系统综述文摘阅读与写作.pptx

1Ginkgo 5iNk5iNkEuEu2maidenhair 掌叶铁线蕨掌叶铁线蕨(少女秀发蕨少女秀发蕨)3Strong 精力充沛的精力充沛的 RobustrErE5bQst5bQst医学英语新教程医学英语新教程第第30章章-p234 阅读阅读16句子句子Cochrane Library系统综述文摘系统综述文摘医学英语新教程医学英语新教程第第30章章-p234 阅读阅读16句子句子Ginkgo 银杏银杏6Learning Objectives of Systematic ReviewTo masterTitleAuthorStructure of SRResult Conclusion 掌握掌握5段段7步步 标题标题(十分简洁十分简洁)Ginkgo Biloba for cognitive impairment and dementia白果治疗认知损害与痴呆症白果治疗认知损害与痴呆症（Cochrane系统综述）系统综述）掌握掌握 标题标题(十分简洁十分简洁)Ginkgo Biloba for cognitive impairment and dementia白果白果治疗治疗认知损害与痴呆症认知损害与痴呆症（Cochrane系统综述）系统综述）掌握掌握9标题固定句式标题固定句式:中心词中心词 for 短语短语 掌握掌握10当代当代(科技科技)医学英语特点医学英语特点Controlled language作者（作者（2）1.Birks J2.Grimley Evans J掌握掌握（Cochrane 综述文摘）综述文摘）Cochrane ReviewSystematic Review Abstract13Structure of Cochrane Reveiw1.Introduction2.Background3.Objective4.Search strategy5.Selection criteria6.Data collection and analysis7.Main results8.Reviews conclusion掌握掌握14Structure of Cochrane Reveiw1.Introduction 引言引言2.Background3.Objective4.Search strategy 检索策略检索策略5.Selection criteria 选择标准选择标准6.Data collection and analysis 数据收集与分析数据收集与分析7.Main results 主要结果主要结果8.Reviews conclusion 综述者结论综述者结论掌握掌握1.引言引言(修订修订,截至截至,被动被动)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此系统综述的实质性修改截止2002年年8月月26日。日。2.Background origin 起源起源 current status 现况现况 mechanism 机制机制掌握掌握2.Background originExtracts of the leaves of the maidenhair tree,Ginkgo biloba,have 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。为传统药物，长期用于治疗各种疾病。掌握掌握2.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,confusion,depression,anxiety,dizziness,tinnitus and headache.掌握掌握2.背景背景 现况现况一种广泛用于德国与法国的标一种广泛用于德国与法国的标准萃取物可治疗多种疾病，包准萃取物可治疗多种疾病，包括记忆与思想集中病症、意识括记忆与思想集中病症、意识模糊、抑郁、焦虑、头晕、耳模糊、抑郁、焦虑、头晕、耳鸣与头痛。鸣与头痛。掌握掌握2.Background-mechanismThe mechanisms of action are thought to reflect the action of several components of the extract and include increasing blood supply by dilating blood vessels,reducing blood viscosity,modification of neurotransmitter systems,and reducing the density of oxygen free radicals.掌握掌握2.背景背景 机制机制有人认为，若干成分的作用机有人认为，若干成分的作用机制是扩张血管、降低血液粘滞制是扩张血管、降低血液粘滞度、改善神经递质系统，以及度、改善神经递质系统，以及减少氧游离基密度而增加血供减少氧游离基密度而增加血供 掌握掌握3.Objective-explicit 鲜明鲜明 The aim of the review is to assess the efficacy and safety of Ginkgo biloba for the treatment of patients with dementia or cognitive decline.本综述目标本综述目标是评估是评估白白果果治疗痴呆症或治疗痴呆症或认知功能减退的认知功能减退的有效性有效性与与安全性安全性。掌握掌握234.Search strategy 3T TimeTypesTerms24synonym 同义词同义词&asterisk*The search terms used wereginkgo*,tanakan,EGB-761,EGB761 andEGB 761.所用检索术语为所用检索术语为ginkgo*、tanakan、EGB-761、EGB761与与“EGB 761”。7.Main results 先总后分先总后分1.General:1-42.Division(benefit):5-7 (the same sentence pattern)3.Summary(adverse):8-9掌握掌握7.Main results 先总先总 概括概括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。不良反应事件无显著差异。掌握掌握7.Main results 先总先总-metaThere are benefits(主语主语)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=P 0.01显著意义显著意义 0.001极显著意义极显著意义7.Main results-先总先总-meta与安慰剂对照组相比，至少在与安慰剂对照组相比，至少在12周以内显示白果（剂量周以内显示白果（剂量200mg/日）相关效益（日）相关效益（56/43 比比20/63，优势优势比比15.32，95%可信区间可信区间5.90至至39.80，P=0.0001）。）。掌握掌握7.Main results division-metaThere are benefits(主语主语)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).掌握掌握31 Result:Sentence Pattern There are benefits(主语主语)associated with A(dose 剂量剂量)compared with B at(weeks 时时间间)(+/all showed improvement compared with+/all,OR,95%CI to,P).掌握掌握7.Main results 3 divisionCognition shows(different data.)Activities show /.Measures of mood show/.Division 后分后分(疗效疗效)掌握掌握7.same pattern with different subjects and dataCognition 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).掌握掌握7.same pattern with different subjects and dataActivities 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).掌握掌握7.same pattern with different subjects and dataMeasures 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,random effects model).掌握掌握36当代当代(科技科技)医学英语特点医学英语特点Controlled language8.Reviewers conclusions Merits Imperfect Prospect掌握掌握38Summary key pointsTitle:干预干预+for+病症病症Author:2,independently Structure of SR:8 sectionsConclusion:merits;imperfect;prospect掌握掌握39结构式文摘与系统综述文摘比较结构式文摘与系统综述文摘比较MIAsCochrane Review1Introduction2BackgroundBackground3ObjectiveObjective4DesignSearch strategy5SubjectsSelection criteriaSetting6InterventionCollection and analysis7ResultsMain result8conclusionReviewers conclusion40系统综述文摘系统综述文摘-洋八股洋八股MIAsCochrane Review1Introduction2BackgroundBackground3ObjectiveObjective4DesignSearch strategy5SubjectsSelection criteriaSetting6InterventionCollection and analysis7ResultsMain result8conclusionReviewers conclusion共性教学共性教学 方法学方法学各专业医学生均各专业医学生均必须必须阅读循证医学文献阅读循证医学文献循证医学文献类型循证医学文献类型-系统综述系统综述(SR)SR结构结构绝对固定绝对固定标题句型标题句型绝对固定绝对固定作者作者要求固定要求固定句型句型相对固定相对固定疾病类型、表现与具体数据不是阅读重点疾病类型、表现与具体数据不是阅读重点42 Result:Sentence Pattern There are benefits(主语主语)associated with A(dose 剂量剂量)compared with B at(weeks 时时间间)(+/all showed improvement compared with+/all,OR,95%CI to,P).掌握掌握43To save or cancel TCM?张功耀张功耀 何祚庥院士何祚庥院士 鲁迅？梁启超？鲁迅？梁启超？44反驳无一提到循证医学依据反驳无一提到循证医学依据45Significance 国外循证国外循证医学依据医学依据证明客观证明客观评定中医评定中医Thank You杨明山 制作