武警某部官兵演习后心理健康状况及其影响因素分析

目的：了解演习后官兵的心理健康状况变化及其影响因素,为武警官兵演习后心理疏导提供依据．方法：采用抑郁自评量表（SDS）、焦虑自评量表（SAS）等对某部参加完军事演习任务的521名武警官兵进行调查．结果：武警官兵演习后SDS自评量表评分≥50分的人数为258人,抑郁阳性率49．5％．在部队感受压力大、与家人关系差、饮食差、兴趣爱好少、文化程度低、来自城市、有精神疾病家族史者,抑郁自评量表评分越高．SAS自评量表评分≥50分的人数为78人,焦虑阳性率15．0％．在部队感受压力大、性格内向、觉得部队问题生活差、不争取立功受奖者,焦虑自评量表评分越高．结论：演习后武警官兵存在不同程度的抑郁和焦虑,应及时进行心理咨询和疏导,提高官兵心理健康水平．     

军事演习应激对野战部队官兵心理和情绪的影响

目的 研究野战部队官兵军事演习期间应激心理反应和情绪特点.方法 采用焦虑自评量表、抑郁自评量表和自编军事应激心理问卷, 在外训前2个月、外训后的第3个月和5个月外训结束时分别对某野战部队官兵进行集体测试.结果 ①野战部队外训后的第3个月,官兵的心理应激分、焦虑和抑郁评分均显著高于外训前2个月的水平(P＜0.05).②5个月外训结束时,官兵心理应激分、焦虑和抑郁评分均较外训3个月时有所下降,但仍然显著高于外训前2个月的水平(P＜0.05,P＜0.01).③独生子女、军龄短者、外训次数少者、未接受过心理辅导和心理训练者在外训期间表现出更多的情绪障碍和更严重的心理应激反应.结论 外训作为一种应激,对野战部队官兵心理和情绪有明显的影响,应该重视官兵平时的心理训练和外训期间官兵的心理健康维护.     

热带和亚热带地区部队官兵心理健康影响因素分析

目的调查热区部队官兵心理健康状况及其影响因素。方法以症状自评量表（SCL-90）、简易应对方式量表、生活事件量表和艾森克个性问卷调查驻热带和亚热带热区部队1500名基层陆军官兵心理健康状况及相关心理社会因素。结果热区部队官兵SCL-90中的躯体化、焦虑两因子分显著高于军人常模（P〈0．05）,而敌对、恐怖及精神病性因子分显著低于军人常模（P〈0．05或P〈0．01）。热区部队官兵心理健康与多种因素呈显著相关性,前五位相关因素依次是人格特征中的神经质维度、生活事件中的前途问题、生活事件中的人际关系、消极应对方式和获得社会支持水平。结论热区部队官兵心理健康水平总体上较好。其影响因素包括人格特征、生活事件、应对方式和社会支持等多种心理社会因素。     

野战部队军人自我和谐特点及其影响因素分析

目的：考察野战部队自我和谐的特征及其影响因素．方法：利用《自我和谐量表》和自编的一般资料表对949名野战部队军人进行问卷调查,通过t检验、单因素方差分析、相关分析、逐步多元回归分析和路径分析对军人自我和谐及其影响因素进行分析．结果：①从总体情况看,自我和谐低分组有154人(16．23％),中间组有637人(67．12％),高分组有158人(16．65％)．与其他部队相比,在自我与经验的不和谐和灵活性上有显著差异．②士兵在自我与经验的不和谐上显著高于士官,干部在自我的灵活性上显著高于士兵、士官．③一年兵在自我与经验的不和谐上显著高于五年以上兵．④对军人自我和谐的影响路径中,有4条显著路径：文化水平、人际交往、父母教养方式直接影响自我和谐的发展;父母教养方式通过影响人际交往而间接影响自我和谐．结论：可从提高军人的文化程度和人际交往能力,以增强野战部队军人的自我和谐。     

野战和联勤部队官兵疲劳及睡眠质量调查

目的对野战和联勤部队官兵的疲劳状况和睡眠质量进行调查,为采取干预措施提供参考。方法采用疲劳评定量表14（fatigue scale-14,FS-14）、匹兹堡睡眠质量指数量表（Pittsburgh sleep quality index,PSQI）对野战和联勤部队官兵的疲劳状况和睡眠质量进行调查分析。结果野战部队官兵体力疲劳、脑力疲劳和疲劳总分明显高于联勤部队和正常对照组（P〈0.05,P〈0.01）;联勤部队官兵体力疲劳和疲劳总分明显低于正常对照组（P〈0.01,P〈0.05）。除睡眠效率和睡眠药物外,野战部队官兵的PSQI各指标明显高于联勤部队官兵（P〈0.01）;除睡眠药物和睡眠障碍外,野战部队和联勤部队官兵的PSQI各指标和异常比例均明显高于正常对照组（P〈0.01,P〈0.05）。结论野战部队官兵疲劳程度较重、睡眠质量较差,需引起高度重视。     

南海某驻岛部队官兵心理健康状况调查

目的：了解海岛部队官兵身心健康状况，为做好官兵心理教育和合理安排训练等工作提供科学依据。方法：采用症状自评量表（SCL-90）为工具，对某驻岛部队420名官兵进行测评，并将结果与军人常模比较。结果：驻岛部队官兵身心健康状况总体上是好的，健康人群占有效样本总体的98．3％，但人际关系、偏执、抑郁、敌对等因子分值均高于军人常模，差异具有统计学意义（P〈0．01）。结论：驻岛部队官兵整体健康状况良好，城乡入伍的官兵心理健康状况之间无明显差异。应针对部队特点，积极开展有效的心理工作，以提高官兵的整体心理素质，保障官兵身心健康，提高战斗力。     

汶川地震救援军人创伤后应激障碍发生与人格特征的相关研究

目的：评估汶川地震救援部队官兵创伤后应激障碍（PTSD）发生状况与其人格特征相关性.方法：采用人口学状况调查,卡特尔16项人格问卷（16PF）,PTSD自评量表（PCL-C）,对武警某部174名士兵进行测试和分析.结果：PTSD再体验症状、回避/麻木症状和高警觉症状均有较高的发生率,PTSD的总检出率为5.42%; PTDS的发生与16PF中的稳定性、恃强性、兴奋性、幻想性等因素呈负相关,而与有恒性、世故性、自主性、紧张性等因素呈正相关; PTSD的发生与人口学调查中的与是否为士官呈正相关.结论：抗震救灾部队某些人格特征与其发生PTSD具有一定相关性.因此,加强部队官兵的人格教育和塑造,对于增强官兵的心理防护能力和抗应激能力,减少非战斗性减员有积极意义.     

心理咨询对提高基层部队官兵心理健康的干预研究

目的：探索心理咨询对基层部队官兵心理健康的影响。方法：用症状自评量表（SCL－90）对105名基层部队官兵的心理情况进行调查测评。结果：心理咨询前SCL各因子分均较心理咨询后高。心理咨询前的躯体化、焦虑、人际关系、精神病性因子分及阳性项目数较军人常模高，咨询后则较军人常模低，有统计学意义。结论：心理咨询有助于改善官兵心理健康。     

集训中期某部队2570名新兵心理健康状况综合评估

目的 探讨新兵心理健康状况及心理筛查、干预策略.方法 采用整群抽样调查法,对某部队集训中期2 570名新兵,采用症状自评量表（SCL-90）、线索调查、结构式访谈等方法进行心理筛查,取得相关数据与常模组进行比较.结果 （1）SCL-90：新兵组躯体化因子显著高于新兵常模组（P＜0.05）,其余八个因子分均显著低于新兵常模组（P＜0.01）.阳性症状、可疑心理问题检出率30.0％、6.3％,主要表现为躯体化、强迫、抑郁、敌对、人际敏感.（2）线索调查：日常表现较差者5.7％,表现为情绪波动;精神状态差;与人交流少;训练成绩差等.（3）心理访谈：确诊心理不健康者5.1％,其中一、二类心理问题及适应不良分别为0.1％、0.7％、4.4％.现实心理冲突为环境不适应、情绪困扰、厌训、心理落差大.结论 采用系统的心理筛查部队集训中期新兵,其总体心理健康状况良好,但新兵仍存在一定的心理问题,以适应不良为多.同时此方法可发现新兵心理问题和精神疾病,有利于锁定有心理问题的重点人群,针对异常心理结构和现实心理冲突,分别给予心理干预或处理,有利于部队建设.     

某部基层部队官兵心理健康状况调查

目的了解基层部队官兵的心理健康状况,为提高其心理健康水平、预防心理不良的发生提供参考依据。方法通过问卷调查,使用症状自评量表（SCL-90）和自拟调查表对某部937名官兵的心理健康状况进行了测评。结果心理问题的发生率为7.22%。其中,≥3分者共16人（占4.2%）;其问题主要表现在强迫症状、人际关系敏感、躯体化、敌对因子上。总体看,调查对象的SCL-90各因子得分及总得分均显著低于中国军人常模（P〈0.01）和地方常模（P〈0.01）。结论基层部队官兵存在一定的心理卫生问题,表现出一定的人群分布特点。应有针对性地加强部队官兵的心理健康教育,做好心理咨询和保健工作,以减少心理卫生问题的发生,提高官兵的心理健康水平。     

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.     

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.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…