目的:系统评价外敷生肌玉红膏治疗糖尿病足溃疡的临床疗效。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、Web of Science、PubMed、The Cochrane Library、CBN数据库,搜集生肌玉红膏...目的:系统评价外敷生肌玉红膏治疗糖尿病足溃疡的临床疗效。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、Web of Science、PubMed、The Cochrane Library、CBN数据库,搜集生肌玉红膏治疗糖尿病足溃疡的随机对照研究,检索时间均从建库至2019年11月31日。由2名研究者筛选符合纳入标准的文献、提取有效资料,应用RevMan5.3软件评价文献偏倚风险并进行系统评价。结果:共纳入9篇随机对照试验(RCT),包括696例患者,纳入文献质量偏低。Meta分析结果显示:外敷生肌玉红膏能够提高糖尿病足溃疡总有效率(MD=4.76,95%CI为2.89~7.85),P<0.0001),缩短创面愈合时间(MD=-4.90,95%CI为-5.77~-4.03),P<0.00001),差异有统计学意义;对降低空腹血糖(MD=-0.08,95%CI为-0.71~0.55),P=0.80)及不良反应发生率(MD=1.01,95%CI为0.33~3.10,P=0.98),差异无统计学意义。结论:当前证据表明,生肌玉红膏治疗糖尿病足溃疡疗效显著。须提高纳入文献数量和质量,增加研究客观性和准确性。展开更多
Flue-cured tobacco is one of the main pillar industries for increasing fiscal efficiency and tobacco farmers＇ income in Gulin and Xuyong counties. However, the annual loss caused by natural disasters such as low temp...Flue-cured tobacco is one of the main pillar industries for increasing fiscal efficiency and tobacco farmers＇ income in Gulin and Xuyong counties. However, the annual loss caused by natural disasters such as low temperature and rain, rainstorm and flood, high temperature and drought, and hail accounts for about 20%, and they have become one of the important factors restricting the development of tobacco industry in Luzhou. In recent years, a lot of work has been done in disaster prevention and mitigation in the process of flue-cured tobacco production, and cer-tain results have been achieved. However, it still needs further exploration and research in the face of natural disasters that are gradually changing frequently and even develop in a normal way. In this paper, common meteorological disasters in the tobacco-growing areas of Luzhou were ana-lyzed firstly, and then corresponding countermeasures were put forward, which is of great significance to ensure the sustainable and healthy devel-opment of tobacco in Luzhou.展开更多
文摘目的:系统评价外敷生肌玉红膏治疗糖尿病足溃疡的临床疗效。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、Web of Science、PubMed、The Cochrane Library、CBN数据库,搜集生肌玉红膏治疗糖尿病足溃疡的随机对照研究,检索时间均从建库至2019年11月31日。由2名研究者筛选符合纳入标准的文献、提取有效资料,应用RevMan5.3软件评价文献偏倚风险并进行系统评价。结果:共纳入9篇随机对照试验(RCT),包括696例患者,纳入文献质量偏低。Meta分析结果显示:外敷生肌玉红膏能够提高糖尿病足溃疡总有效率(MD=4.76,95%CI为2.89~7.85),P<0.0001),缩短创面愈合时间(MD=-4.90,95%CI为-5.77~-4.03),P<0.00001),差异有统计学意义;对降低空腹血糖(MD=-0.08,95%CI为-0.71~0.55),P=0.80)及不良反应发生率(MD=1.01,95%CI为0.33~3.10,P=0.98),差异无统计学意义。结论:当前证据表明,生肌玉红膏治疗糖尿病足溃疡疗效显著。须提高纳入文献数量和质量,增加研究客观性和准确性。
基金Supported by the Project of Luzhou City Company of Sichuan Provincial Tobacco Company
文摘Flue-cured tobacco is one of the main pillar industries for increasing fiscal efficiency and tobacco farmers＇ income in Gulin and Xuyong counties. However, the annual loss caused by natural disasters such as low temperature and rain, rainstorm and flood, high temperature and drought, and hail accounts for about 20%, and they have become one of the important factors restricting the development of tobacco industry in Luzhou. In recent years, a lot of work has been done in disaster prevention and mitigation in the process of flue-cured tobacco production, and cer-tain results have been achieved. However, it still needs further exploration and research in the face of natural disasters that are gradually changing frequently and even develop in a normal way. In this paper, common meteorological disasters in the tobacco-growing areas of Luzhou were ana-lyzed firstly, and then corresponding countermeasures were put forward, which is of great significance to ensure the sustainable and healthy devel-opment of tobacco in Luzhou.
