2000)01-0015-05

    Quality Analysis of Literature of Traditional Chinese Medicine on Clinical Study of Stroke

    GUO Xinfeng

    (Doctorate Postgraduate of Grade 98,Guangzhou University of TCM,Guangzhou 510405,China)

    LAI Shilong,LI Xiantao,WEN Zehuai,LIANG Weixiong

    (DME Center,Guangzhou University of TCM,Guangzhou 510405,China)

    YANG Xiaobo

    (The Second Affiliated Hospital,Guangzhou University of TCM,Guangzhou 510405,China)

    Abstract:To evaluate the quality of TCM literature on clinical study of stroke,the evaluating scale for TCM literature on clinical study of stroke with good reproducibility was designed (Kappa of the main item varies from 0.46 to 0.48) and was used to evaluate TCM literature on clinical study of stroke from 1992 to 1996.Randomized controlled clinical trial was adopted in 28.4% ......