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Development of rapid advice guideline and standard and continuous updating guideline:experiences and practice
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作者 Ying-Hui Jin Xiao-Mei Yao Xian-Tao Zeng 《Military Medical Research》 SCIE CSCD 2021年第4期581-583,共3页
We published rapid advice guidelines and updated guidelines for coronavirus disease 2019(COVID-19)management on February 6,2020,and September 4,2020,respectively.These two guidelines vary widely in their developmental... We published rapid advice guidelines and updated guidelines for coronavirus disease 2019(COVID-19)management on February 6,2020,and September 4,2020,respectively.These two guidelines vary widely in their developmental background,type of evidence,grade of recommendation and so on.We shared our experience for the development of these two guidelines to help clinical practitioners better understand and implement guidelines and to help guideline developers facilitate communication and discussion for guideline development during the pandemic. 展开更多
关键词 Coronavirus disease 2019 Severe acute respiratory syndrome coronavirus 2 Rapid advice guideline clinical practice guideline evidence-based medicine
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A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus(2019-nCoV) infected pneumonia(standard version) 被引量:159
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作者 Ying-Hui Jin Lin Cai +44 位作者 Zhen-Shun Cheng Hong Cheng Tong Deng Yi-Pin Fan Cheng Fang Di Huang Lu-Qi Huang Qiao Huang Yong Han Bo Hu Fen Hu Bing-Hui Li Yi-Rong Li Ke Liang Li-Kai Lin Li-Sha Luo Jing Ma Lin-Lu Ma Zhi-Yong Peng Yun-Bao Pan Zhen-Yu Pan Xue-Qun Ren Hui-Min Sun Ying Wang Yun-Yun Wang Hong Weng Chao-Jie Wei Dong-Fang Wu Jian Xia Yong Xiong Hai-Bo Xu Xiao-Mei Yao Yu-Feng Yuan Tai-Sheng Ye Xiao-Chun Zhang Ying-Wen Zhang Yin-Gao Zhang Hua-Min Zhang Yan Zhao Ming-Juan Zhao Hao Zi Xian-Tao Zeng Yong-Yan Wang Xing-Huan Wang 《Military Medical Research》 SCIE CAS CSCD 2020年第1期1-22,共22页
In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a n... In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV. 展开更多
关键词 2019 novel coronavirus 2019-nCoV Respiratory disease PNEUMONIA Infectious diseases Rapid advice guideline clinical practice guideline evidence-based medicine
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运用《腰痛循证针灸临床实践指南》推荐方案治疗慢性非特异性腰痛临床观察 被引量:15
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作者 朱远 赵宏 +2 位作者 李思诺 孙玉秀 韩明娟 《安徽中医药大学学报》 2016年第6期65-69,共5页
目的评价应用《腰痛循证针灸临床实践指南》中的推荐方案治疗慢性腰痛的临床疗效。方法收集符合慢性非特异性腰痛诊断及纳入标准的患者30例,根据指南中的推荐方案进行治疗,每周3次,治疗4周。分别于治疗前,首次治疗后即刻,治疗第7天、第1... 目的评价应用《腰痛循证针灸临床实践指南》中的推荐方案治疗慢性腰痛的临床疗效。方法收集符合慢性非特异性腰痛诊断及纳入标准的患者30例,根据指南中的推荐方案进行治疗,每周3次,治疗4周。分别于治疗前,首次治疗后即刻,治疗第7天、第14天、第28天进行疗效评价,并于治疗后1个月和3个月随访。结果首次治疗后即刻视觉模拟评分(visual analogue scales,VAS)即较首次治疗前显著降低(P<0.05),至治疗第28天末降至最低值。治疗后不同时点腰部关节前屈、后伸、左侧屈和右侧屈活动度较治疗前明显增加,至治疗第28天增加至最大值,差异均具有统计学意义(P<0.05)。治疗第28天末,Oswestry功能障碍指数(Oswestry disability index,ODI)总分及各项因子评分均较治疗前显著降低(P<0.05)。在治疗结束后1个月、3个月随访时,VAS评分、ODI总分与治疗前比较,差异均有统计学意义(P<0.05)。结论按照指南中推荐方案治疗慢性腰痛,能够缓解疼痛,增加腰部关节活动度,减轻腰部功能活动障碍,具有较好的近期和远期疗效。 展开更多
关键词 循证针灸临床实践指南 慢性非特异性腰痛 针灸
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从针刺手法量学的系列研究看针灸科研与临床实践的关系 被引量:2
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作者 王季春 《实用中医内科杂志》 2021年第8期141-142,143,共3页
针灸治疗对多种疾病均有一定治疗效果,其中针刺手法量学包括处方、穴位、针刺深度、针刺方向、针刺时间以及手法等。根据病情实际情况掌握针刺力度,从而获得最佳治疗效果。针灸治疗时间长,但治疗效果如何与医师操作实践能力有着紧密联... 针灸治疗对多种疾病均有一定治疗效果,其中针刺手法量学包括处方、穴位、针刺深度、针刺方向、针刺时间以及手法等。根据病情实际情况掌握针刺力度,从而获得最佳治疗效果。针灸治疗时间长,但治疗效果如何与医师操作实践能力有着紧密联系。因此,对针灸手法量学对针灸治疗所产生的临床价值进行综述,分析针灸科研与临床实践之间的关联性。 展开更多
关键词 针灸科研 针刺手法量学 系列研究 临床实践 关系
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针灸科中医护理临床教学路径应用效果分析
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作者 王敏 《中国卫生产业》 2021年第12期115-117,121,共4页
目的探究针灸科中医护理临床教学路径应用效果分析。方法将该院针灸科于2019年4月—2020年4月接收的66名护理实习生作为观察对象,按照随机数表法将其中采用传统护理教学模式的33名实习生设为对照组,而采用临床路径教学模式的33名实习生... 目的探究针灸科中医护理临床教学路径应用效果分析。方法将该院针灸科于2019年4月—2020年4月接收的66名护理实习生作为观察对象,按照随机数表法将其中采用传统护理教学模式的33名实习生设为对照组,而采用临床路径教学模式的33名实习生为观察组。在出科时对所有实习生的中医理论知识、中医实践操作和综合能力进行考核;调查实习生对教学模式的认可度,观察比较两组实习生熏蒸、灸法和穴位按摩评分。结果观察组实习生培训后考核的理论知识、实践操作和综合能力分数分别是(96.15±5.02)分、(94.82±3.09)分和(98.41±2.54)分,均显著高于对照组成绩(85.33±4.86)分、(81.51±6.73)分和(87.22±3.88)分,差异有统计学意义(P<0.05);两组实习生在教学后熏蒸、灸法和穴位按摩的评分均显著高于教学前,差异有统计学意义(P<0.05);观察组实习生教学后考核的熏蒸、灸法和穴位按摩分数分别是(92.33±4.06)分、(93.74±2.25)分和(96.71±3.81)分,均显著高于对照组成绩(83.21±6.02)分、(81.96±4.19)分和(82.26±3.34)分,差异有统计学意义(P<0.05);观察组实习生培训后对教学模式的认可度为96.97%,显著高于对照组实习生的认可度72.73%,差异有统计学意义(P<0.05)。结论在针灸科实习生的护理教学中采用临床教学路径法的应用效果显著,能够有效提高实习生对基础知识和临床操作技术的掌握能力,具有应用价值和实际意义,建议推广。 展开更多
关键词 针灸科 中医护理 临床路径教学 实习 教育
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