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循证医学是指审慎、明确和明智地应用现有的最好的证据对患者作出医疗决策。在实施过程中包括以下5个步骤:①针对具体病人提出临床问题;②全面收集有关证据;③评价所收集的证据;④结合临床经验与最好的证据对患者作出处理;⑤效果评价[1]。笔者运用循证医学模式中西医结合治疗1例多发性肌炎合并进行性肌营养不良-远端型肌病,现报道如下。
Evidence-based medicine refers to judicious, clear and informed application of the best available evidence to make medical decisions on patients. In the implementation process includes the following five steps: ① clinical problems for specific patients; ② a comprehensive collection of evidence; ③ evaluation of the evidence collected; ④ combined with clinical experience and the best evidence to deal with patients; ⑤ effectiveness evaluation [1 ]. I use the evidence-based medicine combined Chinese and Western medicine treatment of a case of multiple myositis with progressive muscular dystrophy - distal myopathy, are reported below.