高三教师心理健康水平与人格特征的相关研究

目的 研究高三教师的心理健康、人格特征状况及两者关系.方法 应用症状自评量表(SCL-90)、艾森克人格问卷(EPQ)测评337名高三教师.结果 教师的SCL-90在躯体化[(1.54±0.58)分]、抑郁[(1.57±0.51)分]、精神病性[(1.35±0.43)分]和阳性项目数[(44.11±25.68)分]显著高于全国常模(P＜0.05,P＜0.01),人际关系敏感显著低于常模;教师EPQ中N量表与SCL-90总分及所有因子分显著正相关,P量表与SCL-90总分及7个因子分显著正相关;回归分析表明,神经质N、精神质P和掩饰度L对心理健康有预测作用.结论 应对高三教师加强健全人格教育,提高其心理健康水平.     

青年护士面对患者死亡的心理应激与应对方式调查

目的 调查青年护士面对患者死亡心理应激与应对方式. 方法 对惠州市区4所综合性医院急诊科、ICU、临终关怀病房工作的 78名青年护士,应用症状自评量表(SCL-90)和简易应对方式量表进行问卷调查. 结果 这群护士SCL-90各因子分均显著高于健康成人(P ＜0.05);护士采用积极应对方式显著多于健康成人( P＜0.05);积极应对方式与SCL-90总得分、躯体化、人际关系、抑郁、焦虑因子负相关(P＜0.05),消极应对方式与SCL-90总得分、躯体化、抑郁、焦虑因子均呈显著的正相关( P＜0.05).结论 青年护士面对病人死亡心理应激水平高,必须采取有效的措施来保障其心理健康.     

武警某部医院护士情感及心理健康状况的研究

目的:调查武警某部医院护士情感及心理健康状况。方法:采用情感量表和症状自评量表对武警某部医院护士进行测查。结果:①军护与合同制护士正性情感、负性情感和情感平衡均无显著性差异(P>0.05)。②该武警机动部队医院护士SCL-90附加项目因子分为1.41±0.51,总分为120.75±35.84,总均分为1.34±0.40。各因子分与全国常模女性组比较,人际关系敏感和抑郁均极显著低于全国常模(P<0.01),敌对、恐怖、偏执均显著低于全国常模(P<0.05)。军护躯体化因子显著高于合同制护士(P<0.05),其余各因子分均无显著性差异(P>0.05)。经Pearson相关分析,正性情感与SCL-90各项目无显著相关性(P>0.05),负性情感与SCL-90各项目均具有极显著负相关(P<0.01),情感平衡与SCL-90各项目具有显著正相关(P<0.01或P<0.05)。结论:该武警部队医院军护与合同制护士情感状况无差异,心理健康状况较好,但军护的躯体化因子分较高。     

青年护士面对患者死亡的心理应激与应对方式调查

目的调查青年护士面对患者死亡心理应激与应对方式。方法对惠州市区4所综合性医院急诊科、ICU、临终关怀病房工作的78名青年护士,应用症状自评量表（SCL-90）和简易应对方式量表进行问卷调查。结果这群护士SCL-90各因子分均显著高于健康成人（P〈0.05）;护士采用积极应对方式显著多于健康成人（P〈0.05）;积极应对方式与SCL-90总得分、躯体化、人际关系、抑郁、焦虑因子负相关（P〈0.05）,消极应对方式与SCL-90总得分、躯体化、抑郁、焦虑因子均呈显著的正相关（P〈0.05）。结论青年护士面对病人死亡心理应激水平高,必须采取有效的措施来保障其心理健康。     

部分法官的心理健康与人格特征的研究

目的:分析部分司法人员的心理健康状况与人格特征。方法:观察组194人,男性128人,女性66人,年龄28～57(38.97±6.96)岁;对照组150人,其中男性99人,女性51人,年龄26～58(39.23±7.12)岁。采用症状自评量表(SCL-90)及艾森克人格问卷(EPQ),分别对观察组及对照组进行评分。结果:观察组SCL-90的人际和敌对因子分低于中国常模,差异有显著性(P<0.01)。观察组的EPQ中P分、N分明显低于对照组(P<0.01)。观察组P量表与SCL-90中除躯体化外的各因子分及总分存在弱的正相关关系(R>0.2)。N量表与SCL-90各指标均存在中度以上正相关关系(R>0.4)。E量表除躯体化、敌对、偏执外各因子分及总分存在弱的负相关关系。所有相关检验P<0.05。结论:法官的心理健康状态同于或优于普通人群;法官的心理健康水平与人格有密切的关系。     

高三教师心理健康水平与人格特征的相关研究

目的研究高三教师的心理健康、人格特征状况及两者关系。方法应用症状自评量表(SCL-90)、艾森克人格问卷(EPQ)测评337名高三教师。结果教师的SCL-90在躯体化[(1．54±0．58)分]、抑郁[(1．57±0．51)分]、精神病性[(1．35±0．43)分]和阳性项目数[(44．11±25．68)分]显著高于全国常模(P＜0．05,P＜0．01),人际关系敏感显著低于常模；教师EPQ中N量表与SCL-90总分及所有因子分显著正相关,P量表与SCL-90总分及7个因子分显著正相关；回归分析表明,神经质N、精神质P和掩饰度L对心理健康有预测作用。结论应对高三教师加强健全人格教育,提高其心理健康水平。     

256名外来教师心理健康状况和生活事件应付方式的研究

目的 了解东莞市外来教师心理健康状况、生活事件及应付方式.方法 应用症状自评量表(SCL-90)、生活事件量表(LES)、应付方式问卷(CQ),对中学教师进行调查和分析.结果 外来教师组SCL-90总分[(150.74±44.57)分]、躯体化[(1.69±0.56)分]、强迫症状[(1.84±0.58)分]、抑郁[(1.77±0.60)分]、焦虑[(1.63±0.55)分]、敌对[(1.68±0.61)分]、精神病性因子分[(1.54±0.48)分]均高于本地组,两者差异有显著性(P＜0.01).相关分析显示,外来教师 SCL-90因子分与LES总分及因子分均呈显著正相关(P＜0.05,P＜0.01);SCL-90因子分与CQ评分中解决问题因子分呈明显负相关(P＜0.01),与CQ其他因子分呈显著正相关(P＜0.01).结论 东莞市外来教师心理健康状况较差,生活应激因素较多,应付方式欠妥.     

海军某部官兵的心理健康状况及其相关因素

目的探讨海军官兵的心理健康状况及其相关因素。方法采用SCL-90和EPQ(成人)问卷,随机抽取了海军某舰队官兵165名为样本进行测试。结果海军某部官兵的SCL-90各项因子分均显著高于中国正常人的常模(P<0·01),强迫与敌对因子分显著高于中国军人常模(P<0·01),躯体化因子分显著低于中国军人常模(P<0·01);其中,心理障碍的检出率为11.80%,主要表现为敌对、强迫、焦虑、偏执等症状;SCL-90因子分与军龄呈负相关,与EPQ中P以及N分量表分呈正相关,与L和E分量表分呈负相关。结论部分海军官兵存在一定程度的心身症状,可能与军龄以及某些人格因素有关。     

武警某部官兵心理健康状况测查与分析

目的:测查武警某部官兵心理健康状况,为部队心理健康工作提供理论依据。方法:应用SCL-90和SCSQ对武警某部315名官兵进行测查。结果:(1)SCL-90附加项目因子分为1.32±0.42,总分为115.84±31.52,总均分为1.29±0.35。除躯体化因子外,其它各因子和阳性项目数均极显著低于全国常模(P<0.01)。各因子分和阳性项目数均极显著低于全军常模(P<0.01)。男军人躯体化因子分极显著高于女军人(P<0.01)。男、女军人分别与各自军队常模比较,各因子分和阳性项目数均极显著低于常模(P<0.01)。(2)该部队官兵消极应对方式极显著低于全国常模(P<0.01),干部的积极应对方式显著高于士官和义务兵(P<0.05)。(3)消极应对方式与SCL-90各因子及总分、总均分、阳性项目数均呈极显著正相关(P<0.01)。结论:该武警部队官兵心理健康状况总体良好。     

救援官兵地震1周年后创伤后应激障碍发生率及相关因素

目的 调查汶川地震1周年后救援官兵创伤后应激障碍(PTSD)的现患率.方法 采用自编一般情况问卷、创伤后应激障碍(PTSD)症状清单平民版(PCL-C)、症状自评量表(SCL-90)、简易应对方式问卷(SCSQ)、艾森克个性问卷(EPQ)组成调查表,于汶川地震1周年时对1176名参加抗震救灾部队官兵进行测试.以PCL-C、SCL-90部分因子作为心理健康状况评定指标,用t检验、相关分析探讨其相关影响因素.结果 1周年后救援官兵PTSD现患率为3.45%.SCL-90量表中躯体化因子分[(1.43±0.57)分]、EPQ中内外向[(12.50±3.79)分]、SCSQ中积极应对[(2.05±0.71)分]分值均显著高于全军常模(P<0.01或P<0.05),SCL-90量表中焦虑、抑郁、EPQ中神经质、SCSQ中消极应对分值均显著低于全军常模(P<0.01).PTSD组情绪更不稳定、更多地采用消极的应对方式.PCL-C总分与SCL-90中躯体化、焦虑和抑郁因子分及EPQ中神经质因子和消极应对分值呈显著正相关(P<0.01),与EPQ中内外向因子、积极应对分值呈显著负相关(P<0.01).结论 汶川地震1周年后救援官兵PTSD现患率为3.45%,官兵整体心理健康状况良好;具有神经质、内向性的个体及低年资、低文化程度的救援军人是心理干预的重点人群.     

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…