| Objective: By using the method of evidence-based medicine and clinical guidelines,the method of the whole database the high quality of the collected data and expert consultation paper collated data integration,on this basis,write the Needle Knife Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head Operation Scheme Recommendation.In order to improve the clinical doctor needle knife treatment of avascular necrosis of the diagnosis and treatment efficiency,reduce medical accidents,in order to promote the scientific and standardization of needle knife treatment of Avascular necrosis of femoral head and standardized research.Methods: This study is based on the method of evidence-based medicine in meta analysis and classification of evidence,combined with expert consensus method and statistical method of frequency.Meta-analysis Method: Application of evidence-based medicine method to study clinical problems,on the basis of clinical problems under the principle of PICO developed retrieval words and retrieval type,will enter the database retrieval words and retrieval type,full database retrieval,retrieval when try to retrieve the whole and must.Will retrieve the data input of management software to heavy EndnoteX7 literature,will be included in the standard documents according to the Jadad quality rating criteria,the final participants included 11 into standard high quality paper.Extract high quality literature data,the data input Review Manager5.2 statistical software forstatistical analysis,through the analysis of forest figure and the funnel figure,comparing needle knife group and control group in treatment of Avascular necrosis of femoral head general curative effect,Harris scores and bone internal pressure difference.Recommendation From the Clinical Diagnosis and Treatment Methods:Using OCEBM evidence classification standard table to evaluate the retrieved evidence classification,received 11 class A evidence.Through to the high quality evidence of data extraction,selection of high frequency data,consult the WHO Oversaw Evidence-based Acupuncture Clinical Practice Guidelines Recommend Solutions Experts Sheet Format to write into the Needle Knife a Recommendation from the Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head Operation(First Draft).Refer to the method of expert consensus targeted for Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head of the Needle Knife Operation Recommendations(First Draft)differences in writing into Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head of the Needle Knife Operation Recommendations(Expert Consulting Draft).Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head by the Needle Knife Operation Recommendations(Expert Consulting Draft)issued,recycling,and the collected data using Microsoft Excel software to carry on the frequency analysis,and map out data statistics.Will eventually expert consulting draft data and Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head of the Needle Knife Operation Recommendations(First Draft)for data integration,make the differences that exist in the draft agreement,if there was some differences again a negotiated solution by means of consulting experts.Results:1.Meta-analysis' Results:(1)Total effective meta analysis heterogeneityinspection Chi2=16.42,degrees of freedom(df)=7,P=0.02,I2=57%,P<0.1reject H0,accept H1,statistical analysis of the difference was statistically significant.Consolidation effect inspection Z=3.06,P=0.002,P<0.05 reject H0,accept H1,statistical analysis of the difference was statistically significant,the total effect 95%CI=3.94 [1.46,1.46].(2)Subgroup meta-analysis heterogeneity inspection Chi2=5.36 Harris score,the degrees of freedom(df)=1,P=0.02,I2=81%,P<0.1reject H0,accept H1,statistical analysis of the difference was statistically significant.Consolidation effect inspection Z=2.96,P=0.003,P<reject H0,accept H1,statistical analysis of the difference was statistically significant,the total effect of 95% CI=6.12[2.06,2.06].(3)Bone internal pressure meta-analysis heterogeneity inspection Chi2=12.28,degrees of freedom(df)=2,P=0.02,I2=84%,P<0.1 reject H0,accept H1,statistical analysis of the difference was statistically significant.Combined effect of two test Z=0.72,P=0.47,P>0.05 refused to H1,accept H0,statistical analysis,there was no statistically significant difference.2.Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head will be the Needle Knife Operation Recommendations(First Draft)Clinical Diagnosis and Treatment of Avascular Necrosis of Femoral Head and Needle Knife Operation Recommendations(Expert Consulting Draft)data integration after writing became a clinical diagnosis and treatment of Avascular necrosis of femoral head of the needle knife operation recommendations.Conclusion:1.Treatment of Avascular necrosis of femoral head through the needle knife meta analysis verified the needle knife is effective in treatment of Avascular necrosis of femoral head.2.Through the Needle Knife Therapy for Clinical Diagnosis andTreatment of the Avascular Necrosis of the Femoral Head Operation Recommendations(First Draft)data,and the Needle Knife Therapy for Clinical Diagnosis and Treatment of the Avascular Necrosis of the Femoral Head Operation Recommendations(Expert Consulting Draft)of the data integration finally completed the needle knife therapy operation recommendations of clinical diagnosis and treatment of the Avascular necrosis of the femoral head,needle knife therapy for clinicians Avascular necrosis of femoral head provides a certain guidance and reference value.3.This research is in the evidence-based medicine method combined with expert consensus way needle knife treatment of avascular necrosis of the standardization of diagnosis and treatment plan are trying,as well as the standardization of diagnosis and treatment for the needle knife operation research to provide certain reference significance and methodology. |
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