Buddhist monk Lin Daoren(790-850,from Xi'an,Shaanxi Province)was a specialist of traumatology and orthopedics of the Tang Dynasty.Secrets of Treating Wounds and Rejoining Fractures(Li Shang Xu Duan Fang)written by...Buddhist monk Lin Daoren(790-850,from Xi'an,Shaanxi Province)was a specialist of traumatology and orthopedics of the Tang Dynasty.Secrets of Treating Wounds and Rejoining Fractures(Li Shang Xu Duan Fang)written by him is the first extant monography on traumatology and orthopedics in China.According to the preface of the book,he had profound medical knowledge especially about the theory,diagnosis and treatment for wounds and fractures.展开更多
Objective: The purpose of this work was to study the factors of cancellations or postponement of regulated operating programs of the Orthopedic-Traumatology unit of Yalgado Ouédraogo University Teaching Hospital....Objective: The purpose of this work was to study the factors of cancellations or postponement of regulated operating programs of the Orthopedic-Traumatology unit of Yalgado Ouédraogo University Teaching Hospital. Materials and Methods: This was a prospective descriptive study over a period of six months. All interventions postponed or canceled during the study period were included. Patients who died or were lost to follow-up before surgery were not included. Results and Comments: the postponement/ cancellation rate was 24.5%. Out of 83 operations cancelled, 72.3% of patients were under 50 years old [extreme 15 and 88 years old]. ASA classes I and II were dominant with 57% and 37% of patients canceled, respectively. There were more postponed interventions (67.5%) than definitive cancellations (32.5%). The causes found were avoidable in 68.7% of cases. The most common was the unavailability of labile blood products (57%), the lack of financial means (36%) and the absence of the patient (28%). The results of our study show that 53% of the causes of cancellations were related to the organization of the hospital. Conclusion: the cancellation rate of orthopedic surgeries remains high at Yalgado Ouédraogo University Teaching Hospital. Most of the causes of cancellations are potentially preventable and the vast majority of them are related to the organization of the hospital. Financial accessibility to care plays an important role in cancellations.展开更多
The Huangqi Guizhi Wuwu Decoction(HQGZWWT)is composed of Huangqi(Astragali Radix),Shaoyao(Paeoniae Radix Alba),Guizhi(Cinnamomi Ramulus),Shengjiang(Zingiberis Rhizoma Recens),and Dazao(Jujubae Fructus)which has variou...The Huangqi Guizhi Wuwu Decoction(HQGZWWT)is composed of Huangqi(Astragali Radix),Shaoyao(Paeoniae Radix Alba),Guizhi(Cinnamomi Ramulus),Shengjiang(Zingiberis Rhizoma Recens),and Dazao(Jujubae Fructus)which has various pharmacological anti-inflammatory,analgesic,antioxidant,antitumor,lipid-lowering,and immunity-regulating activities.It has certain advantages in the treatment of orthopaedic diseases,such as cervical spondylosis,scapulohumeral periarthritis,lumbar disc herniation,knee osteoarthritis,rheumatoid arthritis,myofascial pain syndrome,etc.,with outstanding clinical efficacy,few adverse reactions,and high patient compliance.However,modern pharmacological researches on the whole prescription of HQGZWWT are insufficient and the therapeutic targets are not clear which needs further exploration.Besides,this prescription cannot treat ll orthopaedic diseases,so we should adhere to the thinking of four diagnostics in traditional Chinese medicine(TCM),select prescriptions based on syndrome differentiation,closely follow the pathogenesis,innovate and expand its scope of application,reflect the application advantages of this prescription in orthopaedics and traumatology and improve the total clinical efficiency.展开更多
背景确立手法治疗中医骨伤科领域的优势病种,将对推动手法技术和骨伤科优势专科的发展起到促进作用,但目前其评价和筛选尚缺乏基于循证医学证据的量化评价过程。目的应用证据图方法,系统梳理手法治疗中医骨伤科领域疾病的系统评价,探索...背景确立手法治疗中医骨伤科领域的优势病种,将对推动手法技术和骨伤科优势专科的发展起到促进作用,但目前其评价和筛选尚缺乏基于循证医学证据的量化评价过程。目的应用证据图方法,系统梳理手法治疗中医骨伤科领域疾病的系统评价,探索手法治疗中医骨伤科领域的优势病种。方法计算机检索Pub Med、Embase、Cochrane Library、Web of Science、中国生物医学文献服务系统、中国知网、维普网和万方数据知识服务平台,搜集手法治疗中医骨伤科领域疾病的系统评价,检索时限均为建库至2023-03-05,运用图表结合文字的方式呈现证据分布特点。结果纳入的126篇系统评价发表年限为2003—2023年,国内外相关研究数量总体呈增长趋势。方法学质量评价结果显示13篇为中等质量、64篇为低质量、49篇为极低质量。证据图显示,手法治疗中医骨伤科领域研究证据主要分布于18个临床病种包括颈椎病、腰痛、膝关节炎、腰椎间盘突出症、踝关节扭伤、肩周炎、颈源性头痛、寰枢关节半脱位、桡骨远端骨折、肱骨外上髁炎、腕管综合征、腰扭伤、脊柱侧弯、髋关节炎、纤维肌痛综合征、肌筋膜疼痛综合征、肩袖损伤、肱骨髁上骨折,呈现出有益或可能有益的效应。结论手法治疗在中医骨伤科的临床应用广泛,但由于方法学质量存在不足,并且缺乏安全性和经济性的研究证据,未来仍需多层级机构间联动合作,建立健全评价标准和体系,提高研究质量,更新研究证据,进一步探索手法在中医骨伤科领域中的优势所在。展开更多
文摘Buddhist monk Lin Daoren(790-850,from Xi'an,Shaanxi Province)was a specialist of traumatology and orthopedics of the Tang Dynasty.Secrets of Treating Wounds and Rejoining Fractures(Li Shang Xu Duan Fang)written by him is the first extant monography on traumatology and orthopedics in China.According to the preface of the book,he had profound medical knowledge especially about the theory,diagnosis and treatment for wounds and fractures.
文摘Objective: The purpose of this work was to study the factors of cancellations or postponement of regulated operating programs of the Orthopedic-Traumatology unit of Yalgado Ouédraogo University Teaching Hospital. Materials and Methods: This was a prospective descriptive study over a period of six months. All interventions postponed or canceled during the study period were included. Patients who died or were lost to follow-up before surgery were not included. Results and Comments: the postponement/ cancellation rate was 24.5%. Out of 83 operations cancelled, 72.3% of patients were under 50 years old [extreme 15 and 88 years old]. ASA classes I and II were dominant with 57% and 37% of patients canceled, respectively. There were more postponed interventions (67.5%) than definitive cancellations (32.5%). The causes found were avoidable in 68.7% of cases. The most common was the unavailability of labile blood products (57%), the lack of financial means (36%) and the absence of the patient (28%). The results of our study show that 53% of the causes of cancellations were related to the organization of the hospital. Conclusion: the cancellation rate of orthopedic surgeries remains high at Yalgado Ouédraogo University Teaching Hospital. Most of the causes of cancellations are potentially preventable and the vast majority of them are related to the organization of the hospital. Financial accessibility to care plays an important role in cancellations.
基金funded by the Project of Shaanxi Adminis-tration of Traditional Chinese Medicine(2021GJ-L.C011)and the Hosital-Level
文摘The Huangqi Guizhi Wuwu Decoction(HQGZWWT)is composed of Huangqi(Astragali Radix),Shaoyao(Paeoniae Radix Alba),Guizhi(Cinnamomi Ramulus),Shengjiang(Zingiberis Rhizoma Recens),and Dazao(Jujubae Fructus)which has various pharmacological anti-inflammatory,analgesic,antioxidant,antitumor,lipid-lowering,and immunity-regulating activities.It has certain advantages in the treatment of orthopaedic diseases,such as cervical spondylosis,scapulohumeral periarthritis,lumbar disc herniation,knee osteoarthritis,rheumatoid arthritis,myofascial pain syndrome,etc.,with outstanding clinical efficacy,few adverse reactions,and high patient compliance.However,modern pharmacological researches on the whole prescription of HQGZWWT are insufficient and the therapeutic targets are not clear which needs further exploration.Besides,this prescription cannot treat ll orthopaedic diseases,so we should adhere to the thinking of four diagnostics in traditional Chinese medicine(TCM),select prescriptions based on syndrome differentiation,closely follow the pathogenesis,innovate and expand its scope of application,reflect the application advantages of this prescription in orthopaedics and traumatology and improve the total clinical efficiency.
文摘背景确立手法治疗中医骨伤科领域的优势病种,将对推动手法技术和骨伤科优势专科的发展起到促进作用,但目前其评价和筛选尚缺乏基于循证医学证据的量化评价过程。目的应用证据图方法,系统梳理手法治疗中医骨伤科领域疾病的系统评价,探索手法治疗中医骨伤科领域的优势病种。方法计算机检索Pub Med、Embase、Cochrane Library、Web of Science、中国生物医学文献服务系统、中国知网、维普网和万方数据知识服务平台,搜集手法治疗中医骨伤科领域疾病的系统评价,检索时限均为建库至2023-03-05,运用图表结合文字的方式呈现证据分布特点。结果纳入的126篇系统评价发表年限为2003—2023年,国内外相关研究数量总体呈增长趋势。方法学质量评价结果显示13篇为中等质量、64篇为低质量、49篇为极低质量。证据图显示,手法治疗中医骨伤科领域研究证据主要分布于18个临床病种包括颈椎病、腰痛、膝关节炎、腰椎间盘突出症、踝关节扭伤、肩周炎、颈源性头痛、寰枢关节半脱位、桡骨远端骨折、肱骨外上髁炎、腕管综合征、腰扭伤、脊柱侧弯、髋关节炎、纤维肌痛综合征、肌筋膜疼痛综合征、肩袖损伤、肱骨髁上骨折,呈现出有益或可能有益的效应。结论手法治疗在中医骨伤科的临床应用广泛,但由于方法学质量存在不足,并且缺乏安全性和经济性的研究证据,未来仍需多层级机构间联动合作,建立健全评价标准和体系,提高研究质量,更新研究证据,进一步探索手法在中医骨伤科领域中的优势所在。
