摘要： 痔病是臨床上常見的肛腸疾病之一，發(fā)病率居肛腸疾病之首。目前中西醫(yī)結(jié)合治療痔病領(lǐng)域涌現(xiàn)出許多新的臨床證據(jù)。為更好地指導(dǎo)中西醫(yī)結(jié)合診療痔病的臨床實(shí)踐，本工作組在《中國痔病診療指南（2020）》的基礎(chǔ)上，開展指南更新必要性評估與臨床問題遴選，確定了需要更新的19個(gè)臨床問題與8個(gè)結(jié)局指標(biāo)，并以《痔中西醫(yī)結(jié)合診療指南》在中華中醫(yī)藥學(xué)會(huì)申請立項(xiàng)。參考最新的國內(nèi)外臨床實(shí)踐指南，基于研究證據(jù)的系統(tǒng)檢索與客觀評價(jià)，結(jié)合我國中西醫(yī)臨床專家的經(jīng)驗(yàn)，經(jīng)過工作組的充分討論及廣泛征求意見，最終匯總13條臨床問題，形成17條推薦意見。本指南的制訂旨在為各級(jí)醫(yī)療機(jī)構(gòu)的醫(yī)務(wù)工作者提供科學(xué)、具體的指導(dǎo)，促進(jìn)中西醫(yī)結(jié)合治療痔病的規(guī)范化應(yīng)用，提高治療效果，減少復(fù)發(fā)率及術(shù)后并發(fā)癥，改善患者的生活質(zhì)量。

關(guān)鍵詞: 痔病, 中西醫(yī)結(jié)合, 診斷, 治療, 循證實(shí)踐指南

Abstract:

Hemorrhoids is one of the common anorectal diseases in clinical practice, and its incidence is the first in anorectal diseases. Many new clinical studies have emerged currently on treating hemorrhoids with integrated Chinese and western medicine. To improve the guidance for clinical practice, our team reviewed the 2020 Chinese Guidelines for Hemorrhoid Treatment and assessed the need for updates. We identified 19 clinical problems and 8 outcome indicators that needed revision. A new project, Integrated Chinese and Western Medicine Guidelines for Hemorrhoid Treatment was proposed to the China Association of Traditional Chinese Medicine. We referred to the latest clinical guidelines, conducted systematic reviews, and evaluated research evidence. We also gathered input from experts in both Chinese and western medicine. After thorough discussion, finally, 13 clinical questions were summarized and 17 recommendations were formed. This guideline aims to provide practical, scientific guidance for healthcare workers in all medical institutions. It seeks to promote the standardized use of integrated treatment for hemorrhoids, improve treatment outcomes, reduce recurrence and complications, and improve the quality of life for patients.

Key words: Hemorrhoids, Integrated traditional Chinese & western medicine, Diagnosis, Therapy, Evidence-based practice guideline

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