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运用经典的"四诊"方法——山东省中医院东院区规划及国家中医临床研究基地综合楼特色
望、闻、问、切"四诊"是中医解决问题的根本方法.对于医院的方案设计而言,这也是非常好的一种设计手法.在本案中即运用这个经典的"四诊"方法,进行设计.
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山东省中医院国家中医临床研究基地综合楼门诊空间设计
山东省中医院始建于1955年,是集医疗、教学、科研和预防、保健、康复于一体的三级甲等中医院。新建基地综合楼位于东院区西南侧,建筑占地面积4620m2,建筑面积50298m2,其中地上45827m2,地下4470m2。地上14层,地下1层,建筑高度59.10m,共设床位652张。其主要功能为门诊、医技、住院、手术及其他配套辅助服务设施。
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胃脘痛热结瘀血证的临床研究--附56例临床观察
笔者自2003年1月-2004年6月对56例胃脘痛热结瘀血证病人,应用清热解毒、活血止血方法进行临床研究,现介绍如下.
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Professor LIN Qiu-cheng, born in Xianyou county, Fujian Province in March 1931, was graduated from Fujian Medical College in 1954 and assigned to Union Hospital affiliated to Fujian Medical College. From 1958 to 1961, he studied traditional Chinese medicine (TCM) systematically and was awarded the third class prize by State Health Ministry for his excellent score. After then, he assumed office as vice president of Fujian Research Institute of TCM. Also he had been the vice president of Fujian People's Hospital and Fujian Second People's Hospital. Now, Prof. LIN is chief physician of Fujian Research Institute of TCM, tutor of postgraduates on integrated traditional Chinese and western medicine (TCM-WM) of Fujian College of TCM, supervisor of Ph.D. students in Beijing University of TCM, evaluation expert of State Drug Administration, member of State Drug Committee of Clinical Research Base, director of Committee on Medical Ethics and director of Research Department on Gerontology of Fujian Research Institute of TCM.
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我国中西医结合治疗胃食管反流病临床观察的文献分析
胃食管反流病(gastroesophageal reflux disease,GERD)是指胃内容物反流入食管,引起不适症状和(或)并发症的一种疾病,该病是消化系统的常见病之一.GERD包括3种临床亚型,即非糜烂性反流病(non-erosive reflux disease, NERD),反流性食管炎(reflux esophagitis, RE)和巴雷特食管(Barrett′s esophagus, BE).我国GERD发病率为5.77%,其中RE的发病率为1.92%[1].
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Our teacher Guan Jinghuan, a famous veteran TCM physician in Hubei province, has been engaging in clinical research for more than forty years in the treatment of nephrosis by the combined Chinese and western medicine, and he has accumulated a wealth of experience, especially in treating intractable nephritic diseases. The following is an introduction of his experience in treating chronic nephritic hematuria.
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Stroke Rehabilitation In The United States
Stroke rehabilitation currently is a very exciting area in which to be involved.There is much going on with regard to clinical research,and much more to come.
关键词: CLINICAL RESEARCH -
重视研究方法提高临床研究水平
专业杂志的主要任务是交流新的研究成果,分享新的研究信息.研究分为基础研究(basic research)、转化研究(translational research)和临床研究(clinical research).而临床研究是临床医生研究的主战场,临床杂志主要刊登临床研究的文章.
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颈椎后结构的影像学测量及其临床意义
颈椎后路钢板螺钉在国外已广泛应用,其力学强度明显优于传统的颈椎后路钢丝[1],但由于颈椎解剖结构复杂,周围重要结构多,手术有一定的危险性.国内外已有一些下颈椎后结构的解剖学测量[2、3],但影像学测量尚不多见.作者测量了100套正常成人颈椎X线片及CT片,旨在为颈椎后路钢板内固定的设计和手术方式提供参考.
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应更加重视泌尿系统肿瘤的临床研究
据国家肿瘤防治研究办公室、卫生部卫生统计信息中心发布的信息,2006年我国恶性肿瘤发病率为男性(130.3~305.4)/10万人口,女性(39.5~248.7)/10万人口.从恶性肿瘤发病趋势看,发病人数逐年明显增多,发病率已经较20年前增加了1倍以上.
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推动高质量的临床研究实现对儿童健康的承诺
Child health care in the 21st Century faces many new problems and challenges. By the year 2015, the mortality rate of children under the age of 5 years should be reduced by two thirds and the maternal mortality by three fourth[1], as proposed in the Millennium Development Goals by the World Health Organization and the United Nations Children's Fund. China is a large developing country with more than 300 million children. According to Outline of Health Care Development of the 11th Five-year Plan[2] , by 2010, China's infant mortality rate must be lowered to 14.9‰, the mortality rate of children under 5 years of age to 17.7‰, and maternal mortality under 0. 0004%. The realization of these objectives will be a comprehensive reflection of the child health policies of the 21st century in lowering child mortality rate, protecting children, and facilitating their development, as well as safeguarding and promoting children's health.
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推动高质量的临床研究实现对儿童健康的承诺
21世纪,儿童健康面临着许多新的问题和挑战.世界卫生组织、联合国儿童基金会在向全球发出的"新千年发展目标"中提出了至2015年,将5岁以下儿童死亡率降低2/3,孕产妇死亡率降低3/4的要求[1].
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用循证医学思维指导我国儿科临床研究与实践
循证医学(evidence-based medicine,EBM)是整合佳研究证据、临床经验和患者价值观的一门学科.佳研究证据是指临床相关的研究;临床技能是指运用临床技巧和既往经验迅速判别每个患者独特的健康状况和诊断、相应干预措施对具体患者的利弊及个人价值观与期望的能力;患者价值观是指每个患者独特的偏好、关切和期望[1].
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加强临床科研合作推动眩晕诊疗新时代
眩晕是因机体对空间定位障碍而产生的一种运动性或位置性错觉,是临床常见症状之一,以眩晕为主诉的患者约占耳鼻咽喉科的10%~15%.由于引起眩晕的病因较多,发病机理复杂,临床表现多样,特异性检查较少,导致诊断和治疗中存在很多难点.近年来,眩晕疾病的诊断方法和治疗手段取得较多进展.随着我国进入老年化社会,眩晕及平衡功能障碍疾病亦越来越受到临床多学科的重视.
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肺癌的诊断及外科治疗进展肺癌微转移的基础与临床研究
近年来,肺癌的发病率不断上升,其病死率已占恶性肿瘤的首位.外科手术仍然是目前治疗非小细胞肺癌(NSCLC)主要的方法,但与其他癌种相比,治疗效果不佳.肺癌外科手术后,影响生存的主要因素不是局部复发,而是远处转移.Matthews等报告了在行根治手术后30 d内由于其他疾病而死亡的202例患者中,尸检发现29例(24%)有远隔脏器转移存在.
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试论临床研究顶层设计
创新能力不足是实现我国临床研究跨越式发展的主要障碍之一.从临床研究源头切入,提高研究者创新能力,是克服这一障碍的可能的途径.我们在梳理临床研究过程和规律的基础上,对临床研究源头创新的过程和规律进行了归纳总结,提出顶层设计的概念和实施方法,并在近期研究工作中应用,初步验证了顶层设计在提高研究者创新能力和工作效率方面的应用价值.
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羰基镍的毒理及临床研究现状
羰基镍是镍和一氧化碳在一定条件下反应而生成的镍化合物,极小稳定,在较低温度下即可分解为金属镍和一氧化碳.
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蛛网膜下腔出血并发脑血管痉挛预防的实验与临床研究进展
Cerebral vasospasm(CVS),a common complication of subarachnoid hemorrhage(SAH),is caused by many factors and associated with poor prognosis of SAH.CVS generally occurs 3-4 days after the initial SAH and peaks at 5-7 days.
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老年轻度认知功能障碍的临床研究进展
随着社会老龄化的进程加快,老年人认知功能障碍的发病率逐年增加.老年认知功能减退初期可表现为记忆力轻度下降,计算速度减慢,外出、交流减少等,常被误认为是衰老的现象而漏诊.
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手法治疗非脊髓型颈椎病的临床研究进展
颈椎病[1]是指在颈椎间盘自然退行性变过程中受劳损、感受风寒湿邪、咽部感染等外因刺激导致颈部动力和静力平衡失调,使颈部肌肉、神经、脊髓、血管受累而产生的综合征.是中老年人一种常见病、多发病.发病率为1.7%~17.6%[2].随着近年来长期伏案工作人群的增多,发病者年龄趋于年轻化.