关键词: 重症脑血管病; 神经重症; 循证医学; 科学精神; 证据链

Abstract:

As an emerging subspecialty, the theoretical system of neuro-critical care is incomplete. The main study subjects include severe cerebral vascular diseases, craniocerebral trauma, cerebral tumor and other neuro-system related critical patients. Consequently, there are numerous inconsistent conclusions among different studies. In view of this, the authors analyzed the fundamental conceptions of Evidence Based Medicine (EBM) based on traditional philosophy and introduced the conception of evidence chain. Hopefully, this paper will help the junior neurointensive physicians to better understand those complex evidences from EBM, and assist them in the establishment of the effective mode of clinical thinking.

Key words: Severe cerebral vascular diseases; Neuro-critical care; Evidence based medicine; Scientific spirit; Evidence chain