目的 通过关键词共现分析和作者共现分析的方式，研究国内外循证医学教育领域的研究热点、学科分支和发展趋势。 方法 通过检索中国学术期刊数据库（CNKI）和Medline数据库，分别收集相关研究文献，并提取关键词词频、作者发文数、核心期刊和核心研究单位，对核心关键词和核心发文作者建立共现矩阵，使用Ucinet绘制可视化网络图。 结果 成功得到核心关键词和核心作者可视化网络。中文可视化网络包括“循证医学”、“护理”、“教育”、“教学”4个方面，英文可视化网络包括“evidence-based medicine”、“nursing”、“education”、“organization amp; administration”4个方面，国内外该学科发展趋势相似。国内循证医学教育以四川大学为核心，合作网络较大。同时国内核心期刊与国外侧重点不同。 结论 国内循证医学教育研究领域总体发展趋势良好，在医学教育中起着极为重要的作用。Objective To built visualized networks of evidence-based medical education in and out of China by using co-occurrence analysis of key words and authors. Methods We searched the China National Knowledge Infrastructure (CNKI) database in Chinese and Medline database in English, collecting the related articles, and took out the core key words, core authors and core administrations. Then we built the matrix of key words and authors, and finally finished visualized network by Ucinet. Results We successfully obtained the visualization of this subject. Chinese network contained four parts: “evidence-based medicine”, “nursing”, “education” and “teaching”; while English network also contained four parts: “evidence-based medicine”, “nursing”, “education”, “organization” and “administration”. In China, Sichuan University located in the center of the network of authors, and also leading in the administrations. The network of authors in China showed a larger cooperation than overseas. And the core-periodicals had different emphases. Conclusion The evidence-based medical education develops well in China, and plays an important role in the medical education.
【摘要】 目的 通过关键词共现分析和作者共现分析的方式，研究国内外循证心血管领域的研究热点、学科分支和发展趋势。 方法 通过检索中国生物医学数据库和Medline数据库，分别收集相关研究文献，并提取关键词词频、作者发文数和核心研究单位，对核心关键词和核心发文作者建立共现矩阵，使用Ucinet绘制可视化网络图。 结果 成功得到核心关键词和核心作者可视化网络。中文可视化网络包括循证医学、治疗和护理3个方面，英文可视化网络包括evidence-based medicine、therapy和treatment outcome 3个方面。而在作者合作可视化网络中，国内作者合作关系较为松散，合作团体较小，国外作者合作关系较为紧密，合作团体较大。国内核心研究机构分布于循证研究重点高校，国外则以发达国家为主。 结论 国内循证心血管研究领域总体发展趋势较好，但较国外相比仍存在一些不足，需要进一步加强重点研究，调整研究规划。【Abstract】 Objective To research on the hot issues, branch system and development trend of evidence-based cardiovascular medicine in and out of china by using co-word analysis of keywords and authors. Methods By Searching the CBM database in Chinese and Medline database in English, we collected the related articles and picked out the frequency of keywords, authors and core administrations, and built the matrix of keywords and authors. Finally we completed the visualized network by Ucinet. Results We successfully obtained the visualization of this subject. Chinese network contained three parts: evidence-based medicine, therapy and nursing, while English network also contained three parts: evidence-based medicine, therapy and treatment outcome. In the authors′ visualized network, Chinese authors had less cooperation and looser relationship compared with their counterparts overseas. The core administrations in china located in outstanding universities, and developed countries had the dominated roles in the world. Conclusions The development trend of evidence-based cardiovascular medicine in china is good, but still has some limitations compared with overseas studies. More emphasis should be put on strengthening core-area researching and research plan adjustment.
ObjectiveTo review the research progress of the clinical application of the medial sural artery perforator flap (MSAPF).MethodsThe relevant domestic and abroad literature on the clinical application of MSAPF was extensively consulted, and the research progress were summarized and analyzed in aspect of its definition, anatomical characteristics, clinical application, surgical resection and improvement, and advantages and disadvantages of flaps, etc.ResultsMSAPF has the advantages of relatively constant anatomical position, thin flap texture, long vascular pedicle, large vessel diameter, no sacrifice of main blood vessels, concealed donor site, no hair, and fewer complications; it can carry nerves, tendons, and muscles to construct chimeric flaps to repair three-dimensional wounds; and can also repair wounds with high aesthetic and functional requirements such as hand, foot and ankle, head and neck, etc.ConclusionThe MSAPF is a versatile, various forms, functional diversification, and three-dimensional flap donor site with various application forms and ideal repair effectiveness.
ObjectiveTo systematically review the risk prediction model of intensive care unit (ICU) readmissions. MethodsCNKI, WanFang Data, VIP, CBM, PubMed, EMbase, Web of Science and The Cochrane Library databases were electronically searched to collect the related studies on risk prediction models of ICU readmissions from inception to June 12th, 2022. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies; then, the qualitative systematic review was performed. ResultsA total of 15 studies involving 23 risk prediction models were included. The area under the ROC curve of the models was 0.609-0.924. The most common five predictors of the included model were age, length of ICU hospitalization, heart rate, respiration, and admission diagnosis. ConclusionThe overall prediction performance of the risk prediction model of ICU readmissions is good; however, there are differences in research types and outcomes, and the clinical value of the model needs to be further studied.
ObjectiveTo evaluate the efficacy of staged carotid artery stenting and coronary artery bypass grafting in the treatment of coronary heart disease complicated with carotid stenosis. MethodsThe clinical data of patients with coronary heart disease and carotid stenosis treated in Fuwai Hospital from November 2019 to September 2021 were retrospectively analyzed. All patients underwent staged carotid artery stenting and coronary artery bypass grafting. The incidence and risk factors of severe complications such as myocardial infarction, cerebral infarction and death during the perioperative period and follow-up were analyzed. ResultsA total of 58 patients were enrolled, including 47 males and 11 females with an average age of 52-77 (64.2±5.6) years. No complications occurred before coronary artery bypass grafting. There was 1 myocardial infarction, 1 cerebral infarction and 1 death after the coronary artery bypass grafting. The early complication rate was 5.2%. During the follow-up of 18.3 months, 1 cerebral infarction and 2 deaths occurred, and the overall complication rate was 10.3%. According to Kaplan-Meier survival curve analysis, patients with symptomatic carotid stenosis (log-rank, P=0.037) and placement of close-cell (log-rank, P=0.030) had a higher risk of postoperative ischemic cerebrovascular event, and patients with previous cerebral infarction had a higher risk of postoperative severe complications (log-rank, P=0.044). ConclusionStaged carotid artery stenting and coronary artery bypass grafting is safe and feasible for the treatment of coronary heart disease complicated with carotid stenosis.