康复临床实践指南:发展现状研究

doi:10.3969/j.issn.1006-9771.2020.02.002

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (2): 136-143.doi: 10.3969/j.issn.1006-9771.2020.02.002

• 专题康复指南研究:理论架构、方法体系、发展状况与质量评价 • 上一篇下一篇

康复临床实践指南:发展现状研究

袁涛^1,^2,³,李浩冉^4,⁵,魏莉莉^2,³,王子君^3,^6,⁷,周奇^3,^6,⁷,黄嘉骏⁸,谢朝晖¹,石秀娥^9,¹⁰(),陈耀龙^2,^3,^6,⁷(),杨克虎^2,^3,^6,⁷()

1.兰州大学第一医院疼痛科,甘肃兰州市 730000
2.兰州大学基础医学院循证医学中心,甘肃兰州市 730000
3.甘肃省循证医学与临床转化重点实验室,甘肃兰州市 730000
4.世界卫生组织国际分类家族中国合作中心,北京市 100068
5.中国ICF研究院/潍坊医学院,山东潍坊市 261053
6.世界卫生组织指南实施与知识转化合作中心,甘肃兰州市 730000
7.GRADE中国中心,甘肃兰州市 730000
8.兰州大学第一临床医学院,甘肃兰州市 730000
9.甘肃省康复中心医院,甘肃兰州市 730000
10.甘肃省循证康复医学研究中心,甘肃兰州市 730000

收稿日期:2019-10-14 修回日期:2020-02-10 出版日期:2020-02-25 发布日期:2020-03-19
通讯作者: 石秀娥,陈耀龙,杨克虎 E-mail:shixe@126.com;chenyaolong21@vip.163.com;kehuyangebm2006@126.com
作者简介:袁涛(1992-),女,汉族,甘肃清水县人,硕士,医师,主要研究方向:循证医学及慢性疼痛。|李浩冉(1993-),男,汉族,陕西汉中市人,主要研究方向:公共卫生健康大数据和ICF。
基金资助:
1.国家社科基金重大项目(19ZDA142);2.甘肃省循证医学与临床转化重点实验室创新基金项目(CXJJ2019002)

Clinical Practice Guidelines of Rehabilitation: Development Status

YUAN Tao^1,^2,³,LI Hao-ran^4,⁵,WEI Li-li^2,³,WANG Zi-jun^3,^6,⁷,ZHOU Qi^3,^6,⁷,HUANG Jia-jun⁸,XIE Zhao-hui¹,SHI Xiu-e^9,¹⁰(),CHEN Yao-long^2,^3,^6,⁷(),YANG Ke-hu^2,^3,^6,⁷()

1. Department of Pain Medicine, the First Hospital of Lanzhou University, Lanzhou, Gansu 730000, China
2. Evidence-based Medicine Center of Lanzhou University, Lanzhou, Gansu 730000, China
3. Gansu Key Laboratory of Evidence-based Medicine and Clinical Transformation, Lanzhou Gansu 730000, China
4. WHO-FIC Collaborating Center in China, Beijing 100068, China
5. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
6. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, Gansu 730000, China
7. Chinese GRADE Center, Lanzhou, Gansu 730000, China
8. the First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu 730000, China
9. Rehabilitation Center Hospital of Gansu, Lanzhou, Gansu 730000, China
10. Gansu Evidence-based Rehabilitation Medical Research Center, Lanzhou, Gansu 730000, China

Received:2019-10-14 Revised:2020-02-10 Published:2020-02-25 Online:2020-03-19
Contact: SHI Xiu-e,CHEN Yao-long,YANG Ke-hu E-mail:shixe@126.com;chenyaolong21@vip.163.com;kehuyangebm2006@126.com
Supported by:
Major Project of the National Social Science Fund(19ZDA142);Gansu Key Laboratory of Evidence-based Medicine and Clinical Translation Innovation Fund(CXJJ2019002)

摘要/Abstract

摘要：

目的分析康复临床实践指南的发展现状和存在的问题,为制订康复临床实践指南提供参考和借鉴。方法检索PubMed、EMBASE、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库、医脉通、英国国家卫生与临床优化研究所(NICE)、美国国立指南文库(NGC)、苏格兰校际指南协作网(SIGN)、世界卫生组织(WHO)、国际指南协作网(GIN)等数据库和指南相关网站,搜索国内外已发布的康复临床实践指南,检索时限均从建库至2020年1月11日。根据纳入和排除标准筛选文献,提取纳入指南的发表年代、国家、期刊、发布机构、涉及的健康问题和制订方法等数据,并做描述性统计分析。结果共纳入康复临床实践指南84篇,其中中文17篇,英文67篇。康复临床实践指南发表量位于前4位的国家是美国(19篇)、中国(17篇)、英国(12篇)和加拿大(11篇),制订指南的机构主要是各医学专业学会和协会(49篇)。康复临床实践指南发表量位于前5位的疾病为脑卒中(12篇)、心血管疾病(9篇)、肩关节损伤(5篇)、肺部疾病(5篇)和脊髓损伤(5篇)。35篇(42%)指南的推荐意见有证据分级和推荐强度;22篇(26%)指南指出会定期更新推荐意见。结论康复临床实践指南数量较少,纳入指南聚焦的健康问题主要为神经、肌肉骨骼系统疾病,以及心肺功能障碍康复。多数指南的推荐意见以文献综述或专家意见为主,少数指南基于循证方法系统制订,康复指南的制订需要进一步规范化。

关键词: 康复医学, 临床实践指南, 现状分析

Abstract:

Objective To analyze the development trends and issues of clinical practice guidelines of rehabilitation.Methods Clinical practice guidelines of rehabilitation were retrieved from PubMed, EMBASE, China Biology Medicine disc, CNKI, Wangfang database, Medlive, National Institute for Health and Care Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, World Health Organization and Guidelines International Network from establishiment to January 11, 2020. The number, publication date, distribution of countries, journals, institutions, subject areas and methods for developing guidelines of included literatures were analyzed. Results A total of 84 clinical practice guidelines of rehabilitation were included, in which there were 17 published in Chinese and 67 in English. The top four countries that published rehabilitation guidelines were the United States (19 articles), China (17 articles), the United Kingdom (12 articles) and Canada (11 articles). The guidelines were developed mainly by the health professional societies and associations (49 articles). The main health conditions involved stroke (12 articles), cardiovascular disease (9 articles), shoulder joint injury (5 articles), pulmonary disease (5 articles) and spinal cord injury (5 articles). There were 35 guidelines expressiong evidence classification and recommendation intensity (42%), and 22 guidelines (26%) would update regularly.Conclusion Clinical practice guidelines of rehabilitation focuse on neurological and musculoskeletal system diseases and cardiopulmonary dysfunction. There are relatively few published clinical practice guidelines for rehabilitation. Most guidelines are based on literature review or expert opinions, while a few are evidence-based. It is proposed to implement standardized approaches to develop clinical practice guidelines of rehabilitation.

Key words: rehabilitation, clinical practice guidelines, situation analysis

中图分类号:

袁涛,李浩冉,魏莉莉,王子君,周奇,黄嘉骏,谢朝晖,石秀娥,陈耀龙,杨克虎. 康复临床实践指南:发展现状研究[J]. 《中国康复理论与实践》, 2020, 26(2): 136-143.

YUAN Tao,LI Hao-ran,WEI Li-li,WANG Zi-jun,ZHOU Qi,HUANG Jia-jun,XIE Zhao-hui,SHI Xiu-e,CHEN Yao-long,YANG Ke-hu. Clinical Practice Guidelines of Rehabilitation: Development Status[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 136-143.

图/表 7

图1

图2

表1

表2

表3

图3

图4

参考文献 79

[1]	邱卓英, 郭键勋, 李伦, 等. 世界卫生组织康复指南《健康服务体系中的康复》:背景、理论架构与方法、主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1):16-20.
[2]	邱卓英, 郭键勋, 李伦. 健康服务体系中的康复[J]. 中国康复理论与实践, 2020, 26(1):1-15.
[3]	European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 11. Challenges and perspectives for the future of PRM[J]. Eur J Phys Rehabil Med, 2018, 54(2):311-320.
[4]	Gillespie L D, Robertson M C, Gillespie W J, et al. Interventions for preventing falls in older people living in the community [J]. Cochrane Database Syst Rev, 2012, 12(9): CD007146. doi: 10.1002/14651858.
[5]	Oliver D, Foot C, Humphries R. Making Our Health and Care Systems Fit for An Ageing Population [R]. London: The King's Fund, 2014.
[6]	中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组, 卫生部脑卒中筛查与防治工程委员会办公室. 中国脑卒中康复治疗指南(2011完全版)[J]. 中国康复理论与实践, 2012, 18(4):301-318.
[7]	中国残疾人康复协会脊髓损伤康复专业委员会, 国际脊髓学会中国脊髓损伤学会, 中华医学会泌尿外科学分会尿控学组. 脊髓损伤患者泌尿系管理与临床康复指南[J]. 中国康复理论与实践, 2013, 19(4):301-317.
[8]	中华人民共和国卫生部. 儿童孤独症诊疗康复指南(卫办医政发(2010]123号)[J]. 中国儿童保健杂志, 2011, 19(3):289-294.
[9]	中华医学会烧伤外科学分会, 中国医师协会烧伤科医师分会. 烧伤康复治疗指南(2013版)[J]. 中华烧伤杂志, 2013, 29(6):497-504.
[10]	中华医学会神经病学分会, 中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组. 中国脑卒中早期康复治疗指南[J]. 中华神经科杂志, 2017, 50(6):405-412.
[11]	何成奇. 地震伤员康复治疗指南[J]. 四川医学, 2008, 29(s1):17-22.
[12]	孙新民. 肝病患者康复指南[J]. 中西医结合肝病杂志, 1993, 3(2):53-54.
[13]	中华医学会骨质疏松和骨矿盐疾病分会骨与关节学组, 中国医师协会骨科医师分会骨质疏松工作委员会. 骨质疏松性骨折围手术期干预指南[J]. 中华骨质疏松和骨矿盐疾病杂志, 2018, 11(5):438-448.
[14]	中国抗癌协会肿瘤营养与支持治疗专业委员会. 肌肉减少症营养治疗指南[J]. 肿瘤代谢与营养电子杂志, 2015, 2(3):32-36.
[15]	中华预防医学会脊柱疾病预防与控制专业委员会脊柱脊髓损伤疾病预防与控制学组, 中国康复医学会脊柱脊髓专业委员会基础研究学组. 急性脊柱脊髓损伤围术期管理临床指南[J]. 中华创伤杂志, 2019, 35(7):577-587.
[16]	中华医学会物理医学与康复学分会康复治疗学组,中国医师协会水疗康复专业委员会. 脑卒中水中运动治疗中国循证临床实践指南(2019版)[J/OL]. 中国康复理论与实践. [2019-12-31]. http://kns.cnki.net/kcms/detail/11.3759.R.20191008.1447.002.html.
[17]	中华医学会耳鼻咽喉科学分会, 《中华医学会耳鼻咽喉科杂志》编辑委员会. 人工耳蜗植入工作指南[J]. 中国听力语言康复科学杂志, 2014, 49(2):89-95.
[18]	中国康复医学会. 肉毒毒素治疗成人肢体肌痉挛中国指南(2010)[J]. 中国康复医学杂志, 2010, 25(6):595-620.
[19]	中华医学会神经病学分会脑血管病学组、神经康复学组. 中国卒中康复治疗指南简化版[J]. 中华神经科杂志, 2012, 45(3):201-206.
[20]	中国中医药信息学会抗衰老分会. 物理技术辅助脑卒中康复的临床指南[J]. 国际生物医学工程杂志, 2019, 42(2):100-108.
[21]	袁涛, 王忠太. 骨质疏松症康复指南(上)[J]. 中国康复医学杂志, 2019, 34(11):1265-1272.
[22]	楼敏, 丁晶, 胡波, 等. 中国脑血管病临床管理指南(节选版)——卒中组织化管理[J]. 中国卒中杂志, 2019, 14(7):692-699.
[23]	Philadelphia Panel. Philadelphia Panel Evidence-based Clinical Practice Guidelines On Selected Rehabilitation Interventions For Low Back Pain[J]. Phys Ther, 2001, 81(10):1641-1674.
[24]	Management of Stroke Rehabilitation Working Group. VA/DOD Clinical practice guideline for the management of stroke rehabilitation[J]. J Rehabil Res Dev, 2010, 47(9):1-43. doi: 10.1682/JRRD.2009.07.0095
[25]	Achttien R J, Staal J B, van der Voort S, et al. Exercise-based cardiac rehabilitation in patients with chronic heart failure: a Dutch practice guideline[J]. Neth Heart J, 2015, 23(1):6-17. doi: 10.1007/s12471-014-0612-2 pmid: 25492106
[26]	Alison J A, McKeough Z J, Johnston K, et al. Australian and New Zealand Pulmonary Rehabilitation Guidelines[J]. Respirology, 2017, 22(4):800-819. doi: 10.1111/resp.2017.22.issue-4
[27]	Bonner F J, Sinaki M, Grabois M, et al. Health professional's guide to rehabilitation of the patient with osteoporosis[J]. Osteoporos Int, 2003, 14(Suppl 2):S1-S22. doi: 10.1007/s00198-003-1540-y
[28]	Harris S R, Hugi M R, Olivotto I A, et al. Upper extremity rehabilitation in women with breast cancer after axillary dissection: clinical practice guidelines[J]. Crit Rev Phys Rehabil Med, 2001, 13(2-3):91-103.
[29]	Caparrós T, Pujol M, Salas C. General guidelines in the rehabilitation process for return to training after a sports injury[J]. Apunts Medicina de l'Esport, 2017, 52(196):167-172. doi: 10.1016/j.apunts.2017.02.002
[30]	Khadilkar A, Phillips K, Jean N, et al. Ottawa Panel evidence-based clinical practice guidelines for post-stroke rehabilitation[J]. Top Stroke Rehabil, 2006, 13(2):1-269. pmid: 16939981
[31]	Clarke P, Radford K, Coffey M, et al. Speech and swallow rehabilitation in head and neck cancer: United Kingdom National Multidisciplinary Guidelines[J]. J Laryngol Otol, 2016, 130(S2):S176-S180.
[32]	Cools A M, Declercq G, Cagnie B, et al. Internal impingement in the tennis player: rehabilitation guidelines[J]. Br J Sports Med, 2008, 42(3):165-171. doi: 10.1136/bjsm.2007.036830
[33]	Duncan P W, Zorowitz R, Bates B, et al. Management of Adult Stroke Rehabilitation Care: a clinical practice guideline[J]. Stroke, 2005, 36(9):e100-143.
[34]	Fehlings M G, Tetreault L A, Aarabi B, et al. A clinical practice guideline for the management of patients with acute spinal cord injury: recommendations on the type and timing of rehabilitation [J]. Global Spine J, 2017, 7(3 Suppl)231s-238s. doi: 10.1177/2192568217701910
[35]	Gaunt B W, Shaffer M A, Sauers E L, et al. The American Society of Shoulder and Elbow Therapists' consensus rehabilitation guideline for arthroscopic anterior capsulolabral repair of the shoulder[J]. J Orthop Sports Phys Ther, 2010, 40(3):155-168. doi: 10.2519/jospt.2010.3186
[36]	Guy S D, Mehta S, Casalino A, et al. The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: recommendations for treatment [J]. Spinal Sord, 2016, 54 Suppl 1: S14-S23.
[37]	Hall C D, Herdman S J, Whitney S L, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: an evidence-based clinical practice guideline: from the American Physical Therapy Association Neurology Section[J]. J Neurol Phys Ther, 2016, 40(2):124-155. doi: 10.1097/NPT.0000000000000120
[38]	Hebert D, Lindsay M P, McIntyre A, et al. Canadian stroke best practice recommendations: stroke rehabilitation practice guidelines, update 2015[J]. Int J Stroke, 2016, 11(4):459-484. doi: 10.1177/1747493016643553
[39]	Hurkmans E J, van der Giesen F J Bloo H, et al. Physiotherapy in rheumatoid arthritis: development of a practice guideline[J]. Acta Reumatol Port, 2011, 36(2):146-158. pmid: 21841734
[40]	van der Meijden O A, Westgard P, Chandler Z, et al. Rehabilitation after arthroscopic rotator cuff repair: current concepts review and evidence-based guidelines[J]. Int J Sports Phys Ther, 2012, 7(2):197-218.
[41]	Mazieres B, Thevenon A, Coudeyre E, et al. Adherence to, and results of, physical therapy programs in patients with hip or knee osteoarthritis. Development of French Clinical Practice Guidelines[J]. Joint Bone Spine, 2008, 75(5):589-596. doi: 10.1016/j.jbspin.2008.02.016
[42]	Morgan M D L. Pulmonary rehabilitation: British Thoracic Society standards of care subcommittee on pulmonary rehabilitation[J]. Thorax, 2001, 56(11):827-834. doi: 10.1136/thorax.56.11.827
[43]	Negrini S, Donzelli S, Aulisa A G, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J]. Scoliosis Spinal Disord, 2018, 13:3. doi: 10.1186/s13013-017-0145-8
[44]	Pavy B, Iliou M C, Verges-Patois B, et al. French Society of Cardiology guidelines for cardiac rehabilitation in adults[J]. Arch Cardiovasc Dis, 2012, 105(5):309-328. doi: 10.1016/j.acvd.2012.01.010
[45]	Sanders S H, Harden R N, Vicente P J. Evidence-based clinical practice guidelines for interdisciplinary rehabilitation of chronic nonmalignant pain syndrome patients[J]. Pain Pract, 2005, 5(4):303-315. pmid: 17177763
[46]	Thompson D R, Bowman G S, Kitson A L. Cardiac rehabilitation in the United Kingdom: guidelines and audit standards. National Institute for Nursing, the British Cardiac Society and the Royal College of Physicians of London[J]. Heart, 1996, 75(1):89-93. pmid: 8624882
[47]	Wenger N K, Froclicher E S, Smith L K, et al. Cardiac rehabilitation as secondary prevention: quick reference guide for clinicians[J]. Clin Pract Guidel Quick Ref Guide Clin, 1995(17):1-23. pmid: 8595435
[48]	Winstein C J, Stein J, Arena R. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2016, 47(6):e98-e169.
[49]	Negrini S, Aulisa L, Ferraro C. Italian guidelines on rehabilitation treatment of adolescents with scoliosis or other spinal deformities[J]. Eura Medicophys, 2005, 41(1):183-201.
[50]	Bolton C E, Bevan-Smith E F,, Blakey J D. British Thoracic Society guideline on pulmonary rehabilitation in adults[J]. Thorax, 2013, 68(Suppl 2):1-30. doi: 10.1136/thoraxjnl-2012-202970
[51]	Achttien R J, Staal J B, van der Voort S. Exercise-based cardiac rehabilitation in patients with coronary heart disease: a practice guideline[J]. Neth Heart J, 2013, 21(10):429-438. doi: 10.1007/s12471-013-0467-y pmid: 23975619
[52]	Ries A L, Bauldoff G S, Carlin B W. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-based Clinical Practice Guidelines[J]. Chest, 2007, 131(5 Suppl):4s-42s. doi: 10.1378/chest.06-2418
[53]	Timm K E. Therapeutic exercise guidelines for rehabilitating lumbar spine injuries in athletes[J]. Athl Ther Today, 1999, 4(2):17-21.
[54]	Truchon C, Kagan C, Bayley M. INESSS-ONF clinical practice guidelines for the rehabilitation of adults having sustained a moderate-to-severe TBI[J]. Brain Inj, 2017, 31(6-7):741.
[55]	JCS Joint Working Group. Guidelines for rehabilitation in patients with cardiovascular disease (JCS 2012)[J]. Circ J, 2014, 78(8):2022-2093. doi: 10.1253/circj.CJ-66-0094
[56]	van Melick N, van Cingel R E, Brooijmans F. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus[J]. Br J Sports Med, 2016, 50(24):1506-1515. doi: 10.1136/bjsports-2015-095898
[57]	Butterworth C, McCaul L, Barclay C. Restorative dentistry and oral rehabilitation: United Kingdom National Multidisciplinary Guidelines[J]. J Laryngol Otol, 2016, 130(S2):S41-S44.
[58]	Killian S E, Cavanaugh J T. Rehabilitation guidelines after rotator cuff repair[J]. Tech Shoulder Elbow Surg, 2014, 15(1):8-12. doi: 10.1097/BTE.0000000000000017
[59]	Preston J H, Allen C, Braciszeskiy T L, et al. Guidelines for Cognitive Rehabilitation[J]. NeuroRehabilitation, 1992, 2(3):62-67. doi: 10.3233/NRE-1992-2310
[60]	Salonia A, Adaikan G, Buvat J. Sexual Rehabilitation After Treatment for Prostate Cancer-Part 1: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015)[J]. J Sex Med, 2017, 14(3):285-296. doi: 10.1016/j.jsxm.2016.11.325
[61]	Salonia A, Adaikan G, Buvat J, et al. Sexual Rehabilitation After Treatment for Prostate Cancer-Part 2: Recommendations from the Fourth International Consultation for Sexual Medicine (ICSM 2015)[J]. J Sex Med, 2017, 14(3):297-315. doi: 10.1016/j.jsxm.2016.11.324
[62]	Dworzynski K, Ritchie G, Playford E D. Stroke rehabilitation: long-term rehabilitation after stroke[J]. Clin Med (Lond), 2015, 15(5):461. doi: 10.7861/clinmedicine.15-5-461 pmid: 26430186
[63]	Scottish Intercollegiate Guidelines Network. Management of patients with stroke: rehabilitation, prevention and management of complications, and discharge planning, A national clinical guideline [EB/OL]. ( 2010-06)[2020-1-11]. https://www.sign.ac.uk/assets/sign118.
[64]	Fontenot J L, Bona M D, Kaleem M A, et al. Vision Rehabilitation Preferred Practice Pattern^®[J]. Ophthalmology, 2018, 125(1):228-278. doi: S0161-6420(17)32957-3 pmid: 29108747
[65]	Cappa S F, Benke T, Clarke S, et al. EFNS guidelines on cognitive rehabilitation: report of an EFNS task force[J]. Eur J Neurol, 2015, 10(1):11-23. doi: 10.1046/j.1468-1331.2003.00537.x
[66]	Mehta S, Guy S D, Bryce T N, et al. The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord: screening and diagnosis recommendations [J]. Spinal Cord, 2016, 54 Suppl 1(S1): S1. doi: 10.1038/sc.2016.88
[67]	Marciniuk D D, Dina B, Scott B, et al. Optimizing pulmonary rehabilitation in chronic obstructive pulmonary disease - practical issues: a Canadian Thoracic Society clinical practice guideline[J]. Can Respir J, 2010, 17(4):159-168. pmid: 20808973
[68]	Grandisson M, Hébert M, Thibeault R. Practice guidelines for program evaluation in community-based rehabilitation[J]. Disabil Rehabil, 2016, 39(12):1-9. doi: 10.3109/09638288.2015.1123303
[69]	Ferrari A, Cioni G. Guidelines for rehabilitation of children with cerebral palsy[J]. Eura Medicophys, 2005, 41(3):243-260. pmid: 16249783
[70]	Cools A M, Declercq G, Cagnie B, et al. Internal impingement in the tennis player: rehabilitation guidelines[J]. Br J Sports Med, 2008, 42(3):165-171. doi: 10.1136/bjsm.2007.036830
[71]	Buhles N, Wehrmann J, Hinsch K D, et al. S1 guideline: dermatological inpatient rehabilitation in adult atopic dermatitis[J]. J Dtsch Dermatol Ges, 2011, 9(7):558-561.
[72]	John A, Richard A, Paul B R, et al. Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions for shoulder pain[J]. Phys Ther, 2001, 81(10):1719-1730.
[73]	Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain[J]. Phys Ther, 2001, 81(10):1675-1700.
[74]	Blacquiere D, Lindsay M P, Foley N, et al. Canadian stroke best practice recommendations: telestroke best practice guidelines update 2017[J]. Int J Stroke, 2017, 12(8):886-895. doi: 10.1177/1747493017706239 pmid: 28441928
[75]	Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain[J]. Phys Ther, 2001, 81(10):1701-1717.
[76]	Kim C, Sung J, Lee J H, et al. Clinical practice guideline for cardiac rehabilitation in Korea: recommendations for cardiac rehabilitation and secondary prevention after acute coronary syndrome[J]. Korean Circ J, 2019, 49(11):1066-1111. doi: 10.4070/kcj.2019.0194
[77]	杨克虎, 李秀霞, 拜争刚. 循证社会科学研究方法[M]. 兰州: 兰州大学出版社, 2018.
[78]	Institute of Medicine. Clinical Practice Guidelines We Can Trust [M]. Washington D. C.: the National Academies Press, 2011.
[79]	World Health Organization. WHO Handbook for Guideline Development [EB/OL]. 2nd ed. [2020-1-11]. http://www.who.int/iris/handle/10665/145714.

中外文期刊/网站	发表指南数量	影响因子
National Institute for Health and Care Excellence	4	-
Physical Therapy	4	3.043
Thorax	2	9.655
Netherlands Heart Journal	2	1.476
British Journal of Sports Medicine	2	7.867
Scottish Intercollegiate Guidelines Network	2	-
American Academy of Ophthalmology	2	-
Spinal Cord	2	1.936
Heart	2	6.059
International Journal of Stroke	2	4.466
中国康复理论与实践	3	1.195
中国康复医学杂志	2	1.849

英文指南针对健康问题	指南数量	英文指南针对健康问题	指南数量
神经系统疾病		肿瘤
脑卒中	12	头颈癌术后言语和吞咽	2
脑瘫	1	前列腺癌术后性功能	1
循环系统		乳腺癌术后上肢康复	1
心脏康复	9	精神、行为或神经发育障碍
呼吸系统		认知功能障碍	3
肺康复	5	眼和附器疾病
肌肉骨骼系统和结缔组织疾病		视力损害	2
肩关节病变	5	耳或乳突疾病
脊柱侧凸或其他脊柱畸形	3	前庭康复	2
关节炎/膝痛	3	消化系统
前交叉韧带损伤	1	牙科和口腔	1
腰痛	1	皮肤疾病
颈痛	1	成人特应性皮炎	1
骨质疏松	1	无特殊分类
损伤、中毒或外因的某些其他后果		慢性非恶性疼痛综合征	1
脊髓损伤	5	危重病	1
脑损伤	2	社区康复	1
运动损伤	2

康复临床实践指南:发展现状研究

Clinical Practice Guidelines of Rehabilitation: Development Status

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 7

参考文献 79

相关文章 15

Metrics

本文评价

推荐阅读 0

中文指南针对健康问题	指南数量
神经系统疾病
脑卒中	5
脑血管病	1
肌肉骨骼系统
脊柱脊髓损伤	2
骨质疏松	2
肌肉减少	1
肌痉挛	1
损伤、中毒或外因的某些其他后果
烧伤	1
地震伤员	1
耳或乳突疾病
听力障碍	1
精神、行为或神经发育障碍
儿童孤独症	1
消化系统疾病
肝病	1

[1]	刘小燮, 褚红玲, 刘美, 郭艾鑫, 王思远, 曾凡硕, 江山, 谢欲晓, 周谋望. 2022年医学期刊发表中国康复医学指南和共识的科学性、透明性和适用性评级[J]. 《中国康复理论与实践》, 2023, 29(12): 1365-1376.
[2]	刘欣荣,许光旭,李林,王宇,李绪,赵若欣,刘元标,顾昱晖,姚捷,张敏,王丽娟. 江苏省“十三五”期间康复医疗资源的发展[J]. 《中国康复理论与实践》, 2022, 28(4): 407-414.
[3]	张元鸣飞,杨延砚,张娜,刘京宇,刘小燮,张之良,周谋望. 2021年度国家康复医学专业医疗服务与质量安全报告[J]. 《中国康复理论与实践》, 2022, 28(12): 1365-1379.
[4]	吴世彩. 康复医学的伦理性设定及其实践研究[J]. 《中国康复理论与实践》, 2021, 27(2): 125-130.
[5]	孟丽君,吴世彩. 践行康复伦理促进康复事业发展[J]. 《中国康复理论与实践》, 2021, 27(2): 237-242.
[6]	邱卓英,李伦,陈迪,马洪卓,孙宏伟,王国祥,黄昭鸣,张鸣生,郑洁皎,石秀娥,王少璞,李安巧,肖晓飞,井淇,吴弦光,张爱民,李浩冉. 基于世界卫生组织国际健康分类家族康复指南研究:理论架构和方法体系[J]. 《中国康复理论与实践》, 2020, 26(2): 125-135.
[7]	魏莉莉,李浩冉,王子君,黄嘉骏,周奇,黄天相,陈佩瑶,李兴杰,陈耀龙,杨克虎. 康复临床实践指南:方法学质量研究[J]. 《中国康复理论与实践》, 2020, 26(2): 144-149.
[8]	王玲,卢姝亚,罗旭飞,玉炫,吕萌,张先卓,石秀娥,陈耀龙,杨克虎. 康复临床实践指南:专家组构成及利益冲突研究[J]. 《中国康复理论与实践》, 2020, 26(2): 150-155.
[9]	周奇,王玲,杨楠,玉炫,张静怡,马艳芳,王健健,张先卓,石秀娥,陈耀龙,杨克虎. 基于GRADE康复临床实践指南证据质量与推荐强度研究[J]. 《中国康复理论与实践》, 2020, 26(2): 156-160.
[10]	王子君,王玲,玉炫,周奇,史乾灵,赵思雅,荀杨芹,张先卓,杨楠,石秀娥,陈耀龙,杨克虎. 基于RIGHT康复临床实践指南报告质量研究[J]. 《中国康复理论与实践》, 2020, 26(2): 161-169.
[11]	潘钰,徐泉,吴琼,李欣,杨绯,窦维蓓,季林红. 八年制医学生物理医学与康复医学方向医工交叉课程改革效果[J]. 《中国康复理论与实践》, 2020, 26(12): 1483-1488.
[12]	杜晓霞, 宋鲁平, 李建军. 康复住院医师规范化培训师资培训调查[J]. 《中国康复理论与实践》, 2019, 25(1): 116-118.
[13]	郭楚英，吕军，吴敏方，魏雪辉. 上海市金山区在册重性精神疾病患者管理现状[J]. 《中国康复理论与实践》, 2018, 24(6): 734-739.
[14]	桑德春. 康复医学本科教学的探讨[J]. 《中国康复理论与实践》, 2017, 23(7): 865-868.
[15]	张皓，王晓艳，张婷婷，张欣，迟茜茜，张小年. 北京市康复医学科住院医师规范化培训结业考核结果分析[J]. 《中国康复理论与实践》, 2017, 23(4): 494-496.