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Objective To review the presentation, diagnosis and recent developments in the pharmacological and invasive treatmentof ST elevation myocardial infarction (STEMI) with a special focus on health-care organization in order to increaseaccessibility of primary percutaneous coronary intervention (PCI). 相似文献
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Due to its own internal laws of development,Chinese medicine(CM)seems more inclined to empirical medicine in a relatively long historical period.It is considered to be lacking objective and unified clinical practice guidelines(CPGs),and the difficulties in diagnosis and therapeutic effect evaluation comes with it,have restricted its further inheritance,development and international communication.Over the years,our research group has been committed to improving the standardization theory and methodology of CM,also perfecting relative techniques for further application,which are all based on the stratified evidence scoring method.We have already applied this method to 45 issued guidelines,including 5 national guidelines,3 industrial guidelines,and 37 formulation/revision social organization guidelines.The stratified evidence scoring method has been recognized and used widely.It helps scholars and applicators to study,formulate,publish and popularize the acupuncture therapy clinical practice guidelines better,thus further promotes the development of acupuncture therapy. 相似文献
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1病例简介患儿,男,7岁,突发高热,精神萎靡,嗜睡。发病12h后厌食,呕吐3次后就诊。患儿自诉头痛,在胸部和背部发现细小皮疹。体检结果提示,患儿明显地表现为麻木状态,面色潮红,病态显著。躯干上发现一些细小的斑点状皮疹。四肢末端温度较低,而且毛细血管回流低于正常。生命体征为 相似文献
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目的 探讨劳务女工孕期血铅水平与其血压的关系,为改善围生期工作,促进孕妇健康提供参考.方法 对2008年3月至2009年11月在深圳市宝安区妇幼保健院产前门诊建卡的劳务女工孕妇进行问卷调查、血压及血微量元素浓度测定.随机选取其中897例资料完整并在深圳居住满2年者作为研究对象,采用简相关和回归方法评价血铅与血压的关系.结果 孕妇血铅均值为(45±23)μg/L;家族史、体质量指数(BMI)、血铅浓度对血压升高有预测作用;在血铅56 μg/L分界点时,两组舒张压比较差异有统计学意义(P<0.05);高铅组(血铅浓度≥100 μg/L)收缩压、舒张压均显著高于低铅组(P<0.05).结论 低铅暴露是致孕妇血压升高的危险因素之一,铅对血压的影响以舒张压更为敏感.
Abstract:
Objective To observe the degree of blood lead in pregant women and the influence of different levels of blood lead on blood pressure under environmental lead exposure, in order to previde basic evidences for taking the further measures. Methods A quesionnaire survey was administed, blood pressure and the serum of microelements were tested for the pregnant women who took the prenatal examinationin the Maternal and Child Care Service Centre of Baoan between March 2008 and November 2009, gathered 897 pregnant women whose materials were complete and stayed in Shenzhen more than one year as the study objects. Compare the differences between groups distributed by quartileand carried out the pair matching study. Correlation, stepwise regression analysis and T test were usedto statistic. Results The average of blood lead was (45±23)μg/L;The Bivriate correlations showed the association between blood lead and blood pressure was positive. Stepwise regression analysis indicated family history, BMI,blood lead were predictors of increasing blood pressure. After excluding the confounding factors, on the 56 μg/L the diastolic pressure(DBP) with statistical significance (P<0.05);Blood pressure of case group was higher than that of control group with significant difference (P<0.05). Blood calcium of case group was lower than that of control group without statistical significance (P>0.05). Conclusions The results indicate the degree of blood lead of pregnant women in Shenzhen is low. Environmental lead exposure is one of the dangerous factors of increasing blood pressure .DBP is more sensitive to lead. 相似文献
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Objective:To establish an early warning model to simulate the outbreak of influenza based on weather conditions and Yunqi theory,an ancient calendar theory of Chinese medicine(CM).Methods:Tianjin, a northeastern city in China,was chosen as the region of research and applied the influenza-like illness attack rate(ILI)%as the baseline and warning line to determine the severity of influenza epidemic.Then,an influenza early warning model was constructed based on the theory of rough set and support vector machines(RS-SVM), and the relationship between influenza and meteorology was explored through analyzing the monitoring data. Results:The predictive performance of the model was good,which had achieved 81.8%accuracy when grouping the obtained data into three levels that represent no danger,danger of a light epidemic,and danger of a severe epidemic.The test results showed that if the host qi and guest qi were not balanced,this kind of situation was more likely to cause influenza outbreaks.Conclusions:The outbreak of influenza closely relates to temperature, humidity,visibility,and wind speed and is consistent with some part of CM doctrine.The result also indicates that there is some reasonable evidence in the Yunqi theory. 相似文献
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<正>Objective:To study the impact of De-qi(得气,obtaining qi) and psychological factors on the efficacy of acupuncture treatment for primary dysmenorrhea,with an attempt to explore the relationship among De-qi, psychological factors,and clinical efficacy.Methods:The patients with primary dysmenorrhea were randomly assigned to a group of acupuncture with manual manipulation(manipulation group,n=67) and an acupuncture group without manipulation(non-manipulation group,n=64).Pain intensity and pain duration were used as measures for evaluating the therapeutic efficacy of the acupuncture treatment.De-qi,the sensations a patient experienced during the acupuncture treatment,was scored on a 4-point scale by the subjects.In addition,the psychological factors,including belief in acupuncture,the level of nervousness,anxiety,and depression,were quantitatively assessed.The personality of the subject was assessed using the Eysenck personality questionnaire (EPQ) and 16 personality factor questionnaire(16PF).Results:Complete data were obtained from 120 patients,60 patients in each group.There were statistically significant differences in pain intensity(W=2410.0,P0.01) and pain duration(W=3181.0,P0.01) between the two groups.The number of De-qi acupoints(W=1150.5,P0.01) and the average intensity of De-qi(W=1141.0,P0.01) were significantly higher in the manipulation group as compared with their non-manipulation counterparts.The correlation coefficients between De-qi and therapeutic efficacy of acupuncture were greater than those between psychological factors and therapeutic efficacy.Conclusions: Compared with the psychological factors,De-qi contributed more to the pain-relieving effect of acupuncture in subjects with primary dysmenorrhea.Moreover,manual manipulation is a prerequisite for eliciting and enhancing the De-qi sensations,and De-qi is critical for achieving therapeutic effects. 相似文献
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Background
Hypertension is the commonest medical condition in Ireland. 相似文献14.
P. Fitzpatrick P. N. Kirke L. Daly I. van Rooij E. Dinn H. Burke J. Heneghan G. Bourke J. Masterson 《Irish journal of medical science》2001,170(1):49-53
Background
Hip fracture causes significant morbidity and mortality in older women. 相似文献15.
Gavin B Cullen W O'Donoghue B Ascencio-Lane JC Bury G O'Callaghan E 《Irish journal of medical science》2005,174(3):38-42
Background
Chronic schizophrenia is challenging to manage in primary care. 相似文献16.
K. H. Chang O. J. McAnena M. J. Smith R. R. Salman M. F. Khan D. Lowe 《Irish journal of medical science》2010,179(4):521-527
Background
Surgical volume and outcome remain controversial in the management of oesophageal cancer. 相似文献17.
Aim
To audit the cardiac rehabilitation (CR) service in the Northwest. 相似文献18.
##正##Objective:To explore the clinical efficacy and safety of acupuncture in treating gastroesophageal reflux(GER).Methods:Sixty patients with confirmed diagnosis of GER were randomly assigned to two groups.The 30 patients in the treatment group were treated with acupuncture at acupoints Zhongwan(CV 12),bilateral Zusanli(ST36),Sanyinjiao(SP6),and Neiguan(PC6),once a day,for 1 week as a therapeutic course,with interval of 2-3 days between courses;the 30 patients in the control group were administered orally with omeprazole 20 mg twice a day and 20 mg mosapride thrice a day.The treatment in both group lasted 6 weeks.Patients' symptoms and times of reflux attacking were recorded,the 24-h intraesophageal acid/bile reflux were monitored,and the endoscopic feature of esophageal mucous membrane was graded and scored at three time points,i.e.,pre-treatment(T0),immediately after ending the treatment course(T1)and 4 weeks after it(T2).Besides,the adverse reactions were also observed.Results:Compared with those detected at T0, 24-h intraesophageal pH and bile reflux,endoscopic grading score and symptom score were all decreased significantly at T1 in both groups similarly(P0.01),showing insignificant difference between groups(P0.05). These indices were reversed at T2 to high level in the control group(P0.05),but the reversion did not occur in the treatment group(P0.05).No serious adverse reaction was found during the therapeutic period.Conclusion: Acupuncture can effectively inhibit the intraesophageal acid and bile reflux in GER patients to alleviate patients' symptoms with good safety and is well accepted by patients. 相似文献
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Background
Asthma prevalence in athletes is variable, depending on the sport and training conditions. 相似文献20.
H. Kaptan M. Ilhan K. Cakiroglu O. Kasımcan C. Kilic 《Irish journal of medical science》2010,179(3):365-368