中学生伤害相关行为的家庭因素分析

目的探讨家庭因素与中学生伤害相关行为的关系.方法采用问卷调查方式,对马鞍山市市区随机抽取的4所初中4 042名学生的伤害相关行为及其家庭因素进行调查,统计分析采用多因素多分类logistic回归分析技术.结果有严重伤害相关行为者1 033人,占25.56%,有中度伤害相关行为者1 949人,占48.22%;中学生伤害相关行为的影响因素包括:父母对意外伤害的认知程度、父母的教育方式、家庭类型等.结论家庭因素对中学生伤害相关行为的影响不容忽视,为避免中学生伤害相关行为问题的出现,进而避免伤害的发生,必须重视家庭因素的作用.     

东莞地区中学生自杀行为及其相关因素的流行病学调查

目的 了解东莞市中学生自杀行为的发生率及产生的相关因素,为心理干预提供依据.方法 分层随机整群抽取东莞市3所中学的2474名在校中学生,以不记名方式进行最近1年内关于自杀行为及相关因素的问卷调查.结果 近1年有自杀意念的检出率为14.4%;自杀计划行为的检出率为9.5%;因自杀而接受医疗救治的检出率为1.3%;其中女生自杀意念、自杀计划行为高于男生(P<0.01),不同学校学生自杀意念、自杀计划检查率不同(P<0.01),有自杀计划行为的中学生症状自评量表各因子分和总分[(201.12±64.74)分]较无自杀计划行为者各因子分和总分[(147.82±43.46)分]高(P<0.01);中学生自杀计划行为与家庭和睦、家庭类型、父母教养方式等;是否独生子女、自评学习成绩等;学校因素:在校与老师的关系、在校受威胁、被偷盗有关.有吸烟、饮酒、参加赌博活动、接受黄色宣传等不良行为的中学生自杀计划行为检出率较高.结论 中学生各种自杀行为不容忽视,应加强预防中学生自杀行为发生并对其影响因素予以积极干预.     

中学生自杀意念和自杀行为及相关因素分析

目的　了解中学生自杀意念和自杀行为的现状及影响因素。方法　调查成都地区两所普通中学的 4 5 2名学生的自杀意念、自杀行为及相关因素。结果　自杀意念和自杀行为检出率分别为 2 1 0 %和 6 8% ;中学生的自杀意念及自杀行为与性别、父母职业、父母文化程度、参加课外体育锻炼、被人故意损害物品、被人打骂、被压迫感、缺乏成就感、人际关系不适应、学习不适应等有明显关系 (P <0 0 5 )。结论　应根据中学生性别、家庭环境、行为、心理卫生状况等方面采取综合性干预措施 ,以降低青少年自杀意念及自杀行为 ,提高中学生的心理健康水平。     

中学生伤害相关行为的家庭因素分析

目的 探讨家庭因素与中学生伤害相关行为的关系。方法 采用问卷调查方式，对马鞍山市市区随机抽取的4所初中4042名学生的伤害相关行为及其家庭因素进行调查，统计分析采用多因素多分类logistic回归分析技术。结果 有严重伤害相关行为者1033人，占25．56％，有中度伤害相关行为者1949人，占48．22％；中学生伤害相关行为的影响因素包括：父母对意外伤害的认知程度、父母的教育方式、家庭类型等。结论 家庭因素对中学生伤害相关行为的影响不容忽视，为避免中学生伤害相关行为问题的出现，进而避免伤害的发生，必须重视家庭因素的作用。     

大学生自杀相关行为与不同家庭因素之间的关系研究

目的:分析不同家庭因素(父母职业、学历、家庭收入、主要照顾者)对大学生自杀相关行为的影响。方法:采取分层整群抽样的方法对芜湖地区8所高校4585名大学生进行问卷调查,内容包括一般人口学特征及中国青少年健康危险行为调查问卷。结果:共调查4160人,其中男生1970人(47.4%),女生2190人(52.6%),328人(7.9%)出现自杀意念,92人(2.2%)有自杀计划和自杀实施行为发生。大学生自杀相关行为的发生率受父母文化程度及职业影响,高学历且职业相对稳定者的子女易发生自杀行为;家庭年收入高于10万的大学生自杀实施的发生率较高(χ~2=23.065,P<0.01);家庭主要照顾者为继父母或其他的大学生自杀计划发生率较高(χ~2=6.948,P<0.05)。结论:大学生自杀相关行为容易受家庭因素影响,应针对性地改善家庭环境,加强情感表达,增进家长与孩子之间的感情联结。     

武汉市中学生饮酒状况及其影响因素调查

为了解武汉市中学生饮酒状况及其影响因素,对武汉市部分中学生进行封闭式问卷调查。结果：武汉市中学生饮酒率为21．0％,男生为31．3％,女生为10．9％;随着年级的上升饮酒率逐步上升;中学生饮酒与家庭环境、朋友关系等因素密切相关。影响中学生饮酒的主要因素有对饮酒的态度、性别、性别、年龄、家庭状况、父母及朋友的饮酒行为、父母的文化程度等,故控制中学生饮酒应从家庭入手,与家长配合进行,并注意中学生伙伴行为的影响。     

东莞地区2474名中学生心理健康状况影响因素的调查

目的了解东莞地区中学生心理健康状况及其影响因素。方法随机整群抽取东莞市3所中学在校学生2474名,采用症状自评量表SCL-90及自行设计的学生状况、家庭相关问题调查表行问卷调查。结果家庭因素（家庭人口、家庭类型、父母关系、父母教育方式等）;父母一般状况（父母年龄、父母性格、母亲文化程度等）;中学生一般情况（性别、年龄、年级、是否独生子女、受父母打骂等）;中学生自身不良行为（到网吧酒吧玩、不健康减肥、接受黄色宣传、参加赌博、离家出走、有自杀念头、使用镇静催眠药等）均与中学生心理健康之间有着密切的关联性（P〈0.05）。结论中学生的心理健康状况不容乐观。影响中学生心理健康的因素是多方面及错综复杂的,全社会应重视和加强中学生的心理健康工作。     

中学生家庭因素与行为问题的对照研究

目的探讨中学生家庭因素与行为问题的相关因素。方法应用自编的相应因素问卷及Achenbach儿童行为量表（CBCL）,通过病例对照与多因素分析相结合的方法。对250例有行为问题的中学生及2142例无行为问题的中学生的家庭诸多因素进行分析。结果中学生男性各年龄组CBCL平均得分显著高于女性,且随年龄的增长有下降趋势。其行为问题的发生与父母患精神疾病,父亲文化程度低、酗酒、性格内向、很少在家居住及缺陷家庭、父母教育方式不当、亲子关系差有关。结论中学生行为问题的发生与家庭诸多因素有关。     

陕西省3～6岁城区儿童忽视影响因素的调查分析

目的 探讨影响儿童忽视的相关因素，为制定相应的干预措施和政策提供依据，以减少儿童忽视的发生，促进儿童的身心健康发展。方法 采用分层整群随机抽样的方法，对陕西省7个城市社区的683户有3—6岁儿童的家庭用“中国3—6岁城区儿童忽视状况评价问卷”进行问卷调查，所有资料采用Spss统计软件建立数据库。完成相应的统计分析。结果 研究表明与儿童忽视有显著性相关的影响因素有父母的文化程度、父母的职业、家庭月均收入、近1年收入减少以及孩子的年龄等。结论 父母的文化程度和职业类型、家庭的经济状况与儿童忽视的关系较为密切     

婴幼儿气质的影响因素

目的 探讨婴幼儿气质的影响因素,为改善儿童生活环境提供依据.方法 采用Carey et al设计、经张劲松等修订的小婴儿气质问卷、婴儿气质问卷、幼儿气质评估表及自行设计编制的家庭养育环境调查表,对婴幼儿气质及相关因素进行调查.结果 父亲职业、父母文化程度、家庭管教方式、家庭类型、家庭经济水平、父亲生育年龄、更换带养人次数及带养人文化程度等对婴幼儿气质维度有影响;母亲职业、母亲生育年龄、家庭经济水平、更换带养人次数、家庭居住环境等对婴幼儿气质类型有影响,其中生育年龄<20岁的母亲所生子女难养型比例明显增加.结论 多种因素影响婴幼儿气质,要注重改善儿童生活环境,尽量避免不良因素对婴幼儿的影响.     

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…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.