Objective: To summarize clinical evidence of traditional Chinese medicine for the prevention and treatment of chronic heart failure systematically and comprehensively. Method:By retrieving in the database of VIP, WanF...Objective: To summarize clinical evidence of traditional Chinese medicine for the prevention and treatment of chronic heart failure systematically and comprehensively. Method:By retrieving in the database of VIP, WanFang, CNKI, PubMed, Cochrane Library, the qualifying results obtained in the databases above are summarized into the grading evidence including systematic reviews, randomized controlled trials, observational studies, case studies, basic research these five levels. Results: The numbers of the articles included are 12 systematic reviews, 413 randomized controlled trials, 68 observational studies, 15 case reports and 187 fundamental researches. Conclusion: It is concluded that basing on the clinical evidence of different levels, traditional Chinese medicine has prominent ability of preventing and treatment chronic heart failure.展开更多
OBJECTIVE： To evaluate clinical acupuncture treatment studies for vascular dementia, as well as to collect high-quality evidence related to clinical acupuncture treatment for clinical diagnosis. DATA SOURCES： PubMed...OBJECTIVE： To evaluate clinical acupuncture treatment studies for vascular dementia, as well as to collect high-quality evidence related to clinical acupuncture treatment for clinical diagnosis. DATA SOURCES： PubMed database （1966-2010）, Embase database （1986-2010）, Cochrane Library （Issue 1,2010）, Chinese Biomedical Literature Database （1979-2010）, China HowNet database （1979-2010）, VlP Journals Database （1989-2010）, and Wanfang database （1998-2010） were analyzed by computer.展开更多
In vitro fertilization(IVF),as an important assisted reproductive technology(ART),is chosen by over l,000,000infertile couples each year,which is linked to over 3,000,000babies bom worldwide.However,an IVF cycle may b...In vitro fertilization(IVF),as an important assisted reproductive technology(ART),is chosen by over l,000,000infertile couples each year,which is linked to over 3,000,000babies bom worldwide.However,an IVF cycle may be unsuccessful.The success of IVF is not guaranteed,and patients often have to undergo more than one cycle of treatment before they are successful.IVF treatment展开更多
At present, evidence-based clinical practice guideline （EBCPG） is the main mode of developing clinical practice guidelines （CPGs） in the world, but in China, most of CPGs of Chinese medicine （CM） are still guide...At present, evidence-based clinical practice guideline （EBCPG） is the main mode of developing clinical practice guidelines （CPGs） in the world, but in China, most of CPGs of Chinese medicine （CM） are still guidelines based on expert consensus. The objective of this study is to construct initially the methodology of developing EBCPGs of CM and to promote the development of standardization of CM. Based on the development of ＂Guideline for Diagnosis and Treatment of Common Pediatric Diseases in CM＂, the methodology of developing EBCPG of CM was explored by analyzing the pertinent literature and considering the characteristics of CM. In this study, the key problem was to put forward the suggestion and strategies. However, due to the methodology study of developing EBCPG of CM is still in the initial stage, there are still some problems which need further study.展开更多
目的通过证据图方法对中医药治疗糖尿病痛性神经病变临床RCT现状进行梳理与展示,以期充分挖掘并发挥中医药治疗糖尿病痛性神经病变的优势,促进中医药治疗糖尿病痛性神经病变临床和循证医学的共同发展。方法计算机检索中国知网(CNKI)、万...目的通过证据图方法对中医药治疗糖尿病痛性神经病变临床RCT现状进行梳理与展示,以期充分挖掘并发挥中医药治疗糖尿病痛性神经病变的优势,促进中医药治疗糖尿病痛性神经病变临床和循证医学的共同发展。方法计算机检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、SinoMed、PubMed、Cochrane Library、Web of Science等数据库,筛选出符合条件的文献,并对文献中相关信息进行整理,然后以文字和图表相结合的方式对证据进行分析和展示。结果纳入中医药治疗糖尿病痛性神经病变相关文献125篇,总的来说文献量较少,但整体发文趋势呈逐年增长,但是临床试验规模大多较小。中医药治疗糖尿病痛性神经病变主要干预措施以中药口服、针灸为主,中药汤药多以益气活血温阳通络为主,关注较多的结局指标包括症状体征、神经传导速度指标、总有效率、血糖、中医证候积分,在感觉检查、远期预后、情志心理方面关注较少。对文献进行质量评价显示相关随机对照研究大多质量不高,同时相关系统评价/Meta分析的文献量非常少。结论中医药方法对治疗糖尿病痛性神经病变具有一定优势,但目前相关临床随机对照研究的设计大多不够严谨,也没能将中医特色更好地展现出来,从循证医学角度来说高质量证据较少,未来需要进一步改善。展开更多
目的:通过文献分析,对治疗先兆流产有关中成药的药品信息及临床研究进展进行整合分析,为未来中成药治疗先兆流产的研究主题及临床应用提供有力依据。方法:通过全面检索药智数据库和“三大目录”[《中华人民共和国药典:一部》(2020年版)...目的:通过文献分析,对治疗先兆流产有关中成药的药品信息及临床研究进展进行整合分析,为未来中成药治疗先兆流产的研究主题及临床应用提供有力依据。方法:通过全面检索药智数据库和“三大目录”[《中华人民共和国药典:一部》(2020年版)、《中国基本药物目录2018版》和《2020年版国家基本医疗保险、工伤保险和生育保险药品目录》],查找相关书籍中可用于保胎的中成药,以药品说明书为筛选标准,纳入明确提及具有安胎作用、用于治疗先兆流产的中成药。在四大中文数据库(中国知网、维普数据库、万方数据库和中国生物医学文献服务系统)和四大英文数据库(PubMed、Embase、the Cochrane Library和Web of Science)中检索相关中成药的文献,提取符合纳入标准的文献信息,统计分析后用文字描述和可视化图表的形式展示。结果:共纳入17种中成药,相关文献289篇,研究文献量最多的药品为固肾安胎丸(79篇),其次为孕康制剂(64篇)和滋肾育胎丸(63篇);自1998年起,相关研究数量整体呈升高趋势,已在全国26个省(自治区、直辖市)开展。纳入分析的285项临床研究中,样本量为51~100例的研究最多,共153项(占53.68%);研究数量最多的为加载试验,达255篇(占89.47%);目前临床无统一的疗效评定标准,有113项研究(占39.65%)涉及药物安全性问题。结论:临床上中成药治疗先兆流产具有较好的适宜性,研究成果越来越多。然而仍缺乏相关高质量的临床研究,希望今后能够增加这方面的投资,以期为中成药在治疗先兆流产的临床应用中提供科学、可靠的依据。展开更多
文摘Objective: To summarize clinical evidence of traditional Chinese medicine for the prevention and treatment of chronic heart failure systematically and comprehensively. Method:By retrieving in the database of VIP, WanFang, CNKI, PubMed, Cochrane Library, the qualifying results obtained in the databases above are summarized into the grading evidence including systematic reviews, randomized controlled trials, observational studies, case studies, basic research these five levels. Results: The numbers of the articles included are 12 systematic reviews, 413 randomized controlled trials, 68 observational studies, 15 case reports and 187 fundamental researches. Conclusion: It is concluded that basing on the clinical evidence of different levels, traditional Chinese medicine has prominent ability of preventing and treatment chronic heart failure.
基金the National Natural Science Foundation of China,No. 30772838the Education Funded Projects of High-Tech Japanese Ministry,No. 343 50537030the Scientific and Technological Support Issue of National "Eleventh Five-Year" Plan Period,No. 2006BAI12B01
文摘OBJECTIVE： To evaluate clinical acupuncture treatment studies for vascular dementia, as well as to collect high-quality evidence related to clinical acupuncture treatment for clinical diagnosis. DATA SOURCES： PubMed database （1966-2010）, Embase database （1986-2010）, Cochrane Library （Issue 1,2010）, Chinese Biomedical Literature Database （1979-2010）, China HowNet database （1979-2010）, VlP Journals Database （1989-2010）, and Wanfang database （1998-2010） were analyzed by computer.
文摘In vitro fertilization(IVF),as an important assisted reproductive technology(ART),is chosen by over l,000,000infertile couples each year,which is linked to over 3,000,000babies bom worldwide.However,an IVF cycle may be unsuccessful.The success of IVF is not guaranteed,and patients often have to undergo more than one cycle of treatment before they are successful.IVF treatment
基金Supported by the Standardization of Chinese Medicine Projects of State Administration of Traditional Chinese Medicine(No.ZYYS-2009[0004]-1)
文摘At present, evidence-based clinical practice guideline （EBCPG） is the main mode of developing clinical practice guidelines （CPGs） in the world, but in China, most of CPGs of Chinese medicine （CM） are still guidelines based on expert consensus. The objective of this study is to construct initially the methodology of developing EBCPGs of CM and to promote the development of standardization of CM. Based on the development of ＂Guideline for Diagnosis and Treatment of Common Pediatric Diseases in CM＂, the methodology of developing EBCPG of CM was explored by analyzing the pertinent literature and considering the characteristics of CM. In this study, the key problem was to put forward the suggestion and strategies. However, due to the methodology study of developing EBCPG of CM is still in the initial stage, there are still some problems which need further study.
文摘目的通过证据图方法对中医药治疗糖尿病痛性神经病变临床RCT现状进行梳理与展示,以期充分挖掘并发挥中医药治疗糖尿病痛性神经病变的优势,促进中医药治疗糖尿病痛性神经病变临床和循证医学的共同发展。方法计算机检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、SinoMed、PubMed、Cochrane Library、Web of Science等数据库,筛选出符合条件的文献,并对文献中相关信息进行整理,然后以文字和图表相结合的方式对证据进行分析和展示。结果纳入中医药治疗糖尿病痛性神经病变相关文献125篇,总的来说文献量较少,但整体发文趋势呈逐年增长,但是临床试验规模大多较小。中医药治疗糖尿病痛性神经病变主要干预措施以中药口服、针灸为主,中药汤药多以益气活血温阳通络为主,关注较多的结局指标包括症状体征、神经传导速度指标、总有效率、血糖、中医证候积分,在感觉检查、远期预后、情志心理方面关注较少。对文献进行质量评价显示相关随机对照研究大多质量不高,同时相关系统评价/Meta分析的文献量非常少。结论中医药方法对治疗糖尿病痛性神经病变具有一定优势,但目前相关临床随机对照研究的设计大多不够严谨,也没能将中医特色更好地展现出来,从循证医学角度来说高质量证据较少,未来需要进一步改善。
文摘目的:通过文献分析,对治疗先兆流产有关中成药的药品信息及临床研究进展进行整合分析,为未来中成药治疗先兆流产的研究主题及临床应用提供有力依据。方法:通过全面检索药智数据库和“三大目录”[《中华人民共和国药典:一部》(2020年版)、《中国基本药物目录2018版》和《2020年版国家基本医疗保险、工伤保险和生育保险药品目录》],查找相关书籍中可用于保胎的中成药,以药品说明书为筛选标准,纳入明确提及具有安胎作用、用于治疗先兆流产的中成药。在四大中文数据库(中国知网、维普数据库、万方数据库和中国生物医学文献服务系统)和四大英文数据库(PubMed、Embase、the Cochrane Library和Web of Science)中检索相关中成药的文献,提取符合纳入标准的文献信息,统计分析后用文字描述和可视化图表的形式展示。结果:共纳入17种中成药,相关文献289篇,研究文献量最多的药品为固肾安胎丸(79篇),其次为孕康制剂(64篇)和滋肾育胎丸(63篇);自1998年起,相关研究数量整体呈升高趋势,已在全国26个省(自治区、直辖市)开展。纳入分析的285项临床研究中,样本量为51~100例的研究最多,共153项(占53.68%);研究数量最多的为加载试验,达255篇(占89.47%);目前临床无统一的疗效评定标准,有113项研究(占39.65%)涉及药物安全性问题。结论:临床上中成药治疗先兆流产具有较好的适宜性,研究成果越来越多。然而仍缺乏相关高质量的临床研究,希望今后能够增加这方面的投资,以期为中成药在治疗先兆流产的临床应用中提供科学、可靠的依据。
