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1仅仅检查左手无名指是否严谨?在实际检查中发现左、右无名指有时存在极大的差别,这不仅在统计上造成偏差,对医务人员和患者将造成一种误导。例如隐性、遗传性、先天性心脏病往往在右手指中部显现管襻畸形。建议重新讨论此问题,并建议采用双手无名指检查法。2使用单一固定倍数显微镜是否存在缺陷。使用“加权积分法”时采用固定倍数显微镜可减少测量误差,这不失为明智选择,但在“双指全息法”中是万万不能采用的。首先,它缺少大视野观察和连续跟踪的手段,因而丧失了整体观念和部位的判别,造成观察数据的损失和误导,建议采用专用连续变倍显微镜。3.当前普遍使用的“加权积分法”中的某些不足。①临床应用价值不明显:没指出某些应有的病理、主理特异性,因而大多医院将其作为临床辅助诊断效果不明显。在上海,做甲皱微循环检查已被严禁收费,限制了整个地区的发展。②“健康对照组”概念存在的问题。不少论文中都有一个“健康对照组”,那只是相对于其研究对象而言.实际上存在另外一些不健康、亚健康的隐因素,70%的人群处于“亚健康”状态,这就是为什么“即使在正常人中甲皱微循环的各项指标间出存在较大差异。”某些疾病会在人的一生中留下痕迹,这些痕迹的特异反应在微循环中山一?
1 Just check the left hand ring finger is rigorous? In the actual examination found that the left and right ring finger sometimes there is a great difference, which not only caused the statistical bias, the medical staff and patients will cause a misleading. For example, implicit, genetic, congenital heart disease often appear in the middle of the right finger tube deformity. It is recommended to revisit this issue and suggest a two-handed ring finger check. 2 using a single fixed multiple microscope for defects. The use of “weighted integral method” fixed multiple microscope can reduce the measurement error, after all, this is a wise choice, but “double finger holography” is absolutely not used. First of all, it lacks the means of large-field observation and continuous tracking, thus losing the overall concept and location of discrimination, resulting in the loss of data and misleading observations, it is recommended to use a dedicated continuous zoom microscope. 3. Some of the deficiencies in the “weighted integral approach” currently in common use. ① clinical application value is not obvious: did not point out some of the proper pathology, the main reason, so most hospitals as clinical diagnosis of the effect is not obvious. In Shanghai, nail fold microcirculation check has been banned from fees, limiting the development of the entire region. ② “healthy control group” concept of the problems. Many papers have a “healthy control group”, it is only relative to its research object. In fact, there are other unhealthy, sub-health implicit factors, 70% of the population in the “sub-healthy” state, which is why “even in normal people, nail fold microcirculation among the indicators there is a big difference.” Some These diseases will leave traces in human life, the specific reaction of these traces in the microcirculation, Zhongshan?