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临床医生如何在繁重的临床工作中兼顾科研一直是一个难题,其实在临床工作中有许多可供研究的临床课题,临床医生应该从临床遇到的问题中寻找科研选题,努力寻找答案以解决这些问题。临床医生应该牢记科研的目的是为了使患者从研究中真正获得益处,因此只要贴近临床,从临床诊疗过程中发现问题及提出问题、最终解决问题,就可以进行有价值的临床研究。总之,临床工作与临床科研并不矛盾,正确的科研思维,有助于临床医生更好地总结经验、探究规律、提高疗效及最终造福患者。希望“大处着眼、小处着手,勤于思考、善于反思、精于总结”这20个字对临床医生做好科研工作能够有所帮助。笔者以自己的切身经验着重介绍临床研究的选题和设计思路,包括开展个案报道、回顾性病例系列研究、诊断性试验(指标诊断和症状诊断)和随机对照试验等一系列有临床价值的研究。
Clinicians how to balance scientific research in the heavy clinical work has always been a problem. In fact, there are many clinical topics for clinical research. Clinicians should search for scientific research topics from clinical problems and try their best to find answers these questions. Clinicians should bear in mind that the purpose of scientific research is to make patients truly benefit from the research. Therefore, as long as they are close to the clinic, they can find valuable clinical research by discovering and asking questions in the clinical diagnosis and treatment process and ultimately solving the problem. In short, clinical work and clinical research is not contradictory, the correct scientific thinking, help clinicians better summing up experience, explore the law, improve the efficacy and ultimately benefit patients. Hope “big deal, small start, diligent in thinking, good at reflection, good at summing up ” This 20 words to the clinician to do a good job of scientific research can be helpful. The author, with his personal experience, focuses on topics and design ideas for clinical research, including a series of clinical studies including case reports, retrospective case series, diagnostic tests (index diagnosis and symptom diagnosis) and randomized controlled trials .