1.The methodology of symptom directing standardized intervention in therapeutic clinical trial design of traditional medicine
Yanyan LIU ; Liuxun LI ; Weiqing LI ; Quanqing MA ; Wensheng LIAO
International Journal of Traditional Chinese Medicine 2015;37(12):1060-1064
Double-blind randomized controlled trial design is the most recognized scheme of therapeutic experimental design.On the assessment of the efficacy of traditional medicine, randomized controlled clinical trial design also has the same value.Only when using the research method towards epidemiology to perform the rigorous design on the clinical trial of traditional medicine and make the objective evaluation of its effect, can it get the real understanding and approval from modern medicine.When making the therapeutic clinical trial under the traditional medicine, due to the characteristics of the subject, therapeutic measures usually need to be changed so they cannot be standardized, and the modification may result in the share of multiple intervention components, which leads to the inaccurateness of results under the effect of confounding bias.According to the characteristics of traditional medicine, a new method was proposed for therapeutic clinical trial.Firstly do the randomization with the inclusion criteria made by the same symptom arise in a certain stage of disease, secondly adopt the standardized intervention measures for processing.Eventually confirm whether there is significant statistical difference.The symptom directing standardized interventions have provided the experimental design of the traditional medical clinical therapy with a feasible scheme, which can solve several problems existing in this design.
2.Application of midline partial glossectomy for OSAHS.
Quanqing KANG ; Xiaohong ZHOU ; Min XU ; Guoxi ZHENG ; Ji SHI ; Weijun MA
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2007;21(6):241-243
OBJECTIVE:
To evaluate the prospective effect of applying midline partial glossectomy with Uvulopalatopharyngoplasty in the treatment of OSAHS.
METHOD:
The data of 40 patients with OSAHS operated with midline partial glossectomy with UPPP were analyzed.
RESULT:
The follow-up polysomnography (6-month follow-up) revealed that the mean apnea and hypopnea index decreased from 62.39+/-21.68 to 18.60+/-5.01 (P<0.01), and the mean minimal oxygen saturation (SaO2) increased from 64.40%+/-14.96% to 88.39%+/-9.21% (P<0.01). In general, 29 patients were with excellent curative effect, 8 with good effect, and 3 with bad effect. Total effective rate was 92.5%.
CONCLUSION
The study confirms that the same-stage midline partial glossectomy with UPPP for OSAHS is a safe and effective procedure.
Adult
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Female
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Glossectomy
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methods
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Humans
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Male
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Middle Aged
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Palate, Soft
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surgery
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Pharynx
;
surgery
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Sleep Apnea, Obstructive
;
surgery
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Treatment Outcome
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Uvula
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surgery