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基于中医辨证论治与整体观的临床研究治疗效果异质性探析

钱真真 张国瑗 代欣玥 于亚南 武红莉 赵阳 高蕊 荆志伟 鲁喦

中国中医药信息杂志2026,Vol.33Issue(8):1-5,5.
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中国中医药信息杂志2026,Vol.33Issue(8):1-5,5.DOI:10.19879/j.cnki.1005-5304.202507578

基于中医辨证论治与整体观的临床研究治疗效果异质性探析

Analysis on Heterogeneity in Clinical Research Treatment Effects Based on TCM Syndrome Differentiation and Treatment and Holistic View

钱真真 1张国瑗 2代欣玥 3于亚南 4武红莉 4赵阳 5高蕊 5荆志伟 4鲁喦6

作者信息

  • 1. 中国北京同仁堂(集团)有限责任公司,北京 100061||中国中医科学院西苑医院,北京 100091||中国中医科学院博士后流动站,北京 100700
  • 2. 中国中医科学院西苑医院,北京 100091||中国中医科学院博士后流动站,北京 100700
  • 3. 中国中医科学院西苑医院,北京 100091||中国中医科学院博士后流动站,北京 100700||华润三九医药股份有限公司,广东 深圳 518110
  • 4. 中国中医科学院临床基础医学研究所,北京 100700
  • 5. 中国中医科学院西苑医院,北京 100091
  • 6. 中国北京同仁堂(集团)有限责任公司,北京 100061||北京同仁堂股份有限公司科学研究所,北京 100011
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摘要

Abstract

Heterogeneity of treatment effect is an inherent characteristic in clinical research.Traditional randomized controlled trials usually evaluate therapeutic efficacy by comparing the marginal means between two groups,which fails to fully reflect the true efficacy across different subgroups and hinders the process of drug development.This article explored methods for measuring and evaluating heterogeneity of treatment effect,and provided a multi-dimensional discussion based on TCM syndrome differentiation and treatment.It proposed strategies for managing heterogeneity of treatment effect in TCM clinical research from four aspects:improving the rigor and specificity of study design,optimizing the outcome evaluation system for TCM clinical studies,strengthening TCM standardization and basic research,and refining data analysis methods in TCM clinical study.This article aimed to provide a reference for rapid and accurate identification and management of heterogeneity of treatment effect in clinical research.

关键词

治疗效果异质性/异质性分析/临床试验/评估测量

Key words

heterogeneity of treatment effect/heterogeneity analysis/clinical trial/evaluation and measurement

分类

医药卫生

引用本文复制引用

钱真真,张国瑗,代欣玥,于亚南,武红莉,赵阳,高蕊,荆志伟,鲁喦..基于中医辨证论治与整体观的临床研究治疗效果异质性探析[J].中国中医药信息杂志,2026,33(8):1-5,5.

基金项目

国家自然科学基金(82074584) (82074584)

国家科技重大专项(2024ZD0532600) (2024ZD0532600)

中国中医药信息杂志

1005-5304

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