共查询到20条相似文献,搜索用时 62 毫秒
1.
Building the clinical therapeutic evaluation system by combing the evaluation given by doctors and patients can form a more comprehensive and objective evaluation system. A literature search on the practice of evidence-based evaluation was conducted in key biomedical databases, i.e. PubMed, Excerpt Medica Database, China Biology Medicine disc and China National Knowledge Infrastructure. However, no relevant study on the subjects of interest was identified. Therefore, drawing on the principles of narrative medicine and expert opinion from systems of Chinese medicine and Western medicine, we propose to develop and pilot-test a novel evidence-based medical record format that captures the perspectives of both patients and doctors in a clinical trial. Further, we seek to evaluate a strategic therapeutic approach that integrates the wisdom of Chinese medicine with the scientific basis of Western medicine in the treatment of digestive system disorders. Evaluation of therapeutic efficacy of remedies under the system of Chinese medicine is an imperative ongoing research. The present study intends to identify a novel approach to assess the synergistic benefits achievable from an integrated therapeutic approach combining Chinese and Western system of medicine to treat digestive system disorders. 相似文献
2.
3.
循证医学理念与临床医学教育 总被引:3,自引:0,他引:3
循证医学是21世纪临床医学教育发展的必然趋势。其核心思想就是遵循证据,即医疗决策应以客观研究结果为依据。循证医学思想极大地促进了临床医学教育观念和医学教育模式的转变,必将对临床教学、科研和医疗实践产生重大的影响。 相似文献
4.
循证医学对心血管病研究的影响 总被引:1,自引:0,他引:1
循证医学的出现使现有的医学观念从理论知识加个人经验的医学模式转变到科学证据为基础的医学模式。随着临床流行病学的深入开展及临床科研方法的重大发展,循证医学正在逐渐深入医学的各个角落,在心血管领域也是如此。文章将主要阐述循证医学在心血管病临床医疗实践、科研、卫生决策和医学教育方面产笺重要影响;客观分析循证医学在此领域的发展史及现状;同时也概括了我国心血管研究在循证医学方面的成果与不足。从而进一步揭示,科学的证据正有利地促进着医学的全方位发展,以问题为基础的循证医学是当今临床医学发展的必然趋势。 相似文献
5.
6.
杨军 《山东大学学报(医学版)》2021,59(9):83-88
自2015年"精准医学"概念正式提出以来,疾病的精准诊断与治疗已成为目前临床医学的时代主旋律.神经外科是大外科体系中发展较晚、专业性较强、实践难度较高、培养周期较长、学习曲线较陡峭的专科,得益于医工结合研发模式的不断成熟及普及化、常态化、规范化,神经外科得到了快速的发展.而在当前精准医学的时代背景下,神经外科已进入到了... 相似文献
7.
微创神经外科与转化医学 总被引:2,自引:0,他引:2
赵继宗 《首都医科大学学报》2010,31(4):461-464
20世纪末美国哈佛大学医学院提出转化医学概念。转化医学打破了基础医学与临床医学之间的屏障,缩短了"从实验台到病床"(bench to bedside)的过程。本文通过回顾百年神经外科历史,纵观转化医学在建立神经外科、催生显微神经外科和推进微创神经外科3个阶段所起的作用,展望了神经外科学前景,提出微创神经外科将成为转化医学的技术平台。 相似文献
8.
9.
费兆馥 《上海中医药大学学报》2013,(1):4-7
结合50余年的中医教育、科研和临床工作,论述了中医诊断学学术思想应与临床结合的观点。认为中医诊断方法的客观化、技术化是发展的趋势,应重视传统中医诊断方法的客观化研究及中医特色诊断方法的应用;舌诊、脉诊是辨证的重要依据,应重视学习与应用;提倡以“治未病”理念指导临床,主张病证结合,辨证宜从脏腑、寒热、虚实角度执简驭繁。 相似文献
10.
11.
Three features of ethics review in Chinese medicine (CM) and integrative medicine (IM) were put forward in this paper. It is consistent with the principles of ethical review in Western medicine; it has to be compliant with the laws of CM and IM; emphasis should be laid on the review of clinical practice facts and experience. Three problems were pointed out. The characteristics of CM and IM are not distinctive enough, operation procedures need to be refined and effectiveness remains to be improved. Based on the mentioned above, seven measures were proposed to improve the level and quality of ethics review in CM and IM, including better brand awareness, considerable tolerance, treatment based on disease differentiation and syndrome differentiation, scientific review and toxicity and side effects of CM, perfection of the ethics review system, reasonable procedures of ethics review and more specialized ethics review workers. 相似文献
12.
循证医学与医学实践 总被引:7,自引:0,他引:7
许瑞英 《山东医科大学学报(社会科学版)》2000,14(1):8-10
随着现代医学的发展,生物医学模式向社会心理生物医学模式转变,临床医生也必须由传统医学向以循证医学为依据的行医模式转变。传统医学以个人经验加理论知识为指导,循证医学是临床流行病学和现代信息学、临床医学结合的典范,是指医生的个别临床经验与最佳科学依据相结合的临床模式,是现代医学发展的必然趋势。 相似文献
13.
本文对我校中医内科学专业研究生现存培养模式及成果进行了全面的分析和总结,并从硕士研究生培养的教学管理角度,就培养体系及模式作出了设想和探索,提出应从建立有效的研究生临床教学管理运行机制、制定规范的管理制度、制定具有学科特色的专业培养方案、加强研究生指导教师队伍的建设、注重培养学生的科研思维与能力等五方面来确保研究生培养... 相似文献
14.
循证医学(EBM)的理论体系、技术体系逐渐形成,其实践应用更是随着国际Cochrane协作网的建设和微机网络技术的突飞猛进而不断完善、并在临床医学领域迅速发展。从国内的现状来看,EBM还是一个新领域,特别是在如何提供证据、产生证据方面,所开展的临床科研工作远不能满足EBM方法学的要求。 相似文献
15.
16.
Objective: To evaluate the efficacy and safety of "Three-Typed Syndrome Differentiation" (I-TSD) in treating type 2 diabetes mellitus patients. Methods: A systematic review and meta-analysis was done based on the clinical diabetes treatment literature of the "I-I'SD". Overseas databases like the PubMed/MEDLINE, EMBASE, Cochrane Library and Cochrane Central Register of Controlled Clinical Trials, and China databases like China Biology Medicine Disc (CBM), Chinese national Knowledge Infrastructure (CNKI), Wanfang database, and VIP database, without limitation on language, were included with the time limitation from Jan 1982 to Dec 2012 by retrieval of relative original clinical research articles. Results: Nineteen articles where contains 1,840 diabetes patients were obtained, in which no adverse reactions were reported. Of these, 14 literatures involved the effect of fasting blood glucose (FBG), 10 involved that of postprandial 2-h blood glucose (P2hBG), and 19 involved the overall efficacy based on the national Chinese medicine (CM) diagnosis and treatment standard of diabetes. All the meta-analysis results prefer to the "TTSD" groups (CM+Westem medicine Based on I-I'SD). The results show that, beside the efficacy of Westem medicine, the concentrations of FBG and P2hBG in "TTSD" groups continue to drop with statistical significance. For "TTSD" groups, the FBG subsequently dropped 1.03 mmol/L, 95%CI [1.24,0.82] (P〈0.00001), the P2hBG subsequently dropped 1.09 mmol/L, 95% CI [1.61, 0.57] (P〈0.0001), and the overall efficacies benefit 3.46 times those of Western medicine alone, 95% CI [2.67,4.48] (P〈0.00001). Conclusions: The CM by the diagnosis and treatment of type 2 diabetes based on "TTSD might be safe and effective, and could better improve both blood glucose and the overall status of patients, including symptoms. 相似文献
17.
18.
19.
刘蔚 《中华医学教育探索杂志》2011,10(9):1076-1078
“早期接触临床”是开展医学临床前教育的手段之一。华中科技大学附属同济医院内科教研室在八年制医学生“早期接触临床”阶段的教学中进行了多年的改革探索和经验积累,提出增强法制伦理和医德观念、重视沟通和思维能力的培养、重视科研意识的培养、重视医学专业英语学习等观念,总结出一套具有学科特色、行之有效的教学方法。 相似文献