奥密克戎变异株XBB.1.16于2023年1月9日在印度首次被发现,其病毒表面刺突(Spike,S)蛋白的E180V、T478R、F486P突变增加了病毒的传播力、致病性和免疫逃逸能力,使得在美国、印度等国家的新冠病例数激增。2023年4月17日,世界卫生组织指定X...奥密克戎变异株XBB.1.16于2023年1月9日在印度首次被发现,其病毒表面刺突(Spike,S)蛋白的E180V、T478R、F486P突变增加了病毒的传播力、致病性和免疫逃逸能力,使得在美国、印度等国家的新冠病例数激增。2023年4月17日,世界卫生组织指定XBB.1.16为感兴趣的变异株(variant of interest,VOI),但未观察到疾病严重程度的增加或额外的公共健康风险,其全球评估风险较低。本文通过文献阅读和数据库检索分析,对XBB.1.16流行情况和病原学特征进行总结,为新冠病毒防控策略的制定及疫苗、药物的研究提供科学参考。展开更多
Objective:To evaluate the clinical efficacy of Chinese medicine methods(acupuncture,tui na,acupuncture knife,traditional Chinese medicine,traction)combined with nerve block treatment for lumbar disc herniation using B...Objective:To evaluate the clinical efficacy of Chinese medicine methods(acupuncture,tui na,acupuncture knife,traditional Chinese medicine,traction)combined with nerve block treatment for lumbar disc herniation using Bayesian mesh Meta-analysis.Methods:Randomized controlled studies of TCM methods combined with nerve block for lumbar disc herniation in CNKI,Wanfang,Vip,China Biomedical Literature Library,Pubmed,Web of science,and The Cochrance Library databases were searched for the period from the establishment of each database to May 2021.2 researchers independently followed the developed nerf criteria to Screening was performed.Bayesian model mesh Meta-analysis was performed using R,RStudio,and addis-1.16.6 software.Results:Twenty-seven papers with a total of 2074 subjects were finally included,involving six interventions,namely nerve block alone,herbal medicine combined with nerve block,acupuncture combined with nerve block,acupuncture combined with nerve block,traction combined with nerve block,and tui na combined with nerve block.The results of the net analysis showed that(1)in terms of efficiency,all interventions were better than simple nerve block except for traction combined nerve block,and acupuncture,acupuncture,tui-na and Chinese medicine combined nerve block were better than traction combined nerve block respectively,and the probability ranked first for acupuncture combined nerve block.(2)On the VAS score,except for traction combined with nerve block,other interventions were superior to simple nerve block,and the combination of herbal medicine,acupuncture,and acupuncture respectively was superior to traction combined with nerve block,and the intervention with the best probability ranking result was herbal medicine combined with nerve block.(3)There was no statistical difference between the two interventions compared in terms of JOA scores,and the probability ranked first for herbal medicine combined nerve block.Conclusion:Chinese medicine combined nerve block was superior to nerve block alone,and Chinese medicine combined nerve block and acupuncture combined nerve block measures were more effective in the treatment of LDH,and traction combined nerve block was less effective.展开更多
文摘奥密克戎变异株XBB.1.16于2023年1月9日在印度首次被发现,其病毒表面刺突(Spike,S)蛋白的E180V、T478R、F486P突变增加了病毒的传播力、致病性和免疫逃逸能力,使得在美国、印度等国家的新冠病例数激增。2023年4月17日,世界卫生组织指定XBB.1.16为感兴趣的变异株(variant of interest,VOI),但未观察到疾病严重程度的增加或额外的公共健康风险,其全球评估风险较低。本文通过文献阅读和数据库检索分析,对XBB.1.16流行情况和病原学特征进行总结,为新冠病毒防控策略的制定及疫苗、药物的研究提供科学参考。
基金National Natural Science Foundation of China(81674005)Major Research Projects of Scientific and Technological Innovation Project of Chinese Academy of Traditional Chinese Medicine(CI2021A0204)。
文摘Objective:To evaluate the clinical efficacy of Chinese medicine methods(acupuncture,tui na,acupuncture knife,traditional Chinese medicine,traction)combined with nerve block treatment for lumbar disc herniation using Bayesian mesh Meta-analysis.Methods:Randomized controlled studies of TCM methods combined with nerve block for lumbar disc herniation in CNKI,Wanfang,Vip,China Biomedical Literature Library,Pubmed,Web of science,and The Cochrance Library databases were searched for the period from the establishment of each database to May 2021.2 researchers independently followed the developed nerf criteria to Screening was performed.Bayesian model mesh Meta-analysis was performed using R,RStudio,and addis-1.16.6 software.Results:Twenty-seven papers with a total of 2074 subjects were finally included,involving six interventions,namely nerve block alone,herbal medicine combined with nerve block,acupuncture combined with nerve block,acupuncture combined with nerve block,traction combined with nerve block,and tui na combined with nerve block.The results of the net analysis showed that(1)in terms of efficiency,all interventions were better than simple nerve block except for traction combined nerve block,and acupuncture,acupuncture,tui-na and Chinese medicine combined nerve block were better than traction combined nerve block respectively,and the probability ranked first for acupuncture combined nerve block.(2)On the VAS score,except for traction combined with nerve block,other interventions were superior to simple nerve block,and the combination of herbal medicine,acupuncture,and acupuncture respectively was superior to traction combined with nerve block,and the intervention with the best probability ranking result was herbal medicine combined with nerve block.(3)There was no statistical difference between the two interventions compared in terms of JOA scores,and the probability ranked first for herbal medicine combined nerve block.Conclusion:Chinese medicine combined nerve block was superior to nerve block alone,and Chinese medicine combined nerve block and acupuncture combined nerve block measures were more effective in the treatment of LDH,and traction combined nerve block was less effective.
