中西医结合型公共卫生人才培养是应对复杂公共卫生挑战的重要方向,但国内外普遍存在整合医学与群体健康脱节、实践薄弱及标准缺失等问题。大连医科大学依托其国家重点学科及国家中西医协同“旗舰”医院,探索构建了以问题导向模块化课程、“临床—社区”双轨实践体系及量化评价追踪机制为核心的系统化培养模式。数据显示,新模式培养后学生“治未病”应用认知优秀率从28%提升至65%;社区老年高血压管理项目中,患者血压达标率提高25%;毕业1-3年的学生中93%认为该模式对处理复杂公共卫生问题“至关重要”。该模式直面国内外双重困境,实现了从知识拼接向能力融合、从理论讲授向实践闭环、从主观评价向数据追踪的三大创新,在系统性、实操性和可评估性上形成独特优势,为我国新医科背景下中西医结合型公共卫生人才培养提供了可复制、可量化的范式参考。
登革热是由登革病毒引起、经伊蚊叮咬传播的急性传染病,近年来已在全球热带和亚热带地区广泛流行,严重威胁公共卫生安全。目前临床上尚缺乏特异性抗病毒药物和高效的疫苗,临床治疗主要以中西医结合为主要模式,且两者在发病机制阐释、诊疗策略制定等方面各有侧重且互为补充。本文系统梳理登革热西医领域的流行病学特征、病理基础与发病机制及现代医学治疗现状,同时深入阐述中医对该病的病因病机与病位认知、辨证论治体系及中医药治疗进展,旨在为临床诊疗优化与科研方向拓展提供参考。
Dengue fever is an acute infectious disease caused by the dengue virus. In recent years, it has prevailed widely in tropical and subtropical regions, posing a severe threat to public health security. Given the lack of specific antiviral drugs and high-efficiency vaccines for dengue fever, its clinical treatment is predominantly based on integrated traditional Chinese and Western medicine. The two medical systems exhibit distinct focuses and complementary advantages in the interpretation of pathogenesis and the formulation of diagnosis and treatment strategies. This paper systematically reviews the epidemiological characteristics, pathological basis, pathogenesis and current Western medical treatment status of dengue fever, and further elaborates the etiology, pathogenesis, lesion location, syndrome differentiation and treatment system, as well as research progress of traditional Chinese medicine for this disease. It aims to provide references for the optimization of clinical diagnosis and treatment and the expansion of scientific research directions on dengue fever.
耳鸣是一种常见的耳部疾病,它会导致患者感到耳内发出刺耳的嗡嗡声,并且可能会影响听力。这种症状在中老年人中尤其常见,特别是身体虚弱的人。该文从中医、西医两个角度,对耳鸣的治疗进行整理综述,以期为探索耳鸣的中西医结合疗法提供思路。
Tinnitus is a common ear disease,it can make patients feel screeched ears buzzing,and may affect the hearing.These symptoms in middle-aged and old people are particularly common,especially the weak.In this paper,from two angles of traditional Chinese medicine,western medicine,treatment of tinnitus are summerized,which will provide the new way to find the combine traditional Chinese and western medicine treatment of tinnitus.
近年来浆细胞性乳腺炎的发病率逐渐升高,已占乳腺疾病的4%~5%,该病易反复发作,经久不愈,抗生素、糖皮质激素、抗结核药、他莫昔芬等治疗效果不明显,单纯手术切除如切除范围小极易复发,而切除范围大则乳腺外形变化较大,严重者甚至需要切除乳腺。乳腺外形的缺损改变对患者身心健康造成伤害。随着研究不断深入,采用中西医结合治疗浆细胞性乳腺炎,可取得较好的治疗效果,降低复发率,而且对乳腺外观无影响。该文通过对文献的整理,对中西医结合治疗浆细胞性乳腺炎进行论述。
In recent years,the incidence of plasma cell mastitis has gradually increased,accounting for 4 % ~ 5 % of breast diseases.The disease is prone to repeated attacks and unhealed for a long time.The treatment effect of antibiotics,glucocorticoids,anti-tuberculosis drugs and tamoxifen is not obvious.Simple surgical resection is easy to relapse if the resection range is small,while the shape of the breast changes greatly,if the resection range is large.And even the breast needs to be removed in severe cases.The defect change of breast shape is harmful to the physical and mental health of patients.With the deepening of research,the combination of traditional Chinese and Western medicine in the treatment of plasma cell mastitis can achieve better therapeutic effect,reduce the recurrence rate,and has no effect on the appearance of breast.This article discusses the treatment of plasma cell mastitis with integrated traditional Chinese and Western medicine by sorting out the literature.