在指南制修订程序中,指南改编、指南更新均是为了促进指南的适用性而在原有指南的基础上进行的系列修订工作,两者虽有联系但目的不同,均有各自的一套程序及方法。指南改编是制定指南的一种方式,是采用系统方法依据指南的具体使用环境对指南改编。指南更新是指南保持其生命力、有效性的必由途径,当现行指南出现不适用情况或有足够的新证据时,即要启动指南的更新。 In the guideline revision process, the guideline adaptation and the guideline update are all series of revision work based on the original guideline in order to promote the applicability of the guideline. Although both are linked but different in purpose, both have their own procedures and method. Guidance reorganization is a way to develop a guideline, which is a systematic approach to adapt the guideline to the specific context of the guideline. Guideline update is the only way for the guideline to maintain its vitality and effectiveness. The guideline guideline should be updated when the guideline is not applicable or there is enough new evidence.