1+系统综述文摘阅读与写作.ppt

1、Ginkgo 5iNkEu,maidenhair 掌叶铁线蕨 (少女秀发蕨),Strong,精力充沛的Robust rE5bQst,医学英语新教程,第30章 - p234 阅读16句子 Cochrane Library 系统综述文摘,医学英语新教程,第30章 - p234 阅读16句子 Ginkgo 银杏,Learning Objectives of Systematic Review,To master Title Author Structure of SR Result Conclusion,掌握,标题 (十分简洁),Ginkgo Biloba for cognitive impairm

2、ent and dementia 白果治疗认知损害与痴呆症（Cochrane系统综述）,掌握,标题 (十分简洁),Ginkgo Biloba for cognitive impairment and dementia 白果治疗认知损害与痴呆症（Cochrane系统综述）,掌握,标题固定句式:中心词 for 短语,掌握,当代(科技)医学英语特点,Controlled language,作者（2）,Birks J Grimley Evans J,掌握,（Cochrane 综述文摘）,Cochrane Review Systematic Review Abstract,Structure of Co

3、chrane Reveiw,Introduction Background Objective Search strategy Selection criteria Data collection and analysis Main results Reviews conclusion,掌握,Structure of Cochrane Reveiw,Introduction 引言 Background Objective Search strategy 检索策略 Selection criteria 选择标准 Data collection and analysis 数据收集与分析 Main

4、results 主要结果 Reviews conclusion 综述者结论,掌握,引言 (修订,截至,被动),A substantive amendment to this systematic review was last made on 26 August 2002. 此系统综述的实质性修改截止2002年8月26日。,Background,origin 起源current status 现况mechanism 机制,掌握,Background origin,Extracts of the leaves of the maidenhair tree, Ginkgo biloba, have

5、 long been used in China as a traditional medicine for various disorders of health. 在中国，从掌叶铁钱蕨白果树叶精华作为传统药物，长期用于治疗各种疾病。,掌握,Background status,A standardized extract is widely prescribed in Germany and France for the treatment of a range of conditions including memory and concentration problems, confus

6、ion, depression, anxiety, dizziness, tinnitus and headache.,掌握,背景 现况,一种广泛用于德国与法国的标准萃取物可治疗多种疾病，包括记忆与思想集中病症、意识模糊、抑郁、焦虑、头晕、耳鸣与头痛。,掌握,Background- mechanism,The mechanisms of action are thought to reflect the action of several components of the extract and include increasing blood supply by dilating bloo

7、d vessels, reducing blood viscosity, modification of neurotransmitter systems, and reducing the density of oxygen free radicals.,掌握,背景 机制,有人认为，若干成分的作用机制是扩张血管、降低血液粘滞度、改善神经递质系统，以及减少氧游离基密度而增加血供,掌握,3.Objective - explicit 鲜明,The aim of the review is to assess the efficacy and safety of Ginkgo biloba for

8、the treatment of patients with dementia or cognitive decline. 本综述目标是评估白果治疗痴呆症或认知功能减退的有效性与安全性。,掌握,Search strategy 3T,Time Types Terms,synonym 同义词 & asterisk *,The search terms used were ginkgo*, tanakan, EGB-761, EGB761 and “EGB 761“.,所用检索术语为 ginkgo*、 tanakan、 EGB-761、 EGB761与 “EGB 761”。,Main results

9、 先总后分,General: 1-4 Division (benefit): 5-7 (the same sentence pattern) Summary (adverse): 8-9,掌握,Main results 先总 概括,Overall, there are no significant differences between Ginkgo and placebo in the proportion of participants experiencing adverse events. 在总体上，接受白果与安慰剂受试者的不良反应事件无显著差异。,掌握,Main results 先总

10、 - meta,There are benefits (主语) associated with Ginkgo (dose less than 200mg/day) compared with placebo at less than 12 weeks (54/63 showed improvement compared with 20/63, OR 15.32, 95% CI 5.90 to 39.80, P=0.0001).,掌握,Results 统计判断,掌握,Main results -先总 - meta,与安慰剂对照组相比，至少在12周以内显示白果（剂量200mg/日）相关效益（56/

11、43 比20/63，优势比15.32，95%可信区间5.90至39.80，P=0.0001）。,掌握,Main results division -meta,There are benefits (主语) associated with Ginkgo (dose less than 200mg/day) compared with placebo at less than 12 weeks (54/63 showed improvement compared with 20/63, OR 15.32, 95% CI 5.90 to 39.80, P=0.0001).,掌握,Result: Se

12、ntence Pattern,There are benefits (主语) associated with A (dose 剂量) compared with B at (weeks 时间) (+/all showed improvement compared with +/all, OR, 95% CI to, P ).,掌握,Main results 3 division,Cognition shows (different data.) Activities show / . Measures of mood show / .,Division 后分(疗效),掌握,same patte

13、rn with different subjects and data,Cognition shows benefit for Ginkgo (dose less than 200mg/day) compared with placebo at 12 weeks (SMD -0.57, 95% CI -1.09, -0.05, P=0.03, random effects model).,掌握,same pattern with different subjects and data,Activities shows benefit for Ginkgo (dose less than 200

14、mg/day) compared with placebo at 12 weeks (SMD -0.57, 95% CI -1.09, -0.05, P=0.03, random effects model).,掌握,same pattern with different subjects and data,Measures of mood shows benefit for Ginkgo (dose less than 200mg/day) compared with placebo at 12 weeks (SMD -0.57, 95% CI -1.09, -0.05, P=0.03, r

15、andom effects model).,掌握,当代(科技)医学英语特点,Controlled language,Reviewers conclusions,MeritsImperfectProspect,掌握,Summary key points,Title: 干预 + for + 病症 Author : 2, independently Structure of SR: 8 sections Conclusion: merits; imperfect; prospect,掌握,结构式文摘与系统综述文摘比较,系统综述文摘-洋八股,共性教学 方法学,各专业医学生均必须阅读循证医学文献 循证医

16、学文献类型- 系统综述(SR) SR结构绝对固定 标题句型绝对固定 作者要求固定 句型相对固定 疾病类型、表现与具体数据不是阅读重点,Result: Sentence Pattern,There are benefits (主语) associated with A (dose 剂量) compared with B at (weeks 时间) (+/all showed improvement compared with +/all, OR, 95% CI to, P ).,掌握,To save or cancel TCM?,张功耀,何祚庥院士,鲁迅？梁启超？,反驳无一提到循证医学依据,Significance,国外循证医学依据证明客观评定中医,Thank You,杨明山 制作,