中药高位足浴加涌泉穴按摩治疗失眠的疗效观察及护理

目的:观察中药高位足浴加涌泉穴按摩治疗失眠的效果。方法:将60例患者随机分为观察组和对照组各30例。观察组采用中药高位足浴加涌泉穴按摩治疗,对照组口服艾司唑仑(舒乐安定)治疗,治疗一个疗程后(30天),观察两组患者的睡眠改变。结果:观察组在总有效率及增加睡眠时间方面均优于对照组(P0.05)。结论:中药高位足浴加涌泉穴按摩可改善患者睡眠质量,提高治疗效果。     

潜阳安神汤足浴联合穴位按摩治疗慢性乙型病毒性肝炎失眠病人的疗效观察

[目的]探讨潜阳安神汤足浴联合穴位按摩改善慢性乙型病毒性肝炎失眠病人睡眠质量的效果。[方法]将符合纳入标准的90例慢性乙型病毒性肝炎伴失眠病人随机分为足浴组、按摩组、足浴加按摩组各30例。足浴组以潜阳安神汤中药足浴,按摩组以温水足浴后采用穴位按摩,足浴加按摩组采用潜阳安神汤足浴联合穴位按摩,每晚1次,1周为1个疗程,共4个疗程,以病人入睡时间、睡眠时间、睡眠疗效3个因子评价病人睡眠质量。[结果]足浴加按摩组病人入睡时间缩短,睡眠时间延长,睡眠疗效提高。[结论]潜阳安神汤足浴联合穴位按摩能明显改善病人睡眠状况,提高睡眠质量。     

开天门穴位按摩治疗甲亢术前失眠53例效果观察

目的:探讨开天门穴位按摩治疗甲亢术前失眠的效果。方法:将80例甲亢术前失眠患者随机分为对照组27例和观察组53例,对照组给予口服舒乐安定,观察组给予开天门穴位按摩,比较两组的治疗效果。结果:开天门穴位按摩能够缩短患者入睡时间,使其真正的睡眠时间延长,从而提高睡眠质量,与对照组比较有显著性差异(P<0.05)。结论:开天门穴位按摩治疗甲亢术前失眠方法简单,疗效显著,值得推广应用。     

涌泉穴按摩对中风患者睡眠障碍的负性情绪及睡眠质量影响

目的：探讨涌泉穴按摩对中风患者睡眠障碍及负性情绪的影响。方法选取收治的中风合并失眠患者80例,随机分为观察组及对照组,每组40例。对照组患者给予常规护理,观察组患者在对照组护理的基础上按摩涌泉穴。干预前后分别应用匹兹堡睡眠质量量表（PSQI）及症状自评量表（SCL－90）对两组患者睡眠质量及心理状况进行评价。结果干预后观察患者治疗后躯体化、强迫、抑郁、焦虑、敌对、偏执、恐怖、神经病症、人际关系、总评分均低于对照组（均P＜0.05）,患者入睡时间、睡眠质量、睡眠时间、睡眠障碍、睡眠效率、日间功能及PSQI总评分均低于对照组（均P＜0.05）。结论对中风合并失眠患者按摩涌泉穴能有效地改善患者抑郁、焦虑心理,提高患者睡眠质量,有利于患者预后。     

葱白双枣饮加涌泉穴按摩在失眠病人护理中的应用研究

[目的]探讨葱白双枣饮配合涌泉穴按摩对心脾两虚型失眠的防治效果.[方法]将72例心脾两虚型失眠病人随机分为两组,对照组给予常规护理,观察组在常规护理基础上给予葱白双枣饮饮服和涌泉穴按摩.[结果]两组病人睡眠期间醒来时间、睡眠总时间、睡眠效率、总有效率比较差异有统计学意义(P<0.05).[结论]葱白双枣饮加涌泉穴按摩能够延长心脾两虚型失眠病人的睡眠时间,提高睡眠质量.     

葱白双枣饮加涌泉穴按摩在失眠病人护理中的应用研究

[目的]探讨葱白双枣饮配合涌泉穴按摩对心脾两虚型失眠的防治效果。[方法]将72例心脾两虚型失眠病人随机分为两组,对照组给予常规护理,观察组在常规护理基础上给予葱白双枣饮饮服和涌泉穴按摩。[结果]两组病人睡眠期间醒来时间、睡眠总时间、睡眠效率、总有效率比较差异有统计学意义（P〈0．05）。[结论]葱白双枣饮加涌泉穴按摩能够延长心脾两虚型失眠病人的睡眠时间,提高睡眠质量。     

耳穴联合中药足浴治疗慢性乙型肝炎伴失眠患者临床观察

[摘要]：目的：探讨耳穴联合清热化湿方足浴治疗慢性乙型肝炎失眠患者的睡眠质量的效果。方法：随机将符合标准的60例慢性乙型肝炎伴失眠患者分为观察组和对照组各30例。观察组以耳穴联合足浴,对照组单一耳穴,每天１次,14天一个疗程,从病人入睡预备时间、夜间实际睡眠时间、睡眠效率来评价睡眠质量情况。结果：干预治疗后,观察组入睡预备时间减少,夜间实际睡眠时间延长,失眠明显改善。结论：耳穴联合足浴能明显改善病人睡眠状况,提高睡眠质量。     

耳穴埋豆应用于术前失眠患者的护理体会

目的探讨耳穴埋豆对术前失眠患者失眠状态的影响。方法将60例术前失眠患者按随机法分为观察组30例和对照组30例,对照组采用常规术前准备和心理干预,观察组在此基础上再施以耳穴埋豆。结果治疗后,观察组患者的入睡时间明显短于对照组、睡眠时间则明显长于对照组,且观察组觉醒次数明显少于对照组(P<0.05);经治疗,观察组失眠症状比治疗前明显改善。结论耳穴埋豆可缩短手术患者的入睡时间、延长睡眠时间、减少觉醒次数,是值得推荐应用于手术患者术前改善失眠状态的治疗方法。     

中药足浴改善功能性消化不良伴失眠患者睡眠质量的疗效观察

目的探讨中药足浴对改善功能性消化不良伴失眠患者睡眠质量的效果。方法按住院顺序将27例患者分为观察组14例和对照组13例,观察组采用中药足浴,对照组采用温水足浴,每天1次,均予1周为1疗程,从患者入睡时间、睡眠时间、失眠疗效三方面评价睡眠质量情况。结果与对照组比较,观察组失眠疗效明显,入睡时间短,睡眠时间长。结论中药足浴能改善功能性消化不良伴失眠患者的睡眠质量。     

足反射疗法对老年住院患者的安神助眠作用

为观察足反射疗法对老年住院失眠患者的安神助眠作用,选择2003-12/2005-12重庆医科大学附属第二医院老年病科收治,年龄60～90岁的老年住院失眠患者102例,随机分为治疗组52例和对照组50例。治疗组采用足部反射区及穴位治疗的方法,每晚睡前1次,40min/次,7次为1个疗程,连续3个疗程;对照组常规护理,不采用另外干预措施。分别观察治疗后两组患者入睡潜伏期、夜间实际睡眠时间、睡眠效率以及患者主观体验。结果显示治疗后治疗组患者与对照组比,入睡潜伏期短,夜间实际睡眠时间长,睡眠效率高(P<0.05);患者主观感觉优于对照组。提示足反射疗法可改善老年住院失眠患者的睡眠质量,有安神助眠作用。     

Prevalence and severity of nausea and vomiting of pregnancy and effect of vitamin supplementation.

OBJECTIVE: Although nausea and vomiting of pregnancy is the most common medical condition during pregnancy, there are many unanswered questions regarding its cause, epidemiologic features and optimal management. The objectives of this study were to ascertain the prevalence of nausea and vomiting in a sample of Canadian women, to characterize the distribution of their severity and to investigate the role of vitamin B6 deficiency in their etiology. DESIGN: Prospective study. SETTING: Antenatal counselling service for pregnant women. PATIENTS: Three cohorts of women: a prospective, population-based cohort of 193 women, to estimate the rate and severity of nausea and vomiting (cohort A); a cohort of 555 women who sought advice for nausea with or without vomiting, to study the correlation between the maximal daily number of episodes of vomiting and maximal weight loss (cohort B); and a prospective cohort of 301 women who reported vomiting, to correlate vitamin supplementation with vomiting (cohort C). INTERVENTIONS: All 3 cohorts were interviewed during the counselling session, and cohort B was followed up prospectively. OUTCOME MEASURES: Frequency of nausea and vomiting, weight loss, maximal number of daily episodes of vomiting, rate of multivitamin supplementation. RESULTS: Overall, 67% of the women in cohort A reported experiencing nausea or vomiting, or both; 22% reported vomiting, and 9% experienced weight loss. In cohort B there was a significant correlation between the maximal number of daily episodes of vomiting and maximal weight loss, although there was wide variation (r2 = 0.25, p < 0.001). There was a highly significant correlation between the number of daily vomiting episodes and mean weight loss (r2 = 0.99). In cohort C, vomiting was significantly associated with lack of supplementation with multivitamins before 6 weeks' gestation (p = 0.002). CONCLUSIONS: The relation between number of daily vomiting episodes and mean weight loss may serve as a clinical tool to assess the severity of nausea and vomiting in pregnancy and the success of anti-emetics and rehydration regimens. Further study is needed to elucidate the biologic basis of the observed association between vomiting and lack of multivitamin supplementation in early pregnancy.     

骨脂肪瘤及血管脂肪瘤的CT及MRI表现:9例报告并文献复习

目的探讨骨脂肪瘤及血管脂肪瘤的CT及MRI表现。方法收集手术病理证实的9例骨脂肪瘤及血管脂肪瘤的临床及影像学资料,9例术前8例接受CT扫描,3例接受MRI检查。结果9例中骨脂肪瘤6例,骨血管脂肪瘤3例。6例骨脂肪瘤发生于骨内4例,骨旁2例。骨内脂肪瘤跟骨1例,距骨1例,眶骨1例,肱骨1例。骨旁脂肪瘤颅骨1例,股骨1例。骨血管脂肪瘤发生于肋骨1例,颅骨1例,椎骨1例。骨内脂肪瘤CT显示病变骨质呈轻度膨胀性改变,边缘见轻度硬化环,病灶内见脂肪密度及条弧形、结节状钙化,MRI显示病灶T1WI呈高信号,PDWI及T2WI抑脂序列呈低信号。骨旁脂肪瘤CT呈不均匀高密度团块,MRI显示病灶T1WI呈高信号,T1WI及T2WI抑脂序列呈低信号。3例骨血管脂肪瘤CT显示病变骨质呈显著膨胀性改变,骨破坏边缘及内部见多发骨嵴及粗大骨小梁,高密度骨针呈放射状、簇状或不规则排列。结论骨内脂肪瘤及血管脂肪瘤CT及MRI表现均以脂肪成分为主要特征,骨旁脂肪瘤CT以骨化性团块为特征,骨血管脂肪瘤骨质膨胀性改变较骨内脂肪瘤显著,病灶边缘及中心以多发骨嵴及粗大骨小梁为特征。      

城乡居民高血压与饮食习惯的调查分析

心血管疾病是我国的多发病和人群的主要死亡原因之一,而高血压已成为中老年人的常见病,是冠心病、脑卒中最主要的危险因素,已成为世界性公共卫生问题。随着我国经济的发展及人们生活水平的日益提高,我国在1958年、1979年、1991年分别进行了全国性的高血压普查,结果表明,我国高血压患病率在持续上升,且上升速度逐年加快。由于文化程度、生活习惯以及信息来源不足的差异也是导致城居民高血压患病率持续上升的重要原因,因此指导城乡居民进行合理的饮食,对预防高血压的发生、发展有着重要的意义。     

城乡居民高血压与饮食习惯的调查分析

心血管疾病是我国的多发病和人群的主要死亡原因之一,而高血压已成为中老年人的常见病,是冠心病、脑卒中最主要的危险因素,已成为世界性公共卫生问题[1].随着我国经济的发展及人们生活水平的日益提高,我国在1958年、1979年、1991年分别进行了全国性的高血压普查,结果表明,我国高血压患病率在持续上升,且上升速度逐年加快[2].由于文化程度、生活习惯以及信息来源不足的差异也是导致城居民高血压患病率持续上升的重要原因,因此指导城乡居民进行合理的饮食,对预防高血压的发生、发展有着重要的意义.     

Attitude differences of volunteers and nonvolunteers and of susceptible and nonsusceptible hypnotic subjects

A form of the Semantic Differential, containing 9 concepts related to hypnosis and research, was administered to 96 hypnotically inexperienced male Ss. The Ss were later asked to volunteer for a hypnotic experiment, and the hypnotic susceptibility of all volunteers (N = 51) was then determined. Semantic Differential responses of volunteers and nonvolunteers and of highly susceptible and unhyp-notizable Ss were compared. Differences between groups, in both comparisons, were generally not statistically significant, a finding which suggests that there is no simple relationship between paper-and-pencil measures of attitudes and volunteering for hypnotic experiments or hypnotizability.