作 者 ：邵明义,魏明,闫博华

期 刊 ：中国中药杂志 2014年 39卷 7期 页码：1315.

关键词：软指标；疗效评价；中医药；等级指标；

Keywords:soft target, evaluation of clinical efficacy, traditional Chinese medicine, grade indicator,

摘 要 ：中医学作为一门实践性很强的学科，有其独特的理论体系和临床特点。临床实践中，确切的临床疗效是其存在和发展的关键，但目前现有的评价体系下，很难客观的评价中医药的真实的临床疗效。因此，其如何客观的评价中医临床疗效，获得确切的证据是中医学疗效评价的关注的重点。相对于现代医学而言，中医学更关注在疾病演变过程中，患者的主观感受和临床症状的变化。对于疾病的临床症状和功能活动为主的软指标是疗效评价常选择的指标，在软指标的等级化处理后，疗效评价结果相互矛盾的现象在疗效评价过程中较为常见。为了更好的评价中医药的临床疗效，软指标在疗效评价时，要明确其作用特点，突出了干预措施对疾病作用的特点，应尽量避免把软指标等级化处理，以提高临床疗效的效果。

Abstract:Traditional Chinese medicine(TCM)is a very practical subject, which has its unique theoretical system and clinical characteristics. In the course of clinical practice, the exact clinical efficacy is the key of existence and development. But the existing evaluation system is difficult to objectively evaluate the clinical efficacy of TCM. Therefore, how to objectively evaluate the clinical efficacy and get definitive evidence is the focus of the evaluation of clinical efficacy of TCM. Relative to modern medicine, TCM is more concerned about the changes of feelings and clinical symptoms of the patient in the course of the evolution of the disease.Soft targets mainly used for the evaluation of the clinical efficacy of symptoms and functional activity of the disease. The level in soft targets of processing technology is often used methods in clinical evaluation. But it has often produced the phenomenon which the results of the evaluation is mutual contradiction, which will ultimately affect the effect of evaluation of clinical efficacy of TCM. In order to better evaluate the clinical efficacy of TCM, in the process of adoption of soft targets, it clearly identify it‘s role, highlighting the characteristics of interventions on disease, and as much as possibly avoid the level in soft targets of processing technology to real assess clinical efficacy of TCM.