互联网医疗智能辅助审方系统的构建与应用专家共识

随着互联网医疗的兴起，电子处方流转不断增多，电子处方审核成为在线用药环境下合理用药的重要保障。而互联网场景下，人工审核效率和审核质量低下，易增加药害事件的风险。智能辅助审方系统的应用可以明显降低药师审方工作压力，提高审核效率，而目前在互联网医疗智能辅助审方系统的系统构架、系统功能、处方审核规则设置上缺乏统一的制订标准和规范的管理措施，无法满足快速发展的互联网医疗需求。本专家共识基于医疗机构审方系统的构建经验，在现有审方系统功能和审方规则制订方法 的基础上，对互联网医疗智能辅助审方系统的构建和应用提出建议，以进一步促进互联网医疗审方工作的规范化，保障合理用药。     

六味地黄丸的新用途

六味地黄丸是由熟地黄、山茱萸、干山药、牡丹皮、茯苓、泽泻组成，具有滋补肝肾的作用，可用于治疗头晕耳鸣、腰膝酸软、遗精盗汗等证，是传统的中成药。近年来，又发现了它的许多新用途，现总结如下。     

“治未病”中医理论在动脉粥样硬化防治中的应用

<正>动脉粥样硬化(AS)是严重危害人类健康的一种疾病,由AS导致的心脑血管疾病目前已成为全球人口死亡的首位原因[1]。新近病理生理学与分子生物学的发展揭示,AS是一个可以被改善的动态过程[2]。如何在早期阶段识别AS高危人     

中医药对急性冠脉综合征C反应蛋白影响的研究进展

急性冠脉综合征(acute coronary syndrome,ACS)涵盖了从不稳定型心绞痛(UA)、急性非ST段抬高型心肌梗死(NSTEMI)到ST段抬高型心肌梗死(STEMI)的一系列临床病理状态.     

“治未病”中医理论在动脉粥样硬化防治中的应用

动脉粥样硬化（AS）是严重危害人类健康的一种疾病,由AS导致的心脑血管疾病目前已成为全球人口死亡的首位原因[1]。新近病理生理学与分子生物学的发展揭示,AS是一个可以被改善的动态过程[2]。     

基于“治未病”理论的动脉粥样硬化健康管理模式探讨

以中医＂治未病＂理论为基础,探讨动脉粥样硬化人群健康管理模式的建立,以期减少动脉粥样硬化及其并发症的发生、发展,最大限度地保障生命健康。     

苓桂术甘汤加味治疗美尼尔氏病临床观察30例

美尼尔氏病是一种常见病，反复发作，以突然发作的眩晕、耳鸣、呕吐为主要临床特征。祖国医学中属于“眩晕”的范畴，多为痰饮中阻所致。西药多无特殊治疗方法，只能缓解发作期的症状。笔者应用苓桂术甘汤加味治疗30例美尼尔氏病，临床观察1年时间，疗效满意，现总结如下：     

糖尿病周围神经病变误诊分析

糖尿病神经系统并发症是糖尿病常见并发症之一，大约有2／3病人植物神经和周围神经有受累，统称为“糖尿病周围神经病变”。因其很多表现不具有特异性，易误诊。本文通过对国内公开发表的文献进行分析，从循证医学的角度了解糖尿病周围神经病变误诊的情况。     

Protective effect of Chinese herbs for supplementing qi, nourishing yin and activating blood circulation on heart function of patients with acute coronary syndrome after percutaneous coronary intervention

Objective:To investigate the effects of Chinese herbs for supplementing qi,nourishing yin and activating blood circulation on heart function of patients with acute coronary syndrome(ACS)after successful percutaneous coronary intervention(PCI).Methods:One hundred patients with ACS after successful PCI were randomly assigned to a Western medicine(WM)treatment group(WMG)and a combined treatment group (CMG)treated by Chinese herbs for supplementing qi,nourishing yin and activating blood circulation,besides Western medicine treatment,with 50 cases in each group.Both treatment courses were 6 months.The followup was scheduled at baseline,6 months and 1 year after PCI,and New York Heart Association(NYHA) functional class,Chinese medicine(CM)symptom scores,blood stasis syndrome scores,and major adverse cardiovascular events(MACE)were observed,serum levels of N-terminal pro-brain natriuretic peptide (NT-proBNP)and hyper-sensitivity C-reactive protein(Hs-CRP)were measured,an echocardiogram was conducted to examine left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume(LVEDV), left ventricular end-systolic volume(LVESV),inter-ventricular septal thickness(IVST),left ventricular posterior wall thickness(LVPWT),and ventricular wall motion index(VWMI).Results:Compared with the baseline, LVEF significantly increased(P<0.01),and CM symptom scores,blood stasis syndrome scores,VWMI, LVEDV,LVESV,NT-proBNP,and Hs-CRP all decreased(P<0.01)in both groups at 6 months and at 1 year after PCI.There were no significant differences in all the above parameters at 1 year vs those at 6 months after PCI(P>0.05).VWMI,LVEDV,LVESV,NT-proBNP,Hs-CRP,LVEF,and CM symptom and blood stasis syndrome scores were all improved obviously in CMG than those in WMG(P<0.05 or P<0.01)at 6 months and at 1 year after PCI.There were no significant differences in NYHA functional class between CMG and WMG at different follow-up timepoints;it was notable that P value was 0.054 when comparing the cases of NYHA functional class between the two groups at 1-year follow-up.During the 1-year follow-up,3 MACE and 11 MACE occurred in CMG and WMG,respectively;the MACE rate in CMG was lower than that in WMG (6%vs 22%,P<0.05).Conclusion:Chinese herbs for supplementing qi,nourishing yin and activating blood circulation could improve heart function,reduce the CM symptom scores and blood stasis syndrome scores, and decrease the incidence of MACE in patients with ACS after successful PCI.     

B型利钠肽与急性冠状动脉综合征的研究进展

急性冠状动脉综合征(ACS)是一组急性心肌缺血性疾病,包括从不稳定型心绞痛(UA)到急性心肌梗死(AMI)的一系列临床过程,共同的病理基础是粥样斑块破裂、脱落,血小板聚集和血栓形成,伴或不伴冠状动脉痉挛.B型利钠肽(BNP)是内源性利钠肽家族的成员之一,被广泛用于心力衰竭的诊断、预后评估和治疗指导.近年来的研究证实,BNP也能为ACS提供重要的信息[1-2].