成人心理弹性量表在军校大学生中的信效度研究

目的 研究成人心理弹性量表(RSA)在军校大学生中的信效度.方法 采用成人心理弹性量表(RSA)和症状自评量表(SCL-90)中的抑郁、焦虑、躯体化3个因子对某军校616名学生进行整群抽样调查.结果 ①对RSA采用探索性因素分析.共提取5个因子.各项目在因子上的负荷在0.423～0.834之间,累计方差解释率为58.439%;②RSA各因子之间相关显著.相关系数在0.228～0.580之间;各因子与总分相关显著,相关系数在0.565～0.789之间;③效标SCL-90的抑郁、焦虑和躯体化三个因子的均分与RSA均分之间呈显著负相关,相关系数为-0.437(n=593,P=0.000);④RSA各个因子的同质性信度在0.52～0.86之间,RSA问卷信度为0.91.结论 RSA量表在军校学生中信效度较好.     

应激回弹力问卷在军人中的信效度研究

目的用Connor和Davidson编制的回弹力问卷(Connor-Davidson resilience scale,CD-RISC)在军人样本中进行测量并研究其信效度。方法采用CD-RISC中文版、艾森克人格问卷(EPQ)、症状自评量表(SCL-90)、简易应付方式问卷和创伤后应激障碍检查量表平时版(PCL-C)对1 800名军人进行测试。结果①探索性因素分析表明,军人应激回弹力问卷由15个项目组成,包括2个因素(坚韧性和适应性),累计方差解释率为43.148%;②回弹力各因素及总分与简易应对方式中积极应对和EPQ中内外向呈显著的正相关(r=0.347～0.474,P<0.01),与SCL-90的焦虑、抑郁、躯体化3个因子,PCL-C的再体验、回避、高唤醒3个因子及EPQ中神经质维度呈显著的负相关(r=-0.272～-0.142,P<0.01);③采用分组检验法,CD-RISC低分组的焦虑、抑郁、躯体化、PCL-C各因子得分及其总分均显著高于CD-RISC高分组(P<0.01);④总量表及各因子的Cronbach’sα内部一致性系数为0.767～0.816;⑤回弹力的两因子之间及各因子与总分之间的相关系数...     

中文版躯体变形障碍量表在大学生群体中的信效度分析

目的修订躯体变形障碍量表并在中国大学生群体中检验其信效度。方法 2022年10月, 采用躯体变形障碍量表、体象障碍自评量表、简版外观焦虑量表、中文身体羞耻量表及简式抑郁量表对大学生进行施测, 其中, 样本1进行通俗度检验(n1=59), 样本2进行项目分析与探索性因子分析(n2=493), 样本3进行验证性因素分析(n3=457), 样本4进行重测信度分析(n4=89)。运用SPSS 25.0进行项目分析、探索性因素分析、信度分析、Pearson相关分析;运用AMOS 24.0进行验证性因素分析、聚敛效度分析。结果 (1)中文版躯体变形障碍量表包含病态信念、外表焦虑和过度打扮3个维度, 且三因子模型拟合良好(χ2/df=3.14, GFI=0.93, CFI=0.91, TLI=0.91, RMSEA=0.07);(2)中文版躯体变形障碍量表得分与体象障碍自评量表、简版外观焦虑量表、中文身体羞耻量表及简式抑郁量表得分均呈正相关(r=0.41～0.81, 均P<0.01), 其组合信度在0.75～0.95, 平均方差抽取量在0.51～0.56;(3)信度检验发现, 中文版躯体变形障...     

躯体化症状自评量表的初步编制及信度和效度研究

目的 对躯体化症状自评量表(Somatic Self-rating Scale,SSS)进行信度和效度检验.方法 整群抽取某三甲综合医院各科门诊患者589名、住院患者64名,采用SSS量表进行评测,同时完成Zung's量表评测以检验校标效度,随机抽取24名患者在未服用抗焦虑抑郁药物的情况下2周后进行重测以检验重测信度.结果 SSS量表重测信度0.96(P＜0.01),其内部一致性Cronbach's α系数0.89.总分与各因子的相关系数在0.76～0.88之间,各因子间相关系数在0.56～0.70之间.验证性因素分析的指标:CFI=0.890,NFI=0.856,RFI=0.816,IFI=0.891,TLI=0.859,x2/df=3.67,REMEA=0.064,各条目对因子负荷系数在0.427～0.732之间.SSS总分与焦虑自评量表和抑郁自评量表的相关系数在0.74～0.80之间,各因子分与焦虑、抑郁自评量表的相关系数在0.55～0.74之间.ROC曲线下面积AUC=0.841.结论 躯体化症状自评量表具有较好的信度和效度,可应用于综合医院患者心理症状的筛查.     

儿童自我控制双系统量表的编制与信效度分析

目的 编制儿童自我控制双系统量表,并检验其信效度.方法 基于自我控制的双系统理论和前人研究成果,编制了儿童自我控制双系统量表.以此量表对选取自五个省的1493个家庭进行调查.通过项目分析筛选项目,对数据进行探索性因素分析和验证性因素分析检验问卷的结构效度,并检验问卷的信度和效标效度.结果 经过探索性因素分析,最后得到的儿童自我控制双系统量表有23个条目,包含5个因子,分别命名为：计划性,冲动性,易分心,坚持性,低延迟满足,累计方差贡献率为50.46％.验证性因素分析所得指标均符合心理测量学的要求（RMSEA=0.044、NFI=0.95、NNFI=0.97、CFI=0.97）.儿童自我控制双系统量表得分以及各分量表得分与自我控制教师评定量表得分的相关均具有统计学意义.儿童自我控制双系统量表的Cronbach oα系数为0.855,各因子的Cronbachα系数分别为0.813,0.803,0.582,0.608,0.620.结论 儿童自我控制双系统量表具有较好的信效度,适合用于评估我国儿童的自我控制能力水平.     

生命意义感量表在中国士官群体中的信效度

目的 检验生命意义感量表（MLQ）在中国士官群体中的信效度.方法 采用方便取样,抽取574名士官学员,将样本总量分为两部分,一部分用于探索性因素分析（n=278）,另一部分进行验证性因素分析（n=296）.用生活满意度（SWLS）量表、抑郁（SDA）量表、焦虑（SAS）量表作为MLQ量表的效标效度.结果 （1）探索性因素分析提取了2个因子,分别是生命意义感因子和寻求意义感因子,累计贡献率为61.02％,项目负荷在0.62-0.85之间.验证性因素分析证明了结构的有效性（x2=32.82,GFI=0.97,AGFI=0.94,NFI=0.96,CFI=0.98,RMSEA=0.06）.（2）总量表的内部一致性系数是0.79,存在生命意义感分量表和寻找意义感分量表的内部一致性系数分别为0.80和0.78.（3）存在生命意义（MLQ-P）与生活满意度（SWLS）呈正相关（r=0.21,P＜0.01）,与抑郁（SDS）和焦虑（SAS）呈负相关（r=-0.50,-0.43,P＜0.01）;寻找生命意义（MLQ-S）与存在生命意义（MLQ-P）呈正相关（r=0.31,P＜0.01）.（4）大学生和军人群体在生命意义感和寻找生命意义感得分上有显著差异（t=38.13,P＜0.001,t=25.07,P＜0.001）.结论 生命意义感量表在中国士官群体中的信效度良好.     

中文版基本心理需要满足量表的修订

目的 修订中文版基本心理需要满足量表(BNSG-S),并检验其信效度.方法 采用分层取样的方法对全国5个单位的6366名青年职工进行问卷调查,回收有效问卷6071份.通过项目分析筛选项目,对数据进行探索性因素分析和验证性因素分析检验问卷的结构效度,用幸福感指数量表来检验效标效度,并检验问卷的信度.结果 经过3次探索性因素分析,最后得到的中文版BNSG-S有15个条目,包含4个因子,分别为:自主需要满足、自主需要满足受阻、归属需要满足、归属需要满足受阻,累计方差贡献率为63.95％.验证性因素分析所得指标均符合心理测量学的要求(RMSEA=0.056,NFI=0.97,NNFI=0.96,CFI =0.97).中文版BNSG-S总分与幸福感指数量表的相关系数为0.50(P＜0.01),各维度与幸福感指数量表也显著相关.中文版BNSG-S的Cronbachα系数为0.76,其中,各因子的Cronbach α系数分别为0.80,0.67,0.83,0.80.结论 基本心理需要满足量表中文版具有较好的信效度,包括四个因子,可作为测量中国人基本心理需要满足的工具.     

精神分裂症焦虑症状评估量表的初步编制和信效度研究

目的编制适合中国精神分裂症患者的焦虑症状评估量表,并进行信度和效度检验。方法以29项精神分裂症患者中常见的焦虑症状作为初测量表,对上海市精神卫生中心的154例精神分裂症住院患者进行评估,间隔2周后对其中50例患者进行重测。使用项目分析及探索性因素分析初步建构精神分裂症焦虑症状评估量表,并进行验证性因子分析。使用Pearson相关系数计算各条目、各因子与总分的相关以及检验精神分裂症焦虑症状评估量表与HAMA和PANSS量表间的校标关联效度并检验重测信度。通过t检验对量表的区分效度进行检验。用组内相关法(intraclass correlations coefficient, ICC)计算评估者间一致性信度;Cronbach’s α系数计算内部一致性信度。结果精神分裂症焦虑症状评估量表包括20个条目,探索性因素分析得到表现和感知的焦虑、对周围环境的焦虑、神经症样症状、激越、躯体性焦虑5个因子,解释总方差的65.56%,验证性因子分析证实该模型（χ2/df=2.128,GFI=0.829,CFI=0.876,RMSEA=0.086）拟合度较好。各条目与总分的相关系数为0.33~0.81,各因素与量表总分的相关系数为0.54~0.91,均呈显著相关（P<0.01）,具有较好的结构效度。量表总分与HAMA及其躯体性焦虑因子、精神性焦虑因子、PANSS量表焦虑抑郁因子均显著相关（P<0.01）,具有较好的校标关联效度。无焦虑症状组和焦虑症状组在量表各维度上及总分上的差异均具有统计学意义(P<0.01),说明量表均有较好的区分效度。评定者间一致性系数为0.98(P<0.01);Cronbach’s α系数均>0.6,具有较好的内部一致性;间隔2周的重测相关系数在0.729~0.967（P<0.01）,具有较好的重测信度。结论精神分裂症焦虑症状评估量表具有较好的信度和效度,可用于中国精神分裂症患者焦虑症状的筛查和评估。     

住院临终、慢性病患者抑郁和焦虑症状对照分析

目的:探讨临终病人、慢性病患者抑郁和焦虑症状的临床特征。方法:将46例患者分成两组,临终组(n=20)及慢性病组(n=26)。使用汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)进行评估,比较两组患者间的差异。结果:HAMD量表总分和因子分之焦虑/躯体化、阻滞、绝望感;HAMA量表总分和因子分之躯体性、精神性,临终组与慢性病组比较有显著性差异。结论:临终患者生活质量比慢性病患者差,宜给予心理治疗、抗抑郁药治疗,改善心理状况。     

焦虑抑郁压力量表在医学生中的信效度检验

目的 对焦虑抑郁压力量表(ADDI-27)进行汉化,并检验其在医学生焦虑抑郁压力评价中的信效度。 方法 通过翻译、回译等过程后确定中文版焦虑抑郁压力量表;选取山东某综合性大学医学部学生实施一般资料的问卷调查和焦虑抑郁压力量表评定;采用SPSS 24.0进行信度检验(Cronbachs α系数、分半信度系数)、探索性因子分析以及量表在各维度得分上的区分效度检验。 结果 共收集了404名医学大学生的信息,焦虑抑郁压力量表的Cronbachs α系数为0.907,分半信度系数为0.863;各因子得分上均具有较好的区分效度(P均<0.001),探索性因子分析共抽取3个因子,各因子所包含条目与原量表相同。 结论 焦虑抑郁压力量表具有较好的信度和效度,在医学大学生群体中被证实是有效、可行的。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.