中医“治未病”在亚健康防治中的作用分析

目的:本文将对中医"治未病"在亚健康防治中的作用进行分析。方法:将110例亚健康体检人群随机分为观察组与对照组,两组患者均接受常规西医体检,对照组患者进行常规健康指导,观察组患者基于中医"治未病"健康指导。两组一年后进行第二次体检,对比两组人群亚健康状态。结果:观察组受检人群亚健康状况总分(44.06±3.55)明显低于对照组(63.85±3.42)。结论:在防治亚健康中,运用中医"治未病",能够有效缓解人群亚健康状态,改善精神状态,缓解疲劳,提高免疫力,防治效果明显优于常规健康教育指导。     

中医“治未病”在社区肿瘤患者康复中的应用

目的：探讨中医“治未病”在社区肿瘤患者康复中的应用。方法：选择2014年2月～2015年2月在我中心治未病中心进行中医体质辨识属于气虚质、血瘀质肿瘤康复期患者136例,将其随机分为观察组70例、对照组66例,对照组未给予干预措施,观察组给予中医治未病个性化健康指导,随访9个月后比较两组患者中医体质积分及生活质量积分变化情况。结果：干预前两组患者体质转化分无显著差异（P﹥0.05）,干预后观察组体质转化分显著降低（P＜0.05）,干预后对照组体质转化分与治疗前无显著差异（P﹥0.05）,干预后观察组体质转换分显著低于对照组（P＜0.05）;干预前两组患者生活质量评分无显著差异（P﹥0.05）,干预后观察组生活质量评分显著升高（P＜0.05）,对照组生活质量评分无显著变化（P﹥0.05）,干预后观察组生活质量评分显著高于对照组（P＜0.05）。结论：中医“治未病”运用于社区肿瘤患者康复,有助于调整患者体质并有效改善患者的生存质量,值得推广。     

渐进性肌肉放松训练对亚健康状态军队在职干部心理干预研究

目的:探讨渐进性肌肉放松训练(PMR)对亚健康状态军队在职干部心理因素的干预效果.方法:将住院疗养的军队在职干部亚健康状态者162例随机分为干预组和对照组各81例,对照组常规疗养,干预组在常规疗养基础上进行PMR,2/d.在干预前、后对两组进行症状自评量表(SCL-90)评分,计算干预后SCL-90总分减分率.比较两组治疗效果.结果:干预后观察组SCL-90总分及各因子分显著低于对照组(P<0.05),总有效率高于对照组(P<0.05).结论:常规疗养加PMR对改善军队在职干部亚健康状态的效果更加明显,适于推广.     

专项心理干预护理改善子宫肌瘤手术患者SCL-90量表评分指标观察

目的观察专项心理干预护理改善子宫肌瘤（UM）手术患者心理情绪（SCL-90量表）评分指标情况。方法连续选择新近在辽宁省妇幼保健院接受手术治疗的UM患者49例,按照接受手术顺序随机分为干预组（25例）和对照组（24例）,两组患者均接受了UM手术围术期常规护理,干预组另行专项心理干预护理,包括了术前访视及心理评估、健康教育、心理支持与亲属协同干预等内容。手术前后使用SCL-90量表进行心理情绪评估。结果两组UM患者术前SCL-90量表各项评分指标分值接近（P均〉0.05）,干预组术后SCL-90量表各评分指标均明显好于术前及对照组同期结果（P均〈0.01～0.05）。结论专项心理干预护理可明显改善接受手术治疗UM患者的心理情绪评分。     

渐进性肌肉放松训练对亚健康状态军队在职干部心理干预研究

目的:探讨渐进性肌肉放松训练(PMR)对亚健康状态军队在职干部心理因素的干预效果.方法:将住院疗养的军队在职干部亚健康状态者162例随机分为干预组和对照组各81例,对照组常规疗养,干预组在常规疗养基础上进行PMR,2/d.在干预前、后对两组进行症状自评量表(SCL-90)评分,计算干预后SCL-90总分减分率.比较两组治疗效果.结果:干预后观察组SCL-90总分及各因子分显著低于对照组(P<0.05),总有效率高于对照组(P<0.05).结论:常规疗养加PMR对改善军队在职干部亚健康状态的效果更加明显,适于推广.     

心理护理对精神病患者抑郁、依从性的影响

目的 探讨心理护理对精神病患者抑郁及治疗依从性的影响.方法 选取100例精神病患者作为研究对象,随机分为对照组和观察组,各50例.对照组给予传统护理,观察组在对照组的基础上给予心理护理.比较干预前后的HAMD、SCL-90评分;并对患者的治疗依从性进行比较.结果 观察组干预后的HAMD评分显著低于干预前及对照组干预后,差异有统计学意义(P＜0.05).观察组干预后的SCL-90各项评分显著低于干预前及对照组干预后,差异有统计学意义(P＜0.05).观察组的治疗依从率为86.0％,显著高于对照组的60.0％,差异有统计学意义(P＜0.05).结论 心理护理可显著改善精神病患者的抑郁情况,提高治疗依从性.     

心理护理对老年高血压患者SCL-90心理评分的影响研究

目的：探讨心理护理对老年高血压患者心理状态及护理满意度的影响。方法100例老年高血压患者,采用随机数字表法分为观察组与对照组,每组50例。观察组患者给予心理护理,对照组给予常规护理。采用症状自评量表(SCL-90)评价患者的心理状态,自行设计护理满意度调查表调查患者的护理满意率。结果干预前,两组患者的SCL-90评分比较,差异无统计学意义(P>0.05);干预之后,两组患者的SCL-90评分均较本组干预前评分明显改善,干预后两组比较,观察组明显优于对照组,差异有统计学意义(P<0.05);观察组的护理满意率达为98.0%,显著高于对照组的82.0%,差异有统计学意义(P<0.05)。结论心理护理可显著提升老年高血压患者自身对血压相关知识的掌握程度,改善心理状态,从而有效地提升了治疗效果及患者对护理的满意度。     

中医特色护理在改善骨折患者排尿困难及创伤后应激障碍中的作用

目的:探析中医特色护理在改善骨折患者排尿困难及创伤后应激障碍中的效果。方法:选取2018年2月～2019年2月在某院接受治疗的60例骨折患者作为主要对象,采用数字随机表达法分为对照组和观察组各30例,对照组实施常规护理,观察组实施中医特色护理,比较两组患者的排尿困难和创伤后应激障碍改善情况。结果:经干预后,观察组患者的排尿困难改善有效率显著高于对照组,两组比较有明显差异(P0.05);两组患者干预前的SCL-90量表、PCL-C量表评分比较无明显差异,干预后较干预前明显下降,且观察组明显优于对照组,有显著差异(P0.05)。结论:对骨折患者实施中医特色护理可有效改善患者的排尿困难症状,同时可减轻患者的创伤后应激障碍,更有利于患者的身心健康,值得推广应用。     

心理护理干预在不孕不育患者中的应用

目的分析心理护理干预在不孕不育患者中的应用效果。方法将67例不孕不育患者随机分为观察组34例和对照组33例。对照组给予常规护理,观察组在常规护理基础上给予心理护理。应用症状自评量表(SCL-90)评价干预后2组患者心理状况及生活质量情况。结果干预后,观察组心理状况及生活质量评分均优于对照组,差异均有统计学意义(P<0.01)。结论不孕不育患者多数存在心理障碍,心理护理干预可有效改善其心理状态。     

术前强化护理沟通对胃癌手术患者心理状态的影响研究

目的研究及分析术前强化护理沟通对胃癌手术患者心理状态的影响程度。方法将2014年4月至2015年12月期间于本院进行手术治疗的42例胃癌患者随机分为对照组和观察组两组。对照组的21例患者进行常规的术前护理干预,观察组的21例患者则在常规术前护理的基础上进行强化护理沟通,然后将两组患者干预前和干预后的心理状态采用SCL-90量表进行评估。结果干预前两组患者的SCL-90量表评分均无明显差异,P均>0.05,而干预后观察组的SCL-90量表评分均低于对照组及观察组本组护理前的评分,P均<0.05,差异均有统计学意义。结论术前强化护理沟通对胃癌手术患者不良心理状态的改善作用突出,因此认为对胃癌手术患者进行术前此项干预的临床意义较高。     

“医”与“法”

2003年8月中,惠氏百宫制药有限公司邀请广东地区各大医院的专家和医院管理人员在广东东莞举行了一场别开生面的研讨会。会议包括两个议题:一是“特治星治疗严重呼吸道感染”的学术研讨;二是“医疗纠纷处理的新规则与新思路”的研讨。会上“热点”不断,台上、台下观点撞击精彩纷呈,这里我们摘录片段与大家共享。     

Laboratory Verification of "heavy" and "light" users of cannabis

For various experimental studies it is often desirable to classify categories of cannabis use. For instance, in a study of the kinetics of δ-9-tetrahydrocannabinol (THC) in man, we wanted to see if there were differences between “heavy” and “light” users of the drug. “Heavy” use was defined as once daily or more, while “light” use was defined as sporadic or occasional, no more frequent than once monthly.Previously, we had found that the 11-oic acid of THC was not only the major metabolite to appear in the urine but also that its appearance in urine was prompt and lasted for at least 72 hours after a single exposure [1]. We decided to use the presence of this material in urine as a marker for heavy and light use; one would expect to find it regularly in heavy users and rarely, if at all, among light users. All subjects entering the study declared their pattern of use and then were asked to provide a spontaneously voided urine, to be used for analysis of THC-11-oic acid.     

以"豆"祛"痘"

虽然早已过了青春期,但我那略显"婴儿肥"的脸上还是会不时地出现些小痘痘.为了消除这些可恶的家伙,我还真是没少折腾,又是吃药、吃保健品,又是用化妆品,可痘痘却大有"野火烧不尽,春风吹又生"之势,看来要消灭它们可不是件容易的事.     

Activity of "reversed" diamidines against Trypanosoma cruzi "in vitro"

Chagas' disease is an important parasitic illness caused by the flagellated protozoan Trypanosoma cruzi. The disease affects nearly 17 million individuals in endemic areas of Latin America and the current chemotherapy is quite unsatisfactory based on nitroheterocyclic agents (nifurtimox and benznidazol). The need for new compounds with different modes of action is clear. Due to the broad-spectrum antimicrobial activity of the aromatic dicationic compounds, this study focused on the activity of four such diamidines (DB811, DB889, DB786, DB702) and a closely related diguanidine (DB711) against bloodstream trypomastigotes as well as intracellular amastigotes of T. cruzi in vitro. Additional studies were also conducted to access the toxicity of the compounds against mammalian cells in vitro. Our data show that the four diamidines compounds presented early and high anti-parasitic activity (IC50 in low-micromolecular range) exhibiting trypanocidal dose-dependent effects against both trypomastigote and amastigote forms of T. cruzi 2h after drug treatment. Most of the diamidines compounds (except the DB702) exerted high anti-parasitic activity and low toxicity to the mammalian cells. Our results show the activity of reversed diamidines against T. cruzi and suggested that the compounds merit in vivo studies.     

"Sick" or "hooked": smokers' perceptions of their addiction

A postal questionnaire was completed by 233 smokers who had contacted a television company for help with stopping smoking. Subjects recorded how well each of 20 statements described their feelings about their own smoking. These responses were submitted to a principal components analysis which revealed two interpretable factors. The first ('Sick') reflected a tendency to see smoking as a sickness, and a greater concern over health consequences. The second ('Hooked') reflected a feeling of inability to give up smoking, and a resentment at other's attempts at dissuasion. Subjects with higher 'Sick' factor scores perceived greater potential benefit in their stopping (in terms of a reduction of risk of cancer). Higher 'Hooked' factor scores were given by females, older smokers, those who described themselves as more extremely addicted, and those who saw less benefit for themselves in stopping.