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        west china medical publishers
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        find Author "郭旭" 2 results
        • 真皮下血管網皮瓣修復手指脫套傷38例

          目的 探討手部脫套傷中皮膚缺損的修復方法。 方法 1998年5月~2005年5月,根據手部脫套傷的皮膚缺損面積、形狀設計髂腹股溝真皮下血管網皮瓣修復38例46指。其中拇指11指,食指20指,中指9指,無名指4指,小指2指,拇指、食指同時脫套傷3例。手術均一期修復,切取皮瓣為6 cm×2 cm~17 cm×8 cm。供區直接縫合9例,中厚皮片修復29例。 結果 46指皮瓣全部成活,術后10~12 d斷蒂。供區創面均Ⅰ期愈合。獲隨訪6~12個月,手部外形、功能滿意。兩點辨別覺>10 mm。 結論 應用真皮下血管網皮瓣修復手指脫套傷具有操作簡便,安全性高,實用性強,適于基層醫院開展。

          Release date:2016-09-01 09:19 Export PDF Favorites Scan
        • Methodology of Evidence-Based Clinical Practice Guidelines for Acupuncture

          Objective To explore the methods used for developing evidence-based clinical practice guidelines for acupuncture. Methods Based on the characteristics of acupuncture in traditional Chinese medicine,and principles of evidence-based medicine, this article introduces and summarizes the processes and methods for developing an evidence-based clinical practice guideline for acupuncture. We analyzed similarities and differences between clinical practice guidelines for acupuncture and for other interventions. We used an evidence-based clinical practice guideline of acupuncture for depression as an example to illustrate the methods of literature search, grading of evidence and recommendations, evidence evaluation and consensus formation. Results Preliminary recommendations on the methods for developing evidence-based clinical practice guidelines for acupuncture were made. Conclusion Based on the optimized rational methodology for developing clinical guidelines, evidence-based high-quality clinical practice guidelines for acupuncture could be established.

          Release date:2016-09-07 02:12 Export PDF Favorites Scan
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