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目前对临床实践指南的研究大多关注指南的质量高低,对实践指南的报告规范标准却关注度不够,所以如何规范指南的撰写报告,是循证医学领域亟待解决的问题。该文采用最新的实践指南报告工具RIGHT标准,分析国内外最新的2部脓毒症的实践指南,发现在RIGHT标准7大领域中,二者在基本信息、推荐意见和其他方面3个领域存在问题较少,而在背景、证据、评审和质量保证、资金资助和利益冲突声明和管理4个领域存在很多不足,尤其是国内指南。希望以后在制订新的脓毒症或其他领域指南时要参照RIGHT标准,规范指南的报告撰写,尤其是中医药指南的撰写,更要体现中医药的特色标准。
At present, most of the research on clinical practice guidelines focuses on the quality of the guidelines, but not enough attention is paid to the normative standards of practice guidelines. Therefore, how to standardize the compilation of the guidelines is an urgent problem to be solved in the field of evidence-based medicine. Using the latest RIGHT guideline for practice guideline reporting tools, this article analyzes the latest two domestic and international practice guidelines on sepsis and finds that there are three major areas in the RIGHT standard in terms of basic information, recommendations and other aspects There are fewer problems and there are many deficiencies in the four areas of background, evidence, review and quality assurance, financial assistance and conflict of interest declaration and management, especially domestic ones. I hope later in the development of new guidelines for sepsis or other areas should refer to RIGHT standards, guidelines and guidelines for the preparation of the report, especially in the compilation of Chinese medicine guidelines, but also to reflect the characteristics of traditional Chinese medicine standards.