#1
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Ïèðàöåòàì â äîêàçàòåëüíîé ìåäèöèíå
Äîðîå âðåìÿ ñóòîê, óâàæàåìûå êîëëåãè!
íå çíàþ êóäà îòíåñóò ìîþ òåìó ìîäåðàòîðû, îñòàâÿò ëè â ýòîì ðàçäåëå, ëèáî ïåðåíåñóò â àêóøåðñòâî. Èùó ìàòåðèàë î ïèðàöåòàìå â êà÷åñòâå ïðåïàðàòà äëÿ ïðîôèëàêòèêè è ëå÷åíèÿ ÔÏÍ ïðè áåðåìåííîñòè. íå ìîãó íàéòè ìàòåðèàë â îòíîøåíèè åãî â äîêàçàòåëüíîé ìåäèöèíå. òî÷íåå íàøëà ìàòà-àíàëèçû ïðèìåíåíèÿ åãî â êà÷åñòâå ïðåïàðàòû äëÿ ïðîôèëàêòèêè èíñóëüòîâ è ò.ä., è òåì áîëåå ÷òî êàê îêàçàëîñü èìåííî òàì îí è íå ýôôåêòèâåí, õîòåëîñü áû íàéòè ÷òîòî â ïðèìåíåíèè ïèðàöåòàìà â àêóøåðñòâå ñ òî÷êè çðåíèÿ äîêàçàòåëüíîé ìåäèöèíå. Î÷åíü íóæíà âàøà ïîìîùü! |
#2
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×òî Âû ïîíèìàåòå ïîä òåðìèíîì äîêàçàòåëüíàÿ ìåäèöèíà?
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#3
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È ïîä òåðìèíîì "ìàòà-àíàëèç"?
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Ñ óâàæåíèåì, Þñèô Àëõàçîâ. |
#4
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À ãëàâíîå, çà÷åì Âàì â Àíäîððå ïèðàöåòàì???
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Ñ óâàæåíèåì, Âàëåðèé Âàëåðüåâè÷ Ñàìîéëåíêî |
#5
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Äàæå íå òàê...
 Àíäîððå èñïîëüçóåòñÿ ïèðàöåòàì??? |
#6
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È íå òàê äàæå...
Çà÷åì áåðåìåííûì ïèðàöåòàì? |
#7
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Âñåì ñïàñèáî çà âíèìàíèå!
 Àíäîððå, ïðåäñòàâüòå ñåáå, ñëûõàëè ïðî ïèðàöåòàì, äîêàçàòåëüíóþ ìåäèöèíó è ÔÏÍ ó áåðåìåííûõ. áûâàëî, äîõîäèëè è òóäà òàêèå ñëóõè. à åæåëè âû ïðî òî äåëî íå çíàåòå, òî è íå ïèñàëè áû ñâîè êàâåðçíî-èðîíè÷íûå êîììåíòû. ïðîñòèòå, ñ ìÅòà-àíàëèçîì îïèñî÷êà âûøëà. |
#8
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Íî êàêàÿ æå ñâÿçü ìåæäó ïèðàöåòàìîì è ÔÏÍ ñ ïîçèöèè äîêàçàòåëüíîé ìåäèöèíû?
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Ñ óâàæåíèåì, Âàëåðèé Âàëåðüåâè÷ Ñàìîéëåíêî |
#9
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#10
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Òàê êàêèå ïðîáëåìû, ÏàáÌåä äîñòóïåí, äàòü çàïðîñ è îöåíèòü óðîâåíü äîêàçàòåëüíîñòè è âàëèäíîñòè íàéäåííîãî íå ïðåäñòàâëÿåò çàòðóäíåíèé äëÿ òåõ, êòî çíàåò, ÷òî òàêîå ÄÌ.
Âû ìåäèöèíñêèé ðàáîòíèê èëè ïàöèåíò? |
#11
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Äëÿ ëåíèâûõ:
Cochrane Database Syst Rev. 2002;(1):CD001064. Piracetam for fetal distress in labour. Hofmeyr GJ, Kulier R. Effective Care Research Unit, University of the Witwatersrand, Frere/Cecilia Makiwane Hospitals, Private Bag 9047, East London 5200, Eastern Cape, South Africa. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Abstract BACKGROUND: Piracetam is thought to promote the metabolism of brain cells when they are hypoxic. It has been used to prevent adverse effects of fetal distress. OBJECTIVES: The objective of this review was to assess the effects of piracetam for suspected fetal distress in labour on method of delivery and perinatal morbidity. SEARCH STRATEGY: The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register (The Cochrane Library Issue 3, 2001) were searched. Date of last search: September 2001. SELECTION CRITERIA: Randomised trials of piracetam compared with placebo or no treatment for suspected fetal distress in labour. DATA COLLECTION AND ANALYSIS: Both reviewers assessed eligibility and trial quality. MAIN RESULTS: One study of 96 women was included. Piracetam compared with placebo was associated with a trend to reduced need for caesarean section (relative risk 0.57, 95% confidence interval 0.32 to 1.03). There were no statistically significant differences in relative risk between the piracetam and placebo group for neonatal morbidity (measured by neonatal respiratory distress) or Apgar score. REVIEWER'S CONCLUSIONS: There is not enough evidence to evaluate the use of piracetam for fetal distress in labour. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] |
#12
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