摘要
目的：借助循证医学的方法为1例急性痛风性关节炎患者制定循证治疗方案。方法：在充分评估患者的情况后,提出临床问题,检索Medline（1990年1月-2009年10月）、Cochrane图书馆（2009年第3期）及CBMWeb（1990年1月-2009年10月）。检索主题词：中西医结合疗法（TCM-WMtherapy）;急性（acute）;痛风性关节炎（Gouty arthritis）;治疗（treat ment ORtherapy）;随机对照试验（RCT）;Meta-分析（Meta-analysis）;系统评价（systematic review）;人类（human）。结果：检索发现,关于急性痛风型关节炎132篇RCT,0篇SR,通过分析检索结果、结合临床经验及患者实际情况,为患者制定了循证治疗方案。通过半年随访证实,该方案适合患者。结论：对急性痛风性关节炎患者,采用循证治疗的方法,可有效提高治疗效果,改善患者的预后。
Objective：Evidence-based medicine was used to make an individualized treatment plan for a patient with acute gouty arthritis.Methods：After clinical problems were discovered,evidence was collected from Medline（1990-2009）,third issue,2009,Cochrane Library and CBMWeb（1990.1-2009.10）.
出处
《中国中医骨伤科杂志》
CAS
2010年第10期36-38,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
痛风性关节炎
急性
循证治疗
随机对照试验
were as follows： traditional Chinese medicine-western medicine（TCM-WM） therapy
acute
gouty arthritis
treatment or therapy
randomized controlled trial（RCT）
Meta-analysis
systematic review
and human.Results：A total of 0 systematic review and 132 RCTs were identified.An evidence-based treatment plan was made upon a critical evaluation of the data
combined with clinical experience and the patient＇s actual situation.After half a year follow-up
the treatment protocol was proved effective for the patient.Conclusion：For an acute gouty arthritis patient
the treatment efficacy can be improved by determining an individualized treatment protocol according to evidence-based methods.Key words Gouty arthritis
Acute
Evidence-based treatment
Randomized controlled trial
作者简介
通讯作者E-mail：hujiacai@sohu．com
