康复治疗学专业病理生理学教学改革

目的：探讨在康复治疗学专业开展以网络为依托的病理生理学与生理学联组-整合教学模式的教学效果。方法将本院两个年级康复治疗学专业学生分为教改组（以网络为依托的联组-整合教学模式）和对照组（传统教学模式）,对学生病理生理学考核成绩进行对比分析和问卷调查。结果教改组学生成绩明显高于对照组,联组-整合教学模式优于传统教学模式。结论实施以网络为依托的病理生理学与生理学联组-整合教学模式可以提高病理生理学教学效果和培养学生的自主学习能力。     

自主探究学习法在护理学基础教学中的应用

目的探讨在中职护理学基础教学中应用自主探究学习法的实践效果。方法将2010级护理专业二年级两个班的学生随机分为对照组(n=58)与实验组(n=60),对照组采用传统教学法,实验组采用自主探究学习法。结果两组的综合成绩比较,差异有显著性(P<0.05)。结论自主探究学习法可激发学生的学习兴趣,有利于学生综合职业能力的形成。     

校院合作培养模式对高职护生自主学习能力的影响

目的探讨校院合作培养模式对高职护生自主学习能力及学习成绩的影响。方法将我校2010级三年制大专护理专业6个班随机分为对照组和实验组,每组3个班,对照组采取传统培养模式,实验组采取校院合作培养模式。学习结束后,调查两组护生自主学习能力,并比较两组护生内科护理学、外科护理学、妇产科护理学和儿科护理学期末考试成绩。结果实验组护生自主学习能力及内科护理学、外科护理学、妇产科护理学、儿科护理学期末考试成绩明显高于对照组,差异均有显著性(P<0.05)。结论校院合作培养模式可明显增强高职护生自主学习能力,提高学习成绩。     

疫情期间护理学基础“1237”线上自主学习模式的实践研究

目的探讨疫情期间“1237”线上自主学习模式在护理学基础教学中的实践效果。方法从2016级学生中随机抽取4个班为研究对象,观察组97人,依托腾讯课堂重难点讲解+泛雅平台网课资源实施“1237”线上自主学习模式;对照组97人,通过腾讯课堂全程直播实施传统教学。课前针对我校学生进行线上教学摸底调查,一个月后比较两组阶段测试成绩、学习满意度。结果观察组平台模测、医考学堂App题库抽考成绩以及学习满意度均明显高于对照组,差异有统计学意义(P<0.05)。结论“1237”线上自主学习模式通过“任务点引领、重难点解析、自主和协作学习交互、教学效果实时评价”,达到提升线上教学效果、学生自主学习能力、师生信息化素养的目的。     

客观结构化临床考试模式实训教学法对高职护生自主学习的影响

目的 将客观结构化临床考试模式引入高职护理《内科护理学》和《急危重症护理学》的情景模拟实训教学中,比较此种实训教学法和传统实训教学法对高职护生自主学习的影响。方法 随机选取100名本学院二年级高职护生,将其分为两个教学班,教改班的《内科护理学》和《急危重症护理学》实训教学均采用客观结构化临床考试模式的情景模拟;传统班采用病例分析和专科护理技能实训教学。通过问卷调查、理论和技能考核进行统计分析,比较两门课程两种教学法对高职护生自主学习的影响。结果 实训教学前,比较两班护生的自主学习得分均无明显统计学差异,P＞0.05。教改班护生两门课程的自主学习能力总分明显高于传统班,其中学习动机、自我管理和学习合作能力的得分也显著高于传统班,P＜0.05。教改班护生实训教学后的自主学习能力总分、学习动机、自我管理和学习合作能力的分值均有显著性提高,P＜0.05。教改班护生两门课程的护理技能操作考核成绩均显著性高于传统班学生,P＜0.05。结论 相比较传统的实训教学,客观结构化临床考试模式的情景模拟实训教学高职护生的自主学习能力的培养有促进作用。     

呼吸系统整合课程行为引导型教学法应用研究

目的探讨高职高专临床医学呼吸系统整合课程中应用行为引导型教学法的效果。方法随机选取临床医学专业2012级专科5班学生为教学班,2013级临床医学专科5班学生为教改班。在呼吸系统整合课程教学中,教学班采用传统教学法,教改班采用行为引导型教学法,授课完成后,对两组进行教学效果分析。结果教改班学生理论考试和技能考试成绩均显著高于教学班(P<0.05或P<0.01);教改班对呼吸系统整合课程非常感兴趣的学生占比高于教学班(P<0.05),教改班学习目的为更好地从事临床工作的学生占比高于教学班(P<0.01),教改班学习方法为联系实际理解掌握的学生占比高于教学班(P<0.01)。结论呼吸系统整合课程采用行为引导型教学法,能培养学生的主动学习能力,并提高学习成绩。     

自主合作探究式学习在计算机教学中的应用

自主合作探究式学习是一种在教师指导下,以问题为载体,以培养学生的创新素质为中心,以学生动手实践、自主探究、合作交流为主的学习方式。笔者现从课堂教学的角度来谈一些体会。     

合作学习模式在护理本科生《生命伦理学》课程中的应用

目的: 探讨合作学习模式在护理本科生《生命伦理学》课程中的应用效果.方法: 把护理学系2012级A班175名学生(观察组)分为23个合作学习小组,实施合作学习;2012级护理学系B班176名学生作为对照组,实施以讲授和案例分析为主的传统教学方法.采用期末总结性评价、问卷调查等方法对教学效果进行评价.结果: 观察组学生的期末终结性评价成绩显著高于对照组(P< 0.01);对照组的课堂学习效率、沟通能力、自主学习能力、伦理决策能力等对教学体会以及对教学满意度均高于对照组(P< 0.05~P< 0.01).结论: 合作学习可以提升护理本科生对《生命伦理学》课程的兴趣,提高学生自主学习能力,提升教学效果.     

翻转课堂在高职院校儿科护理学教学中的应用研究

目的探讨翻转课堂对高职院校儿科护理学课程教学效果的影响。方法采取方便抽样法选取我校2014级三年制护理专业1班和2班学生,1班作为观察组,采用翻转课堂教学模式教学;2班作为对照组,采用传统的多媒体教学模式教学。教学结束后进行理论考核,并对两组学生进行自主学习情况、教学效果评价的问卷调查。结果观察组单元测试成绩高于对照组(P<0.05);两组学生的自主学习能力在学习动机及态度、学习计划、学习方法、学习环境维度的得分及总分比较,差异具有统计学意义(P<0.05),且观察组得分高于对照组;观察组学生对本组使用的教学模式的教学效果评价好于对照组(P<0.05)。结论翻转课堂教学模式优于传统多媒体教学模式,有助于提高学生的成绩,能够明显提高学生的自主学习能力。     

基于“互联网+进展性案例”的教学改革在外科护理教学中的应用

目的:探究基于"互联网+进展性案例"的教学改革在外科护理教学中的应用.方法:选择2018年7月—2019年7月86名2017级广西医科大学护理学院护理本科临床实习生,43名1班作为对照组,采用传统教学模式;2班43名作为观察组,实施互联网+进展性案例的教学改革模式,比较两组考核成绩、自主学习能力、教学满意度、批判性思维能力.结果:观察组理论知识成绩、实践技能操作成绩均高于对照组;观察组自主学习能力评分高于对照组;观察组教学满意度高于对照组;观察组批判性思维能力高于对照组,差异有统计学意义(P<0.05).结论:在外科临床护理教学中实施基于"互联网+进展性案例"的教学改革,护理实习生的考核成绩显著提高,有利于培养其自主学习能力和批判性思维,护理实习生对外科护理教学工作非常满意.     

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…     

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.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

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.