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芳香疗法缓解骨科患者全麻术后恶心呕吐的效果
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作者 张千坤 谷斌 +3 位作者 马茜 张丽娟 施琴英 俞红 《中华现代护理杂志》 2019年第15期1869-1873,共5页
目的探讨芳香疗法缓解骨科患者全麻术后恶心呕吐的效果.方法采用便利抽样法,选取2017年11月—2018年7月在苏州市中医医院骨伤科就诊的180例患者,将接受全身麻醉的骨科患者按照SPSS产生的随机序列分为试验组和对照组各90例.对照组采用0.9... 目的探讨芳香疗法缓解骨科患者全麻术后恶心呕吐的效果.方法采用便利抽样法,选取2017年11月—2018年7月在苏州市中医医院骨伤科就诊的180例患者,将接受全身麻醉的骨科患者按照SPSS产生的随机序列分为试验组和对照组各90例.对照组采用0.9%氯化钠溶液嗅吸和常规护理,试验组给予精油芳香疗法和常规护理.比较两组术后恶心呕吐的发生率和严重程度.结果术后24h内,试验组患者恶心呕吐发生率为13.33%,低于对照组的51.11%,差异具有统计学意义(χ^2=29.406,P<0.05).术后24h内,试验组患者发生不同程度恶心呕吐的例数分别为0级78例,Ⅰ级8例,Ⅱ级4例,Ⅲ级0例;对照组分别为0级44例,Ⅰ级15例,Ⅱ级27例,Ⅲ级4例,试验组患者术后恶心呕吐严重程度低于对照组,差异具有统计学意义(Z=-5.656,P<0.05).结论芳香疗法可以有效降低骨科全麻患者术后恶心呕吐的发生率,降低患者恶心呕吐的严重程度. 展开更多
关键词 骨科 全身麻醉 恶心 呕吐 芳香疗法 精油 补充疗法
综合护理原则及其临床应用 预览 被引量:6
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作者 Mary Jo Kreitzer 刘义兰 《护理学杂志》 CSCD 2017年第1期1-3,17共4页
对综合护理的概念、原则及临床应用进行阐述。综合护理是以关系为基础、以人为中心,注重提升服务对象及服务者本身的健康和幸福,其目标是致力于提升护理人员及其服务对象的健康和幸福。综合护理的6项原则为各临床情景护理提供清晰而具... 对综合护理的概念、原则及临床应用进行阐述。综合护理是以关系为基础、以人为中心,注重提升服务对象及服务者本身的健康和幸福,其目标是致力于提升护理人员及其服务对象的健康和幸福。综合护理的6项原则为各临床情景护理提供清晰而具体的指导,以提高患者护理满意度。综合护理理念及原则对中国护理也有多方面的启示。 展开更多
关键词 综合护理 全人照护 全系统照护 补充疗法 结合医疗 护理满意度
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曲唑酮替代治疗的疗效及对病人认知功能的影响 预览 被引量:1
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作者 唐燕 孟祥林 唐荣 《药学服务与研究》 CAS 2016年第3期190-192,共3页
目的:探讨对老年苯二氮类(BZDs)药物依赖病人采用曲唑酮替代治疗的临床疗效及对病人认知功能的影响。方法:对四川省宜宾市第二人民医院2012年9月至2013年9月收治的62例BZDs药物依赖病人采用前瞻性研究,对其进行剂量递减和曲唑酮... 目的:探讨对老年苯二氮类(BZDs)药物依赖病人采用曲唑酮替代治疗的临床疗效及对病人认知功能的影响。方法:对四川省宜宾市第二人民医院2012年9月至2013年9月收治的62例BZDs药物依赖病人采用前瞻性研究,对其进行剂量递减和曲唑酮替代疗法。观察替代治疗前与6个月后病人的抑郁、睡眠状况、认知功能变化及药品不良反应(ADRs)发生情况。结果:替代治疗前与替代治疗后匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)中入睡时间、睡眠时间、睡眠效率比较差异无统计学意义(P〉0.05);替代治疗后在睡眠质量、睡眠障碍、日间功能障碍和总分的评分[(1.96±0.43)、(1.85±0.33)、(2.22±0.46)和(12.81±1.15)]显著低于替代治疗前[(2.31±0.41)、(2.42±0.39)、(2.64±0.35)和(14.18±1.08)](P〈0.05)。替代治疗后62例病人的韦氏量表的各项得分均显著高于替代治疗前(P〈0.05)。结论:对BZDs依赖性病人采用曲唑酮替代治疗能够取得较好的治疗效果,同时改善病人的认知功能。曲唑酮能够很好地替代BZDs药物进行治疗。 展开更多
关键词 苯二氮类 物质相关性障碍 曲唑酮 补充医学 药物疗法 认知
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正结脑方辅助基础疗法治疗结核性脑膜炎的临床疗效研究 预览 被引量:1
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作者 陈光 高云 +1 位作者 王岫峥 王栋 《临床肺科杂志》 2013年第8期1453-1455,共3页
目的观察正结脑方辅助基础疗法治疗结核性脑膜炎的临床疗效。方法将本院接受治疗的103例结核性脑膜炎患者随机分为对照组和研究组,其中对照组患者采用的治疗方式为:①标准化疗②激素疗法③降颅压治疗④放脑脊液及椎管内注药治疗;研究... 目的观察正结脑方辅助基础疗法治疗结核性脑膜炎的临床疗效。方法将本院接受治疗的103例结核性脑膜炎患者随机分为对照组和研究组,其中对照组患者采用的治疗方式为:①标准化疗②激素疗法③降颅压治疗④放脑脊液及椎管内注药治疗;研究组患者在对照组患者的治疗基础上采用中药"正结脑方"进行辅助治疗。结果两组患者经治疗后,研究组患者头痛、呕吐,发热、颈强直消失时间与对照组患者相比较具有显著性差异,颅压改善情况两组无明显差异;脑脊液检查细胞数、蛋白、氯化物及葡萄糖含量与对照组患者比较,具有显著性差异;另外,研究组患者总有效率93%与对照组81%相比较,具有显著性差异(P〈0.05)。结论中药正结脑方辅助基础治疗用于结核性脑膜炎患者其疗效优于基础疗法,值得在临床进行应用推广。 展开更多
关键词 正结脑方 结核性脑膜炎 临床研究 辅助疗法
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甘肃武威市输入性疟疾病例调查分析
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作者 王廷材 郭致文 《中国病毒病杂志》 CAS 2010年第1期37-38,共2页
目的掌握赴疟疾流行区务工回国人员疟疾感染情况,制定科学的防治对策。方法对赴疟疾流行区务工回国人员填写输入性疟疾病例个案调查表,并采集耳垂血分别涂制血涂片镜检和制作滤纸血做PCR检测。结果238名赴非洲务工回国人员中38人被诊... 目的掌握赴疟疾流行区务工回国人员疟疾感染情况,制定科学的防治对策。方法对赴疟疾流行区务工回国人员填写输入性疟疾病例个案调查表,并采集耳垂血分别涂制血涂片镜检和制作滤纸血做PCR检测。结果238名赴非洲务工回国人员中38人被诊断为疟疾病例,以恶性疟为主,占65.79%,未分型占34.21%。94.74%的病例病前在非洲安哥拉务工,78.95%的病例在非洲务工期间因发热被诊断为疟疾,人均发病3.2次。赴非洲务工回国人员在国外务工期间疟疾患病率为63.86%。血涂片镜检阳性率为23.56%,滤纸血PCR检测阳性率为11.72%。81.93%的赴外务工人员回国后进行了一个疗程的疟疾补充性治疗。结论本文研究结果表明赴非洲疟疾流行区务工回国人员疟疾感染率高。血涂片镜检阳性者要及早规范治疗。应加强疟疾监测,强化医务人员及时发现和有效处理疟疾的技能培训,普及疟疾防治知识。 展开更多
关键词 疟疾 输入性 补充性治疗 PCR检测
Acupuncture for irritable bowel syndrome: A blindedplacebo-controlled trial 预览 被引量:8
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作者 AlastairForbes SueJackson ClareWalter ShafiQuraishi MeronJacyna MaxPitcher 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2005年第26期4040-4044,共5页
AIM: Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a ma... AIM: Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a majority of these patients.METNODS: A prospective, blinded, sham acupuncturecontrolled trial of traditional Chinese acupuncture was performed at a single postgraduate teaching hospital in Europe. Sixty patients with well-established IBS were recruited. The blinded comparator was sham acupuncture administered by the second of two acupuncturists who alone was aware of the randomization, and who otherwise followed the prescription of the first. The primary endpoint was a defined fall in the symptom score at 13 wk (by intention to treat). The prior expectation was a 30%placebo response, and a response rate of 70% from acupuncture, for which the study was adequately powered.RESULTS: Patients in treated and sham groups improved significantly during the study-mean improvement in scores being equal (minus 1.9) and significant for both (P<0.05;one-tailed t test). There was a small numeric but nonsignificant difference between the response rate in patients receiving acupuncture (40.7%) and sham treatment (31.2%). Several secondary end-points marginally favored active treatment, but an improved symptom score of any degree of magnitude occurred more often with sham therapy (65.6% vs 59.2%). For no criterion was statistical significance approached.CONCLUSION: Traditional Chinese acupuncture is relatively ineffective in IBS in the European hospital setting,and the magnitude of any effect appears insufficient to warrant investment in acupuncture services. 展开更多
关键词 针刺疗法 急性肠病综合症 中医治疗 治疗方法
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Essential oils used in aromatherapy: A systemic review 被引量:1
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作者 Babar Ali Naser Ali Al-Wabel +3 位作者 Saiba Shams Aftab Ahamad Shah Alam Khan Firoz Anwar 《亚太热带生物医学杂志:英文版》 2015年第8期589-598,共10页
Nowadays, use of alternative and complementary therapies with mainstream medicine has gained the momentum. Aromatherapy is one of the complementary therapies which use essential oils as the major therapeutic agents to... Nowadays, use of alternative and complementary therapies with mainstream medicine has gained the momentum. Aromatherapy is one of the complementary therapies which use essential oils as the major therapeutic agents to treat several diseases. The essential or volatile oils are extracted from the flowers, barks, stem, leaves, roots, fruits and other parts of the plant by various methods. It came into existence after the scientists deciphered the antiseptic and skin permeability properties of essential oils. Inhalation, local application and baths are the major methods used in aromatherapy that utilize these oils to penetrate the human skin surface with marked aura. Once the oils are in the system, they remodulate themselves and work in a friendly manner at the site of malfunction or at the affected area. This type of therapy utilizes various permutation and combinations to get relief from numerous ailments like depression, indigestion, headache, insomnia, muscular pain, respiratory problems, skin ailments, swollen joints, urine associated complications etc. The essential oils are found to be more beneficial when other aspects of life and diet are given due consideration. This review explores the information available in the literature regarding therapeutic, medical, cosmetic, psychological, olfactory, massage aromatherapy, safety issues and different plants used in aromatherapy. All the available information was compiled from electronic databases such as Academic Journals, Ethnobotany, Google Scholar, PubM ed, Science Direct, Web of Science, and library search. 展开更多
关键词 COMPLEMENTARY THERAPY AROMATHERAPY ESSENTIAL OILS INHALATION
中医食疗辅助中医药治疗虚寒型胃溃疡疗效观察 预览 被引量:19
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作者 尚云青 曹军 +1 位作者 俞捷 杨敏 《世界中医药》 2013年第2期156-158,共3页
目的:探讨中医食疗辅助中医药治疗虚寒型胃溃疡的临床疗效。方法:将72例虚寒型胃溃疡患者随机分为治疗组和对照组36例。对照组单纯用中医药治疗,治疗组在用中医药治疗的基础上采用中医食疗进行辅助治疗。2组均以6周为1个疗程。结果:... 目的:探讨中医食疗辅助中医药治疗虚寒型胃溃疡的临床疗效。方法:将72例虚寒型胃溃疡患者随机分为治疗组和对照组36例。对照组单纯用中医药治疗,治疗组在用中医药治疗的基础上采用中医食疗进行辅助治疗。2组均以6周为1个疗程。结果:治疗组总有效率为97.22%,对照组总有效率为88.89%,经统计学处理差异有统计学意义(P〈0.05)。结论:中医食疗辅助中医药治疗虚寒型胃溃疡的临床疗效显着,值得在临床上推广应用。 展开更多
关键词 中医食疗辅助中医药 胃溃疡 虚寒型 疗效
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肿瘤的整合治疗 预览
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作者 张百红 岳红云 《现代肿瘤医学》 CAS 2019年第16期2968-2972,共5页
整合肿瘤学是应用循证为基础的身心锻炼、自然产物或传统方法联合标准肿瘤治疗的肿瘤康复学,通过肿瘤患者的自我管理以期提高患者的健康水平、生活质量和临床预后。肿瘤的整合治疗包括体能锻炼、体重控制、冥想和催眠、瑜伽、针灸和推... 整合肿瘤学是应用循证为基础的身心锻炼、自然产物或传统方法联合标准肿瘤治疗的肿瘤康复学,通过肿瘤患者的自我管理以期提高患者的健康水平、生活质量和临床预后。肿瘤的整合治疗包括体能锻炼、体重控制、冥想和催眠、瑜伽、针灸和推拿、气功、心理教育干预、营养、光遗传学治疗和音乐治疗。以群体和网络为基础的压力干预前景良好。微生物治疗将成为肿瘤整合治疗的重要组成,而选择自己喜欢的方法照顾自己的自我管理将是肿瘤整合治疗的终极目标。 展开更多
关键词 肿瘤 整合治疗 补充治疗 推拿 冥想 音乐治疗 压力控制 瑜伽 针灸 光遗传学 营养
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老年人维生素D缺乏的现状和对策
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作者 张晨阳 边平达 +1 位作者 寿张轩 钱素凤 《中国新药与临床杂志》 CAS CSCD 北大核心 2019年第6期328-332,共5页
我国老年人普遍缺乏维生素D,且具有明显的季节性差异和地域差异。维生素D缺乏的老年人,不仅骨折风险增加,而且容易发生感染、自身免疫性疾病和恶性肿瘤等疾病。老年人补充维生素D,常需长期联合以下多种措施,包括增加日光照射,多食含维生... 我国老年人普遍缺乏维生素D,且具有明显的季节性差异和地域差异。维生素D缺乏的老年人,不仅骨折风险增加,而且容易发生感染、自身免疫性疾病和恶性肿瘤等疾病。老年人补充维生素D,常需长期联合以下多种措施,包括增加日光照射,多食含维生素D较多的食物,服用含维生素D的复方制剂、维生素D胶丸、活性维生素D及其类似物,也可选择肌内注射维生素D针剂。在补充维生素D过程中,应注意定期检测血钙和肌酐水平,以便及早发现维生素D中毒。 展开更多
关键词 维生素D缺乏 老年人 补充疗法 25-羟维生素D
老年人慢性便秘非药物治疗进展 预览
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作者 刘诗 李英莉 《中国临床保健杂志》 CAS 2019年第1期18-21,共4页
慢性便秘作为老年人常见病症,严重影响老年人生活质量。除了常规药物治疗之外,非药物治疗在老年人慢性便秘中占有重要地位。本文通过对便秘非药物治疗的进展进行集中阐述,包括一般处理、饮食及生活习惯调整、生物反馈治疗、精神心理治... 慢性便秘作为老年人常见病症,严重影响老年人生活质量。除了常规药物治疗之外,非药物治疗在老年人慢性便秘中占有重要地位。本文通过对便秘非药物治疗的进展进行集中阐述,包括一般处理、饮食及生活习惯调整、生物反馈治疗、精神心理治疗、中医、粪菌移植、手术治疗等方面,为临床医生在便秘诊治过程中提供帮助。 展开更多
关键词 便秘 生活方式 心理疗法 补充方法 老年人
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The anatomical study of the major signal points of the court-type Thai traditional massage on legs and their effects on blood flow and skin temperature
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作者 Yadaridee Viravud Angkana Apichartvorakit +5 位作者 Pramook Mutirangura Vasana Plakornkul Jantima Roongruangchai Manmas Vannabhum Tawee Laohapand Pravit Akarasereenont 《结合医学学报:英文版》 CAS CSCD 2017年第2期142-150,共9页
OBJECTIVE:This study aims to investigate the relationship between major signal points(MaSPs) of the lower extremities used in court-type Thai traditional massage(CTTM) and the corresponding underlying anatomical struc... OBJECTIVE:This study aims to investigate the relationship between major signal points(MaSPs) of the lower extremities used in court-type Thai traditional massage(CTTM) and the corresponding underlying anatomical structures,as well as to determine the short-term changes in blood flow and skin temperature of volunteers experiencing CTTM.METHODS:MaSPs were identified and marked on cadavers before acrylic color was injected.The underlying structures marked with acrylic colors were observed and the anatomical structures were determined.Then,pressure was applied to each MaSP in human volunteers(lateral side of leg and medial side of leg) and blood flow on right dorsalis pedis artery was measured using duplex ultrasound while skin temperature changes were monitored using an infrared themographic camera.RESULTS:Short-term changes in the blood flow parameters,volume flow and average velocity,compared to baseline(P<0.05),were observed on MaSP of the lower extremity,ML4.Changes in the peak systolic velocity of the area ML5 were also observed relative to baseline.The skin temperature of two different MaSPs on the lateral side of leg(LL4 and LL5) and four on the medial side of leg(ML2,ML3,ML4 and ML5) was significantly increased(P<0.05) at 1 min after pressure application.CONCLUSION:This study established the clear correlation between the location of MaSP,as defined in CTTM,and the underlying anatomical structures.The effect of massage can stimulate skin blood flow because results showed increased skin temperature and blood flow characteristics.While these results were statistically significant,they may not be clinically relevant,as the present study focused on the immediate physiological effect of manipulation,rather than treatment effects.Thus,this study will serve as baseline data for further clinical studies in CTTM. 展开更多
关键词 皮肤温度 血流量 信号点 按摩 传统 宫廷 解剖学 解剖结构
中药治疗男性不育有效性与安全性的系统评价 预览 被引量:2
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作者 熊国兵 王世泽 +1 位作者 冯强 邱明星 《实用医院临床杂志》 2017年第6期28-36,共9页
目的 系统评价中药治疗男性不育有效性与安全性。方法 检索Cochrane图书馆临床对照试验资料库(CCRCT)、PubMed、Embase、万方、CNKI及中国生物医学文献数据库(Sinomed),截至2016年12月31日,限定中英文,主题词与自由词相结合。纳入... 目的 系统评价中药治疗男性不育有效性与安全性。方法 检索Cochrane图书馆临床对照试验资料库(CCRCT)、PubMed、Embase、万方、CNKI及中国生物医学文献数据库(Sinomed),截至2016年12月31日,限定中英文,主题词与自由词相结合。纳入随机对照试验(RCT)。采用Cochrane协作网基于域评价法改良的10项标准评估纳入研究偏倚风险,以RevMan 5.3行统计分析。结果 纳入20项中文RCT(n=2500)。10个质量条目中仅样本含量估计、分配隐藏、盲法的偏倚风险高。研究表明:四子种王胶囊联合西药(P=0.002)、化精汤(P=0.03)、自拟消抗种子方(P=0.005)、精灵口服液(P=0.008)可提高患者配偶受孕率;加味六味地黄汤、五子衍宗丸、续断种子方、补肾益精汤、精灵口服液可改善精子密度(P均〈0.00001),后3种方药还可改善精子存活率(P均〈0.00001);右归胶囊、续断种子方、补肾益精汤、十子二仙汤加减单独或联合左卡尼汀口服液、四子种王胶囊联合西药、五子衍宗丸、精灵口服液可促进a+b级精子活力恢复(P值均〈0.00001);右归胶囊及复方玄驹胶囊可改善精子形态(P〈0.00001);化精汤(P=0.0003)、五子衍宗丸(P〈0.00001)可降低精液液化时间,石萆汤联合卡尼汀口服液可改善精液活力(P=0.002),自拟消抗种子方可促使抗精子抗体转阴(P〈0.00001)。12个研究(60%)陈述了患者随访、安全性结局。结论 部分中药能改善患者精液参数、提高配偶受孕率,鼓励进一步开展优质研究证实其治疗该病疗效与机理。 展开更多
关键词 补充疗法 不育 男(雄)性 系统综述
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Reliability and validity of tongue color analysis in the prediction of symptom patterns in terms of East Asian Medicine
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作者 Young-Jae Park Jin-Moo Lee +1 位作者 Seung-Yeon Yoo Young-Bae Park 《中医杂志:英文版》 SCIE CAS CSCD 2016年第2期165-172,共8页
ObjectiveTo 检验是否用一个数字照相机渲染舌头望诊(TI ) 的参数可靠、有效,并且以东方亚洲药(电动会计记帐机) 用作检验哪个渲染参数症状模式的预言者 .MethodsTwo 百种女题目舌头物质被一个大象素的数字照相机拍摄。和相片,这些题... ObjectiveTo 检验是否用一个数字照相机渲染舌头望诊(TI ) 的参数可靠、有效,并且以东方亚洲药(电动会计记帐机) 用作检验哪个渲染参数症状模式的预言者 .MethodsTwo 百种女题目舌头物质被一个大象素的数字照相机拍摄。和相片,这些题目被要求完成殷缺乏,痰模式,和冷热的模式问询表。用数字成像软件的三个集合,每幅数字图象是暴露 -- 并且白改正平衡,并且最后 L *( 发光性) ,一 *( 红绿色的平衡) ,并且 b *( 黄蓝色的平衡) 舌头的价值被计算。检验 intra 老鼠和内部老鼠的可靠性和颜色分析方法的标准有效性,三 raters 被要求为 20 件数字图象样品计算颜色参数。最后,四个层次回归模型是好的显示出的 formed.ResultsColor 参数或优秀可靠性(为 intra 班关联系数的 0.627-0.887 ) 和重要标准有效性(为枪兵关联的 0.523-0.718 ) 。在层次回归模型,年龄是殷缺乏的一个重要预言者(= 0.192 ) ,并且 b * 舌头的尖端的价值是殷缺乏,痰,和热模式的一个决定因素预言者(=&minus; 0.212, &minus; 0.172,并且 &minus; 0.163 ) 。发光性(L *) 殷缺乏是预兆的(=&minus; 0.172 ) 并且冷(= 0.173 ) pattern.ConclusionOur 结果建议用 L *a*b* 系统的舌头的颜色分析可靠、有效,并且参数部分在电动会计记帐机实践作为症状模式预言者服务的那种颜色。 展开更多
关键词 模式预测 可靠性 医学 东亚 颜色参数 证候 舌色 数码相机
Use of complementary and alternative medicine among Thai patients with type 2 diabetes mellitus
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作者 Ausanee Wanchai Duangjai Phrompayak 《结合医学学报:英文版》 CAS CSCD 2016年第4期297-305,共9页
OBJECTIVE: Patients with diabetes commonly use complementary and alternative medicine(CAM). Little is known about types and factors related to CAM use in patients with diabetes in Thailand. This study aimed to examine... OBJECTIVE: Patients with diabetes commonly use complementary and alternative medicine(CAM). Little is known about types and factors related to CAM use in patients with diabetes in Thailand. This study aimed to examine types and factors that were associated with CAM use in Thai diabetic patients.METHODS: A cross-sectional study of diabetic patients being treated in four primary healthcare units and two secondary hospitals in the north of Thailand was conducted. A questionnaire was used to collect data. Frequency, percentage, and Chi-square test were used to describe or analyze data.RESULTS: The three most common types of CAM used by samples were Daode Xinxi(a modified version of Taichi), prayer and meditation. Women were more likely to use CAM than men(x~2=5.038, P=0.018). Patients aged between 40 and 69 years were more likely to use CAM than those aged younger than 40 or older than 69 years(x~2=11.041, P=0.026). Farmers were more likely to use CAM than those with other careers(x~2=19.248, P=0.007). Diabetes patients whose time since diagnosis was between 1 and 10 years were more likely to use CAM than those with a longer elapsed time since diagnosis(x~2 = 8.407, P = 0.038). Marital status, religion, education, health insurance type and conventional treatment approaches were not associated with CAM use in diabetic patients.CONCLUSION: The most common type of CAM used by Thai patients with diabetes was mind and body practice. CAM use was signifi cantly associated with gender, age, career and duration of diabetes. However, marital status, religion, education, health insurance types and conventional regimen for diabetics were not associated with CAM use. 展开更多
Puncturing the myths of acupuncture
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作者 Molly J. Mallor Alexander Do +3 位作者 Sara E. Bublitz Susan J. Veleber BrentA. Bauer Anjali Bhagra 《结合医学学报:英文版》 CAS CSCD 2016年第5期311-314,共4页
Acupuncture is a widely practiced system of medicine that has been in place for thousands of years. Consumer interest and use of acupuncture are becoming increasingly popular in the United States, as it is used to tre... Acupuncture is a widely practiced system of medicine that has been in place for thousands of years. Consumer interest and use of acupuncture are becoming increasingly popular in the United States, as it is used to treat a multitude of symptoms and disease processes as well as to maintain health and prevent illness. A growing body of evidence increasingly validates the practice of acupuncture. Further developing scientific data will play an important role in the future of acupuncture and other complementary and alternative medicines in public health. Acupuncture is commonly used concurrently with conventional medicine. Although acupuncture is embraced by consumers and medical professionals, misconceptions abound. We have explored and dispelled ten misconceptions common to the practice of acupuncture, utilizing an evidence-based approach. As the trend of merging conventional medical care with acupuncture treatment grows, it is important to develop a conceptual model of integrative medicine. Using a scientific evidence approach will create a structure from which to begin and grow confidence among conventional medical providers. Acupuncture is a safe and effective modality when performed properly by trained professionals. Educating both the consumer and medical community is important to enable appropriate and evidence-based applications of acupuncture and integration with conventional medicine for high-quality patient care. 展开更多
关键词 穿刺针 针灸治疗 神话 科学证据 传统医学 循证医学 消费者 公共卫生
Perceptions of traditional, complementary and alternative medicine among conventional healthcare practitioners in Accra, Ghana: Implications for integrative healthcare 被引量:1
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作者 Irene A. Kretchy Harry A. Okere +3 位作者 Joseph Osafo Barima Afrane Joseph Sarkodie Philip Debrah 《结合医学学报:英文版》 CAS CSCD 2016年第5期380-388,共9页
OBJECTIVE: Integrative medicine refers to ongoing efforts to combine the best of conventional and evidence-based complementary therapies. While this effort for collaboration is increasing, traditional complementary an... OBJECTIVE: Integrative medicine refers to ongoing efforts to combine the best of conventional and evidence-based complementary therapies. While this effort for collaboration is increasing, traditional complementary and alternative medicine(TM-CAM) remains poorly integrated into the current healthcare system of Ghana. At present, it is not clear if practitioners of mainstream medicine favor integrative medicine. The present study, therefore, sought to explore the perceptions of conventional healthcare professionals on integrative medicine.METHODS: A qualitative design composed of semi-structured interviews was conducted with 23 conventional healthcare professionals comprising pharmacists, physicians, nurses and dieticians from two quasi-government hospitals in Accra, Ghana.RESULTS: Participants' knowledge of TM-CAM was low, and although they perceived alternative medicine as important to current conventional healthcare in Ghana, they expressed anxieties about the potential negative effects of the use of TM-CAM. This paradox was found to account for the low levels of use among these professionals, as well as the low level of recommendation to their patients. The practitioners surveyed recommended that alternative medicine could be integrated into mainstream allopathic healthcare in Ghana through improving knowledge, training as well as addressing concerns of safety and efficacy. These findings are discussed under the themes: the knowledge gap, the paradox of TM-CAM, experience of use and prescription, and guided integration. We did not observe any differences in views among the participants.CONCLUSION: The conventional healthcare professionals were ready to accept the idea of integrative medicine based on knowledge of widespread use and the potential role of TM-CAM products and practices in improving healthcare delivery in the country. However, to achieve an institutional integration, practitioners' understanding of TM-CAM must be improved, with specific attention to issues of safety, regulation and evidence-based 展开更多
关键词 医疗保健 传统 加纳 医学 医生 克拉 中西医结合治疗 专业人士
Knowledge, attitude and practice of patients with type 2 diabetes mellitus towards complementary and alternative medicine
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作者 Sulaiman Al-Eidi Salwa Tayel +4 位作者 Fatima Al-Slail Naseem Akhtar Qureshi Imen Sohaibani Mohamed Khalil Abdullah Mohammad Al-Bedah 《结合医学学报:英文版》 CAS CSCD 2016年第3期187-196,共10页
OBJECTIVE: The use of complementary and alternative medicine(CAM) is relatively common among patients with type 2 diabetes mellitus(T2DM) around the world. Like many other countries, Saudi Arabia has a high incidence ... OBJECTIVE: The use of complementary and alternative medicine(CAM) is relatively common among patients with type 2 diabetes mellitus(T2DM) around the world. Like many other countries, Saudi Arabia has a high incidence of T2DM, and incorporates the use of CAM in its treatment. This study explores the knowledge, attitude and practice(KAP) of CAM therapies among patients with T2DM and explores the relationships between sociodemographics and the KAP of CAM modalities. METHODS: This is a hospital-based, observational, cross-sectional study that selected 302 outpatients with T2DM, from Diabetic Center of King Salman bin Abdul-Aziz Hospital, in Riyadh city, in May 2014. Patients were interviewed using a predesigned questionnaire. RESULTS: The mean age of patients was(51.6 ± 10.6) years and 43.4% of them were males. The prevalence of CAM practices was 30.5%; 30.39% of them used herbs, 20.58% used wet cupping and 17.64% used nutritional supplements and other therapies. The factors found to predict the use of CAM therapies among patients with T2DM were: age above 51 years, unemployment and the participants' knowledge about the effectiveness of CAM products. CONCLUSION: This preliminary study estimated the prevalence of CAM use, revealed positive attitude towards CAM and found three significant predictors of CAM use among patients with T2DM, which is consistent with regional data. A community-based research with a larger sample that targets T2DM population is needed in Saudi Arabia. 展开更多
关键词 2型糖尿病 患者 知识 药物 人口统计 平均年龄 预测因子 CAM
ature cure treatment in the context of India's pidemiological transition
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作者 Joseph Stewart Alter Chandrashekar Sharma 《结合医学学报:英文版》 CAS CSCD 2016年第4期245-254,共10页
Scholars have argued that theoretical insights of critical medical anthropology should be applied to the analysis of complementary and alternative medicine in order to develop more critically engaged integrative medic... Scholars have argued that theoretical insights of critical medical anthropology should be applied to the analysis of complementary and alternative medicine in order to develop more critically engaged integrative medicine. In this essay we focus on nature cure in the context of India's contemporary epidemiological transition as an example of why engaged integrative medicine is important for public health, and how the institutionalization of nature cure treatment in India provides a critical framework for the development of programs focused on holistic treatment and prevention. After providing an overview of the epidemiological transition in contemporary India, we develop this argument through an examination of illustrative cases in a clinic that operates within the structure of India's Central Council for Research on Yoga and Naturopathy. Based on a review of recent history and contemporary practice we describe how a system of medicine that makes use exclusively of air, earth, sunlight, water and food has been institutionalized and professionalized in India. Whereas biomedical treatment for chronic noncommunicable diseases is focused on the problem of curing individual diseases, nature cure establishes a regimen of personalized public healthcare for the integrated management of symptoms. We argue that nature cure is based on an ecological understanding of health, thus providing treatment that refl ects a broad appreciation for the risk factors that characterize India's current crises of public health. 展开更多
Efficacy and safety of Aloe vera syrup for the treatment of gastro-esophageal reflux disease: a pilot randomized positive-controlledtrial 被引量:1
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作者 Yunes Panahi Hossein Khedmat +2 位作者 Ghasem Valizadegan Reza Mohtashami Amirhossein Sahebkar 《中医杂志:英文版》 SCIE CAS CSCD 2015年第6期632-636,共5页
OBJECTIVE: To investigate the use of Aloe vera (A.vera) for the treatment of gastroesophageal refluxdisease (GERD) symptoms and compare its effectswith those of omeprazole and ranitidine.METHODS: In this pilot, ... OBJECTIVE: To investigate the use of Aloe vera (A.vera) for the treatment of gastroesophageal refluxdisease (GERD) symptoms and compare its effectswith those of omeprazole and ranitidine.METHODS: In this pilot, randomized controlled tri-al, 79 subjects were allocated to A. vera syrup (stan-dardized to 5.0 mg polysaccharide per mL of syrup)at a dose of 10 mL/d, omeprazole capsule (20 g/d)or ranitidine tablet (150 mg in a fasted state in themorning and 150 mg 30 min before sleep at night)for a period of 4 weeks. The frequencies of eight main symptoms of GERD (heartburn, food regurgi-tation, flatulence, belching, dysphagia, nausea,vomiting and acid regurgitation) were assessed atweeks 2 and 4 of the trial. 展开更多
关键词 ALOE VERA GASTROESOPHAGEAL reflux dis-ease Complementary therapies TREATMENT out-come RANDOMIZED controlled trial
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