目的:比較針刺配合中國灸穴位貼敷與單純針刺治療膝骨關節的臨床療效。方法:將60例符合膝骨關節炎診斷的病員隨機分為針刺加中國灸治療組和單純針刺對照組,兩組均取穴血海、梁丘、犢鼻、膝眼、鶴頂、陽陵泉治療,治療組每天加用中國灸穴位貼敷治療。10次一療程,2個療程后觀察療效。結果:治療組30例中顯效20例,好轉8例,無效2例,總有效率為93.3%。對照組30例中顯效9例,好轉16例,無效5例,總有效率為83.3%。兩組有效率有顯著性差異（Plt;0.05）。結論:針刺配合中國灸穴位貼敷治療膝骨關節療效優于單純針刺。
Objective To collect and analyze the qualitative studies on patients’ compliance with hypertension management in the community, and to summarize the factors influencing the compliance from the view of patients. Methods Eleven electronic databases and search strategies and words were determined through discussion by experts and the review group. After the selection and critical appraisal of the retrieved studies were performed by two reviewers independently, meta-summary was employed for the results of qualitative studies. Results Five studies were included. The results showed some factors had great impact on the compliance of patients, including patients’ knowledge of hypertension and its treatment, doctor-patient relationship, patients’ financial status, social support, designing of treatment plans, and patients’ individual conditions. Conclusion To improve doctors’ technical competence, building good doctor-patient relationship, strengthening patients’ individualized health education, formulating the proper treatment plan, and making good use of the social support system would promote the compliance with hypertension management in the community.
Abnormal uterine bleeding with ovulatory dysfunction (AUB-O) is a common reproductive endocrine disease with complex and variable clinical manifestations. This disease has a long course and large individual differences. Difficulties in diagnosis and treatment and nonstandardized management are common in primary hospitals. In order to improve the diagnosis and treatment efficiency of AUB-O in primary hospitals, the gynecological endocrinologists in western China proposed this primary diagnosis and treatment norms and referral recommendations for gynecological outpatient clinics in primary hospitals, including the key points of diagnosis, hemostasis and cycle adjustment strategies, adjuvant treatment, and the principle of two-way referral. In particular, individualized treatment recommendations were proposed for young adolescents and menopausal transition patients. This recommendations are expected to serve as an important reference for AUB-O diagnosis, treatment and two-way referral of primary hospitals in western China.