肝硬化中医诊疗指南

中华中医药学会肝胆病分会

doi:10.12449/JCH240305

肝硬化中医诊疗指南

DOI: 10.12449/JCH240305

中华中医药学会肝胆病分会

基金项目:

国家中医药管理局高水平中医药重点学科建设项目 (zyyzdxk-2023005);

首都卫生发展科研专项 (CFH 2024-1-2173)

利益冲突声明：本指南由中华中医药学会立项，在中医临床诊疗指南制订专家总指导组和内科专家指导组的指导、监督下实施。制订过程与任何单位、个人无经济利益关系。

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出版历程
- 收稿日期: 2024-02-07
- 录用日期: 2024-02-19
- 出版日期: 2024-03-20

Guidelines for traditional Chinese medicine diagnosis and treatment of liver cirrhosis

Branch of Hepatobiliary Diseases， China Association of Chinese Medicine

Research funding:

NATCM’s Project of High-level Construction of Key TCM Disciplines (zyyzdxk-2023005);

Capital’s Funds for Health Improvement and Research (CFH 2024-1-2173)

摘要

摘要: 近年来，随着基础与临床研究的进展，医务工作者对肝硬化的临床诊治有了进一步的认识。同时，国内关于肝硬化的中医证候规律、中西医结合治疗的研究日趋增多，尤其是在抗肝纤维化方面中医中药发挥了重要的作用。本指南在2008版《中医内科常见病诊疗指南》的基础上进行修订，项目组按照中医药标准化、循证医学、技术指导文件的相关要求，通过文献研究、专家访谈、问卷调查、临床问题确定、证据分级、推荐意见形成、征求意见等多种形式最终形成一套可行的中医药诊疗指南以切实、规范地指导临床诊疗。该指南经中华中医药学会批准发布，标准编号：T/CACM1576-2024。
- 肝硬化 /
- 中医 /
- 诊疗准则
Abstract: In recent years， with the advances in basic and clinical research， medical workers have gained a deeper understanding of the clinical diagnosis and treatment of liver cirrhosis， and meanwhile， more studies have been conducted on the traditional Chinese medicine （TCM） syndromes and integrated traditional Chinese and Western medicine treatment of liver cirrhosis in China， especially in the field of anti-liver fibrosis treatment where TCM plays an important role. This guideline is revised based on the 2008 edition of Guidelines for the diagnosis and treatment of common diseases in Chinese internal medicine， and in accordance with related requirements in TCM standardization， evidence-based medicine， and technical guidance documents， the project team formed the guidelines for TCM diagnosis and treatment through literature research， expert interview， questionnaire survey， identification of clinical problems， grading of evidence， formation of recommendation opinions， and soliciting opinions， so as to provide practical and standardized guidelines for clinical diagnosis and treatment. This guideline has been approved by China Association of Chinese Medicine， with the standard number of T/CACM1576-2024.
- Liver Cirrhosis /
- Traditional Chinese Medicine /
- Practice Guideline

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表 1 GRADE证据等级分级表

Table 1. GRADE evidence grading system

证据质量	详细说明
高（A）	进一步研究不可能改变对该疗效评估结果的可信度
中（B）	进一步研究有可能影响该疗效评估结果的可信度，且可能改变该评估结果
低或极低（C）	进一步研究很有可能影响该疗效评估结果的可信度，且很可能改变该评估结果

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