摘要
中医药疗法在心房颤动治疗中具有优势,主要体现在提高生活质量、实现早期诊疗、促进心脏康复、弥补西药治疗不足、提高导管消融成功率5个方面,但目前临床研究的证据转化存在不足。基于中医药治疗心房颤动的研究现状,指出今后应开展辨证分型规范化研究,通过临床流行病学调查、专家共识等方法建立统一的心房颤动辨证分型标准;规范临床疗效评价指标,通过系统评价、患者访谈等方法构建中医药治疗心房颤动的临床研究核心结局指标集;完善临床研究设计、研究实施及数据管理,借助人工智能等现代信息技术提高中医药干预心房颤动临床研究的科学性和规范性,最终提高研究质量。
Traditional Chinese medicine(TCM)therapy has unique clinical advantages in the treatment of atrial fibrillation,mainly reflected in five aspects,improving quality of life,enabling early diagnosis and treatment,promoting cardiac rehabilitation,making up for the limitations of Western medicine,and improving the success rate of catheter ablation.However,there is insufficient evidence in current clinical research.Based on the current status of TCM research in the treatment of atrial fibrillation,it is suggested that future studies should focus on standardized research on syndrome differentiation and classification.This can be achieved through clinical epidemiological surveys,expert consensus,and other methods to establish a unified syndrome differentiation and classification standard for atrial fibrillation.Clinical efficacy evaluation indicators should be standardized,and core outcome measures for clinical research on TCM treatment of atrial fibrillation should be developed through systematic reviews,patient interviews,and other methods.Additionally,clinical research design,implementation,and data management should be improved.By leveraging modern information technologies such as artificial intelligence,the scientific and standardized nature of TCM intervention research on atrial fibrillation can be enhanced,ultimately improving the quality of research.
作者
孙聪
董玉江
高红梅
蔚青
张梦贺
史晓静
冯丽亚
SUN Cong;DONG Yujiang;GAO Hongmei;WEI Qing;ZHANG Menghe;SHI Xiaojing;FENG Liya(The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,250001)
出处
《中医杂志》
北大核心
2025年第2期133-138,共6页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(82104844)
山东省医药卫生科技发展计划(202203011031)。
关键词
心房颤动
中医药疗法
临床优势
临床研究
atrial fibrillation
traditional Chinese medicine therapy
clinical advantages
clinical research