在中医药院校构建无机化学模拟实验室

无机化学是一门理论和实践相结合的学科,很多理论是学生通过大量实验操作来掌握的,实验教学具有很重要的地位,可以解决课堂教学中出现的问题,突破传统的教学理念,借助于网络和平台实现技术建立模拟实验室系统。采用Flash技术构建无机化学虚拟实验室,不仅可以提高教学质量,完成教学目标,而且可以推进实验教学改革,建立以互联网教学与个体实践为主的新型教育方式。

茶文化在高等中医药院校学生思想政治教育工作中的运用

高校思想政治教育的有效开展,不仅有利于培养学生正确的世界观、人生观和价值观,而且也符合新时代的发展要求,有利于促进整体的进步与发展。而高校思想政治教育工作得以有效开展的关键在于合理运用茶文化,原因在于在茶文化的构成体系中蕴含着丰富的有利于有效开展思想政治教育的内容,学生可以从中汲取丰富的历史文化营养,了解茶文化各个方面的内容,进而全面提升自身的素质。本文就针对于此,探讨茶文化在高等中医药院校学生思想政治教育工作中的运用,以供借鉴。

人生搏击——访黑龙江中医药大学附属一院院长李延

恰逢黑龙江中医药大学附属第一医院建院40周年之际,记者采访了该院院长李延。走近李延带给你的是一种心灵的感悟。已是花甲之人仍然精力充沛,踌躇满志。一双深邃的眼睛里蕴藏着智慧,庄重的表情透露出干练和坦诚,高扬的剑眉显示出坚毅和豁达。谈到医院的改革和今后的发展,他会娓娓道来,滔滔不绝;谈到个人的学术成果,他则轻描淡写,少言寡语。

注重辨证、辨病、辨症相结合论治风湿病--记辽宁中医药大学附属二院风湿免疫科主任马宝东

马宝东，男，39岁。副主任医师、副教授，辽宁中医药大学附属二院风湿免疫科主任，兼任辽宁省中医药学会第三届风湿病专业委员会副主任委员、兼秘书长，中华中医药学会风湿病分会委员，中国中西医结合学会第四届风湿类疾病委员会委员。

某三甲医院中心手术室开台时间延误原因调查与分析

精细化内涵式管理和高效率运营是医院发展的两条主线，手术室作为高成本的资本密集型科室，在精细化内涵式管理和高效率运行方面的可挖潜力逐渐成为医院管理者关注的焦点。开台时间作为手术室管理和效率的关键点，近年来迅速进入国内外研究者的视野而倍受重视。美国一流医院准时开始手术率为76％［1］。北大医学院附属三院、广东省人民医院、广州中医药大学附属一院规定第一台手术开始不得晚于8：30，北京朝阳医院、宣武医院、华西医院、湘雅医院等要求最晚9：00开台。手术开台时间是手术室时间管理提高工作效率的重要指标，是反映医院管理能力和水平高低、整体协作能力和运转效率高低衡量标准之一［2］。手术开台时间的延误，不仅影响手术间的利用率，增加手术室成本，延长工作时间，也增加了患者的经济负担。本文笔者选取了近年某三甲医院的部分手术开台时间样本进行统计分析，从手术流程优化角度对各种影响手术开台效率的因素进行了分析，介绍了该医院围绕提高手术室工作效率的综合管理措施和效果，供读者讨论分析。

以胜任力为导向的中药学专业实践教学体系构建探索

随着国家中医药大会的召开,中医药行业将进一步迎来高速与高质量发展。中医药事业的发展离不开高素质的中医药人才培养,中医药能力的提升离不开实践教学。以胜任力为导向,探讨中药学专业的人才胜任力特征,探索中药学专业实践教学目标,构建中药学专业实践教学体系,培养适应新形势下中医药事业发展的中医药专业人才。

脊痹消痛汤治疗强直性脊柱炎40例临床观察

1临床资料 1.1一般资料 80例强直性脊柱炎（AS）患者均来自2008-10～2010-12黑龙江中医药大学附属一院骨伤门诊和住院患者,病程20天～10年。随机分为治疗组和对照组。治疗组40例,年龄15～37岁;其中男性32例,女性8例。

A DOUBLE BLIND OBSERVATION FOR THERAPEUTIC EFFECTS OF THE TONG LUO KAI BI TABLETS ON RHEUMATOID ARTHRITIS

The therapeutic effects of the Tong Luo Kai Bi Tablets [symbol: see text] in 120 patients with rheumatoid arthritis were observed in this clinical trial by the randomized double blind method. Both the observed group and the control group each had 60 patients. In the observed group treated with the Tong Luo Kai Bi Tablets, 1 case (1.7%) was cured clinically, 27 cases (45.0%) improved markedly, 26 cases (43.3%) improved, with a total effective rate of 90.0%. In the control group treated with Rheumatic Semen Strychni Tablets [symbol: see text], no case was cured, 16 cases (26.7%) improved markedly, 33 cases (55.0%) improved, with a total effective rate of 81.7%. Statistical data showed the Tong Luo Kai Bi Tablets had much better therapeutic effectiveness clinically than the Rheumatic Semen Strychni Tablets (P

Characteristics and Advantages of Traditional Chinese Medicine in the Treatment of Acute Myocardial Infarction

Objective: To obtain epidemiological data on Traditional Chinese Medicine (TCM) therapeutic status of acute myocardial infarction (AMI) and to determine TCM characteristics and advantages to improve the level of TCM prevention and treatment of AMI. Methods: Clinical epidemiology methods were used to register and survey the TCM therapeutic status of hospitalized AMI patients. In 2001, the Chinese Association of Integrative Medicine surveyed the therapeutic status of 3308 AMI patients hospitalized in 30 hospitals in Beijing and Shanghai from 2000-2001. The Beijing Collaborative Study Group on Therapeutic Status of Acute Myocardial Infarction (the Study Group) then conducted a 10-year-long register survey on hospitalized AMI patients in Third-grade A-Level TCM hospitals in Beijing. After 2002, the Study Group further surveyed the treatment conditions of AMI-hospitalized patients in 10 Second-grade A-Level TCM hospitals. The therapeutic status in 8 Third-grade A-Level Western medicine hospitals was surveyed in 2001 and 2005 as a control. In 2008, in cooperation with the China Association of Chinese Medicine, the Study Group further performed a survey at 26 Third-grade A-Level TCM hospitals nation-wide. Approximately 5000 cases were investigated to obtain authoritative data on the therapeutic status of AMI patients in TCM hospitals in China. Results: We found that Chinese herbal intravenous preparations may be beneficial in reducing the mortality of AMI. Major complications of AMI, such as heart failure and arrhythmia, were significantly less during the 10-year survey period. The mortality of hospitalized AMI patients showed a decline. TCM treatment was helpful for AMI patients in improving their quality of life. Ten-year dynamic monitoring showed that the ability to perform reperfusion and to use drugs appropriately, as well as an effort to carry out the Clinical Guidelines has made great progress in TCM hospitals. However, TCM hospitals still have some problems in treating AMI, including a lack of standardized TCM syndrome diagnosis, the need for syndrome differentiation and treatment standardization, and clinical skills in reperfusion and standardized drug treatment still need to be further improved. Compared with AMI patients in Western medicine hospitals during the same period, those in TCM hospitals had the following characteristics: they were admitted to hospital later; they were older when they had a heart attack; there were more females, they had more problems in their medical history, and they had more concomitant illnesses and complications. Therefore, the demographic baseline data were significantly different between AMI patients in TCM hospitals and those in Western medicine hospitals. This indicated that patients in TCM hospitals were more critical than those in Western medicine hospitals. Conclusions: TCM has special advantages in treating AMI. TCM hospitals are making continuous progress in standardized treatment of AMI, but further improvement is still required. AMI patients in TCM hospitals have some special characteristics, and their condition may be more critical. Further clinical research on TCM treatment of AMI is required.

Assessing the Quality of the First Batch of Evidence-Based Clinical Practice Guidelines in Traditional Chinese Medicine

Objective: To assess the quality of the first batch of Chinese evidence-based clinical practice guidelines (CPGs) in Traditional Chinese Medicine (TCM) using the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument. Methods: Evidence-based CPGs in TCM supported by the World Health Organization Western Pacific Regional Office (WHO/WPRO) and whose development was organized by the China Academy of Chinese Medical Sciences were identified and manually retrieved. CPGs were assessed using the AGREE instrument, and the data in each CPG were analyzed in terms of the six domains in the AGREE instrument: scope and purpose, stakeholder involvement, rigor of development, clarity and presentation, applicability, and editorial independence. Results: Twenty-eight CPGs were identified, of which 26 were included in the study. The AGREE instrument rated the 26 CPGs in terms of the six domains. The assessment results showed the following average scores: for editorial independence, 84.16%; for rigor of development, 80.95%; for scope and purpose, 79.96%; for clarity and presentation, 70.88%; for stakeholder involvement, 61.28%; for applicability, the average score was only 27.09%. In summary, nine CPGs were rated as "strongly recommended", six as "recommended with provision or alternation", and 11 as "unsure". Conclusion: Most of the first batch of Chinese evidence-based CPGs in TCM had significant shortcomings in applicability. It is suggested that special attention be paid to enhancing the quality of applicability when developing evidence-based CPGs in TCM.

Antimicrobial stewardship program in China’s tertiary hospitals in 2018:a nationwide cross-sectional online survey

In the present study,we aimed to assess the development of the antimicrobial stewardship(AMS)program in China’s tertiary hospitals to identify the potential challenges for the AMS program and provide references and benchmarks for strategic policymaking.A nationwide cross-sectional study was conducted online by sending questionnaires to tertiary hospitals under China Antimicrobial Resistance Surveillance System(CARSS).The questionnaire included 5 sections regarding structure,technical support,antimicrobial use management,antimicrobial use surveillance,and education.Descriptive statistics were used for data analysis.Of the 1044 tertiary hospitals under CARSS,13.4%(140)hospitals participated in the study.Among them,99.3%(139/140)set up the AMS program.The hospital president(82.1%,115/140)and medical service department(59.3%,83/140)were responsible for AMS outcomes in most hospitals.Structured antimicrobial formulary restriction management was adopted by 99.3%(139/140)hospitals.Infectious disease department,infection control department,and microbiological laboratories were established in 87.1%(122/140),99.3%(139/140)and 100%(140/140)hospitals,respectively.Up to 85.6%(124/140)hospitals applied clinical pathways,and 33.6%(47/140)hospitals implemented hospital-specific guidelines for infectious diseases.Outpatient prescription auditing,inpatient prescription auditing,and prophylactic antimicrobial prescription auditing of aseptic operation were performed in 99.3%(139/140),98.6%(138/140)and 95.7%(134/140)hospitals,respectively.Up to 97.1%(136/140)hospitals participated in antimicrobial use surveillance network,and 99.3%(139/140)hospitals established the specialized management of carbapenem and tigecycline.Staff education and public education were provided with various ways and frequencies in 100%(140/140)and 90.0%(126/140)hospitals,respectively.AMS programs in China’s tertiary hospitals were primarily headed by hospital presidents and involved collaboration among various disciplines and administrative departments.More efforts should be put to further promote and strengthen the development of hospital-specific guidelines and the establishment of a progress and outcome evaluation system.

黄连素改善女性生殖功能

由黑龙江中医药大学附属一院妇产科主任吴效科教授领衔完成的多囊卵巢综合征科研课题，首次发现治疗肠胃炎的黄连素（盐酸小檗碱）具有促进排卵、提高受孕率和活产率的疗效，可通过解除卵巢胰岛素抵抗，促进排卵、降低雄激素合成。相关成果已刊发于最新一期的《柳叶刀》上。