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1.
<正>11月23日上午,湖北省沙市区乡村医生养老补助发放仪式暨乡村医生座谈会在观音垱镇举行。3名乡村医生代表领取了养老补助,会议要求,各乡镇卫生院要科学合理制定乡村医生的绩效管理办法,既要保障村医待遇又要做到奖勤罚懒,充分调动村医工作的积极性。今年,共为176名补助对象发放养老保险、购买补助和养老补贴共计80.9698万元,现已全部发放到村医个人账户。  相似文献   

2.
目的 探讨护士和患者对护理关怀行为的感知差异现状及与护理人员相关的影响因素.方法 应用关怀行为量表-24条目(CBI)对120对患者及其责任护士进行调查研究.结果 (1)量表的总平均得分(P<0.05)及感知人性存在(P<0.01)、尊重他人(P<0.05)两个维度方面差异有统计学意义,而在知识和技能(P>0.05)、正性沟通(P>0.05)两个维度方面差异无统计学意义.(2) Logistic回归分析显示护士对护理工作的满意度(P<0.01,OR=0.201)、工龄(P<0.01,OR=5.261)与差异产生呈负相关,对医生的满意度(P<0.01,OR=7.801)、护士学历(P<0.01,OR=5.261)与差异产生呈正相关.结论 护士和患者对护理关怀行为感知存在差异,且护士的工龄,学历,对工作、医生的满意度是差异产生的影响因素.  相似文献   

3.
目的探讨银屑病患者居住环境及饮用水类型与其发病的相关性.方法采用病例一对照研究方法,使用统一的调查表,调查了597例患者组及601例健康组,对他们的居住情况及饮用水类型进行了相关分析.结果①住土坯房,噪音,潮湿,泥土、砖石及其他地面饮用井水与银屑病的发生呈正相关(P<0.01);而水泥地面,饮用自来水与银屑病的发生呈负相关(P<0.01);②住土坯房、噪音,及其他地面、饮用井水与男性及女性银屑病的发病呈正相关(P<0.01).砖石地面只与男性发病呈正相关(P<0.01),而潮湿只与女性发病呈正相关(P<0.05).饮用自来水与男性及女性银屑病的发病呈负相关(P<0.05);③土坯房,潮湿,泥土、水泥及其他地面,饮用井水仅与Ⅰ型银屑病发病呈正相关(P<0.05).水泥地面和饮用自来水仅与Ⅰ型银屑病发病呈负相关(P<0.05).结论不同的居住环境及饮用水类型在银屑病的发病中起一定作用.  相似文献   

4.
目的探讨精神分裂症阴性与阳性症状的关系.方法用PANSS量表评定45例符合CCMD-2-R诊断标准的精神分裂症住院患者的症状,并对阴性症状和阳性症状作多因素相关分析.结果阴性症状总分与阳性症状总分及因子分无关;N1、N4与P4、P5负相关(P<0.05或P<0.01),N2与P4负相关(P<0.01),N6与P1、P5、P6负相关(P<0.05),N7与P5和阳性症状总分正相关(P<0.05).结论阴性和阳性症状部分因子呈负相关,部分因子呈正相关.  相似文献   

5.
目的 探讨老年慢性病患者生活满意度及其影响因素.方法 选取60岁以上老年慢性病康复期患者92例,采用问卷调查方式,了解老年慢性病患者生活满意度的影响因素.结果 生活满意度与主观支持、社会支持呈显著正相关(P<0.01);与客观支持、支持利用度无关.生活满意度与日常生活能力呈负相关(P<0.05),与抑郁程度呈极显著负相关(P<0.01).结论 社会支持、生活自理能力及情绪状态是影响老人生活满意度的主要因素.  相似文献   

6.
孔德磊  康健  王玮  马江伟 《中国全科医学》2010,13(22):2464-2466
目的 探讨OSAHS患者日间嗜睡及夜间睡眠质量与性别的关系.方法 对87例经全夜多导睡眠监测(Polysomnography,PSG)确诊的OSAHS患者按性别分组,比较男性组与女性组的一般状况、PSG参数及睡眠质量,并进行相关分析.结果 男性组的颈围、腰围、年龄、鼾声指数、氧减指数、睡眠呼吸紊乱指数(AHI)、夜间最低血氧饱和度、ESS评分、睡眠潜伏期与女性组比较,差异均有统计学意义(P<0.05).男性组的PSQI总分与ESS,主观睡眠质量与ESS、氧减指数、AHI呈正相关(P<0.05),与夜间最低血氧饱和度呈负相关(P<0.05);睡眠潜伏期与氧减指数呈负相关(P<0.05);睡眠持续性与AHI呈负相关(P<0.05);睡眠紊乱与ESS呈正相关(P<0.05);白天功能紊乱与ESS、氧减指数、AHI成正相关;ESS与AHI及氧减指数呈正相关(P<0.05),与夜间最低血氧饱和度呈负相关(P<0.05).女性组的睡眠潜伏期与氧减指数呈负相关(P<0.05),ESS与氧减指数呈正相关(P<0.01).结论 男性OSAHS患者的病情及日间嗜睡重于女性组,女性组的平均年龄高于男性组,OSAHS患者日间嗜睡程度与AHI和夜间缺氧密切相关.  相似文献   

7.
调查镇江市乡村医生工作满意度并分析其影响因素,以提出稳定乡村卫生人力资源的建议,更好地发挥乡村医生在农村三级卫生服务网中的作用?方法:以ERG需要理论为框架设计问卷对180名乡村医生进行问卷调查,用结构方程模型分析工作满意度的影响因素?结果:成长空间对总体满意度影响效应最大(β=0.56,P < 0.01),工作待遇次之(β=0.46,P <0.01),人际关系 (β= 0.31,P < 0.01)的影响效应较弱?其中福利待遇?奖惩制度?考核标准?进修培训?晋升机会等是影响工作满意度的重要因素?结论:提高  相似文献   

8.
罗丹红  黄鉴政 《浙江医学》2004,26(7):495-496,528
目的探讨血清总同型半胱氨酸(HCY)与急性脑梗死发病的关系及可能致病机制.方法脑梗死组40例、健康对照组30名采用荧光偏振免疫分析法测定血清HCY和分光光度比色分析法测定血浆一氧化氮(P-NO)、血浆维生素C(P-VitC)、血浆过氧化脂质(P-LPO)及红细胞超氧化物歧化酶(E-SOD)水平.结果脑梗死组HCY、P-NO、P-LPO均高于对照组(P<0.01),而P-VitC、E-SOD均低于对照组(P<0.01).HCY与P-VitC呈负相关(r=-0.51,P<0.01),HCY与P-LPO、P-NO呈正相关(r分别为0.51、0.52,均P<0.01);P-VitC与P-LPO呈负相关(r=-0.58,P<0.01);E-SOD与P-NO呈负相关(r=-0.85,P<0.01).结论高HCY血症与脑梗死发病有关,氧化应激损伤可能是其致病机制之一.  相似文献   

9.
目的 探讨血栓弹力图(thromboelastogram,TEG)监测围手术期胃癌患者凝血功能变化的临床意义.方法 回顾性分析2017-01/2019-09月武汉市第一医院胃肠外科收治的142例胃癌患者的临床资料,分析患者手术前后凝血功能变化、常规凝血检测指标与TEG参数间相关性及术后凝血功能的影响因素.结果 与术前相比,术后常规凝血功能检测纤维蛋白原(fibrinogen,Fg)增高(P<0.01),活化部分凝血酶时间(activated partial thromboplastin time,APTT)、凝血酶原时间(prothrombin time,PT)均延长(P<0.01),凝血酶时间(thrombin time,TT)缩短(P<0.05),纤维蛋白(原)降解产物(fibrin degradation products,FDP)、D-二聚体(D-dimer,DD)增加(P<0.01),血小板计数(platelet,PLT)减低(P<0.01).TEG检测指标凝血反应时间(R)值减低(P<0.01).相关性分析中,Fg与凝血形成时间(K)值呈负相关(r=-0.26,P<0.05)、与凝固角(α)值呈正相关(r=0.24,P<0.05)、与血栓最大振幅(maximum amplitude,MA)值呈正相关(r=0.51,P<0.01).PLT与K值呈负相关(r=-0.36,P<0.01)、与α值呈正相关(r=0.45,P<0.01)、与MA值呈正相关(r=0.49,P<0.01).K值与患者合并糖尿病呈负相关(r=-0.19,P<0.05),α值与患者合并糖尿病呈正相关(r=0.21,P<0.05)、与术后C反应蛋白(C-reactive protein,CRP)值呈正相关(r=0.37,P<0.05).结论 TEG能够更准确、直观地反应胃癌患者围手术期凝血功能改变,对术后预防血栓形成具有一定指导意义,有助于围手术期胃癌患者制定个性化、精准化的出凝血管理方案.  相似文献   

10.
目的 探讨扩张型心肌病(DCM)患者血尿酸(SUA)水平与心功能关系.方法 对笔者医院212例DCM患者行彩色多普勒超声检查,并检测SUA及NT-ProBNP的水平.结果 NYHAⅡ、Ⅲ与Ⅳ级患者SUA分别为322.75±95.95、419.75±107.210和559.48±139.34μmol/L,各组之间比较差异有统计学意义(P<0.05).SUA水平与LVEF呈负相关(r=-0.244,P<0.01),与NT-ProBNP呈正相关(r=0.324,P<0.01),与LAD呈正相关(r=0.237,P<0.01),与LVDD呈正相关(r=0.402,P<0.01),而与RAD、RVD、IVSD、LVPWD之间无显著相关性.结论 DCM患者SUA与其心功能具有相关性.  相似文献   

11.
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.  相似文献   

12.
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.  相似文献   

13.
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.  相似文献   

14.
Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.  相似文献   

15.
Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.  相似文献   

16.
A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care(~'4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.  相似文献   

17.
Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.  相似文献   

18.
Journal of Nanjing Medical University (English Edition) JNMU, sponsored by Nanjing Medical University, was established in 1987. It is a bimonthly comprehensive English medical journal published locally and abroad.Since 2007, Journal of Nanjing Medical University (English Edition )was granted Elsevier the full publishing and distribution rights worldwide for the Electronic Edition, excluding the People's Republic of China.  相似文献   

19.
Objective To measure Derpl and Blot5 allergen levels in asthmatics' homes in Hongkong.Methods Seventy houses were enrolled for a mite indoor environment study. Dust samples were obtained from two sites of each patients' house: bed and floor. Derpl and Blot5 levels were quantified by a two-site monoclonal antibody-based ELISA technique.Results The levels of Derpl allergens found in bed (geometric mean (GM) 3.43 μg/g of dust; 95%CI, 1.89-4.96 μg/g)and on the floor (GM 1.12 μg/g of dust; 95%CI, 0.71-1.53 μg/g) indicated significant differences (P=0.005). However, the levels of Blot5 allergens found in bed (GM 19.00 μg/g of dust; 95%CI, 0.89-38.90 μg/g) and on the floor (GM 6.14 μg/g of dust; 95%CI, 0.40-11.90 μg/g) showed no statistically significant difference. In addition, in regards to the exposure index for Derpl and Blot5 allergens found in bed and on the floor, 17.6% in bed and 8.6% on the floor had levels of Blot5 ≥ 10 μg/g of dust, higher than those obtained for Derp1 (7.2% and 0% in bed and on the floor respectively, P< 0.05); higher percentages in bed and on the floor (25.0% and 35.7%) were observed for levels of Blot5 =0 μg/g of dust as compared with Derpl in bed and on the floor (4.3% and 14.5% respectively, P< 0.05).Conclusions Derpl and Blot5 are the major allergens found in this regional study, Blot5 is a more potent allergen in Hongkong, probably reflecting the high level of exposure to Blomia tropicalis (Bt). Bt and Dermatophagoides pteronyssinus (Dp) allergens should be included for precise diagnosis and effective immuno-therapeutic treatment of mite allergy in Hongkong.  相似文献   

20.
ANTI-PROLIFERATION EFFECT OF ORIDONIN ON HL-60 CELLS AND ITS MECHANISM   总被引:4,自引:0,他引:4  
Objcetive To investigate the anti-proliferation effect of oridonin on leukemic HL-60 cells and its mechanism. Methods HL-60 cells in vitro in culture medium were given different concentrations of oridonin. The inhibitory rate of cells were measured by microculture tetrazolium (MTT) assay, cell apoptotic rate was detected by flow cytometry (FCM), morphology of cell apoptosis was observed by hoechst 33258 fluorescence staining, and the activity of telomerase was detected using telomere repeat amplification protocol (TRAP) PCR-ELISA before and after apoptosis occurred. Results Oridonin could decrease telomerase activity, inhibit growth of HL-60 cells, and cause apoptosis significantly. The suppression was both in time- and dose-dependent manner. Marked morphological changes of cell apoptosis including condensation of chromatin and nuclear fragmentation were observed clearly by hoechst 33258 fluorescence staining especially after cells were treated 48-60 hours by oridonin. Conclusions Oridonin has apparent anti-proliferation and apoptotic effects on HL-60 cells in vitro, decreasing telomerase activity of HL-60 cells may be one of its most important mechanisms. These results will provide strong laboratory evidence of oridonin for clinical treatment of acute leukemia.  相似文献   

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