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全科医生队伍建设与全科医学教育现状分析 被引量:69
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作者 肖纯怡 程晓明 《中国全科医学》 CAS CSCD 2003年第8期642-644,共3页
本文从全科医生在社区卫生服务中的地位和作用以及目前我国社区卫生服务人力存在的问题揭示发展全科医学教育、培养全科医生的重要性和迫切性。分析国内外全科医学教育与培训模式 。
关键词 全科医生 全科医学教育 社区卫生服务 医生队伍建设 人力现状
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针刺对单纯性肥胖症患者胰岛素抵抗的影响 被引量:16
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作者 程玲 陈妙根 +3 位作者 杨晖 何金森 张春燕 肖纯怡 《上海针灸杂志》 2007年第2期8-10,共3页
目的探讨针刺对单纯性肥胖症患者胰岛素抵抗的调节作用与临床疗效。方法采用“益气健脾,化痰消浊”法,取脐周八穴(天枢、滑肉门、外陵、阴交、水分)、关元、足三里等穴,配合耳穴贴压,并与同期30例健康体检者比较,观察针刺前后单纯性肥... 目的探讨针刺对单纯性肥胖症患者胰岛素抵抗的调节作用与临床疗效。方法采用“益气健脾,化痰消浊”法,取脐周八穴(天枢、滑肉门、外陵、阴交、水分)、关元、足三里等穴,配合耳穴贴压,并与同期30例健康体检者比较,观察针刺前后单纯性肥胖症患者FBG、INS、ISI、TC、TG、LDL-C、HDL-C的变化;还观察针刺前后单纯性肥胖症患者腰围、臀围、腰臀比、体重、BMI的变化,及其Ⅰ度肥胖、Ⅱ度肥胖的疗效差异。结果治疗前单纯性肥胖症患者存在高胰岛素血症(HI),与健康组比较ISI显著下降(P<0.01),治疗后腰围、臀围、腰臀比、体重、BMI明显下降(P<0.05,P<0.01),同时FBG、INS、TC、TG、LDL-C亦明显下降(P<0.01,P<0.05),ISI、HDL-C明显上升(P<0.05)。结论针刺治疗不仅能有效改善单纯性肥胖症患者的体脂参数,同时也能调整单纯性肥胖症患者异常脂质代谢,改善胰岛素抵抗状态。 展开更多
关键词 针剌 肥胖症 胰岛素抵抗
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基于内容分析法的临床转化研究人员培养路径实证研究 被引量:1
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作者 李会一 张勘 +4 位作者 肖纯怡 钱成琳 李淑萍 孙翰东 徐增光 《中国卫生事业管理》 北大核心 2015年第12期942-944,956,共4页
转化医学需要一批有相应知识和能力的优秀骨干人才,才能保证其有持续的开拓发展前景。本文采用内容分析法,从个体素质的知识、技能、角色定位、价值观、自我认识、品质和动机七个方面,分析临床转化研究人员应具备的素质特征及其培养策略... 转化医学需要一批有相应知识和能力的优秀骨干人才,才能保证其有持续的开拓发展前景。本文采用内容分析法,从个体素质的知识、技能、角色定位、价值观、自我认识、品质和动机七个方面,分析临床转化研究人员应具备的素质特征及其培养策略,并通过在上海某三甲医院的前瞻性现场研究,探讨培养临床医技人员成为临床转化研究人员的新路径及影响因素。 展开更多
关键词 临床转化医学 人才培养 内容分析法 实证研究
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INFLUENCE OF ACUPUNCTURE ON INSULIN RESISTANCE IN PATIENTS WITH SIMPLE OBESITY 被引量:1
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作者 程玲 陈妙根 +3 位作者 杨晖 何金森 张春燕 肖纯怡 《World Journal of Acupuncture-Moxibustion》 2006年第4期7-12,共6页
Objective To investigate clinical therapeutic effect and regulative function of acupuncture on insulin resistance in patients with simple obesity. Methods Acupuncture was applied at the eight points surrounding the um... Objective To investigate clinical therapeutic effect and regulative function of acupuncture on insulin resistance in patients with simple obesity. Methods Acupuncture was applied at the eight points surrounding the umbilicus: bilateral Tianshu (天枢ST 25), Huaroumen (滑肉门ST 24) and Wailing (外陵ST 26), Yinjiao (阴交CV 7) and Shuifen (水分CV 9), and also Guanyuan (关元CV 4) and Zusanli (足三里ST 36), and the ear embedding method was used in combination in 50 cases of simple obesity. The changes in FBG, INS, ISI, TC, TG, LDL-C and HDL-C after the treatment were observed. The changes in waistline (WL) and hip circumference (HC), their ratio (WL/HC), body weight (BW) and body mass index (BMI) after the treatment were also observed, and the therapeutic effects were compared between the patients with obesity in Grade Ⅰ and Grade Ⅱ. The aforementioned values were compared with those in the control group comprised of 30 normal subjects. Results Hyperinsulinemia (HI) appeared in the patients with simple obesity, and the value of ISI was obviously decreased, compared with that in normal subjects ( P<0.01 ). After the treatment, the values of WL, HC, WL/HC, BW and BMI were all obviously decreases ( P<0.05 ), and those of FBG, INS, TC, TG and LDL-C also reduced ( P<0.01 ), but those of ISI and HDL-C obviously increased ( P<0.05 ). Conclusion Acupuncture can not only efficiently improve the parameters in body fat in the patients with simple obesity, but also regulate their abnormal lipid metabolism and improve the situation of insulin resistance. 展开更多
关键词 Acupuncture Simple obesity Insulin resistance
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Influence of Acupuncture on Insulin Resistance in Simple Obesity Patients 被引量:6
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作者 程玲 陈妙根 +3 位作者 杨晖 何金森 张春燕 肖纯怡 《Journal of Acupuncture and Tuina Science》 2007年第4期245-249,共5页
Objective: To investigate the regulatory effect of acupuncture on insulin resistance in simple obesity patients and its clinical effect. Methods: By the method "to benefit qi, strengthen the spleen, dissolve phlegm... Objective: To investigate the regulatory effect of acupuncture on insulin resistance in simple obesity patients and its clinical effect. Methods: By the method "to benefit qi, strengthen the spleen, dissolve phlegm and remove turbidity", eight periumbilical acupoints, Tianshu (ST 25), Huaroumen (ST 24), Wailing (ST 26), Yinjiao (CV 7) and Shuifen (CV 9), and Guanyuan (CV 4) and Zusanli (ST 36) were used, in cooperation with ear-points-embedding method, and together with 30 healthy persons for comparison, in order to observe the changes in FBG, INS, ISI, TC, TG, LDLC and HDLC and to observe the changes in the waist circumference, hip circumference, waist-hip ratio, body weight and BMI in simple obesity patients before and after acupuncture treatments, and to observe the differences of the therapeutic effects between grade Ⅰ and grade Ⅱ obesity. Results: Hyperinsulinemia (HI) existed in the patients with simple obesity before the treatment, and ISI significantly decreased (P〈0.01) in comparison with the healthy group, and waist circumference, hip circumference, waist-hip ratio, body weight and BMI significantly decreased (P〈0.05, P〈0.01), and FBG, INS, TC, TG and LDLC also significantly decreased (P〈0.01, P〈0.05), and ISI and HDLC significantly increased (P〈0.05) after the treatment. Conclusion: Acupuncturecan not only effectively improve the body fat parameters but also regulate the abnormal fat metabolism and improve insulin resistance status in simple obesity patients. 展开更多
关键词 Acupuncture Therapy OBESITY Insulin Resistance
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