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循证医学(Evidence-based medicine,EBM)是20世纪90年代在临床医学实践中发展起来的一门新兴临床学科。2000年,EBM创始人之一David Sackett定义EBM为“慎重、准确和明智地应用当前所能获得的最好研究证据,同时结合医生个人专业技能和多年临床经验,考虑病人的愿望,将三者完美地结合制定出病人的治疗措施”[1][2]。目前EBM已与临床各专业结合,出现了循证外科、循证内科、循证护理等分支学科,并在医学诸多领域的决策中付之于具体有效的实践,如出现了循证医疗、循证诊断、循证决策、循
Evidence-based medicine (EBM) is an emerging clinical discipline developed in clinical practice in the 1990s. In 2000, David Sackett, one of the founders of EBM, defined the EBM as “the best research evidence that is currently available with caution, accuracy and wisdom, taking into account the patient’s wishes, combined with his or her personal expertise and years of clinical experience, The perfect combination of the formulation of the patient’s treatment ”[1] [2]. At present, EBM has been combined with clinical professional, there has been evidence-based surgery, evidence-based medicine, evidence-based nursing and other branches of medicine, and many areas of medicine in the decision-making in the concrete and effective practice, such as the emergence of evidence-based medicine, Card diagnosis, evidence-based decision-making, circulation