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临床指南
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  clinical guidelines
     Developing clinical guidelines: a challenge to current methods
     制定临床指南:现行方法面临挑战
短句来源
     Review on the 2004 Clinical Guidelines for Chronic Lymphocytic Leukemia in Britain
     2004年英国慢性淋巴细胞白血病临床指南评述
短句来源
     Methods Collecting 318 clinical books titled "Clinical Guidelines", "Clinical Practice Guidelines", "Prevention Guidelines" by using electronic manual search method, and analyzing 111 books of them.
     方法 电子检索结合人工检索方法收集题名为“临床指南”、“临床实践指南”、“防治指南”的临床书籍310本, 分析其中的111本指南;
短句来源
     Views on the prognostic factors in 2004 Clinical Guidelines for Chronic Lymphocytic Leukemia in Britain
     对“2004年英国慢性淋巴细胞白血病临床指南”中预后因素的看法
短句来源
     The Developing Status of Domestic Clinical Guidelines and the Comparative Analysis with Overseas Clinical Guidelines
     国内临床指南发展现状及国内外指南比较分析
短句来源
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  clinical guideline
     Systematic reviews,randomized controlled clinical trials and clinical guideline have becoming the most important clinical research methods for evidence based medicine.
     系统评估方法、临床随机对照研究方式和临床指南的方式,正成为循证医学的最重要的临床研究方法。
短句来源
     Every country has its own clinical guideline to standardize medical care, and China is developing guidelines too.
     各国都有自己的临床指南,用于规范医疗行为,中国亦在建立自已的临床指南
短句来源
  clinical guide
     Considerations on the Establishment of Clinical Guide to Traditional Chinese Medicine
     关于制定中医药临床指南的思考
短句来源
     Clinical guide is some systemic statements and suggestion developed for medical staffs.
     临床指南是指经过系统研究所生成的、供医务工作者用来为患者制定最恰当的医疗卫生服务的有关陈述和建议。
短句来源
     Chinese medicine has its own rules in diagnosis and treatment,while the clinical guide based on western medical researches is not completely fit for Chinese medicine.
     中医药诊治疾病有其自身特点,以现代医学研究证据制定的临床指南,对中医药临床实践存在不完全适用的具体情况。
短句来源
     Chinese medical clinical guide ought to be made altogether by medical staffs,administrators and evidence-based medical experts.
     中医药临床指南的制定应基于循证医学系统研究所生成的证据,由有关的医务人员、管理人员和循证医学专家共同参与,以制定出符合中国国情的中医药治疗疾病的循证指南。
短句来源
  “临床指南”译为未确定词的双语例句
     OMGE practice guideline:management of ascites complicating cirrhosis in adults
     OMGE临床指南:成人肝硬化腹水的治疗
短句来源
     Methods According to the patient's clinical conditions, we put forward 5 clinical problems. We searched the Cochrane Library (Issue 4, 2005), ACP Journal Club (1991 to 2005), and MEDLINE (1991 to 2005) databases. Systematic review, meta-analysis and randomized controlled trials about the treatment of diabetic nephropathy were included.
     方法根据患者临床特点,提出“对糖尿病肾病微量白蛋白尿期患者进行针对可能导致病情加重的多个危险因素的强化治疗是否能改善其预后”等5个临床问题,检索Cochrane图书馆(2005年4期),ACP Journal Club (1991~2005),MEDLINE(1991~2005),纳入糖尿病肾病治疗的系统评价、Meta分析、随机对照试验和临床指南,根据所获最佳临床证据为患者制定治疗方案。
短句来源
     SYSTEMATIC REVIEWS ON PHARMACEUTICAL THERAPY OF SMOKING CESSATION IN EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES
     药物戒烟的循证性临床指南综述
短句来源
     A survey on cardiologists' knowledge and attitudes towards ST-elevation myocardial infarction guidelines in China
     急性ST段抬高心肌梗死临床指南知晓率及应用情况调查
短句来源
     Effect of the issue of Chinese guideline on early hospital management and prognosis of patients with acute myocardial infarction
     临床指南公布对急性心肌梗死患者早期住院治疗及预后影响
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  clinical guidelines
Identified causes of undertreatment should lead to locally agreed detailed clinical guidelines.
      
The outcome of forthcoming clinical trials is likely to influence clinical guidelines and optimize the medical regimen of human essential hypertension in patients with chronic renal insufficiency.
      
Clinical guidelines have to be developed for the use of SPECT in patients with (suspected) dementia.
      
Strict clinical guidelines and further developments in clinical and MRI measures are required to facilitate future therapeutic trials in primary progressive multiple sclerosis.
      
Clinical guidelines for anorexia nervosa and bulimia nervosa
      
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  clinical guideline
As a clinical guideline, the child's level in reading and spelling must be significantly below that expected for the population of children of the same mental age.
      
Survival may be increased if the transition of the high flow state into the hypodynamic, low flow state can be prevented by well-controlled volume support using pulmonary capillary wedge pressure as a readily available clinical guideline.
      
An indication of the effectiveness of a clinical guideline is the relationship between the medical benefits gained and the costs of achieving those benefits when the guideline is implemented.
      
Using outpatient and inpatient claims data, this paper reports the current practice patterns, cost variations, and cost implications of implementing a proposed clinical guideline for stress urinary incontinence.
      
If the clinical guideline for stress incontinence is implemented as designed, the authors project a total annual cost savings of roughly $36 million in 1992 dollars in the United States.
      
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  clinical guide
A clinical guide to the neurological manifestations of ODDD may assist in the assessment of patients with this condition.
      
Book Review: Obsessive-Compulsive and Related Disorders in Adults-A Comprehensive Clinical Guide.
      
Book Review Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach.By Robert J.
      
Clarke: A clinical guide to inherited metabolic diseases
      
Bacteriological culture conversion (negativization) was assessed as a clinical guide of efficacy, comparing it, as the only parameter, against a control group (150 patients) with urinary tuberculosis who received conventional therapy.
      
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With the development of clinical medicine,clinicians are facing the transformation of medical model from theoretical knowledge and individual experience based medicine to scientific evidence based medicine.There is increasing pressure on health care professionals to ensure that the health policy and practical guidelines are made on the basis of available good quality research.Model of evidence based medicine was proposed with the requirement that doctors raise questions and try to find the solution by well designed...

With the development of clinical medicine,clinicians are facing the transformation of medical model from theoretical knowledge and individual experience based medicine to scientific evidence based medicine.There is increasing pressure on health care professionals to ensure that the health policy and practical guidelines are made on the basis of available good quality research.Model of evidence based medicine was proposed with the requirement that doctors raise questions and try to find the solution by well designed study and the emphasis that clinicians refresh their knowledge and grasp the updated evidence to guide their clinical work.Many government are also encouraging the development of evidence based medicine because its advantages are understood,especially in terms of improved efficiency in the delivery of health care through the identification of effective treatments.In the presence of large number of research results which may not be consistent,clinicians will be needed to be able to access valid information by examining the method,subjects and end points of resource studies.

随着临床医学的发展,临床医生面临着从理论知识加个人经验的医学模式向以科学证据为基础的医学模式转变。越来越多的卫生政策和诊疗指南的制定需要以高质量的研究结果为依据,如随机对照研究的结果,特别是随机对照研究的系统综述结论。循证医学模式要求医生在临床工作中不断提出问题并通过严格的科研设计来回答这些问题,同时强调不断进行知识更新,掌握最新研究证据以指导其临床工作。同时政府部门也鼓励发展循证医疗,因为它可通过研究有效的诊疗手段来提高卫生保健的效率。此外还有迹象表明法律决策过程中要参考是否遵循了研究证据和临床指南。知情的服务对象也促使临床工作者寻求研究证据作为依据,为了提高服务质量并且充分把握特殊专业领域的现状,临床工作者也需要不断了解新的依据信息。在众多的研究信息中,我们应对每项证据的研究方法、研究对象及观察的终点进行认真分析,确定该结论是否真实并适合我们的实际,从而制定有据可查的诊疗方案。

Clinical research for lung cancer require new model,methods and direction.Systematic reviews,randomized controlled clinical trials and clinical guideline have becoming the most important clinical research methods for evidence based medicine.When clinical medicine enter the stage of evidence based medicine,the research methods of lung cancer must be greatly changed.

肺癌的临床研究,需要新的研究方式、新的研究方法和新的研究方向。系统评估方法、临床随机对照研究方式和临床指南的方式,正成为循证医学的最重要的临床研究方法。当我们的临床医学从经验医学到实验医学到循证医学时,肺癌的临床研究,需要迅速地进入一个新的领域。

Objectives About 12.9-50% patients of SARS(Severe Acute Respiratory Syndrome),require brief mechanical ventilation (MV) to save life. All the reported principles and guidelines for therapy SARS were based on experiences from clinical treatments and facts of inadequacy.Neither prospective randomized controlled trials (RCT) nor other high quality evidences were in dealing with SARS. Our objective is to seek safe and rational non-drugs interventions for patients with severe SARS by retrospectively reviewing clinical...

Objectives About 12.9-50% patients of SARS(Severe Acute Respiratory Syndrome),require brief mechanical ventilation (MV) to save life. All the reported principles and guidelines for therapy SARS were based on experiences from clinical treatments and facts of inadequacy.Neither prospective randomized controlled trials (RCT) nor other high quality evidences were in dealing with SARS. Our objective is to seek safe and rational non-drugs interventions for patients with severe SARS by retrospectively reviewing clinical studies about MV all over the world, which include clinical guidelines, systematic reviews (SR), Meta-analysis, economic researches and adverse events .Methods To search MEDLINE and Cochrane Library with computer. According to the standards of inclucion or exclusion,the quality of the article which as assessed, and relevant data which were extracted double checked. The Meta-analysis was conducted if the studies had no heterogeneity. Results14 papers were eligible. Due to the significant heterogeneity between these studies, further Meta-analysis could not be conducted, and the authors' conclusions were described only.Conclusions The outcome of PPV is better than that of VPV. Patients who underwent PPV had a significantly lower mortality than that of VPV. Of course, the volutrauma should be watched. With low tidal volume and proper PEEP, or decreased FiO 2, even permissive hypercapnia, the mortality and length of stay were cut down. Non-invasive mechanical ventilation (NIMV) was effective in treating haemodynamical stable patients, minimizing complications and reducing medical staff infection. Patients with serious dyspnea with PaO 2/FiO 2 <200, no profit of NIMV, or couldn't tolerance hypoxaemia were unlikely to benefit from this technique and needed ventilation with endotracheal intubation. Prone position could improve PaO 2/FiO 2, NO maybe increased pulmonary perfusion, improved V/Q, and raised oxygenation. Furthermore, Inhaled NO sequentially (SQA) was better than Inhaled NO continuouly (CTA). Some studies implied that practice of protocol-directed weaning from mechanical ventilation implemented by nurses excelled that of traditional physician-directed weaning.

目的  12 .9% - 5 0 %的SARS病人需要短暂的机械通气挽救生命。现已公布的治疗原则和指南基于SARS治疗经验和不很完全的事实 ,尚无前瞻性随机对照临床试验和其它高质量证据。通过对全世界有关机械通气的临床指南、系统评价、Meta分析、经济学评价和严重不良反应的回顾性总结和分析 ,辅以SARS抢救资料 ,寻求安全、合理的非药物干预。方法 检索MEDLINE ,Cochrane图书馆 ,根据纳入和排除标准确定纳入的文献 ,进行文献质量评价和数据提取至少 2遍 ,无异质性的文献作Meta分析。结果 纳入 14篇 ,由于纳入的文献间异质性明显 ,无法进一步作Meta分析 ,只对原作者的结论作描述性分析。结论 PPV的通气模式优于VPV ,PPV者死亡率更低。但要注意容积伤 ,采用低潮气量和适当的PEEP ,降低FiO2 ,允许高碳酸血症可能降低死亡率和缩短住院时间。无创机械通气 (NIMV)对血流动力学稳定和有自主呼吸的病人有效 ,且减少副作用和医务人员感染 ;但严重呼吸困难、PaO2 /FiO2 <2 0 0、无创通气效果不佳或病人不能耐受者需要气管插管通气。采用俯卧位可明显改善动脉血PaO...

目的  12 .9% - 5 0 %的SARS病人需要短暂的机械通气挽救生命。现已公布的治疗原则和指南基于SARS治疗经验和不很完全的事实 ,尚无前瞻性随机对照临床试验和其它高质量证据。通过对全世界有关机械通气的临床指南、系统评价、Meta分析、经济学评价和严重不良反应的回顾性总结和分析 ,辅以SARS抢救资料 ,寻求安全、合理的非药物干预。方法 检索MEDLINE ,Cochrane图书馆 ,根据纳入和排除标准确定纳入的文献 ,进行文献质量评价和数据提取至少 2遍 ,无异质性的文献作Meta分析。结果 纳入 14篇 ,由于纳入的文献间异质性明显 ,无法进一步作Meta分析 ,只对原作者的结论作描述性分析。结论 PPV的通气模式优于VPV ,PPV者死亡率更低。但要注意容积伤 ,采用低潮气量和适当的PEEP ,降低FiO2 ,允许高碳酸血症可能降低死亡率和缩短住院时间。无创机械通气 (NIMV)对血流动力学稳定和有自主呼吸的病人有效 ,且减少副作用和医务人员感染 ;但严重呼吸困难、PaO2 /FiO2 <2 0 0、无创通气效果不佳或病人不能耐受者需要气管插管通气。采用俯卧位可明显改善动脉血PaO2 /FiO2 。NO可提高肺血流量 ,改善肺V/Q比值和提高血氧 ,且间断吸入更好。有证据表明按计划撤机比按医生经验撤机好。

 
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