目的 运用CiteSpace软件对针灸干预孤独症谱系障碍(autism spectrum disorder,ASD)的文献进行可视化分析,展现其研究热点情况及发展趋势.方法 检索中国知网从建库至2022年8月31日的相关文献,并用CiteSpace软件对年度发文量、作者和关键词进行分析和可视化展示.结果 共纳入216篇文献,2021年发文量最多,年度发文量整体呈上升趋势.袁青、吴至凤为代表的团队与赵宁侠、张宁勃为代表的团队为该领域的主要研究团队.发文机构以西安中医脑病医院为主,主要集中于中医高校及附属医院.共形成关键词392个,10个聚类,10个突现词.结论 针灸干预ASD已逐渐得到研究者的重视,研究热点主要集中于靳三针、头针、电针等针灸疗法或结合其他中医干预方法,联合西医康复干预ASD患儿,改善其临床症状,但有关针灸干预ASD的机制研究较少,未来需进一步加强.

Objective To investigate the physical growth and development of children between 0 and 6 years in Baiyin city, and to provide a reference for further improving children’s health care in the region. Methods From July to November 2021, a census method was used to investigate and evaluate the physical growth and development of resident children between 0 and 6 years in Baiyin city. Results The physical development of children conformed the objective law in Baiyin city and had an increasing trend month by month. The detection rates of low body weight, growth retardation, emaciation, overweight,obesity, small head circumference and excessive head circumference were 3.98%, 4.64%, 7.18%, 8.83%, 4.23%, 12.65%, and 2.70%, respectively. The detection rates of growth retardation, small head circumference, and overweight in boys were higher,whereas obesity and excessive head circumference were lower compared with girls. In addition, the study found that the month-age, ethnicity, gender, family annual income, and birth length were influencing factors of status of physical growth and development. Conclusion The physical growth and development of children aged 0-6 in Baiyin city was at the middle or lower-middle level in our country. As a result, continuous monitoring of growth and development of children was essential to avoid the adverse outcomes in the future.

目的 探讨白银市2000-2019年新生儿死亡率变化趋势,创建时间序列模型预测2020年白银市新生儿死亡率,为医疗卫生行政部门制定相关措施提供参考依据.方法 收集2000-2019年白银市妇幼卫生年报数据,通过SPSS 26.0软件进行时间序列分析,根据筛选的最优模型对2000-2019年新生儿死亡率进行回代拟合,并预测2020年新生儿死亡率.结果 白银市新生儿死亡率从2000年的22.40‰下降至2019年的2.39‰(降幅89.33％),城区郊县新生儿死亡率差距逐年缩小.Holt线性趋势模型为最优模型,2020年白银市新生儿死亡率的预测值为1.66‰,95％CI(-0.76‰～4.07‰).结论 白银市新生儿死亡率总体呈下降趋势.

通过分析某基层综合医院在新型冠状病毒肺炎疫情早期发热门诊工作中存在的问题、相应采取的流程管理措施、对发热门诊工作流程的优化和改进,指出目前基层综合医院发热门诊设置存在的缺陷,建议尽快落实发热门诊的标准化建设方案,加大对基层工作人员疫情防控能力的培养.较为健全的发热门诊工作流程,可使传染病防控工作有效开展.