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1、转化医学探究中生命伦理学辩护现况研究及前瞻思索摘要转化医学作为一门新兴学科,运用多学科交叉策略来推动医学发展,它已逐步融入各个学科,并在干细胞研究、生物标志物、细胞信号转导、药物及器具研发及个体化医学等各个领域发挥着重要作用。随着转化医学研究的深入,一些临床试验势必对人体存在一定的伤害和潜在危险,存在各种伦理问题。虽说科学研究与伦理道德是一对相互冲击的矛盾,但两者在总体上又是一致的,共同决定着社会前进步伐。科研的重大进步必然会对伦理道德提出更高要求,而伦理道德的高标准又规范、引导、促进科学研究朝着正确方向迈
2、进,两者相辅相成。鉴于伦理辩护对于转化医学研究强有力的支撑,建议在转化医学研究中能进一步完善伦理监管的体系、发挥机构伦理委员会的功效、持续加大伦理培训的力度、强化研究人员的伦理道德修养,从而为转化医学的发展夯实人文基础。关键词转化医学伦理管控中图分类号:R-052文献标识码:C文章编号:1006-1533(2013)01-0032-05SituationandthoughtsonethicsdefendfortheresearchoftranslationalmedicineLUWenping,ZHANGK
3、an(DepartmentofScientificEducation,ShanghaiMunicipalHealthBureau,ShanghaiHealthDepartment,Shanghai200040,China)ABSTRACTTranslationalmedicineasanemergingdisciplinehasbeenpromotingthedevelopmentofmedicinebyuseofmultidisciplinarystrategies.Ithasbeengraduallyi
4、ntegratedintothevariousdisciplinesandhasbeenplayingamoreimportantroleinmanyfieldssuchasstemcellresearch,biomarkers,cellsignalingpathway,drugsandappliancesresearch,personnelmedicineandsoon.Followingthedevelopmentoftranslationalmedicineresearch,someclinicalt
5、rialsmaycertainlyhavedamageandpotentialriskstothehumanbodyandthereareavarietyofethicalissues.Althoughscientificresearchandethiesismutuallycontradictory,bothareconsistentingeneralandcandeterminethesocialprogress・Somesignificantprogressinscientificresearchwi
6、llinevitablyputforwardhigherrequirementstoethieswhilehighethicalstandardswillguideandpromotescientificresearchtogoforwardintherightdirectiori.Bothcomplementeachother・Inviewofthestrongsupportofethiesdefensefortranslationalmedicalresearch,wesuggesttofurtheri
7、mprovethesystemofethicalregulationandplaytheeffectivenessoftheinstitutionalethicscommittee,tocontinuouslyincreasetheintensityoftheethicstraining,tostrengthentheethicalandmoralcultivationofresearcherssoastosolidhumanitiesfoundationforthedevelopmentoftransla
8、tionalmedicine.KEYWORDStranslationalmedicine;ethics;control1转化医学概述转化医学作为一门新兴的交叉学科,现正受到越来越多的关注。从1992年美国《科学》杂志首次提出“从实验室到病床(BenchtoBedside,简称B2B)”的概念、1996年《柳叶刀》杂志第一次出现“转化医学(transla/tionalmedicine)”这个新名词至今[1],转化医