Cov ntaub ntawv thov kho mob rau kev kho cov tshuaj menopausalal nrog cov tshuaj suav
Oct 18, 2024
1 keeb kwm yav dhau los, lub hom phiaj thiab tseem ceeb
Menopausalial Syndrome (CLS), tseem hu uaMenopaalal Syndrome, yog ib qhoGynecological Kab MobCov. Txheeb cais qhia tias xyoo 2010, muaj txog 160 labMenopausal poj niam nyob hauv Suav teb, thiab ntau tshaj 120 lab tus pojniam raug teeb meem los ntawm Cls txhua xyoo, uas cuam tshuam lawv lub neej thiab ua haujlwm zoo. Txhim kho qhov zoo ntawm lub neej ntawm cov poj niam menopausal tau raug teev ua ib qho ntawm peb qhov teeb meem kev noj qab haus huv hauv 21st xyoo pua [1]. Tam sim no, Western tshuaj tseem tsuas yog kho kho nrogHormone Therapy, muab cov tshuaj tiv thaiv los ntawm cov kev kho mob [2,3]. Txawm li cas los xij, kev kho mob hauv tshuaj hormone kuj muaj qee qhov kev tsis zoo thiab kev pheej hmoo. Cov neeg mob feem ntau muaj kev ntshai thiab kev tsis to taub txog kev npaj tshuaj hormones, uas txo lawv txoj kev ua raws li kev kho mob hauv cov tshuaj hormones. Hauv qab cov lus qhia ntawm TsoosSuav Tshuaj Txoj kev xav, tusKev kho mob ntawm Clsyog ua raws cov mob sib txawv thiab kev kho mob, thiab siv cov tshuaj suav ib txwm muaj lossis kev kho mob sab hauv thiab sab nraud txhawb nqa tus neeg txheeb zeSib npaug ntawm Yin thiab Yang, uas tuaj yeem ua tiav txaus siab kho mob kho tau. Cov kev tshawb fawb ua pov thawj tau qhia tau tias tso tshuaj suav tshuaj uas tuaj yeem txhim kho qhovMulti-System cov tsos mob ntawm cov neeg mob,Txhim kho lub neej zoo ntawm cov neeg mob, thiab tsis muaj qhov tseeb ntawm kev nyuaj siab tau pom tam sim no. Tam sim no, cov feem sib npaug ntawm Suav cov tshuaj patent siv nyob rau Western tshuaj kho mob hauv Suav teb yog ntau dua li hauv cov tsev kho mob hauv Suav teb. Tag nrho cov nyiaj ntawm Suav penture tshuaj siv rau hauv Gynecology cov nyiaj tau rau kwv yees li 70% rau 80%, thiab lawv feem ntau tau txais los ntawm Western tshuaj kws kho mob [4]. Txawm li cas los xij, muaj tam sim no tsis muaj kev siv tshuaj kho mob hauv Suav teb cov tshuaj Suav nyob rau hauv Suav teb kom tswj kev noj tshuaj. Hauv kev teb rau qhov no, lub xeev kev tswj hwm ntawm cov tshuaj suav suav tso rau hauv kev kho mob Suav hauv kev kho mob hauv Suav teb cov tshuaj uas tau txais txiaj ntsig zoo. Nws tsim cov kws kho mob hauv Suav thiab cov kws tshaj lij, cov kws saib xyuas cov kws tshawb fawb los tsim cov qauv tshawb fawb los ua cov tshuaj kho mob ntawm kev kho mob ntawm Cls ". Ntawm lub hauv paus ntawm kev ntsuam xyuas kev ywj pheej thiab kev txheeb xyuas meta-kev tsom xam, "Cov lus qhia rau cov ntawv thov kev kho mob ntawm cov tshuaj ib txwm muajHauv kev kho mob ntawm menopausal syndrome (2020) "tau tsim los ntawm kev pom zoo cov kws tshaj lij.
Qhov kev taw qhia thiab cov lus qhia rau kev xaiv thiab cov kws kho mob hauv Suav thiab Western cov kws khomob, ua haujlwm Suav, thiab chav saib xyuas mob hauv tsev kho mob. Nws muaj cov kev qhia tseem ceeb rau kev txhim kho cov kev kho mob ntawm Suav cov tshuaj patentacy nyob rau hauv kev kho mob ntawm cov neeg mob ntawm cov neeg mob hauv daim duab.
Tsoos suav tshuaj rau cistance rau gls
2 Cov Qauv Kev Tshawb Fawb Qauv
2.1 Kev tsim teeb meem kev kho mob
Cov ntaub ntawv pov thawj-raws li kev tshawb fawb txoj cai tau saws. Los ntawm kev sib tham hauv kev sib tham, cov lus nug nug thiab cov kws tshaj lij ntawm 30 tus kws tshaj lij kev tshawb fawb tau daws cov txheej txheem saib xyuas cov lus qhia no thiab qeb siab ntawm qhov tseem ceeb ntawm cov txiaj ntsig.
Thaum kawg, cov kev tshawb fawb hauv qhov kev tshawb fawb tom qab kev tshawb nrhiav tau zoo yog raws li hauv qab no: (1) Yog nws siv tshuaj Suav ib leeg los kho cov caj dab? (2)Hauv kev kho mob ntawm cls, nyob rau hauv dab tsi tshwm sim yog nws tsim nyog siv tshuaj suav tshuaj ua ke nrog Western tshuaj? Tuaj yeem suav cov tshuaj tua kab mob Suav txhawm rau txo cov kev sib raug zoo ntawm Western tshuaj? (3) rau cov kab mob postmenopauales (kab mob plawv, alzheimer tus kab mob, thiab lwm yam patent tshuaj muaj cov nyhuv tiv thaiv thiab cov nyhuv tiv thaiv? Vim tias tsis muaj cov ntaub ntawv tsim nyog tau pom rau cov lus nug no, nws yuav teb tsis tau. Yog li ntawd, cov lus qhia no feem ntau tsom rau cov teeb meem nram qab no: teb thawj ob cov lus nug hauv tshuaj.
Cov lus nug hauv tsev kho mob tau raug qhia siv cov ntsiab lus PICO hauv qab no: (1) nyiam (p): Poj niam cov neeg mob poj niam nrog CLS; (2) kev cuam tshuam (i): Suav: cov tshuaj patent, siv nyob ib leeg lossis ua ke nrog Western tshuaj; (3) Kev sib piv (c): Siv tib cov tshuaj Western ib leeg lossis ua ke nrog lwm cov tshuaj Western uas tau ua pov thawj kev ua tau zoo rau tus kabmob. Suav Tshuaj Patent los yog Comments. (4) Qhov tshwm sim ({0}} {5}} Cov qhab nia zoo (SAS), tus kheej) Pw tsaug zog zoo Performance index (pwqi), qhov tshwm sim ntawm cov kev cuam tshuam nyuaj (endometic cov txheej txheem (raum.
Tsoos suav tshuaj rau cistance rau gls
2. 2. Xaiv cov tshuaj hauv Suav patent yog nqa tawm ntawm lub vev xaib raug cai ntawm lub xeev
Cov Tshuaj Tiv Thaiv Tshuaj (http://www.nmp.gov.mpacopoe ntawm cov neeg lub koomhaum xov tooj ntawm Tuam Tshoj, http: //pphenw.dxy.cn/), thiab Yaozhi.com (http: //db.ya.oz). h. C o M) Tshawb nrhiav cov lus qhia tam sim no kev ua lag luam Suav ua lag luam suav nrog cov teebmeem hauv Suav suav nrog cov teebmeem kev kho mob los ntawm cov kab mob tsis raug cai.
Tshawb nrhiav lub vev xaib ntawm cov zaub mov thiab tshuaj kho cov tshuaj patent yog tshuaj Suav yog cov khoom muag Suav hauv Suav teb; Nug cov neeg muag tshuaj cov neeg muag tshuaj yuav sib cuag txog suav cov tshuaj tua cov tshuaj tua cov tshuaj uas tau tshem cov tshuaj uas tau txiav tawm. Thaum kawg, tag nrho ntawm 38 Suav pent tshuaj tau ntsib cov txheej txheem suav nrog. Ntawm lawv, 15 tus kws tshuaj patentules) Cov tshuaj nplaum mos, linglianhua granules) tuaj yeem tshawb pom cov ntaub ntawv tshawb fawb thiab cov ntaub ntawv zoo uas tau muab cov ntaub ntawv ntxiv uas tau ua rau muaj cov ntaub ntawv nyob rau 24 Suav tau khaws cov tshuaj suav. Yog li ntawd, cov tshuaj nyob sab saud 15 tau tshawb fawb thiab ntsuas.
2.3 Tshawb Nrhiav Lub Luag Haujlwm
Suav databases: WANKFANG database, cnki database, vip database, Tuam Tshoj biomedical cov ntaub ntawv sau, thiab Tuam Tshoj chaw kuaj mob mus rau kev txiav txim. Cov ntaub ntawv txawv teb chaws: Lub tsev qiv ntawv hauv lub teb chaws (medch), Dutch), Dutch abstres, Cochrane), Cochranines Database (NGC), thiab Asmeskas chaw kuaj mob sau npe.
Kab mob tshawb cov ntsiab lus suav nrog: Menopausal Syndrome, Apenavopausals thiab postmenopaus syndromes, postmenopausalys thiab postmenopes syndromes, menopaut syndromes, menopaut syndromes, menopautorial syndromes, menopaut syndromes, menopautorial syndromes, menopautorial syndromes, menopausal thiab postmenopes syndromes, c Lima ct Eryyndrome.
Tshuaj Tiv Thaiv Kev Tshawb Fawb: Kev xyaw tshuaj ntsuab, tshuaj ntsuab tshuaj (chemical tshuaj (chemistry), Suav tshuaj ntsuab (chemistry), Suav tshuaj ntsuab (chemistry), Suav Tshuaj ntsuab tshuaj (Chemistry tshuaj (tshuaj ntsuab (chemistry), suav tshuaj ntsuab (chemistry), Suav tshuaj ntsuab), suav tshuaj ntsuab (Chemistry), suav tshuaj ntsuab (Chemistry), Suav Tshuaj ntsuab (chemistry), suav tshuaj ntsuab (chemistry
2.4 Cov ntaub ntawv suav nrog thiab tshem tawm cov kev cais tawm thiab cov ntaub ntawv rho tawm
2.4. 1. Cov txheej txheem sib ceg
(1) Kev txheeb xyuas systemicate, ntsuas tshuaj saib xyuas cov tshuaj sab hnub poob, thiab cov tshuaj lom neeg muag khoom Western, lossis cov tshuaj patent tshuaj tiv thaiv cov ntawv sab hnub poob (2) Yog tias tsis muaj ntaub ntawv tswj hwm cov tshuaj uas yog suav nrog cov ntaub ntawv sab hauv pawg neeg suav nrog cov ntaub ntawv sab hauv yog cov khoom siv ntawm Western muaj cov txiaj ntsig ntawm kev kho mob ntawm Cls. Kev ua tau zoo; (3) Cov lus qhia txog cov txheej txheem ntsig txog, kev pom zoo, kws paub txog kev paub, thiab lwm yam, suav nrog kev siv tshuaj pom zoo ntawm Suav patent.
2.4. 2 Txoj Cai Muab Kev Pab Tshwj Xeeb
(1) Cov ntaub ntawv uas tsis muaj tshuaj tua tshuaj Suav (Suav tshuaj ntsuab tshuaj tua hluav taws xob (Suav tshuaj ntsuab), yooj yim Western tshuaj, kev npaj roj ntsha thiab lwm yam kev kho mob); (2) Cov tshuaj Suav siv tau siv nyob rau hauv cov ntaub ntawv tsis yog muaj cov tshuaj tua kab mob suav sau ua ke (3) Cov kab mob kho tsis yog poj niam cls, suav nrog txiv neej lawm, lossis lub cev ntas tsis taus; (4) Cov ntaub ntawv uas yog cov tsiaj yooj yim uas tsis muaj kev sim tib neeg; (5) Cov pab pawg kho mob yog cov kev kho mob suav nrog, thiab lwm yam, nws tsis tuaj yeem soj ntsuam seb puas siv tau cov tshuaj Hmoob lossis tshuaj ntsuab ntawm lwm txoj kev khomob); (6) Cov ntaub ntawv hauv cov pab pawg kho ua ke nrog cov tshuaj lom neeg a, thiab pawg tswj hwm yog Estradiol valerate. Nws yog tsis tau tshuaj xyuas cov txiaj ntsig ntawm Suav ntawm cov kev kawm no); (7) Cov ntaub ntawv nyob rau hauv uas cov kev kho mob yog suav tshuaj patent ua ke nrog Western tshuaj, thiab pawg tswj hwm yog tib yam tshuaj pleev ib yam; (8) Cov ntaub ntawv los ntawm tib chav thiab tib lub sijhawm yog tias muaj cov lus qhia uas tau rov qab ua dua, ib qho ntawm lawv yuav raug xaiv los ua daim ntawv qhia.
Tsoos suav tshuaj rau cistance rau gls
2.4. 3 Cov Ntaub Ntawv Extraction
Tom qab tshawb nrhiav, tag nrho ntawm 23,500 cov lus tau txais. Tom qab kev nyeem ntawv thiab tshuaj ntsuam, 82 tshooj tau ntsib cov tshuaj tshawb nrhiav thiab cov tshuaj tiv thaiv kab mob suav nrog cov ntaub ntawv tshaj tawm no thiab 1 tsab xov xwm ntawm kev tshuaj xyuas kev lag luam ntawm kuntai capsules; Thaum kawg, muaj 61 cov khoom muaj feem xyuam rau cov lus pom zoo ntawm cov lus qhia no. Cov ntaub ntawv muaj feem xyuam ntawm cov ntaub ntawv tau muab rho tawm, suav nrog cov qauv tshawb fawb, kev tshawb fawb, ntsuas kev tshuaj xyuas, ntsuas kev nyab xeeb, thiab lwm yam.
2.5 Kev ntsuas kev ntsuas zoo ntawm cov ntawv suav nrog
Txoj Kev Ntsuam Xyuas Txoj Kev Ntsuam Xyuas Kev Ntsuas Cov Khoom Kev Ua Phem Qhov Kev Ntsuas Hnub Qub tau siv los ntsuam xyuas kev ua phem ntawm cov kev ntsuam xyuas txheej txheem systematic. Thaum lub hnub qub kev sojntsuam qhia tias txoj kev ntsuam xyuas cov txheej txheem uas twb muaj lawm, tab sis muaj ntau txoj kev kawm tshiab Thaum qhov kev ntsuam xyuas AmStar qhia tias qhov zoo ntawm cov kev ntsuam xyuas hauv cov lus nug ntawm cov lus nug ntawm cov lus nug ntawm cov lus nug PICO, lossis tom qab muaj cov ntaub ntawv tshawb fawb uas tsis muaj kev ntsuam xyuas thiab cov khoom siv qub. Tus cochran nyem rau kev ntsuam xyuas cov txheej txheem systematic yog siv los hloov kho cov qauv tshuaj xyuas thiab tsim kho cov kev ntsuam xyuas ua haujlwm zoo. Cov cuab yeej ntsuas Cochran rog pheej yig yog siv los ntsuas qhov teeb meem tsis zoo ntawm cov kev sim tswj hwm. Hauv kev kuaj mob sim ua, kev tsis ncaj ncees tuaj yeem faib ua kev tsis ncaj ncees, kev ua tsis ncaj, ntsuas kev tsis ncaj ncees, kev tsis ncaj ncees thiab qhia kev tsis ncaj ncees. Txhua hom kev tsis ncaj ncees yog cais raws li txoj kev pheej hmoo tsawg, muaj feem ntau, lossis tsis paub tseeb. Bias muaj kev pheej hmoo uas tsis muaj peev xwm cuam tshuam rau cov txiaj ntsig kev tshawb fawb tsis muaj zog ntawm kev ntseeg tau tias kev bias ua rau muaj kev tsis ntseeg txog kev tshawb fawb tsis ntseeg txog kev tshawb fawb tsis ntseeg txog kev siv dag zog. Txoj kev ntsuas kev pheej hmoo uas muaj kev sib cav los ntawm ob tus neeg tshawb nrhiav, thiab kev tsis pom zoo los ntawm kev sib tham lossis kev tshawb fawb nrog tus neeg tshawb fawb thib peb.
2.6 daim ntawv thov ntawm cov pov thawj kev tshuaj xyuas
Re ev kuv e w m a n a g e r ５. 3. Cov ntaub ntawv ntawm kev tshawb fawb thawj ntawm cov kev sim tswj hwm nrog tib hom kev tshawb fawb, cov txheej txheem kev cuam tshuam, thiab cov ntaub ntawv pawg tau sib xyaw thiab tshawb xyuas. Cov ntsuas pom tau yog kwv yees siv sib nrug. Cov ntaub ntawv suav tau qhia los ntawm kev pheej hmoo pheej hmoo (RR) thiab nws 95% kev ntseeg siab ntu (ci); Cov ntaub ntawv ntsuas nrog cov uniform chav tau qhia los ntawm qhov sib txawv (MD) thiab nws 95% CI.
2. 7. Kev ntsuam xyuas zoo ntawm lub cev cov pov thawj thiab cov qauv kev pom zoo (cov ntawv 1-3)
Cov qhab nia pov thawj pov thawj, kev txhim kho thiab ntsuas cov qauv tshuaj thiab kev nyab xeeb ntawm Suav cov tshuaj patent hauv txoj kev kawm no [W]. Raws li cov lus hauv Grad E, kev ua pov thawj zoo tau muab faib ua plaub qib: High, nruab nrab, tsawg, thiab muaj tsawg, thiab muaj tsawg, thiab tsawg. Nyob rau hauv cov txheej txheem ntawm cov pov thawj qhab nia, tsib txoj kev cuam tshuam ntawm kev tsis ncaj ncees: kev pheej hmoo ntawm kev tsis ncaj ncees, tsis sib xws, tsis ncaj ncees, thiab tshaj tawm cov bias. Raws li cov tswv yim zoo thiab kev sib tham tom qab, tau mus txog hauv cov lus sib hais tiav, thiab cov ntsiab lus theem tau muab qhab nia. Thaum kawg, cov ntaub ntawv pov thawj tau nthuav tawm los ntawm cov ntaub ntawv pov thawj cov lus, thiab qib GRE system tau siv rau qib kev pom zoo qib. Ua ke nrog tus kws tshaj lij kev xav, cov lus pom zoo ua ntej rau kev suav suav hauv Suav teb suav nrog tau txais.
2. 8. Kev tsim cov kev xav pom zoo
Rooj 1: Cov Ntawv Pov Thawj Cov Lus Qhia Ua Tau Zoo
| Txheej Txheem Txheej | Txoj cai | Lus piav |
|---|---|---|
| Siab | A | Kev tshawb fawb yav tom ntej yog qhov tsis zoo li yuav hloov siab rau kev ntseeg siab rau qhov kwv yees ntawm cov nyhuv. |
| Tswj kav | B | Kev tshawb fawb yav tom ntej yuav muaj qhov cuam tshuam tseem ceeb rau kev ntseeg siab nyob rau hauv kev kwv yees thiab yuav hloov pauv kev kwv yees. |
| Qi | C | Kev tshawb fawb yav tom ntej yog cov muaj feem cuam tshuam rau kev ntseeg siab rau kev kwv yees kev ua haujlwm thiab yuav zoo li yuav hloov pauv qhov kwv yees. |
| Tsawg heev | D | Ib qho kev kwv yees ntawm cov nyhuv yog qhov tsis paub tseeb. |
Rooj 2: Cov lus pom zoo pom zoo lub zog thiab kev nthuav qhia
| Cov Lus Ceeb Toom Theem | Kev Siv Cov Ntsiab Lus | Txoj cai |
|---|---|---|
| Muaj zog pom zoo rau | Xav pom zoo kom | 2 |
| Cov lus pom zoo tsis muaj zog rau | Tsis muaj zog pom zoo | 1 |
| Tsis tuaj yeem pom zoo | Ib ntus tsis pom zoo | 0 |
| Tsis muaj kev pom zoo tiv thaiv | Tsis pom zoo | -1 |
| Muaj zog pom zoo tiv thaiv | Muaj zog tiv thaiv | -2 |
Rooj 3: Cov lus pom zoo pom zoo
| Zaj piav | Cov lus pom zoo ruaj | Kev Pom Zoo Tsis muaj zog |
|---|---|---|
| Rau cov neeg mob | Feem ntau yuav xav tau chav pom zoo ntawm kev nqis tes ua thiab tsuas yog ib qho kev faib me me xwb yuav tsis yog. | Feem ntau yuav xav tau cov lus pom zoo ntawm kev nqis tes ua, tab sis ntau yuav tsis. |
| Rau cov kws kho mob | Cov neeg mob feem ntau yuav tsum tau txais kev pom zoo ntawm kev nqis tes ua. | Cov kev xaiv sib txawv yuav tsim nyog rau cov neeg mob sib txawv, thiab cov kws kho mob sib txawv yuav tsum pab txhua tus txiav txim siab nrog nws cov txiaj ntsig thiab nws qhov tseem ceeb. |
| Rau cov policymakes | Tuaj yeem raug coj los ua txoj cai tswjfwm feem ntau. |
Txoj cai-ua yuav xav tau kev sib cav sib ceg thiab kev koom tes ntawm ntau tus neeg muaj feem xyuam. |
Lub Secrarariat npaj tau cov lus qhia hauv GRAD E thiab siv tus qauv delphi hloov mus txog kev pom zoo ua ntej ntawm ob zaug ntawm cov kev soj ntsuam. Ib tug tag nrho ntawm 3 {{0 cov kws tshaj lij cov kws tshaj lij thiab ua tiav ob zaug ntawm cov lus nug nug. Cov kev pom zoo tau raws li nram no: (1) Cov coefficient ntawm txhua cov khoom uas tau mus txog kev pom zoo yog <0. 3; (2) Yog tias qhov kev pom zoo ntawm "Cov lus pom zoo muaj zog" ntxiv "Cov lus pom zoo tsis muaj zog" rau ib qho khoom siv tsis muaj txiaj ntsig "rau ib qho khoom siv tau txiav txim siab tau" Kev Pom Zoo "Kev Pom Zoo"; (3) Yog tias qhov kev pom zoo ntawm "Cov lus pom zoo muaj zog" ntxiv "Cov lus pom zoo tsis muaj zog" rau ib qho khoom siv tsis muaj txiaj ntsig "rau ib qho khoom siv tau txiav txim siab tau" kev pom zoo "kev pom zoo"; (4) Yog tias qhov kev pom zoo ntawm "Cov lus pom zoo muaj zog" ntxiv "Cov lus pom zoo tsis muaj zog" rau ib qho khoom siv tsis muaj txiaj ntsig "rau ib qho khoom siv tau txiav txim siab tau" kev pom zoo "kev pom zoo"; (5) Yog tias qhov kev pom zoo ntawm "Cov lus pom zoo muaj zog" ntxiv "Cov lus pom zoo tsis muaj zog" rau ib qho khoom siv tsis muaj txiaj ntsig "rau ib qho khoom siv tau txiav txim siab tau" kev pom zoo "kev pom zoo"; (6) Yog tias qhov kev pom zoo ntawm "Cov lus pom zoo muaj zog" ntxiv "Cov lus pom zoo tsis muaj zog" rau ib qho khoom siv tsis muaj txiaj ntsig "rau ib qho khoom siv tau txiav txim siab tau" kev pom zoo "kev pom zoo"; (7) Yog tias qhov kev pom zoo ntawm "Cov lus pom zoo muaj zog" ntxiv "Cov lus pom zoo tsis muaj zog" rau ib qho khoom siv tsis muaj txiaj ntsig "rau ib qho khoom siv tau txiav txim siab tau" kev pom zoo "kev pom zoo"; (8)
Yog tias kev pom zoo ntawm "tsis pom zoo" kom tsis pom zoo "ntau dua 60% ntau dua 60% ntau dua 60% ntau dua li 60% yog qhov kev pom zoo ntawm" tsis pom zoo "; (4) Ntawm cov khoom saum toj no uas tau mus txog "lossis" tsis pom zoo "yog qhov zoo tshaj plaws" yog qhov zoo tshaj plaws "yog qhov zoo tshaj plaws" tau pom zoo / tsis pom zoo "; Yog tias "pom zoo kom pom zoo / tsis pom zoo kom pom zoo" tsis tuaj yeem hu tau, theem pom zoo yog txiav txim siab raws li "tsis pom zoo kom tsis muaj zog"; (5) Qhov ntsuas cov txiaj ntsig tau tshaj tawm hauv qee cov neeg tshawb nrhiav patents thiab "cov txiaj ntsig tseem ceeb" hauv kev ntsuas cov txiaj ntsig ntawm kev ua pov thawj "thiab theem ntawm cov pov thawj yog txo qis. Yog tias cov kws tshaj lij tau ncav cuag ib "Kev Pom Zoo" ntawm cov khoom no, cov kev xav pom zoo tau txiav txim siab "kev pom zoo" tsis muaj zog "; (6) Cov xwm txheej tshwj xeeb piav qhia: rau kev siv thiab muab cov kev pom zoo hauv Suav, tab sis muaj kev pom zoo rau cov kws tshaj lij, yog tias muaj kev pom zoo rau cov ntaub ntawv ua pov thawj, yog tias muaj cov kev pom zoo los ntawm cov ntaub ntawv "; Yog tias tsis muaj pov thawj tshawb fawb thiab nws yog tsim los ntawm cov kws paub txog cov kev pom zoo los ntawm cov kev paub dhau los "cov kev pom zoo ntawm cov kws txawj".
Cov lus pom zoo uas tau mus txog kev pom zoo nyob rau thawj zaug ntawm cov lus nug tsis tas yuav tsum nkag mus rau ob puag ncig cov lus nug, thiab tsuas yog yuav tsum tau hloov kho me ntsis raws li cov kws tshaj lij; Cov khoom uas tsis dhau qhov kev pom zoo yuav tsum tau hloov kho raws li cov kev xav ntawm cov kws tshaj lij ua ntej qhov kev nug thib ob. Tom qab cov txiaj ntsig ntawm ob puag ncig cov lus nug tau suav, ua ntej suav cov tshuaj patent thiab cov lus pom zoo rau qib kev xav tau tsim
Tom qab cov qhabnias ntawm cov lus nug tau txiav txim siab, plaub ncig ntawm cov kws paub txog cov kev sib tham tau tuav tseg. Ua ke nrog cov txiaj ntsig ntawm cov lus nug delphi thiab kev sib ntsib kev sib ntsib pom zoo, theem kev pab coj tau txiav txim siab thaum kawg.
2. 9. Pom zoo cov lus qhia txog cov tshuaj tua tshuaj
Xav tias cov lus qhia txog kev suav noj cov tshuaj patent tau piav qhia tsuas yog siv tshuaj rau cov tshuaj uas muaj kev pom zoo raws li cov kws tshawb fawb hauv Suav teb pom zoo li niaj hnub no. Tom qab ntawd, 10 Western cov kws tshaj lij tshuaj ntawm cov tsev kho mob Tertiary thoob plaws lub teb chaws tau txais kev txhais lus hauv daim ntawv nug cov lus nug, uas pab cov kws kho mob Western tshuaj nkag siab thiab siv cov tshuaj muaj tseeb. Thaum kawg, cov kev pom zoo ntawm txhua cov lus txhais cov lus qhia rau cov kws kho mob suav pom zoo los ntawm Western tshuaj cov kws tshaj lij yog 100%. Nyob rau tib lub sijhawm, pab pawg tshawb fawb tau hloov kho daim ntawv txhais lus ntawm Suav thiab cov kws tshawb fawb hauv Suav teb, uas tau siv rau kev pom zoo ntawm cov lus qhia ntawm Suav, thiab cov kev pom zoo hauv kev sau cov lus qhia.
2. 10 Daim Ntawv Tshawb Xyuas ntawm Thawj Kws Kho Mob ntawm Cov Lus Qhia
Txhawm rau kom nkag siab ntxiv seb Western cov kws kho mob hauv cov txheej txheem saib xyuas menyuam yaus hauv cov tsev kho mob tuaj kawm ntawv rau kev nyeem ntawv.
Qhov kev tshawb fawb no feem ntau yog cov kws kho mob WAsern ntawm Wardetrics, thiab cov tsev kho mob hauv nroog, Shanghai, thiab lwm lub nroog loj. Cov npe muaj xws li cov thawj coj thawj coj, nruab nrab thiab cov npe laus. Daim ntawv tshuaj ntsuam no suav nrog ntau yam thiab yog tus sawv cev. Tag nrho ntawm 60 cov lus nug hluav taws xob tau muab faib, thiab 58 cov lus nug tau rov qab los. Qhov zoo coefficient yog 96.7%, qhia tau tias muaj qhov ua tau zoo. Txheeb cais qhia tias cov coefficient ntawm kev hloov ntawm txhua yam khoom yog<0.3, indicating that the opinions of the respondents were relatively consistent. The statistical results show that the Cronbach's coefficient of this questionnaire is 0.931, and the P value is 0.006, indicating that the statistical difference is statistically significant. The statistical results of the questionnaire show that clinical physicians in primary hospitals can better understand the content of the recommendations of the first draft of this guideline, suggesting that this guideline can be well promoted among physicians in primary hospitals.
