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心肌做功在非梗阻性肥厚型心肌病中的应用

中国超声医学杂志 2021年第6期37卷 649-651页

作者：肖明虎王婧金王水云朱昌盛朱振辉陈宇博王浩中国医学科学院北京协和医学院国家血管病中心阜外医院超声影像中心中国医学科学院北京协和医学院国家血管病中心阜外医院心外科

目的应用心肌做功分析非梗阻性肥厚型心肌病(HCM)患者左心室(LV)功能的变化。方法入选68例非梗阻性HCM和20例正常对照组,测量心肌做功指标:整体有效做功(GCW)和整体无效做功(GWW)。结果与正常对照组比较,年龄、男性比例和左室射血分数(L... 详细信息

目的应用心肌做功分析非梗阻性肥厚型心肌病(HCM)患者左心室(LV)功能的变化。方法入选68例非梗阻性HCM和20例正常对照组,测量心肌做功指标:整体有效做功(GCW)和整体无效做功(GWW)。结果与正常对照组比较,年龄、男性比例和左室射血分数(LVEF)差异无统计学差异(P>0.05);HCM组患者室壁最厚处厚度和GWW均增加;GCW降低。结论心肌做功是一项超声心动图技术,可以无创性研究左室功能变化。与正常对照组相比,HCM患者GCW降低,GWW增加。

关键词：经胸超声心动图心肌做功肥厚型心肌病

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中国肺动脉高压诊治临床路径

中国循环杂志 2023年第7期38卷 691-703页

作者：国家心血管病中心肺动脉高压专科联盟国家心血管病专家委员会右心与肺血管病专业委员会柳志红罗勤不详中国医学科学院阜外医院

肺动脉高压是一种常见的血液动力学异常状态,涉及多学科、多系统,诊疗难度大,致死率、致残率高,严重威胁我国居民的生命健康。目前,我国基层医疗机构在肺动脉高压的管理中仍存在医疗技术力量不足、综合管理意识薄弱、诊疗规范性欠缺和... 详细信息

肺动脉高压是一种常见的血液动力学异常状态,涉及多学科、多系统,诊疗难度大,致死率、致残率高,严重威胁我国居民的生命健康。目前,我国基层医疗机构在肺动脉高压的管理中仍存在医疗技术力量不足、综合管理意识薄弱、诊疗规范性欠缺和转诊机制不完善等问题。为适应日益增长的医疗需求,国家心血管病中心肺动脉高压专科联盟、国家心血管病专家委员会右心与肺血管病专业委员会基于当前的循证医学证据和基层诊疗实践,制定了《中国肺动脉高压诊治临床路径》。本文针对肺动脉高压的诊断流程、风险分层、治疗策略、转诊和随访等提出了详细的推荐意见,旨在为基层医务人员提供肺动脉高压诊治管理的全面指导,以提高基层诊疗水平,规范基层诊疗行为。

关键词：肺动脉高压右心导管基层诊疗临床路径

Consensus of Chinese experts on glioma multidisciplinary team management(2nd edition)

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Chinese Medical Journal 2024年第11期137卷 1267-1270页

作者： Jinsong Wu Zhirui Zhou Zanyi Wu Zhiwei Tang Ming Li Siyuan Yin Xufei Luo Ling Wang Yaolong Chen Guoguang Zhao Tao Jiang Ying Mao The national Glioma MDT Alliance of national center for Neurological diseases Department of Neurosurgery Huashan HospitalShanghai Medical CollegeFudan UniversityShanghai 200040China Department of Radiation Oncology Huashan HospitalShanghai Medical CollegeFudan UniversityShanghai 200040China Department of Neurosurgery The First Affiliated Hospital of Fujian Medical UniversityFuzhouFujian 350005China Neurosurgery Department The First Affiliated Hospital of Kunming Medical UniversityKunmingYunnan 650032China Department of Neurosurgery Henan Provincial People’s HospitalPeople’s Hospital of Zhengzhou UniversityZhengzhouHenan 463599China State Key Laboratory of Pharmaceutical Biotechnology Institute for Brain SciencesAdvanced Institute for Life SciencesSchool of Life SciencesNanjing UniversityNanjingJiangsu 210023China Evidence-Based Medicine center School of Basic Medical SciencesLanzhou UniversityLanzhouGansu 730000China School of Public Health Lanzhou UniversityLanzhouGansu 730000China Department of Neurosurgery Xuanwu HospitalCapital Medical UniversityBeijing 100053China Department of Neurosurgery Beijing Tiantan HospitalCapital Medical UniversityBeijing 100050China 不详

To increase the consistency of glioma multidisciplinary team(MDT)management across different regions and hospitals at varying levels,we have updated the Expert Consensus on MDT of Glioma in China based on the currently available *** version has revised and updated the process-management rules and quality-control standards for a glioma MDT,providing reference and guidance for relevant clinical disciplines and *** members of the Consensus Expert Group,abstract,background,and prospects can be seen in supplementaryle,http://***/CM9/B999.

关键词： glioma MDT Expert

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空气污染与心血管疾病专家共识

中国循环杂志 2021年第1期36卷 14-21页

作者：国家心血管病中心空气污染与心血管疾病专家共识组李镒冲刘佳敏李静不详中国医学科学院阜外医院深圳医院国家心血管病中心中国医学科学院阜外医院

空气污染是全球性的严重公共卫生问题,也是对我国民众健康的严峻挑战。空气污染可增加心血管疾病发病及死亡风险,已成为一项重要且可干预的心血管疾病危险因素。空气污染导致的死亡主要为心血管疾病死亡。本共识汇总了国内外关于空气污... 详细信息

空气污染是全球性的严重公共卫生问题,也是对我国民众健康的严峻挑战。空气污染可增加心血管疾病发病及死亡风险,已成为一项重要且可干预的心血管疾病危险因素。空气污染导致的死亡主要为心血管疾病死亡。本共识汇总了国内外关于空气污染与心血管疾病的最新流行病学及临床研究证据,推荐室内使用清洁能源烹饪及采暖、在重污染天气佩戴符合国家标准的N95防护口罩等措施以降低个体对空气污染物的暴露水平。该共识为进一步加强医疗卫生人员对空气污染危害心血管健康的认识,帮助其开展健康宣教和确定未来科研方向,并为相关部门制定公共卫生政策提供参考。

关键词：空气污染心血管疾病心血管健康专家共识

Chinese expert consensus on sedation and analgesia for neurocritical care patients

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Chinese Medical Journal 2024年第11期137卷 1261-1263页

作者： Linlin Zhang Shuai Liu Shuya Wang Jian-Xin Zhou the national center for Healthcare Quality Management in Neurological diseases Chinese Society of Critical Care Medicine Working group of the Expert Consensus on Sedation and Analgesia for Neurocritical Care Patients Department of Critical Care Medicine Beijing Tiantan HospitalCapital Medical UniversityBeijing 100070China Department of Critical Care Medicine Beijing Shijitan HospitalCapital Medical UniversityBeijing 100038China 不详

Sedation and analgesia therapy are essential in neurocritical care,but there are ongoing controversies surrounding assessment,administration,and *** advances in neurocritical care medicine,updated evidence-based medicine,considering the variability in knowledge and practice,the national center for Healthcare Quality Management in Neurological diseases and the Chinese Society of Critical Care Medicine organized experts in neurocritical care to form a working group[Supplementary File 1,http://***/CM9/B958]to update the“Expert Consensus on Sedation and Analgesia for Patients with Severe Brain Injury(2013)”.

关键词： analgesia critical advances

胸腺法新在感染和重症相关领域临床应用专家共识

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中华临床感染病杂志 2024年第4期17卷 252-262页

作者：国家感染性疾病临床医学研究中心国家传染病医学中心

随着免疫治疗被越来越多的临床医师关注和应用, 免疫调节治疗在感染和重症领域的应用也越来越广泛。作为免疫调节治疗的经典药物, 胸腺法新在相关治疗领域已积累了较多临床证据。国家感染性疾病临床医学研究中心和国家传染病医学中心等... 详细信息

随着免疫治疗被越来越多的临床医师关注和应用, 免疫调节治疗在感染和重症领域的应用也越来越广泛。作为免疫调节治疗的经典药物, 胸腺法新在相关治疗领域已积累了较多临床证据。国家感染性疾病临床医学研究中心和国家传染病医学中心等组织多学科专家, 参照国内外最新研究成果, 参考基于证据质量以外的其他因素(经济学、患者偏好和价值观、利弊权衡、可及性、公平性及可接受性等)对循证医学证据的等级和推荐意见强度进行评估, 形成了10条应用胸腺法新治疗肝病、病毒感染、细菌感染, 以及重症感染等疾病的推荐意见, 从而希望增进临床医师对胸腺法新的了解, 提高临床应用的规范性。

关键词：胸腺法新感染性疾病危重症临床应用共识

Expert Consensus on the Prevention and Treatment of Chronic Hepatitis B in Children

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Infectious diseases & Immunity 2024年第3期4卷 106-120页

作者： Chinese Society of Infectious diseases Chinese Medical Association Chinese Society of Hepatology Chinese Medical Association Group of Infectious diseases Chinese Pediatric Society Chinese Medical Association national Clinical Research center for Infectious diseases(Beijing) Fu-Sheng Wang Shishu Zhu Min Zhang Jianshe Wang Shuangjie Li Junliang Fu Yuanyuan Li Yuming Guo Jing Li Hongmei Xu Wenxian Ouyang Yuemin Nan Sainan Shu Shuangsuo Dang Xiaoyuan Xu Taisheng Li Jinlin Hou 不详 The Fifth Medical center of PLA General Hospital Beijing 100039China Fudan University Children’s Hospital Hunan Children’s Hospital Children’s Hospital of Chongqing Medical University Third Hospital Hebei Medical University Tongji Hospital Tongji Medical CollegeHuazhong University of Science and Technology The Second Affiliated Hospital of Xi’an Jiaotong University Peking University First Hospital Peking Union Medical College Hospital Chinese Academy of Medical Sciences&Peking Union Medical College Nanfang Hospital Southern Medical University

The aim of this consensus is to standardize the prevention, diagnosis, and treatment of chronic hepatitis B in children and to achieve the goal of “eliminating viral hepatitis as a major public health threat by 2030” issued by the World Health Organization. Formulated by organized experts of the Chinese Society of Infectious diseases and Chinese Society of Hepatology, Chinese Medical Association;Group of Infectious diseases, Chinese Pediatric Society, Chinese Medical Association;and the national Clinical Research center for Infectious diseases (Beijing), the consensus provides the latest evidence and recommendations for the prevention, diagnosis, and treatment of chronic hepatitis B in children.

关键词： Chronic hepatitis B Children Treatment Prevention Consensus

Chinese national clinical practice guidelines on the prevention,diagnosis,and treatment of early gastric cancer

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Chinese Medical Journal 2024年第8期137卷 887-908页

作者： Peng Li Ziyu Li Enqiang Linghu Jiafu Ji Society of Digestive Endoscopy of the Chinese Medical Association Colorectal Surgery Group of the Chinese Medical Association Chinese Association of Gastroenterologists&Hepatologists national Clinical Research center for Digestive diseases Chinese Medical Journal Clinical Practice Guideline Collaborative Department of Gastroenterology Beijing Friendship HospitalCapital Medical UniversityNational Clinical Research Center for Digestive DiseaseBeijing 100050China Department of Gastrointestinal Surgery Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education)Peking University Cancer Hospital and InstituteBeijing 100142China Department of Gastroenterology and Hepatology the First Medical CenterChinese People’s Liberation Army General HospitalBeijing 100853China 不详

Background:Gastric cancer is one of the most common malignant tumors in the digestive system in *** comprehensive practice guidelines for early gastric cancer in China are currently ***,we created the Chinese national clinical practice guideline for the prevention,diagnosis,and treatment of early gastric ***:This clinical practice guideline(CPG)was developed in accordance with the World Health Organization’s recommended process and with the Grading of Recommendations Assessment,Development,and Evaluation(GRADE)in assessing evidence *** used the Evidence to Decision framework to formulate clinical recommendations to minimize bias and increase transparency in the CPG development *** used the Reporting Items for practice Guidelines in HealThcare(RIGHT)statement and the Appraisal of Guidelines for Research and Evaluation II(AGREE II)as reporting and conduct guidelines to ensure completeness and transparency of the ***:This CPG contains 40 recommendations regarding the prevention,screening,diagnosis,treatment,and follow-up of early gastric cancer based on available clinical studies and *** provide recommendations for the timing of Helicobacter pylori eradication,screening populations for early gastric cancer,indications for endoscopic resection and surgical gastrectomy,follow-up interval after treatment,and other ***:This CPG can lead to optimum care for patients and populations by providing up-to-date medical *** intend this CPG for widespread adoption to increase the standard of prevention,screening,diagnosis,treatment,and follow-up of early gastric cancer;thereby,contributing to improving national health care and patient quality of life.

关键词： Early gastric cancer Prevention Screening Diagnosis Treatment Follow-up

Chinese national clinical practice guidelines on prevention,diagnosis and treatment of early colorectal cancer

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Chinese Medical Journal 2024年第17期137卷 2017-2039页

作者： Jingnan Li Hongwei Yao Yun Lu Shutian Zhang Zhongtao Zhang Society of Digestive Endoscopy of the Chinese Medical Association Colorectal Surgery Group of the Chinese Medical Association Chinese Association of Gastroenterologist&Hepatologist national Clinical Research center for Digestive diseases Chinese Medical Journal Clinical Practie Guideline Collaborative Department of Gastroenterology Peking Union Medical College HospitalChinese Academy of Medical SciencesPeking Union Medical CollegeBeijing 100730China Department of General Surgery Beijing Friendship HospitalCapital Medical UniversityNational Clinical Research Center for Digestive DiseasesBeijing 100050China Department of General Surgery The Affiliated Hospital of Qingdao UniversityQingdaoShandong 266555China Department of Gastroenterology Beijing Friendship HospitalCapital Medical UniversityNational Clinical Research Center for Digestive DiseaseBeijing 100050China 不详

Background:The incidence and mortality of colorectal cancer(CRC)in China are increasing in recent *** clarified pathogenesis and detectable precancerous lesions of CRC make it possible to prevent,screen,and diagnose CRC at an early *** the development of endoscopic and surgical techniques,the choice of treatment for early CRC is also worth further discussion,and accordingly,a standard follow-up program after treatment needs to be ***:This clinical practice guideline(CPG)was developed following the recommended process of the World Health Organization,adopting Grading of Recommendations Assessment,Development and Evaluation(GRADE)in assessing evidence quality,and using the Evidence to Decision framework to formulate clinical recommendations,thereby minimizing bias and increasing transparency of the CPG development *** used the Reporting Items for practice Guidelines in HealThcare(RIGHT)statement and Appraisal of Guidelines for Research and Evaluation II(AGREE II)as reporting and conduct guides to ensure the guideline’s completeness and ***:This CPG comprises 46 recommendations concerning prevention,screening,diagnosis,treatment,and surveillance of *** these recommendations,we have indicated protective and risk factors for CRC and made recommendations for *** proposed a suitable screening program for CRC based on the Chinese *** also provided normative statements for the diagnosis,treatment,and surveillance of CRC based on existing clinical evidence and ***:The 46 recommendations in this CPG are formed with consideration for stakeholders’values and preferences,feasibility,and *** are generalizable to resource-limited settings with similar CRC epidemiology pattern as China.

关键词： Colorectal cancer Early detection of cancer Prevention Screening Diagnosis Treatment Follow-up Guideline