目的:比較針刺配合中國灸穴位貼敷與單純針刺治療膝骨關(guān)節(jié)的臨床療效。方法:將60例符合膝骨關(guān)節(jié)炎診斷的病員隨機(jī)分為針刺加中國灸治療組和單純針刺對照組,兩組均取穴血海、梁丘、犢鼻、膝眼、鶴頂、陽陵泉治療,治療組每天加用中國灸穴位貼敷治療。10次一療程,2個(gè)療程后觀察療效。結(jié)果:治療組30例中顯效20例,好轉(zhuǎn)8例,無效2例,總有效率為93.3%。對照組30例中顯效9例,好轉(zhuǎn)16例,無效5例,總有效率為83.3%。兩組有效率有顯著性差異（Plt;0.05）。結(jié)論:針刺配合中國灸穴位貼敷治療膝骨關(guān)節(jié)療效優(yōu)于單純針刺。
【摘要】 目的 探討內(nèi)江市企事業(yè)及機(jī)關(guān)單位從業(yè)人員20~60歲人群中超重、肥胖者及其相關(guān)因素?！》椒ā?009年6月－2010年9月采用整體隨機(jī)分層方法，對內(nèi)江市企事業(yè)及機(jī)關(guān)單位從業(yè)人員共5 832例進(jìn)行調(diào)查。用問卷了解吸煙、飲酒、運(yùn)動、家族史、文化程度，并測定身高、體重、空腹血糖、甘油三酯、膽固醇等。采用SPSS 17.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析，以雙側(cè)Plt;0.05為有統(tǒng)計(jì)學(xué)的意義。與肥胖有關(guān)的危險(xiǎn)因素采用多因素logistic回歸分析?！〗Y(jié)果 超重及肥胖者比例為27.16%，其中超重者1 377例，占23.6%，肥胖者207例，占3.55%；肥胖較超重者空腹血糖、甘油三酯、血壓更高；多因素logistic回歸分析提示:超重及肥胖與年齡、吸煙、性別、運(yùn)動、家族史、文化程度有關(guān)，與飲酒無關(guān)?！〗Y(jié)論 內(nèi)江市企事業(yè)及機(jī)關(guān)單位從業(yè)人員20~60歲人群中超重、肥胖者比例為27.16%；肥胖較超重者更易發(fā)生高血糖、高血壓、高血脂、高尿酸血癥；超重及肥胖與年齡、吸煙、性別、運(yùn)動、家族史、文化程度均有關(guān)?！続bstract】 Objective To investigate the prevalence and the risk factors of overweight and obesity among employees aged 20 to 60 years old in enterprises and government institutions in Neijiang city. Methods From June 2009 to September 2010, 5 832 employees in government departments, enterprises and institutions in Neijiang were surveyed using stratified random sampling method. Items like physical exercise, smoking, drinking, educational level, and family history were collected through face-to-face questionnaire, and their height, weight, fasting plasma glucose, triglyceride, cholesterol were measured. SPSS 17.0 was used for statistical analysis, and the relationship of each index was analyzed by Pearson correlative analysis. Bilateral Plt;0.05 was considered to be statistically significant. Risk factors associated with obesity were analyzed by Logistic regression analysis. Results The overweight and obesity morbidity rate was 27.16%, including 1377 cases of overweight (23.6%) and 207 cases of obesity (3.55%). Fasting plasma glucose, triglyceride, and blood pressure of obesity patients were higher than those of the overweight patients. Correlation analysis showed that overweight and obesity were positively correlated with fasting plasma glucose (r=0.116,Plt;0.01), triglyceride(r=0.319,Plt;0.01), uric acid (r=0.373,Plt;0.01), diastolic blood pressure (r=0.198,Plt;0.01), and systolic blood pressure (r=0.212,Plt;0.01), but not correlated with cholesterol. Logistic regression multivariate analysis showed that overweight and obesity were related with age, smoking, sex, sports, the educational level and family history, but not related with drinking. Conclusions The prevalence of overweight and obesity among employees aged 20 to 60 years old in enterprises and government institutions in Neijiang city is 27.16%. People with overweight and obesity are more susceptible to hyperglycemia, hypertension, hyperlipemia, and hyperuricemia. Overweight and obesity were closely related with age, smoking, gender, sports activities, family history, and educational level.
目的 系統(tǒng)收集有關(guān)高血壓患者社區(qū)管理依從性的定性研究文獻(xiàn)，從需方角度歸納影響高血壓社區(qū)管理依從性的因素。 方法 由專家與研究小組共同討論確定11 個(gè)中英文電子數(shù)據(jù)庫及文獻(xiàn)檢索策略與檢索詞檢索時(shí)間為1999 ～ 2008 年。經(jīng)過文獻(xiàn)篩選與嚴(yán)格評價(jià)后，對納入的研究進(jìn)行定性Meta 分析。 結(jié)果 最終納入5 個(gè)定性研究。定性Meta 分析結(jié)果顯示：患者對高血壓及其治療管理相關(guān)知識的掌握程度、醫(yī)患關(guān)系、經(jīng)濟(jì)因素、社會支持、治療管理方案的設(shè)計(jì)以及患者個(gè)體因素是影響社區(qū)高血壓患者治療管理依從性的重要因素。 結(jié)論 提高醫(yī)務(wù)人員素質(zhì)，建立良好的醫(yī)患關(guān)系，加強(qiáng)高血壓患者的個(gè)體化健康教育，制定個(gè)體化的高血壓治療方案以及發(fā)揮社會支持系統(tǒng)的作用，將有利于提高高血壓患者社區(qū)管理依從性。
目的系統(tǒng)評價(jià)我國推廣新生兒復(fù)蘇技術(shù)救治新生兒窒息的有效性。方法計(jì)算機(jī)檢索WanFang Data、CNKI、VIP、江蘇工程信息文獻(xiàn)中心、PubMed、The Cochrane Library（2016年5期）等數(shù)據(jù)庫，搜集復(fù)蘇技術(shù)救治新生兒窒息的研究，檢索時(shí)間均為建庫至2016年6月1日。由2名評價(jià)者按納入與排除標(biāo)準(zhǔn)獨(dú)立篩選文獻(xiàn)、提取資料并評價(jià)偏倚風(fēng)險(xiǎn)后，采用RevMan 5.2軟件進(jìn)行Meta分析。結(jié)果共納入18個(gè)觀察性研究，包括28 144例新生兒窒息患兒和32 636例對照及2 148例新生兒窒息死亡病例和1 679例對照。Meta分析結(jié)果顯示，與對照組相比，復(fù)蘇技術(shù)能降低新生兒窒息發(fā)生率［以醫(yī)院為基礎(chǔ)的研究：RR=0.59，95% CI（0.55，0.63），P＜0.000 01；區(qū)域性項(xiàng)目專題調(diào)查研究：RR=0.72，95% CI（0.69，0.75），P＜0.000 01］和新生窒息死亡率［以醫(yī)院為基礎(chǔ)的研究：RR=0.26，95% CI（0.16，0.42），P＜0.000 01；區(qū)域性研究：RR=0.65，95% CI（0.55，0.77），P＜0.000 01］，其差異均有統(tǒng)計(jì)學(xué)意義。結(jié)論當(dāng)前證據(jù)表明新生兒復(fù)蘇技術(shù)對降低我國新生兒窒息發(fā)生率和死亡率有效。受納入研究的數(shù)量和質(zhì)量限制，本研究結(jié)論還需要開展前瞻性多中心隊(duì)列研究予以驗(yàn)證。