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find Author "陈书德" 2 results
  • 损伤控制外科在严重腹部创伤中的临床应用

    目的 探讨损伤控制外科(damage control surgery,DCS)在救治严重腹部创伤患者中的临床应用。 方法 回顾性分析 2013 年 4 月至 2015 年 4 月解放军总院海南分院采用 DCS 理念(简单快速手术、液体复苏和确定性手术)救治的 40 例严重腹部创伤患者的临床资料。总结应用损伤控制理念救治严重腹部创伤的适应证和治愈率。 结果 40 例患者中痊愈 35 例,治愈率为 87.5%;死亡 5 例,死亡率为 12.5%。 结论 应用损伤控制理念救治严重腹部创伤为比较安全的救治方法,可有效提高临床治愈率。

    Release date:2017-04-18 03:08 Export PDF Favorites Scan
  • Efficacy of yoga on type 2 diabetes mellitus patients with glycemia, lipid profile and anthropometric measure: an overview of systematic reviews

    Objective To overview the systematic reviews/meta-analysis (SR/MA) for the effectiveness of yoga on patients with type 2 diabetes mellitus. Methods The CNKI, WanFang Data, VIP, CBM, PubMed, Cochrane Library, Embase, Web of Science, JBI and CINAHL databases were electronically searched to collect SR/MA on the intervention of yoga in diabetes mellitus from inception to November 6th, 2023. Two researchers independently screened the literature and extracted data. AMSTAR was used to evaluate the quality of methodology, and GRADE was used to evaluate the certainty of evidence, and the outcome indicators were statistically analyzed. Results A total of 14 SR/MA were included. The evaluation results of AMSTAR showed that 7 articles were of high quality and 7 articles were of moderate quality. The result of GRADE showed that there were 2 items of high-level evidence, 26 items of intermediate evidence, and the remaining 31 items were low-level or very low-level evidence. The results showed that yoga could significantly reduce fasting blood glucose (FBG) (moderate confidence), glycosylated hemoglobin (HA1C) (moderate confidence) and postprandial blood glucose (PPBG) levels (moderate confidence), and was also superior to other interventions in high-density cholesterol (HDL) (moderate confidence), low-density cholesterol (LDL) (moderate confidence), triglyceride (TG) (moderate confidence), total cholesterol (TC) (moderate confidence), systolic blood pressure (SBP) and diastolic blood pressure (DBP) (moderate confidence), muscle strength (high confidence), cardiorespiratory fitness (moderate confidence) and weight (moderate confidence). Conclusion The existing evidence shows that yoga has a good effect on blood glucose control (moderate confidence) and also has a certain effect on lipid parameters (moderate confidence) and anthropometric indicators (moderate confidence), but the quality and confidence of the current research evidence are low. Future researchers should standardize the research design to provide more high-quality evidence for the prognosis and treatment of type 2 diabetes mellitus.

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