推拿配合中药外敷治疗急性乳腺炎

目的探讨中医治疗急性乳腺炎的疗效观察。方法选取北辰区妇女儿童保健中心收治的急性乳腺炎患者80例,采取推拿配合中药外敷方法进行治疗,观察其疗效。结果 80例患者中痊愈60例(75.0%),有效12例(15.0%),无效8例(10.0%),总有效率为90.0%。结论急性乳腺炎常见于初产妇产后1~4周的哺乳期,是产妇哺乳期的常见病症。主要和乳汁淤积或因乳头皲裂等原因导致的细菌感染有关,常常急性发病,如不及时治疗会导致炎症持续发展出现化脓症状,严重者需要开刀引流,同时还会影响母乳,而推拿配合中药外敷方法对急性乳腺炎早期进行干预与治疗,可以有效控制炎症的发展,对母婴的身心健康具有非常重要的意义。     

推拿按摩手法排乳配合中药治疗急性乳腺炎94例疗效观察

目的观察推拿按摩手法排乳配合中药治疗急性乳腺炎（乳痈初期）的效果。方法采用推拿按摩手法排乳配合中药治疗产后急性乳腺炎94例。结果疼痛改善情况有效率为93．62％。治疗后3d内症状消失情况：疼痛消失率为72．34％;肿块消失率91．48％;发热消失率95％。结论推拿按摩手法排乳配合中药治疗产后急性乳腺炎疗程短、费用低、疗效好,无副作用,值得临床推广应用。     

哺乳期急性乳腺炎患者的临床护理体会

目的:探讨哺乳期急性乳腺炎患者的临床护理体会。方法:将110例哺乳期急性乳腺炎患者平均分为研究组与对照组。对照组采取常规治疗及护理措施,研究组在此基础上采取针对性护理措施。结果:研究组治疗及护理干预的有总有效率为96.36%,明显高于对照组的76.36%(P<0.05)。结论:对哺乳期急性乳腺炎患者给予针对性的护理干预,可以有效改善临床症状,降低脓肿形成机率,缩短治疗时间,保障了产妇的健康及喂养质量。     

实施护理干预对哺乳期早期急性乳腺炎发生的影响

目的:研究实施护理干预对哺乳期早期急性乳腺炎发生的影响.方法:抽取我院门诊收治的70例早期急性乳腺炎患者作为研究对象,随机分成2组,2组患者均实施常规治疗,其中30例设作对照组配合常规护理,另外30例设作观察组配合护理干预,对比2组护理干预影响.结果:观察组乳腺脓肿发生率明显少于对照组,2组对比有显著差异(P<0.05).结论:实施护理干预对哺乳期早期急性乳腺炎发生的影响较大,可以有效降低乳腺脓肿发生率,保护产妇哺乳期健康.     

手工挤奶配合理疗治疗早期急性乳腺炎疗效观察

目的 观察手工挤奶配合理疗治疗早期急性乳腺炎的疗效.方法 选择120例早期急性乳腺炎患者,按入院先后顺序随机分为治疗组和对照组,对照组采用手工挤奶配合大黄、芒硝外敷,观察组给予手工挤奶配合理疗.结果 治疗1周后观察组总有效率为96.67％,明显高于对照组的73.33％（P＜0.05）.结论 手工挤奶配合理疗应用于早期急性乳腺炎,方法简单易行,效果满意.     

手法治疗配合双柏散外敷对军人慢性腰肌劳损疗效观察

目的探讨推拿手法配合双柏散外敷对军人慢性腰肌劳损的临床疗效。方法将我部2009—2012年收治的50例慢性腰肌劳损的军人分为观察组与对照组,各25例,两组患者均行手法推拿治疗,观察组患者加用双柏散外敷治疗,治疗前后应用视觉模拟评分法(VAS)对两组患者的疼痛情况进行评价,比较两组患者的治疗效果。结果对照组患者临床总有效率低于观察组,两组患者比较差异有统计学意义(P<0.05);观察组患者VAS评分改善优于对照组,两组患者比较差异有统计学意义(P<0.05)。结论推拿手法配合双柏散外敷对军人慢性腰肌劳损能显著改善患者症状,双柏散在抗炎、镇痛等方面有不同程度的疗效,值得在临床推广。     

针灸推拿配合中药内服外敷治疗腰椎间盘突出症115例

目的探讨针灸推拿配合中药内服外敷对腰椎间盘突出症患者的治疗效果。方法随机选择2018年5月-2019年5月来本院进行治疗的腰椎间盘突出症患者共230例进行试验研究,分为对照组和研究组各115例。对照组采用临床常规中药内服外敷进行临床治疗,研究组配合针灸推拿进行腰椎间盘突出治疗。对两组患者临床治疗总有效率、治疗前后疼痛程度评分指标进行对比。结果研究组患者疼痛评分、治疗总有效率指标均明显优于对照组,差异具有统计学意义(P<0.05)。结论在腰椎间盘突出症患者的治疗中,针灸推拿配合中药内服外敷的治疗方法能够提高临床治疗有效率,有效降低患者疼痛程度。     

综合护理干预新模式在哺乳期急性乳腺炎中的应用

目的分析哺乳期急性乳腺炎护理中综合护理干预新模式的效果。方法选择从2016年4月—2019年1月于本院进行治疗的哺乳期急性乳腺炎患者80例,依照诊疗时间分为1组与2组,其中40例给予综合护理干预为1组,40例给予常规护理干预为2组,对比1组与2组的急性乳腺炎改善时间及痊愈速度,并比较两组护理满意度。结果治疗后,研究1组急性乳腺炎症状改善时间(2.36±0.89)d和痊愈时间(7.96±3.05)d均显著低于2组(3.62±1.03)d、(9.35±2.68)d,差异具有统计学意义(P<0.05)。治疗后,研究1组满意率95.00%,2组的满意率75.00%,前者高于后者,差异具有统计学意义(P<0.05)。结论哺乳期急性乳腺炎患者给予综合护理干预,不仅可以促进患者尽快痊愈康复,而且能切实提升患者护理满意度。     

双柏散外敷结合手法牵引治疗髋关节滑膜炎的临床疗效

目的观察双柏散外敷结合牵引治疗髋关节滑膜炎的临床疗效。方法将70例髋关节滑膜炎患者随机分为三组,综合疗法组给予双柏散外敷配合皮牵引,中药外敷组给予双柏散外敷,牵引组给予皮牵引。结果根据《中医病证诊断疗效标准》三组治疗前、后均有差异(P<0.01),综合组总有效率明显高于其余两组(P<0.01)。结论双柏散外敷结合牵引治疗髋关节滑膜炎,明显改善症状及体征,疗效确切,双柏散外敷治疗髋关节滑膜炎值得提倡。     

瓜蒌牛蒡颗粒联合芒硝治疗急性乳腺炎的疗效

目的 分析对急性乳腺炎患者给予芒硝联合瓜蒌牛蒡颗粒治疗的效果。方法 选择2020年1月—2022年1月山东省寿光市人民医院收治的74例急性乳腺炎患者进行研究。通过让患者随机抽号的方式分为观察组和对照组，各37例。对照组给予青霉素静脉滴注等常规西药治疗，观察组在对照组的基础上，给予芒硝联合瓜蒌牛蒡颗粒治疗。对两组患者的治疗情况进行统计分析，记录两组患者相关时间指标并进行组间检验，采用疼痛评分对两组患者治疗后疼痛改善情况进行评分。结果 观察组患者的治疗有效率为100.00%，明显高于对照组的86.49%，差异有统计学意义(χ²=5.362,P<0.05)。观察组患者的乳房发热疼痛时间、恢复正常体温的时间、住院时间等指标明显短于对照组，差异均有统计学意义(P<0.05)。治疗前，两组患者的WBC和CRP指标比较差异无统计学意义(P>0.05)；治疗后，两组患者的WBC和CRP指标均有明显降低，且观察组明显低于对照组，差异均有统计学意义(P<0.05)。治疗前，两组患者的患乳疼痛评分比较差异无统计学意义(P>0.05)；治疗后，两组患者的患乳...     

长春新碱过量引起严重毒副反应1例的护理体会

报道1例霍奇金淋巴瘤患者因误用长春新碱（VCR）10mg一次性静脉推注后治疗护理情况。其出现间断性神志恍惚、眼睑闭合不全、言语不清、口腔黏膜糜烂、全身疼痛、麻痹性肠梗阻、尿潴留、手足麻木等症状,经积极解救,禁食,持续胃肠减压、胃管内注入麻油、开塞露、生理盐水灌肠,合理应用肠外营养,注重疼痛、心理护理,做好口腔、肛周护理,预防感染加重,患者病情得到控制好转出院。     

Correlates of stages of change of smoking among inhabitants of deprived neighbourhoods

BACKGROUND: This study examines the prevalence and correlates of stages of change of smoking, in terms of psychosocial, structural and sociodemographic factors, among inhabitants of deprived neighbourhoods. METHODS: Cross-sectional data were obtained from a survey on health related behaviour. Subjects were 2009 current and former smokers, aged 20-46, living in deprived neighbourhoods in Rotterdam, the second largest city in the Netherlands. Three groups of smokers were formed according to the stages of change-definitions of the Transtheoretical Model: smokers not planning to quit (precontemplators), smokers planning to quit (contemplators/preparators) and former smokers (actors/maintainers). Smokers planning to quit and smokers not planning to quit were compared regarding psychosocial factors (attitude, social norm, self-efficacy), structural factors (neighbourhood problems, material deprivation, financial problems, employment status) and sociodemographic factors (age, gender, marital status, cultural background, educational level). Former smokers were compared with smokers planning to quit regarding structural and sociodemographic factors. Logistic regression was used to assess correlates of stages of change. RESULTS: Smokers planning to quit (prevalence = 19%) reported a more positive attitude, stronger social norms and higher self-efficacy expectations in quitting smoking than smokers not planning to quit (prevalence = 57%). Smokers planning to quit less often were Dutch-born, more often had attended higher vocational schooling or university and more often reported experiencing two or more neighbourhood problems compared to smokers not planning to quit. Former smokers (prevalence = 24%) were older, more often Dutch-born, married, employed and higher educated, compared to smokers planning to quit. Furthermore, former smokers less often reported material deprivation and financial problems than smokers planning to quit. CONCLUSION: Among people living in deprived neighbourhoods, different factors correlate with different stages of change of smoking. Implications for health promotion are discussed.     

Choice of measures of vaccination and estimates of risk of pediatric pertussis

BackgroundVaccination uptake at the individual level can be assessed in a variety of ways, including traditional measures of being up-to-date (UTD), measures of UTD that consider dose timing, like age-appropriate vaccination, and risk reduction from individual doses. This analysis compared methods of operationalizing vaccination uptake and corresponding risk of pertussis infection.MethodsCity-wide case-control study of children in Philadelphia aged 3 months through 6 years, between 2001 and 2013. Multiple logistic regression was used to isolate the independent effects of each measure of vaccination uptake and the corresponding relative odds of pertussis.ResultsBeing UTD on vaccinations was associated with a 52% reduction in risk of pertussis (OR 0.48, 95% CI: 0.34, 0.69). Evaluation of delayed receipt of vaccine versus on-time UTD yielded similar results. There was a decrease in risk of pertussis for each additional dose received with the greatest reduction in pertussis infection observed from the first (OR 0.48, 95% CI: 0.28, 0.83) and second dose (OR 0.17, 95% CI: 0.08, 0.34). Additional doses conferred minimal additional protection in this age group.ConclusionExamining vaccination status by individual doses may offer improved predictive capacity for identifying children at risk for pertussis infection compared to the traditional UTD measure.     

两种不同肌瘤剔除术治疗子宫肌瘤的临床疗效比较

目的:比较腹腔镜子宫肌瘤剔除术与腹式子宫肌瘤剔除术的临床疗效。方法:回顾分析63例腹腔镜子宫肌瘤剔除术与61例腹式子宫肌瘤剔除术的临床资料,比较2种手术方式的手术时间、术中出血量、肛门排气时间、使用抗生素时间、术后感染率、体温恢复正常时间、住院时间等情况。结果:两组患者接受子宫肌瘤剔除术顺利完成,腹腔镜组手术时间长于开腹组(P0.05),腹腔镜组术中出血量及剔除肌瘤个数均少于开腹组(P0.05),术后腹腔镜组体温恢复正常时间、肛门排气时间、抗生素使用及住院时间均短于开腹组,两组患者最多随访6个月,腹腔镜组平均康复时间较开腹组短(P0.05),两组随访B超均未发现明显肌瘤结节。结论:腹腔镜子宫肌瘤剔除术损伤小,恢复快,住院时间短,是值得推广的微创手术。     

上海市某医院骨科平均住院日影响因素分析

对上海市某医院2003年-2007年骨科出院病人的住院日描述性分析．2003年-2007年骨科的床位利用指数与平均住院日相关性分析．2003年-2007年骨科床位与医护比例分析．2007年骨科前10大病种平均住院目影响因素分别进行单因素相关性分析和多因素逐步回归分析（STATA软件）。通过对骨科10大病种住院日影响因素分析,术前等待天数、手术类型、是否输血分别对10个、9个和8个病种的住院目有影响。输血因素和手术类型是医院不可控、由病人的病情决定的,术前等待天数是管理因素,是最值得医院重视的影响因素。     

性发育异常发病机制的研究进展

正常的性腺分化可分为3个过程：原始性腺形成、性别决定和卵巢/睾丸发育。在任一环节中,基因表达或调控发生异常均有可能导致性发育异常疾病的发生。性发育异常是指染色体、性腺和解剖性别不典型。随着分子生物学技术的发展,不断地发现新的基因或信号通路参与性腺分化和发育,如SRY、SF1、WT1、Sox9等基因与睾丸发育密切相关,Wnt/Rspo1/B连环蛋白通路、Dax1、Foxl2等基因在卵巢分化中发挥着重要作用,一些非编码RNA和转化生长因子也有重要的调节功能,且睾丸和卵巢发育均为主动过程,即使在出生后因某些基因的改变两者间也可出现横向分化。这些为揭示性分化异常的发病机制提供了可能。     

尘肺病患者145例死因调查

目的分析汉中市尘肺病的发生、发展和死亡原因，以提高尘肺病患者的生存质量。方法对145例尘肺病患者的死因进行回顾性分析，计算其平均发病年龄、死亡年龄及患尘肺病后的存活年限。结果矽肺的平均发病年龄和死亡年龄均早于煤工尘肺和石棉肺，尘肺病的主要死因为患肺部疾患，患尘肺病后的平均存活年限为12a。结论加强职业健康体检工作，对尘肺病人做到早发现早治疗和预防并发症的发生。     

One-year stability of the Measure of Processes of Care

BACKGROUND: The Measure of Processes of Care (MPOC) is a 56-item self-administered measure designed to examine what parents of a child with a chronic health problem think of the services they and their child receive, and to measure the extent to which these services are family-centred. Reliability and validity of the MPOC were established in prior studies. The aim of the present study was to assess the 1-year stability of the MPOC to justify its use as an evaluative tool. METHODS: Nine paediatric rehabilitation centres in the Netherlands participated in this short longitudinal survey study. Subjects were 205 parents (response rate 74.8%) of children aged 1-18 years who received care in one of the participating paediatric rehabilitation centres. All subjects filled out two MPOCs with a 1-year interval. RESULTS: All correlations between the scale scores of the MPOC at the first and second administration were relatively high and significant (range: 0.443-0.609, all P < 0.001), demonstrating high inter-individual stability. However, all mean scale scores, except for Providing General Information, significantly reduced after 1 year. CONCLUSIONS: The MPOC has a moderate 1-year stability. However, because of its tendency to score lower when repeated after 1 year, its use as an evaluative follow-up instrument to assess the effectiveness of a programme intervention is restricted.     

儿童皮质发育畸形的MRI诊断

目的探讨儿童皮质发育畸形(MCD)的MRI表现特点,为MCD的早期诊断提供依据。 方法选择2010年1月至2012年12月在四川省医学科学院·四川省人民医院放射科经MRI检查确诊为MCD的44例患儿为研究对象。回顾性分析及总结其MRI影像学特征。本研究遵循的程序符合四川省医学科学院·四川省人民医院人体试验委员会制定的伦理学标准,得到该委员会批准,征得受试对象及其监护人知情同意,并与监护人签署临床研究知情同意书。 结果本组44例经MRI确诊为MCD患儿中,巨脑回-无脑回为17例,多小脑回为14例,灰质异位为9例,脑裂畸形为4例。MCD的MRI特点中,巨脑回表现为脑回增宽、皮质增厚及白质变薄;无脑回表现为正常脑沟、脑回消失,皮质增厚及白质变薄;多小脑回表现为脑回增多、细小;灰质异位表现为皮质下及侧脑室周围深部白质区结节状、团块状或带状病灶,信号与灰质信号相同;脑裂畸形表现为从侧脑室到脑表面贯穿大脑半球的裂隙,表面覆盖灰质。 结论MRI是诊断儿童MCD的可靠影像学方法。     

244株真菌鉴定结果分析

目的 了解某院2000～2001年各类真菌的检出率。方法 用酵母样真菌同化试验编码鉴定板TH-15进行编码鉴定。结果 真菌分离率为8．85％；244株真菌分为10种，其中以白色念珠菌和热带念珠菌较高，分别占真菌总数的75．41％和11．47％；检出真菌的主要标本是痰和阴道分泌物。结论 及时进行真菌培养，有利于合理使用抗菌药物和控制真菌感染。