west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "彭亦良" 2 results
  • 循证医学对骨科临床实践的启示与哲学反思

    循证医学被定义为“慎重、准确和明智地应用当前最好的证据来确定患者的治疗措施”,而最好的证据主要来自于有效的随机对照临床试验。在骨科临床实践中遵行循证医学势在必行,但在循证医学的应用中存在一些误区,诸如过分强调普遍规律而忽视患者的个体差异,在践行循证医学的过程中理论与实践之间存在着一定的偏差等。因此,既要严格遵守循证医学的原则,又要避免生搬硬套、死板教条,否则可能会给患者造成严重的损害。

    Release date: Export PDF Favorites Scan
  • Temperature-Controlled Self-heated Pain Relief Plaster for Chronic Nonspecific Lower Back Pain: A Prospective Randomized Controlled Trial

    ObjectiveTo observe the clinical efficacy of temperature-controlled self-heated pain relief plasters in the treatment of chronic nonspecific lower back pain, and to investigate the quality of life of patients. MethodsPatients with chronic nonspecific lower back pain were randomly divided into a trial group and a control group. The trial group was treated with temperature-controlled self-heated pain relief plasters, while the control group was treated with meloxicam tablets for oral use. The outcome measures including the visual analogue pain scale (VAS), Japanese Orthopedic Association (JOA) scores for the management of lower back pain, and Oswestry disability index (ODI score) were collected before treatment and after 6-month follow-up. SPSS 13.0 software was used for statistical analysis. ResultsA total of 96 patients was included (48 patients in each group), of which 68 patients (36 in the trial group and 32 in the control group) completed the treatment. The results of intention-to-treat (ITT) and per-protocol (PP) analyses showed that the total effectiveness rate of the trial group was higher than that of the control group with significant differences (all P values < 0.05). Compared with those before treatment, the JOA scores and ODI scores of the two groups were all improved after 6-month follow-up (all P values < 0.05). But no significant difference was found between the two groups in the two scores after 6-month follow-up (all P values > 0.05). During the follow-up, there were 3 and 8 patients with recurrence of lower back pain in the trial group and the control group, respectively. ConclusionThe clinical effect of temperature-controlled self-heated pain relief plasters in the treatment of chronic nonspecific lower back pain is satisfactory, the quality of life of patients is improved obviously, and the therapy is simple, safe, inexpensive, and worthy of clinical promotion.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content