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2012年1月A期目次

世界全科医学工作前沿 World GP Advancements

世界医学协会临终医疗服务声明WMA Declaration on End-of-Life Medical Carewwwwmanet 邵钧(译) 1

全科医学中的心理健康病案研究(一)

——惊恐发作Case Studies of Mental Health in General Practice(1)——A Panic AttackGrant Blashki,Fiona Judd(著),杨辉(译) 2

慢性咳嗽病人的评估Evaluation of the Patient with Chronic Cough周淑新,汪宗昱(编译) 6

WONCA研究论文摘要汇编周淑新(译)

——关节炎老年病人镇痛药安全性比较研究The Comparative Safety of Analgesics in Older Adults with Arthritis 21

——抗高血压药与癌症风险:随机试验324 168例参试者网络荟萃及试验序贯分析Antihypertensive Drugs and Risk of Cancer: Network Meta analyses and Trial Sequential Analyses of 324 168 Participants from Randomised Trials 32

中国全科医疗/社区卫生服务工作研究 Study on Chinese GP/CHS

家庭健康档案概念数据模型及其应用研究Conceptual Data Model for Family Health Record and Its Application叶青,孙彩虹,曹文君等 9

老年疾病医疗服务模式评价指标体系研究Study on Assessment Index System for the Elder′s Health Care Model孔奕翼,王亚东,梁万年 13

三城市就诊患者对社区卫生服务的知晓与利用情况研究Outpatients′ Awareness and Utilization of Community Health Services in Three Cities杜甲珺,李鹏,许宗余等 18

社区卫生服务中心从业人员的工作满意度及其影响因素研究Research on Degree and Influencing Factors of Job Satisfaction of Community Health Service Center Staff顾文娟,葛小锚,刘奉丹等 22

面向骨质疏松社区干预的远程管理系统及数据仓库系统设计Remote Management System of Osteoporosis Community Intervention and Design of Data Warehouse俞建峰,沈影超,周波凯等 26

基于社区医护人员认知调查的社区卫生服务机构卫生应急SWOT分析SWOT Analysis of Health Emergency in Community Health Service Organizations Based on A Cognition Survey of Community Medical Staff周志衡,王彩霞,王家骥等 29

论  著 Original Research

老年人慢性病影响因素的健康生态学模型解释Explaining the Influencing Factors on Chronic Diseases of the Elderly Using Health Ecological Model范涛,曹乾,蒋露露等 33

基于中医理论的恶性肿瘤生活质量评价体系之共性量表的研制:理论构架与条目筛选Development of General Module of Quality of Life Assessment System for Cancer Patients Based on Traditional Chinese Medicinal Theory:Conceptual Framework and Item Selection万崇华,郑培永,尤圣富等 37

楼梯运动后心率恢复与性别的关系研究Relation between Gender and Heart Rate Recovery after Stair Climbing Exercise Test于阿信,平智广,李世锋等 41

慢性阻塞性肺疾病急性加重与贫血的关系研究 Relationship of Acute Exacerbation of Chronic Obstructive Pulmonary Disease and Anemia陈梅晞,蒋明,林武洲 43

成纤维细胞生长因子21与代谢综合征关系的临床研究Clinical Study of the Relationship between Serum FGF21 and Metabolic Syndrome赵文忠,王彬,文京奇等 46

心踝血管指数在老年冠心病中的应用价值研究Application Value of Cardio-ankle Vascular Index to the Elderly with Coronary Heart Disease鄂立平,李海燕 49

2型糖尿病慢性血糖波动对动脉硬化的影响研究Impact of Chronic Glucose Fluctuation on Atherosclerosis in Type2 Diabetes Mellitus周淑晶,吕肖锋,张健等 51

糖皮质激素对重症心力衰竭患者神经内分泌因子影响的临床研究Effects of Glucocorticoid on Neuroendocrine Hormones in Patients with Severe Heart Failure甄宇治,邓彦东,刘超等 54

首次CT表现为肺炎、肺实变等肺癌患者的临床特点研究The Clinical Characteristics of Lung Cancer Presented with Pneumonia,Consolidation of Lung by Initial CT郭芳,王以新,陈明盈 57

支架成形术治疗伴发眩晕的椎-基底动脉中重度狭窄的疗效分析The Effect of Stent Angioplasty in Treating Middle or Severe Vertebral-Basilar Artery Stenosis with Episodic Vertigo胡沛霖,王文胜,李喜朋等 59

热点关注 Hot Spots in Focus

人类免疫缺陷病毒感染者手术安全问题探讨Study of Operation Safety on HIV-Infected Patient张磊,刘保池 62

全科医学教育研究 Study on General Practice Education

我国全科医师教育培训与能力评估方法探讨A Study on Training and Competency Assessment of General Practitioners in China陈倩,江孙芳,顾杰等 65

湖南省卫生技术人员培训现状与需求分析Status of Training on Community Health Professionals in Hunan Province and Their Demand王小娟,黄韵如,谢祎等 69

天津市河东区社区卫生技术人员培训现状及需求的研究Status of Training on Community Health Professionals in Hedong District,Tianjin and Their Demand谢福军,李昂,张世华等 71

调查研究 Investigation

中国城乡居民医疗消费行为实证研究An Empirical Study on Medical Consumption Behavior in Chinese Urban and Rural Residents蒋露露,曹乾,范涛等 74

农业人群四种常见恶性肿瘤经济负担趋势分析 Trends of Economic Burden on Patients with Four Common Cancers in Rural Area毛宝宏,白亚娜,胡晓斌等 77

社会•行为•心理 Socio-Psychological Behavior

农村艾滋病患者心理和社交变化的纵向分析Cross Study on Mental State and Social Activities of AIDS Patients in Rural Areas钟延旭,付燕,王宇明等 80

灾后医护人员对伤员实施心理干预知识的现状调查Status Survey on Knowledge of Medical Staff's Carrying Out Psychological Intervention for the Wounded after Disasters张焕芳,李红玉,员庆博 82

中医•中西医结合研究 Study of Traditional Chinese Medicine

针灸治疗原发性抑郁症的疗效观察指标及其相关统计方法的计量分析研究Indexes and Their Relevant Statistical Methods on Primary Disorder Treated with Acupuncture and Moxibustion:A bibliometric study林伟容,陈俊琦,陈磊等 85

回生口服液对随访期卵巢癌患者复发风险的影响Effect of Huisheng Oral Liquid on Risk of Recurrence for Patients with Ovarian Cancer in Follow-up Period宋文广,王毅峰,范扶民等 88

清肠愈疡汤联合美沙拉嗪治疗溃疡性结肠炎的疗效分析The Effect of Qingchang Yuyang Decoction plus Mesalazine for Treatment of Ulcerative Colitis张娟,曹泽伟 90

个案报告 Case Report

并发肺、心、肾等多脏器损害的木村病一例并文献复习A Case of Kimura Disease with Multi-organ Damage and Literature Review

朱迎伟,毛毅敏,娄源杰等 93

以支气管内病灶为表现的支气管动静脉畸形两例及诊治分析Diagnosis and Treatment of Two Cases of Bronchial AtV Malformation with Endotracheal Foci邢西迁,魏星,杨雅吉等 95

健康促进 Health Promotion

社区高血压患者药物治疗依从性及自我效能分析Analysis on the Medication Adherence and Self-Efficacy of Hypertension Patients in Community王娇艳,周志衡,吴兰笛等 97

系统化健康教育对不同血压水平高血压患者干预作用的研究Intervention Effect of Systematic Health Education on Patients with Different Blood Pressure Levels of Hypertension刘茂辉,胡学捷,杨蓉 100

社区卫生工作平台 Experience Sharing of GP/CHS

糖尿病日记在糖尿病自我管理中的作用研究Function of Keeping a Diary in Diabetic Self-management曹艳萍,桑文凤 103

护理程序法在社区糖尿病患者管理中的应用效果研究Evaluation of Nursing Process Method in the Management of Diabetic Patients in the Community贺林,纪永江 105

上海市社区2型糖尿病患者综合干预的研究The Study of Comprehensive Intervention for Patients with Type 2 Diabetes in Community of Shanghai顾梅榴,朱秀国,徐先锋等 107

全科医生知识窗 Expanding Our Outlook

现场急救时针对可疑死亡及死亡患者的诊疗策略(一)

——如何确认死亡Diagnostic and Therapeutic Strategies for Suspected Death or Death in Field First Aid——How to Confirm Death冯庚 110

全科医生小词典

——社会医学与社区医学Social Medicine and Community Medicine 48

——全科医学的科学研究Scientific Study in General Practice 76

读者服务 Reader Services

《中国全科医学》2012年编委、特约编委和审稿专家名单2012 CGP Editorial Members, Special Members and Peer Reviewers List目次前页

《中国全科医学》杂志稿约CGP Notice to Contributors目次前页

《中国全科医学》最新入选主要核心数据库收录证书及期刊指标检索报告Latest CGP Core Database Index Certificate and Journal Indicator Report目次前页

《中国全科医学》杂志关于试验研究知情同意的声明CGP Statement on Informed Consent in Trial Studies 68

《中国全科医学》杂志关于论文报告利益冲突的声明CGP Statement on Conflict of Interests in Research Papers 79

2012亚太WONCA(世界家庭医生组织)会议主要内容和报名通知2012 WONCA APR Conference Program and Participation Information 112

视  窗 News

全国医学教育改革工作会议召开 文后插页

咱这儿的居民 都有家庭医生 文后插页

2012年1月B期目次

世界全科医学工作瞭望 World GP Overview

世界医学协会健康的社会决定因素报告

WMA Statement on Social Determinants of Health 113

WONCA研究论文摘要汇编

——长期保持高水平活动与体质量增加的关系

Long Term Physical Activity and Weight Gain in Middle Age 124

——146万成年白人体质指数与死亡率

Association between BMI and Mortality in Adults 189

——关节炎老年病人镇痛药安全性比较研究

Safety of Analgesic Drugs in Treating Elderly Arthritis Patients 221

专题研究 Monographic Study

中国高血压的“四高四低”特点分析

The "Four Highs and Four Lows" Features of Hypertension in China郭航远,唐伟良,邢杨波 114

中年高血压患者自我管理现状及影响因素分析

The Current Status and Influencing Factors of Self-management of Middle-aged Hypertensive Patients张振香,李艳红,张秋实等 117

健康教育对社区高血压患者服药依从性的系统评价

Systematic Evaluation of Influence of Health Education on Medicine-Taking Compliance of Hypertensive Patients inCity Communities黄昊,孟开 120

国产西尼地平治疗原发性高血压效果的Meta分析

Effect of Domestic Cilnidipine in the Treatment of Essential Hypertension:A Meta Analysis李胜夫,秦玲,徐国良 125

医学循证 Evidence Based Medicine

低氮低热量肠外营养临床应用价值的系统评价

Clinical Values of Low-nitrogen Low-calorie Parenteral Nutrition:A Systematic Review王尚前,邵国安,张虎等 128

具有免疫抑制作用的中成药治疗IgA肾病的系统评价

A Holistic Evaluation of Treatment for IgA Nephropathy with Immunosuppressive Chinese Patent Medicine刘壮竹,林淑娴,刘旭生 134

论  著 Original Research

急性白血病化疗患者生活质量的影响因素研究

Factors Influencing the Quality of Life of Acute Leukemia Patients Receiving Chemotherapy彭芳,张静平,李小云等 139

缺血后适应对急性心肌梗死合并糖尿病患者临床及预后的影响

Clinical and Prognosis Effect of Myocardial Ischemic on Acute Myocardial Infarction Patients with Diabetes Mellitus张庆华,闫华,李莉等 142

良性阵发性位置性眩晕的临床特征研究

Clinical Features of Benign Paroxysmal Positional Vertigo章燕幸,吴承龙,钟芳芳等 145

新疆和田地区居民长寿原因的十年随访研究

A Decade′s Follow-up Study on Longevity Causes of Residents,Hetian,Xinjiang杨启岭,买苏木,阿迪拉等 148

社区老年人无症状性大脑中动脉狭窄的患病率及危险因素研究

Study of Asymptomatic Middle Cerebral Artery Stenosis Prevalence and Risk Factors of Elderly People王文科,于汶,徐达等 150

高龄老年高血压患者左室肥厚的相关因素研究

Study on the Related Factors about Left Ventricular Hypertrophy in Very Elderly Hypertensive Patients宝辉,苗懿德,刘颖等 154

婴儿期脑部影像学正常的早产低体质量儿脑神经发育状况的随访研究

Follow-up Research on Cranial Nerve Growth of Underweight Premature Babies with Normal Imaging Results刘芸,黄高贵,石浩等 158

膳食宏量营养素摄入量与年龄相关白内障危险性分析

Association between Dietary Macronutrient Intake and Age-related Cataract闫佳,孙文慧,张迪等 160

原发性高血压患者清晨血压升高与血浆内皮素和血管紧张素Ⅱ的相关性研究

Association of Plasma Endothelin/Angiotensin Ⅱ and Morning Blood Pressure Surge in Patients with Essential Hypertension李青霞,庞晓 164

老年2型糖尿病合并代谢综合征患者血清抵抗素水平与胰岛素抵抗的关系研究

Association of Serum Resistin with Metabolic Syndrome in Elderly Type 2 Diabetes Mellitus Patients张艳红,冯明 167

青少年原发性肝癌与乙型及丙型肝炎病毒感染的关系分析

Association between HBV and HCV Infections and Primary Hepatic Carcinoma in Adolescents甘雨 170

胃癌穿孔患者术后预后影响因素分析

Factors Influencing the Post-operative Survival in Patients with Perforated Gastric Cancer张昊,高黎黎,薛会朝等 172

带涤纶套中心静脉导管在糖尿病肾病血液透析患者中的失功率及影响因素研究

Dysfunction of Long-term Cuffed Indwelling Central Venous Catheterization during Hemodialysis of Patients withDiabetic Nephropathy:Its Incidence and Relevant Factors杜渊,杜浩昌,李春庆等 175

不同性别2型糖尿病患者分泌型CD36水平变化及颈动脉内膜中层厚度的影响因素研究

Changes of Solubel CD36 in Type 2 Diabetes Mellitus by Gender and Analysis on the Influencing Factors ofCarotid Intima-Media Thickness张晓菲,庞翠军,肖常青 179

病例分析 Discussion of Clinical Cases

家族性心房纤颤的遗传分析

Genetic Analysis of Familial Atrial Fibrillation洪昌明,郑强荪,舒青 182

调查研究 Investigation

社区低龄老年人白天过度嗜睡症发生率及相关因素研究

An Analysis of Excessive Daytime Sleepiness of the Young Elderly in Communities and Its Relevant Factors郑文韬,刘申,叶露 184

北京市医院睡眠监测报告现状分析

Analysis of the PSG Reports from 10 Beijing Hospitals吴慧莉,陈钢,马秀玲等 186

社区卫生工作平台 Experience Sharing of GP/CHS

东莞市大朗镇和塘厦镇社区卫生服务机构运行状况分析

The Analysis about Operational State of Community Health Service Centers/Stations in Dalang Town andTangxia Town of Dongguan City姜焰凌,魏晓林,葛菲雪等 190

北京市某区社区卫生服务站运行现状调查

Operation Status of Community Health Service Stations in One District of Beijing陈开红,杨峥,张亚兰等 194

中美非政府举办社区卫生服务运行模式研究

Study of Operating Models of Non-government Community Health Service in China and USA潘苏彦,张海涛 197

北京市某区外来人口社区卫生服务利用情况和满意度调查

Utilization of Community Health Services by Migrant Population and Their Satisfaction Degree in One District of Beijing邵爽,王嵬,路孝琴等 199

短篇论著 Articles

消旋卡多曲治疗成人急性腹泻疗效观察

Effects of Racecadotril on Acute Diarrhoea of Adults李贯清,周荣斌 203

小儿危重病例评分在儿科重症监护病房转出决策中的应用

Application of Pediatric Clinical Illness Score in the PICU Evacuation Decision邱慧明,黄昀 205

微创经皮肾镜取石术治疗泌尿系软结石的疗效及安全性分析

Clinical Evaluation and Precautions of the Treatment of Urinary Soft Calculi with Minimally InvasivePercutaneous Nephrolithotomy杨文增,王佳荣,赵春利 207

定量脑电图对阿尔茨海默病患者认知能力的评估作用

Assessment of Cognitive Ability by Quantitative EEG in Patients with Alzheimer′s Diseases 陈玉宝 209

自制弹力绷带用于白血病患者经外周穿刺中心静脉置管术后出血的疗效观察

Curative Effect of Clinical Self-made Elastic Bandage for Postoperative Hemorrhage of Leukemia Patients byPeripherally Inserted Central Catheter王莉 211

多功能放取环钳的研制与临床应用效果分析

Development and Clinical Application of the Multifunctional Clamp for the Placement and Removal of IUDs冯伟 212

中医•中西医结合研究 Study of Traditional Chinese Medicine

中药方剂配合心理辅导治疗耳鸣疗效研究

Combination of Traditional Chinese Medicine and Psychological Counseling in Treatment of Tinnitus杨志新,龚齐,杨天权等 215

内服及外用中药治疗带状疱疹35例疗效分析

35 Cases Analysis of Internal and External Application of Chinese Medicine for Treatment of Herpes Zoster王立新 218

电脑中频治疗仪加拔火罐治疗棘上韧带损伤疗效观察

Computerized Intermediate Frequency Therapy Apparatus and Cupping Therapy for Supraspinous Ligament Injury徐晓萍 219

个案报告 Case Report

以上消化道出血为首发表现的脑出血二例分析

Upper gastrointestinal Hemorrhage as the First Manifestation of Cerebral Hemorrhage:Report of Two Cases周明辉,白妙春 222

罕见的尿黑酸症一例

A Case Analysis of Rare Alcaptonuria胡明,郭涛,李玲等 223

应用气管插管钳取小儿食管异物一例分析

A Case Analysis of Esophageal Foreign Body in Children by Tracheal Intubation Forceps 包文奎 225

新进展 New Progress

维持性透析患者出现神经精神异常的研究进展

Analysis of Neuropsychiatric Disorders in Maintenance Dialysis Patients毕礼明,刘希华,高峻等 226

溃疡性结肠炎的发病机制和治疗进展

The Pathogenesis and Therapeutic Progress of Ulcerative Colitis 樊慧丽,陈玉梅 228

全科医生知识窗 Expanding Our Outlook

全科医生小词典

——社区健康相关行为

Community Health-related Behavior 183

——社区卫生诊断

Community Health Assessment 193

院前急救时的检伤分类——概述

Overview of Pre-hospital First Aid Triage冯庚 231

 

2012年1月C期目次

新进展 New Progress

高尿酸血症与胰岛素抵抗关系的研究进展Research Progression of the Relationship between Hyperuricemia and Insulin Resistance金明姬,刘冠贤,石咏军 233

血管活性肠肽与某些胃肠动力紊乱性疾病的内在关联研究进展The Research Progress of Pathogenic Relationship between Vasoactive Intestinal Peptide and Some Gastric Motility Disorders程晓雯,郑清华,李小玲等 237

专题研究 Monographic Study

代谢综合征组分组合对心脑血管疾病风险预测的比较研究Comparative Study on Prediction of Cardiovascular Disease Risk by Metabolic Syndrome and Component Clusters俞黎黎,徐璐,邵继红等 241

代谢综合征与脑梗死患者早期预后关系的研究Study on the Relationship of Early Prognosis between Metabolic Syndrome in Patients with Cerebral Infarction王晓强,张淑伟,康爱红等 245

代谢综合征与口服糖耐量试验1小时血糖的相关性研究The Study of the Relationship between One-Hour Plasma Glucose in OGTT and Metabolic Syndrome信中,马亚红,赵蕾等 249

代谢综合征在不同营养状况青少年学生中的患病情况及相关症状分析Prevalence of Metabolic Syndrome among Adolescent Students with Different Nutritional Status inChongqing and Analysis of Related Symptoms邵际晓,王宏,高奇峰等 252

论  著 Original Research

2型糖尿病患者血清同型半胱氨酸与心室重构相关性研究Relationship between Homocysteic Acid and Ventricle Remodeling in Patients with Diabetes Mellitus秦春梅,刘波,尹福在等 256

戈舍瑞林联合来曲唑治疗晚期绝经前乳腺癌的临床疗效研究Goserelin Combined with Letrozole in the Treatment of Premenopausal Patients with Metastatic Breast Cancer姚舒洋,徐兵河 259

小儿支原体肺炎病情轻重的相关因素研究Factors Related to the Severity of Symptoms in Children Mycoplasma Pneumoniae Pneumonia徐哲,陈华英,马兵等 262

血清晚期氧化蛋白产物、细胞间黏附分子1、白介素1β与糖尿病肾病的关系及辛伐他汀的干预研究Association of Serum Advance Oxidative Protein Products,Intercellular Adhesion Molecule 1,and Interleukin-1β with Diabetic Kidney Disease and the Intervention with Simvastatin李弋南,金建生,张燕林 266

高血压患者尿微量清蛋白与C-反应蛋白及其-717A>G基因多态性的关系The Association of Microalbuminuria with C-Reactive Protein and Its-717A>G Polymorphism in Hypertensive Patients吴建华,张定武,崔之础等 270

非酒精性脂肪肝病患者血清脂联素水平及其在肝脏组织中的表达情况的研究The Study of Changes of Serum Adiponectin Level and the Expression of Adiponectin in Patients withNonalcoholic Fatty Liver Disease黄曼玲,张姮,徐丹等 273

择期颅脑手术患者肺部并发症的相关危险因素研究Risk Factors Analysis of Postoperative Pulmonary Complications in Elective Intracranial Surgery马龙,吴昆,李娜等 276

内镜治疗急性梗阻性胆道感染对患者血清白介素2和白介素6及C反应蛋白影响的临床研究Clinical Research on the Influence of IL-2,IL-6 and CRP Through Endoscopic Therapy for Patients withAcute Obstruction Biliary Infection王明涛 279

PINCH蛋白在垂体腺瘤中的表达及其意义Expression and Significance of PINCH Protein in Pituitary Adenoma赵强,王洪,顾平等 281

循证治疗 Evidence Based Treatment

药物性肝损害患者的循证治疗Evidence-Based Treatment for A Patient with Drug-Induced Liver Injury宋佳,董卫国,吕晓光等 285

肝豆状核变性的循证治疗Evidence-Based Treatment for Wilson Disease吴建红,吕晓光,华影等 289

调查研究 Investigation

社区老年2型糖尿病护理技术与服务需求调查研究Research of Community Medical Care for Elderly Type 2 Diabetes Patients and Their Nursing Demand刘丽,李新辉,姬春等 292

社区居民布鲁菌病防治知识及态度调查分析Survey and Analysis on the Communities′ Prevention Knowledge and Attitude to Brucellosis齐丽 296

村卫生室从业人员现状及卫生适宜技术需求情况分析Analysis of Work Status and Demand of Appropriate Health Technologies of Village Health Practitioners 石学峰,房耘耘,程薇等 298

短篇论著 Articles

泼尼松对慢性硬膜下血肿术后脑复张的影响Effect of Prednisone on Brain Reexpansion after Chronic Subdural Hematoma Operation梁亚明,方凯 302

小儿腹股沟斜疝术后复发因素探究Investigation of the Causes of Recrudescence of Inguinal Hernia in Children after Operation丁善衡 304

维吾尔族一家系6例脊髓小脑性共济失调12型患者的临床特点分析Studies on Clinical Characteristics of SCA12 in 6 Uygur Nationality Patients张小宁,李海涛,雷晶等 306

微血管减压术治疗半面痉挛时责任血管的辨别和处理Recognition and Management of Offending Vessels in the Treatment of Hemifacial Spasm withMicrovascular Decompression: Analysis of 78 Cases付勇强,涂锦泉,韦名然等 309

阴囊转移皮瓣阴茎根部白膜固定术治疗隐匿性阴茎临床观察Treatment of Occult Penis Via Scrotum Flap Fixation of Albuginea Penis:Observation of 20 Cases蔡文波,郭景阳,王锦涛等 311

合并癫痫的低级别胶质瘤手术治疗效果分析Effect of Surgical Treatment on Low-grade Glioma Merged with Epilepsy桑林,马延山,游赣等 313

肋上通道经皮肾镜取石术治疗输尿管上段结石临床疗效观察To Evaluate the Safety and Efficacy of the Supracostal Access for PCNL in the Treatment of Upper Ureter Calculi杨文增,张晶,赵春利等 316

阴道炎专栏

——甲硝唑栓联合结合雌激素软膏治疗老年性阴道炎的疗效分析Effectiveness Analysis of Senile Vaginitis by A Combination of Metronidazole and Beimeili Paste孙艳 318

——妇舒能洗剂与维生素E胶丸治疗更年期阴道炎疗效观察An Observation of the Curative Effect of Fushuneng Lotions and Vitamin E Capsule on Menopausal Vaginal李鸿霞 320

——氟胞嘧啶联合两性霉素B治疗顽固性念珠菌性阴道炎的疗效观察Observation of the Curative Effect of Flucytosine Combined with Amphotericin B on Intractable Candidal Vaginitis李爱民 322

用药分析 Drug Usage

2007—2009年我院抗真菌药应用分析Analysis of the Utilization of Antifungal Agents in Our Hospital during 2007—2009王芳,卢旺,李萌 324

赤芍总苷逆转黑色素瘤细胞株多药耐药的效果及机制研究Reversion of Multidrug Resistance in Human Malignant Melanoma Cell Line by Total Paeonyglucosides王亚珍,吕品田,王凤红等 328

个案报告 Case Report

人工膝关节表面置换术后假体排异反应一例报告Prosthesis Rejection after Knee Joint Prosthesis Replacement:One Case Report张亦工,游志红 331

先天性左冠动脉瘤样扩张-右房瘘并纵隔子宫畸形伴早孕一例Congenital Ectasia of Left Coronary Artery-Right Atrial Fistula Combined with Abnormal Uterus Septus and Early Pregnancy:One Case Report林芳惠,宝波,林魏等 333

护理工作研究 Nursing

基于早期预警评分建立的骨科术后患者程序化监护方案的应用价值研究The Application Value of Programmed Methods in Caring Postoperative Patients in Orthopedics Department Based on Modified Early Warning Score彭伶丽,杨佳琪,金惠 335

血友病合并人类免疫缺陷病毒感染患者的手术安全与护理研究Operation Safety and Nursing for Haemophilia Patients with HIV Infection王馨,徐勤奋,刘保池 338

卧床患者二便护理的研究进展The Development of the Research on Urinary and Fecal Nursing for Patients That Are Laid Up

柳正芳,罗雪梅 341

全科医生技能发展—影像学诊断 GP Skill-Imaging Diagnosis

超急性期大面积脑梗死的CT诊断与应用Application of CT in Diagnosis of Large Cerebral Infraction in Super Acute Phase杨春燕,梅友泉,苏俊红 344

经阴道多普勒超声与病理微血管密度对卵巢上皮性肿瘤良恶性的鉴别诊断Differential Diagnosis of Epithelial Ovarian Tumor Vessels with Transvaginal Doppler Ultrasonography and Pathologic Microvessel Density赵锦,吴振宇,张冰 347

胃肠结石的影像学诊断及碎石治疗Image Diagnosis and Interventional Therapy of Gastrointestinal Stones贾云岭,欧仕宏,欧阳志和等 350

世界全科医学工作瞭望 World GP Overview

WONCA研究论文摘要汇编 周淑新(译)

——收缩期高血压初级保健病人传统和自动血压测量的对照研究:随机平行设计研究Manual vs Automated Blood Pressure Monitoring 255

——二丙酸倍氯米松用作儿童轻度持续性哮喘的抢救治疗:随机双盲安慰剂对照试验Inhaled Steroids Helpful as Combined Rescue Treatment in Mild Asthma

 327

——一级预防用微血管功能预测心血管事件Ultrasonographic Findings as Cardiovascular Predictors

 332

读者版本月刊登目次 »

专家在线1~14

面对面

 重视呼吸系统疾病的常见表现

 ——肖毅教授访谈  本刊编辑部整理  (1)

今日我出诊

 接诊一例发作性睡病的患者  肖 毅  (4)

每期一课                 

 发现杵状指(趾)的患者钟 旭  (7)

指南·共识

 解读难治性哮喘诊断与处理专家共识  高金明*(10)

 2011年美国稳定期慢性阻塞性肺病诊疗指南解读  王广发*(12)

症状剖析 15~26

 三例不同临床特点的咳嗽病例柳 涛(15)

 聚焦咯血  施举红(20)

 剖析呼吸困难  彭 敏(23)

 

风向标27~48

临床决策

 老年社区获得性肺炎的诊治和预防

    葛 楠,朱鸣雷,刘晓红等(27)

 哮喘的紧急治疗孔灵菲(29)

 胸部X线发现阴影的诊断  钟 旭(31)

用药指导

 抗病毒药物在呼吸道病毒感染中的应用王 平(33)

 抗菌药物在社区获得性肺炎中的应用   罗金梅,肖 毅(36)

 糖皮质激素在社区获得性肺炎中的应用李 奕,黄 怡(39)

讲述               

 肺癌不同外科手术方式的评价支修益,陈东红(41)

  讲述               

 肺功能检查对阻塞性肺疾病的临床意义高金明(45)

 呼吸系统疾病的吸入治疗李国安,张 弘(47)

 

观点分析室 49~50

 重视呼吸系统疾病的病史采集及体格检查  黄 蓉(49)

 

前沿与进展 51

 中医药踏上循证医学之路

 ——麝香保心丸治疗慢性稳定性冠心病临床研究启动(51)

 

深度荟萃 52~64

经典病例

 接诊一例IPF患者的体会  黄 慧(52)

 咳嗽、咳痰、喘息、双肺弥漫性病变

 王 婷,张 杰,董淑文等(54)

 循证诊治社区获得性肺炎患者一例吴 东,黄晓明,王 玉(58)

中医中药

 变应性鼻炎的中医诊疗思路  张晓阳(60)

 中医治疗肺癌的主要思路杨 丹,田国庆*(63)

 

社区卫生平台 65~78

药物与临床

 阿司匹林在脑卒中患者中的应用  徐 群(65)

全科医生培训

 内科症状鉴别诊断——咳痰  张树基(66)

 一例酒精性低血糖昏迷的诊治体会王 宇(68)

 全科医学——声嘶(节选)  John Murtagh(著),梁万年(主译)(70)

全科诊室

 全科医生对一例乳腺疾病患者的临床处理

   谷 建,指导:Peter Burgos MD(72)

 澳大利亚John Murtagh全科病案研究(十)

 ——画在纸上的噩梦  John Murtagh(著),杨 辉(译)(75)

 布朗医生日记  Sanford JBrown(著),周淑新(编译)(78)