中西医联合治疗阑尾周围脓肿的疗效分析

目的:比较中西医联合治疗与单纯西药治疗阑尾周围脓肿的疗效。方法:选取2014年5月～2017年12月我院收治的74例阑尾周围脓肿患者作为研究对象,随机分为观察组和对照组,每组37例。对照组仅给予单纯西药治疗,观察组在对照组的基础上加用中药口服治疗。比较两组患者的症状改善时间、白细胞回降至正常值时间、包块消退时间、总有效率和住院时间。结果:观察组的总有效率明显高于对照组,差异有统计学意义,P0.05;观察组的症状改善时间、白细胞回降至正常值时间、包块消退时间和住院天数均明显低于对照组,差异均有统计学意义,P0.05。结论:中西医联合治疗阑尾周围脓肿的疗效优于单纯西药治疗,且患者的恢复时间更短。     

中西医结合治疗阑尾周围脓肿的临床观察

目的 观察中西医结合治疗阑尾周围脓肿的临床疗效.方法 将120例患者随机分为治疗组(60例)和对照组(60例),两组均予常规的对症处理及三联抗生素治疗;治疗组在上述西药治疗的基础上加用内服汤剂及外敷中药.对两组患者治疗后临床疗效的总有效率、有效病例主要症状、体征消退的平均时间、平均住院时间进行比较.结果 治疗组总有效率96.7%,明显高于对照组78.3%(P＜0.01);治疗组的症状、体征消退时间及住院时间明显短于对照组.结论 中西医结合治疗阑尾周围脓肿能明显提高疗效,缩短住院时间,减轻患者痛苦,减少并发症,降低复发率,值得临床推广.     

中西医结合疗法治疗阑尾周围脓肿临床研究

目的:观察中西医结合疗法治疗阑尾炎周围脓肿的临床疗效。方法:选取2009年3月²012年6月我院收治的阑尾周围脓肿患者120例,随机分为研究组和对照组各60例。对照组采用静脉滴注抗生素联合B超引导脓肿穿刺进行治疗,研究组在对照组基础上应用中医内服和外用法进行治疗。治疗后随访观察1年,比较两组患者的临床疗效。结果:研究组患者总有效率和随访复发率均优于对照组,体温恢复正常天数、白细胞恢复正常天数、住院天数以及疼痛消失天数均短于对照组,两组比较差异具有统计学意义(P<0.05)。结论:中西医结合疗法治疗阑尾周围脓肿具有更高的治愈率,可明显降低复发率,缩短患者恢复时间,值得推广。     

大黄牡丹汤加味联合西医方案治疗阑尾周围脓肿的临床疗效观察

目的：探讨大黄牡丹汤加味联合西医治疗阑尾周围脓肿的临床疗效。方法：选取2019年6月~2020年6月收治的116例阑尾周围脓肿患者，以抽签法随机分为对照组58例、观察组58例。对照组常规抗生素抗感染治疗，观察组在对照组基础上加服大黄牡丹汤加味治疗。比较两组患者的临床疗效、症状缓解时间及实验室指标变化情况。结论：观察组治疗总有效率为96.55%（56/58），对照组为84.48%（49/58），差异有统计学意义（P＜0.05）。观察组退热时间、腹痛缓解时间、脓肿吸收时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）。治疗前两组白细胞计数、中性粒细胞百分比、C-反应蛋白对比，差异无统计学意义（P＞0.05）；治疗后观察组低于对照组（P＜0.05）。结论：在常规抗感染治疗基础上加入大黄牡丹汤加味治疗阑尾周围脓肿，疗效显著，可缩短患者治疗周期，改善患者的实验室指标。     

阑尾周围脓肿临床治疗体会

观察中西结合等综合治疗方法的临床疗效。方法：96例患者随机分为2组治疗。治疗组54例采用西药抗炎、中药辨证分型、辅以穿刺抽脓综合疗法：对照组42例仅用西药抗炎治疗，比较2组临床疗效。结果：治疗组和对照组的总有效率和平均住院时间分别为96．30％、6．8天，85．71％、13．2天，差异有显著性意义（P〈0．05）。结论：中西医结合等综合治疗阑尾周围脓肿明显优于单一西药治疗。     

中西医结合治疗小儿阑尾周围脓肿疗效观察

目的:探讨中西医结合治疗小儿阑尾周围脓肿的疗效。方法:收治小儿阑尾周围脓肿84例,随机分为对照组(单纯西药组)及治疗组(中药灌肠、抗生素及B超引导下经皮穿刺药物冲洗组),比较2组的治疗效果。结果:对照组和治疗组有效率分别为34/42和40/42(P<0.05),非手术治疗成功者2组平均体温下降时间分别为(3.6±0.9)d和(2.2±0.8)d(P<0.05),平均住院时间分别为(13.2±2.2)d和(9.6±1.2)d(P<0.05),阑尾切除的手术时间分别为(36.2±8.3)min和(35.6±8.9)min(P<0.05)。结论:常规西药结合中药及B超引导下经皮穿刺药物冲洗治疗小儿阑尾周围脓肿,疗效满意,值得推广。     

如意金黄散外敷治疗阑尾周围脓肿临床观察

目的：观察如意金黄散外敷治疗阑尾周围脓肿的临床疗效。方法：将69例确诊的阑尾周围脓肿患者随机分成治疗组34例,对照组35例,基础治疗均以头孢曲松加甲硝唑静脉滴注,对照组加用局部热敷治疗,治疗组加用如意金黄散外敷治疗。结果：治疗组有效率为94.1%,腹痛缓解时间、包块消失时间、血象恢复正常时间较对照组明显减少,差异有统计学意义（P〈0.05）。结论：如意金黄散外敷治疗阑尾周围脓肿疗效较传统热敷为佳,可临床推广。     

彩超引导下穿刺注入替硝唑加庆大霉素冲洗治疗阑尾周围脓肿的疗效

目的 探讨彩超引导下介入治疗阑尾周围脓肿的临床疗效.方法 回顾性分析万安县人民医院2006年1月至2010年11月168例阑尾周围脓肿的治疗情况.其中保守治疗组50例,开腹引流手术治疗组38例,穿刺抽脓注药治疗组80例,分析、比较3组的临床疗效.结果 抽脓注药治疗组与开腹引流手术治疗组治愈率均为100%,较保守治疗组80%的治愈率显著升高(P＜0.01).穿刺抽脓注药治疗组的腹痛消失时间、体温正常时间、住院时间及白细胞降至正常时间均较其他2组显著缩短(P＜0.01).结论 穿刺介入治疗阑尾周围脓肿是一种积极可取的手段,具有疗效好、恢复快、操作简单、损伤小、费用低等优点.     

中西医协同治疗阑尾周围脓肿的临床护理

目的探讨中西医协同治疗阑尾周围脓肿的临床效果。方法128例经腹部彩超证实为阑尾周围脓肿的患者采用相同抗生素治疗，试验组同时加用大蒜芒硝外敷和大黄牡丹汤口服每日2次。结果加用大蒜芒硝外敷和口服大黄牡丹汤的患者明显缩短了治疗时间，治愈率和有效率均有较大提高。结论大蒜芒硝外敷协同抗生素治疗阑尾周围脓肿比单纯使用抗生素治疗阑尾周围脓肿效果好，住院时间短。     

皮硝外敷对阑尾周围脓肿病人的疗效观察

将40例患者随机分成两组,对照组20例,常规使用抗生素治疗;实验组20例,在对照组基础上采用皮硝外敷。结果治疗组在改善腹痛症状、脓肿消退时间、退热时间、通便时间及住院时间等均优于对照组。皮硝外敷治疗阑尾周围脓肿疗效显著。     

日本汉方医学领域循证医学研究现状及其启示

目的 对日本汉方医学的循证医学研究现状进行总结。 方法 系统评价日本东洋医学会（JSOM）循证医学工作组对日本汉方医学的循证医学评价和总结报告。 结果 JSOM 的循证医学特别委员会成立较早,并在全日本范围内进行了三次汉方治疗的系统总结与评价,其制剂质量规范可靠。2009 版汉方诊疗指南对日本汉方临床的诊疗可望有较好的推动作用。 结论 为促进我国中医药循证医学的发展,我们需要借鉴JSOM 的循证医学研究计划,重视研究数据的真实性、重视非随机试验的科学分析和报告;根据中医学的特点,由简到繁、系统地开展循证医学研究。     

Use of traditional,complementary and alternative medicine in nine countries: A cross-sectional multinational survey

ObjectivesTraditional, complementary, and alternative medicine (TC&AM) play an exceptional role in health care around the world as many patients has sought a holistic approach.SettingIn this study, a multinational survey was developed and administered to obtain experience, attitude, and promotion information with regard to the international use of TC&AM among nine countries: Germany, United States, Japan, China, Malaysia, Vietnam, Russia, Kazakhstan, and United Arab Emirates (UAE). The survey was administered via online to members of SurveyMonkey Audience, a proprietary panel of respondents who were recruited from a diverse population worldwide.ResultsA total of 1071 participants has completed the survey. The participants were in favor of the treatments and therapies as well as expressed positive attitudes and also have used herbal medicine treatment more than acupuncture therapy and also used the modalities to promote metabolism rather than treating musculoskeletal diseases. Moreover, participants mentioned that TC&AM should be applied for treating and managing infectious diseases, such as COVID-19. Additionally, participants recommended using Facebook channel to promote its treatments and therapies.ConclusionBased on the results, this study provides initial insights on TC&AM that may influence the non-users globally and perhaps inspire a need for further research including more countries in different continents.     

循证检验医学

在当今倡导证据指导下的医疗行为及医疗决策的时代，分析检验医学存在的问题，讨论将循证医学的理念引入检验医学的必要性及可行性，探索循证检验医学实践的途径，以使检验医学跟上临床医学的最新发展步伐，提供以病人为中心的最佳实验医学技术及实验医学服务。     

我国和WHO基本药物目录2009年版比较分析

目的比较2009年版我国和世界卫生组织（WHO）基本药物目录的异同,为今后我国基本药物目录遴选、调整与实施推广提供建议和参考。方法采用描述性分析方法,比较2009版我国与WHO基本药物目录在药物遴选与使用措施、收录西药种类、数量和规格等方面的差异。结果我国2009版基本药物目录遴选原则、更新程序以WHO目录为依据,但未公开遴选过程、方法及药物有效性、安全性、经济性和适用性评价的证据。WHO目录按解剖–治疗–化学代码分类法（ATC法）分类,我国目录按临床药理学作用分类。两目录一级分类重合21类,一、二级分类有交叉;WHO目录独有8个一级分类,我国独有3个分类。WHO与我国目录分别收录药物358和255种（含注释内药物）,重合133种,两目录还各特有药物206、108种。我国目录中抗感染药物51种,仅为WHO目录的一半,重合40种,我国和WHO目录各特有药物11、60种;其中我国和WHO目录分别含22和31种抗菌药,重合17种;抗真菌、抗结核、抗病毒药物我国目录均少于WHO目录。我国目录中的呼吸、消化、神经系统药物和激素类药物与WHO目录重合数量少,分别为1、7、9和17种;特有药物数量较多,分别为6、12、7和14种,但大多缺乏有效性及安全性证据;心血管系统药物我国和WHO目录分别收录19和29种,重合14种,其中抗高血压和抗心律失常药物收录了部分相同机制药物和WHO目录剔除的药物。结论我国2009年版基本药物目录纳入的基本药物与我国疾病负担基本相符;药物总数与WHO目录相近,但重合比例不高;遴选过程和遴选证据未见公开;部分纳入的特有药物缺乏高质量证据。建议加强与其他部门联系与分工协作,统一遴选标准;加强基本药物目录证据生产,公布我国基本药物遴选具体过程和证据;制定配套基本药物技术支持文件;加大宣传和监测评估,推进基本药物使用。     

Can the critically ill consent to participation in commercial television programmes? An Australian prehospital and emergency medicine perspective

The fly‐on‐the‐wall medical documentary is a popular television phenomenon. When patients can give appropriate consent to filming, the final product can be both educational for the public and rewarding for its subjects. However, in the dynamic world of emergency and prehospital medicine, consenting critically ill patients before filming is a significant challenge. The main barriers to gaining valid consent in the field and in the ED are limited time to inform the patient and the diminished capacity of the sick patient. Although there is an argument that involvement in a commercial film might be beneficial to several parties, including the patient, these benefits do not amount to therapeutic necessity if prior consent is not obtainable. Despite this, we still see acutely incapacitated patients featured in some television programmes. In these cases, the conventional process of consent might be being sidestepped in order to obtain permission for broadcast retrospectively. This alternative process fails to recognise that incapacitated patients require protection from an invasion of privacy that occurs when a crew is filming their resuscitations. This harm has already occurred by the time consent is sought. Ultimate responsibility for defending the patients' interests during their medical treatment rests with the medical practitioner. We argue that filming a patient without prior consent in both the prehospital and emergency environment is ethically unsound: it threatens trust in the healthcare relationship and might compromise the patient's dignity and privacy. Robust guidelines should be developed for all healthcare professionals who engage with commercial film crews.     

Ten Years Evidence-based High-Tech Acupuncture-A Short Review of Centrally Measured Effects (Part II)

The assessment of acupuncture-induced effects on brain function is crucial. Ultrasound-assisted brain function monitoring and bioelectrical methods as well as near infrared spectroscopic procedures and functional magnetic resonance investigations form the basis for the latest scientific examination methods for acupuncture research. The laserneedle acupuncture, which was examined scientifically for the first time in Graz, represents a new painless and non-invasive acupuncture method. In this way, individual combinations of acupuncture points can be stimulated simultaneously according to traditional Chinese medicine. In the context of double-blind studies, effects in the brain could be demonstrated in a reproducible manner for the first time. This second part of the short review article summarizes some of the centrally measured effects of acupuncture obtained at the Medical University of Graz within the last 10 years.     

Combined development of traditional Chinese medicine and interventional medicine

The combination of Traditional Chinese Medicine and Interventional Radiology has an excellent clinical effect. This paper reviews the principles and methods of the combined application of Traditional Chinese Medicine and Interventional Radiology, aiming to promote the complementary and coordinated development of Traditional Chinese Medicine and Interventional Radiology.