复发性自然流产是妇产科最常见的妊娠并发症之一。复发性流产的规范化诊治已成为生殖健康领域亟待解决的重要问题。中西医结合为复发性流产提供了安全有效的治疗方法,但目前尚无中西医结合诊治复发性流产的指南。该指南基于世界卫生组织(WHO)指南开发手册的要求,并遵循循证医学的原则。通过文献预检索,专家访谈,临床研究,和会议共识,本指南确定了16个临床问题。PICO原则用于证据检索,筛选,和合成。对纳入的证据机构进行证据质量评价。通过三轮德尔菲专家问卷调查,形成建议意见和共识建议。举行了一次专家会议,以最后确定草案。中医专家的意见,西医,中西医结合,方法和药学被广泛征求。该指南包含五个部分:范围,术语和定义,诊断,治疗,中西医结合诊疗流程图。对中西医结合诊疗的相关临床问题有相应的建议和证据总结。本指南以临床问题为指导,辨病辨证结合,孕前调控治疗和孕后保存相结合,突出中西医结合的治疗优势,从而进一步规范复发性流产的临床诊治,提升复发性流产中西医结合诊治水平。
Recurrent spontaneous abortion is one of the most common pregnancy complications in obstetrics and gynecology. The normative diagnosis and treatment of recurrent spontaneous abortion has become an important problem to be solved urgently in the field of reproductive health. The integrated traditional Chinese and western medicine provides a safe and effective treatment method for recurrent spontaneous abortion, but there is no
guideline for diagnosis and treatment of recurrent spontaneous
abortion with integrated traditional Chinese and western medicine. The
guideline is based on the requirements of World Health Organization(WHO) handbook for
guideline development and follows the principles of evidence-based medicine. Through literature pre-search, expert interviews, clinical research, and conference
consensus, 16 clinical problems are identified in this
guideline. PICO principles are used for evidence retrieval, screening, and synthesis. The evidence quality is evaluated for the included evidence bodies. Recommendation opinions and
consensus suggestions are formed through three rounds of the Delphi expert questionnaire survey. An expert meeting is held to finalize the draft. The opinions of experts in traditional Chinese medicine, western medicine, integrated traditional Chinese and western medicine, methodology and pharmacy are widely solicited. The guideline contains five parts: scope, term and definition, diagnosis, treatment, and diagnosis and treatment flow chart of integrated traditional Chinese and western medicine. There are corresponding recommendations and summaries of evidence for clinical problems related to the diagnosis and treatment of integrated traditional Chinese and western medicine. This guideline is guided by clinical problems, combining disease differentiation and syndrome differentiation and integrating pre-pregnancy regulation and treatment and post-pregnancy preservation, highlighting the therapeutic advantages of integrated traditional Chinese and western medicine, so as to further standardize the clinical diagnosis and treatment of recurrent spontaneous abortion and promote the diagnosis and treatment level of integrated traditional Chinese and western medicine for recurrent spontaneous abortion.