护理干预对艾滋病患者生存质量的效应研究

目的探讨护理干预对艾滋病（AIDS）患者生存质量的影响，改善艾滋病患者的不良心境，提高AIDS／HIV感染者的自我护理能力，从而提高其生存质量。方法将50例艾滋病患者随机分成两组，观察组（A组）26例，对照组（B组）24例，观察组在常规治疗护理的基础上进行心理干预及系统的健康教育，而对照组仅做常规的治疗护理。同时设50名正常人作为正常组（C组）。采用健康状况调查问卷（SF-36）和一些自选条目．于护理干预前测评A、B、C组，并于护理干预3个月后再次对A、B组进行测评分析。结果干预前A、B组的各方面比分均低于C组，干预3个月后观察组的生存质量明显提高（P〈0．01）。结论艾滋病患者总体生存质量较差，全面系统的护理干预，可明显改善其生存质量。     

心理护理对宫颈癌放疗合并焦虑患者生命质量的影响

目的评价心理护理对改善宫颈癌放射治疗合并焦虑情绪患者生命质量的效果。方法用汉密顿焦虑量表（HAMA）对125例宫颈癌放射治疗的患者进行调查，将测出的92例焦虑患者随机分成干预组52例和对照组40例，干预组在常规护理的同时给予6个月的心理护理，对照组接受宫颈癌放射治疗的常规护理。分别在宫颈癌放射治疗1月、3月以及6月进行健康相关生命质量的评价。结果干预后1月、3月以及6月，干预组与对照组健康相关生命质量总分差异有统计学意义（P〈0．05），提示干预组健康相关生命质量优于对照组。结论心理护理是提高宫颈癌放射治疗患者健康相关生命质量的有效方法。     

循证护理在鼻咽癌放射治疗患者康复护理中的效果

目的探讨有效降低鼻咽癌放射治疗患者张口困难的护理措施。方法选取行鼻咽癌放射治疗患者490例,采用随机数字表法将其分为常规组（n=258）和干预组（n=232）,常规组给予常规护理,干预组采用循证护理。针对鼻咽癌放射治疗患者常见的并发症（放射性张口困难、放射性皮肤损伤、放射性口腔炎）采取循证护理方法,制订出合理的护理方案,在干预组患者中实施,测评2组并发症的发生率与发生程度。结果2组患者放射治疗3个月后张口困难发生率分别为44．3％和28．9％（P〈0．05）;口腔黏膜炎的发生率分别为72．5％和40．5％（P〈0．01）;放射性皮炎的发生率分别为70．O％和20．2％（P〈0．01）。结论应用循证护理可减轻鼻咽癌放射治疗患者常见并发症的发生率和发生程度。     

健康教育对鼻咽癌患者自我护理能力和生活质量的影响研究

目的探讨健康教育对鼻咽癌患者的自我护理能力和生活质量的影响。方法采用实验性研究设计,将100例鼻咽癌患者随机分为干预组和对照组,对照组患者采用一般的健康指导,对干预组鼻咽癌患者进行改善自我护理能力的国际标准的健康教育,干预时间为6个月,干预前后采用自我护理能力测定量表（ESCA）和鼻咽癌生活质量评分表（FACT）进行调查。数据采用SPSS10．0软件进行统计分析。结果干预6个月后干预组ESCA及FACT评分优于对照组（P〈0．01）。结论健康教育能有效地提高鼻咽癌患者的自我护理能力,进而提高生活质量。     

健康教育和生活方式干预对巴中地区原发性高血压患者的治疗效果研究

目的：探讨健康教育和生活方式干预对原发性高血压患者的非药物治疗效果。方法：选取原发性高血压患者40例,随机分为健康教育和生活方式干预组（A组）与对照组（B组）,各20例。A组患者接受健康教育及个体化饮食和体力活动指导,干预患者生活方式;B组按常规高血压治疗方案进行治疗。随访2年,比较两组治疗效果。结果：随访2年后,A组患者血压控制稳定,维持剂量小,心脑血管意外发生率低,与B组比较,均有显著性差异（均P〈0.05）。结论：健康教育和生活方式干预能降低患者对药物的依赖,减少医药费用支出,减少心脑血管意外的发生,提高生活质量。     

慢性胃炎运用健康教育干预的效果观察

目的：探讨针对慢性胃炎患者，观察临床给予健康教育干预后获得的临床效果。方法：选取我院2013年02月－2015年02月慢性胃炎患者102例。通过随机数表法完成慢性胃炎患者的随机分组。A2组（对照组51例）：临床选择常规护理的方法；A1组（观察组51例）：临床在常规护理基础上，给予健康教育干预。对比两组患者在护理满意度评分、焦虑程度以及睡眠质量几方面存在的差异。结果：两组慢性胃炎患者分别完成临床干预后，在护理满意度评分方面，A1组明显高于 A2组慢性胃炎患者（P ＜0．05）；在生活满意度以及睡眠质量两方面，A1组明显优于 A2组慢性胃炎患者（P ＜0．05）。结论：针对慢性胃炎患者，临床在护理过程中给予健康教育，能够将患者的焦虑状态进行有效缓解，最终将患者的睡眠质量有效提高，凸显健康教育干预的临床价值。     

鼻咽癌患者放射治疗期间行护理干预的效果研究

目的:探讨鼻咽癌患者行放射治疗方案后急性毒副反应的发生程度以及采用护理干预后的效果。方法:回顾性分析2015年1月-2016年5月在本院就诊并行放射治疗的77例鼻咽癌患者,患者均行常规放射治疗,按照护理方法的不同分为常规组38例和干预组39例,分别给予临床常规护理方法与细节化护理干预措施,对比两组患者护理后急性毒副反应发生情况与对护理工作的满意情况。结果:干预组的皮肤反应、口干反应、黏膜反应、骨髓抑制发生率均低于常规组,差异均有统计学意义(P0.05)。干预组患者对护理工作满意度高于常规组,差异有统计学意义(P0.05)。结论:在鼻咽癌行放射治疗过程中,难免出现各种急性毒副反应,而通过细节化护理干预方案可以有效减轻毒副反应的程度,提高患者的护理满意度。     

综合心理护理干预对乳腺癌改良根治术患者的效果评价

[目的]探讨综合心理护理干预对乳腺癌改良根治术患者的护理效果。[方法]将160例乳腺癌手术患者随机分为A、B两组（n=80）。A组按乳腺癌根治术护理常规进行护理。B组除采用乳腺癌根治术常规护理[方法]外,还要对患者术前认知、情绪和态度方面进行综合心理护理干预。[结果]B组患者得到充分心理护理干预后其焦虑状况与A组比较,得到显著改善（P〈0.05）;同时B组患者的满意度与A组比较显著提高,平均住院日显著下降（P〈0.05）。[结论]综合心理护理干预能明显缓解乳腺癌改良根治术患者的术前焦虑,减少平均住院日,提高患者住院的满意度,是一种有效的护理干预措施。     

家庭健康教育对出院COPD患者社会支持的影响

目的：观察家庭健康教育干预对慢性阻塞性肺疾病（COPD）患者社会支持的影响。方法选取2012年9月至2013年9月收治我院呼吸内科的107例COPD患者作为研究对象，将其随机分为观察组54例（A组）和对照组53例（B组），A组给予常规出院指导，B组给予家庭健康教育干预，对出院3个月后两组的社会支持量表的得分情况、血气指标进行对比分析。结果两组患者的一般临床资料差异无统计学意义，与A组比较，B组患者的社会支持总得分、主观支持和对支持利用度得分均有不同程度的提高，其PO2升高而PCO2有不同程度的降低，差异均有统计学意义（P＜0.05）。结论家庭健康教育干预明显改善COPD患者出院后的社会支持情况。     

护理干预在放射治疗鼻咽癌所致口腔炎中的应用

目的探讨护理干预在鼻咽癌患者放射治疗过程中所致放射性口腔炎的作用.方法对110例鼻咽癌在放射治疗过程中发生放射性口腔炎的患者实施整体护理及健康教育的一系列护理干预.结果除1例无法耐受而主动放弃治疗外,其余都顺利完成治疗.结论护理干预在鼻咽癌患者放射治疗过程中所致放射性口腔炎有积极作用.     

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…     

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.     

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.