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目的评价1994—2005年中医、西医及中西医结合治疗小儿肺炎临床疗效类文献的质量。方法收集1994—2005年国内医学期刊上公开发表的中医、西医及中西医结合治疗小儿肺炎的临床疗效观察文献,录入到《小儿肺炎现代文献数据录入系统》中,之后对符合文献纳入标准的文献进行质量评价。结果1994—2005年期间发表了关于中医、西医及中西医结合治疗小儿肺炎文献2318篇,试验设计采用随机对照盲法的23篇,采用随机对照的1204篇,采用对照而未随机的336篇,未采用随机对照盲法的755篇。文献质量评分0~3分2317篇,4~7分仅1篇。结论在今后的关于小儿肺炎疗效的文献研究过程中,要加强随机化、对照、盲法等措施的科学严谨性,加强对RCT各环节的质量控制;同时应对样本的基本特征及征候特点详加描述。
Objective To evaluate the quality of clinical curative effect of treating pneumonia in children from 1994 to 2005 with Chinese medicine, western medicine and integrated traditional Chinese and western medicine. Methods The clinical efficacy of pneumoconiosis treated by traditional Chinese medicine, western medicine and integrated traditional Chinese and western medicine published in the domestic medical journals from 1994 to 2005 was collected and entered into the “Pediatric Pneumonia Modern Document Data Entry System”. Afterwards, Quality evaluation. Results A total of 2318 articles on pediatric pneumonia were collected from 1994 to 2005 in combination with traditional Chinese medicine and western medicine. Twenty-three randomized controlled trials (blind randomized controlled trials) were used, of which 1204 were randomized and 336 were randomized. 755 non-randomized blind controls were used. Literature quality score of 0 to 3 points 2317, 4 to 7 points only 1. Conclusion In the future literature review about the efficacy of pediatric pneumonia, we should strengthen the scientific rigor of measures such as randomization, comparison and blindness, and strengthen the quality control of all aspects of RCT. At the same time, we should deal with the basic characteristics of the sample and the features of the symptoms description.