1、 临床流行病学（clinical epidemiology）第一章 绪 论Introduction基本概念研究内容研究方法第一节 基本概念最早发展临床医学。两个分支微观。宏观。Hippocrates (460-377 BC)医学之父The Oath of Medicine I swear by Apollo, the healer, Asclepius, Hygieia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgm
2、ent, the following Oath and agreement: To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art. I will prescribe regimens for the good of my patie
3、nts according to my ability and my judgment and never do harm to anyone. I will not give a lethal drug to anyone if I am asked, nor will I advise such a plan; and similarly I will not give a woman a pessaryto cause an abortion. But I will preserve the purity of my life and my arts. I will not cut fo
4、r stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art. In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especi
5、ally from the pleasures of lovewith women or with men, be they free or slaves. All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal. If I keep this oath faithfully, may I enjoy
6、my life and practice my art, respected by all men and in all times; but if I swerve from it or violate it, may the reverse be my lot.希波克拉底誓言 我要遵守誓约，矢忠不渝。对传授我医术的老师，我要像父母一样敬重，并作为终身的职业。对我的儿子、老师的儿子以及我的门徒，我要悉心传授医学知识。我要竭尽全力，采取我认为有利于病人的医疗措施，不能给病人带来痛苦与危害。我不把毒药给任何人，也决不授意别人使用它。我要清清白白地行医和生活。无论进入谁家，只是为了治病，不为所欲为
7、，不接受贿赂，不勾引异性。对看到或 到不 传的 生活，我决不 。 我能 遵守 誓言 ， 我的生 与医术 到无 我 誓言， 地 一 我 。Hippocrates (460-377 BC)第一个流行病学家主要的流行病学著作：Epidemic Epidemic On Airs, Waters and Places主要贡献：流行病学观察环境在疾病发生中起着很重要的作用行病学行病学行病学currency1论行病学传病行病学心“病行病学行病学fi 病行病学“清行病学fl传行病学子行病学行病学行病学职业行病学 行病学生”行病学currency1行病学害行病学行为行病学药行病学第一节 基本概念临床流行病学是将现代流行病学及生物统计学的原理和方法引入临床医学领域，研究患病群体的疾病自然史、诊断方法和治疗效果评价的交叉学科。 特 点 主体：临床医生（必须）研究对象：病人及其群体研究内容：临床事件 行病学 群体的观点分析对比的观点概率论的观点
