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      2. west china medical publishers
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        find Author "彭亦良" 2 results
        • 循證醫學對骨科臨床實踐的啟示與哲學反思

          循證醫學被定義為“慎重、準確和明智地應用當前最好的證據來確定患者的治療措施”,而最好的證據主要來自于有效的隨機對照臨床試驗。在骨科臨床實踐中遵行循證醫學勢在必行,但在循證醫學的應用中存在一些誤區,諸如過分強調普遍規律而忽視患者的個體差異,在踐行循證醫學的過程中理論與實踐之間存在著一定的偏差等。因此,既要嚴格遵守循證醫學的原則,又要避免生搬硬套、死板教條,否則可能會給患者造成嚴重的損害。

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        • Temperature-Controlled Self-heated Pain Relief Plaster for Chronic Nonspecific Lower Back Pain: A Prospective Randomized Controlled Trial

          ObjectiveTo observe the clinical efficacy of temperature-controlled self-heated pain relief plasters in the treatment of chronic nonspecific lower back pain, and to investigate the quality of life of patients. MethodsPatients with chronic nonspecific lower back pain were randomly divided into a trial group and a control group. The trial group was treated with temperature-controlled self-heated pain relief plasters, while the control group was treated with meloxicam tablets for oral use. The outcome measures including the visual analogue pain scale (VAS), Japanese Orthopedic Association (JOA) scores for the management of lower back pain, and Oswestry disability index (ODI score) were collected before treatment and after 6-month follow-up. SPSS 13.0 software was used for statistical analysis. ResultsA total of 96 patients was included (48 patients in each group), of which 68 patients (36 in the trial group and 32 in the control group) completed the treatment. The results of intention-to-treat (ITT) and per-protocol (PP) analyses showed that the total effectiveness rate of the trial group was higher than that of the control group with significant differences (all P values < 0.05). Compared with those before treatment, the JOA scores and ODI scores of the two groups were all improved after 6-month follow-up (all P values < 0.05). But no significant difference was found between the two groups in the two scores after 6-month follow-up (all P values > 0.05). During the follow-up, there were 3 and 8 patients with recurrence of lower back pain in the trial group and the control group, respectively. ConclusionThe clinical effect of temperature-controlled self-heated pain relief plasters in the treatment of chronic nonspecific lower back pain is satisfactory, the quality of life of patients is improved obviously, and the therapy is simple, safe, inexpensive, and worthy of clinical promotion.

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          2. 射丝袜