摘要：目的:通过调查儿科医师临床实践指南的运用与实践情况,找出问题并分析原因,探讨促进指南执行的具体措施。方法:采用横断面调查设计,并结合随机抽样方法,通过网络平台发放问卷,调查全国各级儿科医师对临床实践指南的认知、需求、知晓和使用情况。结果:共回收564份问卷,有效问卷562份,大多数儿科医师及医院对指南持积极的认可态度,高年资儿科医师对指南的认可度更高(P P P P Objective: By investigating the application and practice of pediatrician clinical practice guidelines, identifying problems and analyzing the causes, we can explore specific measures to promote the implementation of guidelines. Methods: A cross-sectional survey design and random sampling method were adopted to investigate the cognition, demand, knowledge and use of clinical practice guidelines by pediatricians at all levels in China through questionnaires distributed on the network platform. Results: A total of 564 questionnaires were collected, of which 562 were valid. Most pediatricians and hospitals had a positive attitude toward the guidelines, and senior pediatricians had a higher degree of recognition of the guidelines (P P P P < 0.05). 57.7% of the respondents believed that the difficulty in obtaining guidelines was the most important factor affecting the use of guidelines;89.1% of the respondents considered strengthening publicity and training as the primary measures to promote the use of the guidelines. Conclusions: There are many difficulties in the practical application and promotion of clinical practice guidelines. It is recommended to pay more attention to the needs of primary hospitals and junior physicians, and carry out targeted publicity and training of guidelines. The contact time of clinical practice guidelines for pediatricians in China is late, so it is recommended to introduce evidence-based medicine and clinical practice guidelines in medical education as early as possible.