环县地区胆结石的危险因素流行病学调查分析

目的了解环县地区常住人口胆结石的流行病学特征,并对胆结石的可能病因进行初探。方法统一采用自编的结石病问卷调查表,用整群随机抽样的方法抽取样本人群,通过问卷调查的方式对环县区域内常住人口的性别、年龄、职业、饮食习惯、生活行为、心理状况等情况进行调查。结果本次调查显示,该地区胆结石患病率为11.11%。性别、生活习惯、饮食习惯、水质因素等对胆结石的形成有显著影响。结论环县地区居民胆结石危险因素是受性别、出生地、生活习惯、饮食习惯、疾病等的影响,水质因素对发病的影响值得深入研究。     

广东省潮汕地区高血压流行病学初步调查

目的：了解广东省潮汕地区常住人群高血压流行状况,探讨高血压的防治对策。方法：用自编高血压问卷调查表,按分层随机抽样法获取样本,对潮汕地区1796名20岁以上的常住人口的一般情况（性别、年龄、民族、婚况、文化程度、职业、饮食习惯等）和体格检查（BP、体质量、身高、腰围）进行调查;数据用SPSS13.0软件进行统计分析。结果：该地区高血压患病率为21.5%,超重及肥胖、向心性肥胖、饮食、生活习惯等因素对高血压的形成有统计学意义（P〈0.05）。结论：该地区高血压的形成与吸烟关系不明显,可能受饮食、生活习惯、经济文化水平等因素的影响较多。     

2013-2014年六安市农村生活饮用水水质影响因素分析

目的：：了解六安市农村生活饮用水的水质现状及其影响因素,为改善六安市农村生活饮用水卫生状况和保障农村居民饮水安全提供科学依据。方法：对2013-2014年六安市1154份农村生活饮用水检测结果进行评价,选择可能对农村生活饮用水水质造成影响的因素进行单因素和多因素分析。结果：2年度总合格率38.45%,其中2013年合格率为39.30%,高于2014年的31.92%(P<0.05)。单因素分析显示,年度、地区、水源类型、水处理方式、水消毒设施的使用、是否使用消毒剂及供水工程运营年度均是全市农村生活饮用水水质的影响因素(P<0.05~P<0.01)。多因素分析显示,年度、地区、水处理方式及供水工程运营年度均是全市农村生活饮用水水质的独立影响因素(P<0.05~P<0.01)。结论：六安市农村生活饮用水水质合格率低,微生物指标超标较高,供水设施不完善、消毒设施不健全,应加强对水源和供水设施的保护,完善供水设施建设;相关部门应采取措施,加强对农村饮用水的卫生监管。     

苍梧县农村生活饮用水水质监测结果分析

目的了解苍梧县农村生活饮用水水质卫生状况,为苍梧县农村饮水安全工程建设和农村水性疾病的防治提供参考依据。方法采用分层随机抽样方法抽取20个农村生活饮用水监测点,按照GB 5750-2006《生活饮用水标准检验方法》的要求对水样感官性状和一般化学指标、毒理学指标、细菌学指标进行检测,并按照GB 5749-2006《生活饮用水卫生标准》对水样进行评价。结果 2013年苍梧县农村生活饮用水的一般化学指标和所检的毒理学指标符合卫生标准,但水样感官性状和细菌学指标均不符合卫生标准,其中超标率排名前5位的分别是色度、浑浊度、菌落总数、总大肠菌群、耐热大肠菌群。结论苍梧县农村生活饮用水水质存在供水混凝沉淀、消毒处理不到位现象,水质浑浊和微生物污染是影响农村地区生活饮用水水质的主要因素。应对水质进行有效净化消毒,防止介水传染病的发生与流行,确保农村生活饮用水的卫生安全。     

塔城市居民胆结石现况调查与干预措施

目的为有效开展少数民族地区居民胆结石病的防治工作,了解各民族生活习惯与胆结石的关系,提倡科学饮食的生活方式,保障少数民族地区居民身体健康。方法抓住全民体检顺利展开时机,进行农牧民健康体检,建立健康档案,并进行当地相关因素调查。结果当地为多个少数民族居住地,有自己独特的饮食文化。哈萨克族为我市少数民族最多的民族之一,有自己的文字和语言,除汉语外哈语也比较普及。塔城市汉族居民占58.2%,哈萨克族占2.8%.由于生活习惯不科学,缺乏自我防护意识,结果当地居民为胆结石好发人群,汉族占59%,哈萨克族占21%,其他民族占20%.开展当地居民健康教育,健康干预,提倡科学生活方式势在必行。     

海南省农村生活饮用水水质调查分析

目的 调查分析海南省农村生活饮用水水质状况,为制定提高农村饮用水卫生质量提供依据.方法 使用随机抽样调查方法,采集监测点水样进行检测,对数据进行逻辑检查后,将符合要求的数据录入Excel,然后导入SPSS进行分析.结果 共抽查210份水样,仅有49.05%的水样符合《农村实施＜生活饮用水卫生标准＞准则》规定的一至三级水标准,其中大肠菌群和细菌总数超标率分别为30.95%和22.38%.结论 总大肠菌群和细菌总数超标是影响海南省农村生活饮用水水质的重要因素,应加强相应的防护措施.     

涠洲岛饮用水水质状况调查分析

目的对涠洲岛的饮用水水质状况进行调查研究。方法2001年1月～2009年9月对涠洲岛水质状况进行每两年一次的检测,检测评价标准依照《生活饮用水检验规范》和《生活饮用水卫生标准》（GB5749—2006）对水质进行评价。结果总大肠菌群、耐热大肠菌群、Fe含量均不符合生活饮用水卫生标准的规定,有2次检测结果的Mn含量检测结果不符合生活饮用水卫生标准,其余项目检测结果符合该标准的规定。结论涠洲岛饮用水水质中大肠菌群含量超高,可能造成潜在的肠道疾病传播风险,应引起有关部门的重视。同时应控制水中铁、锰含量,避免对居民健康造成损害。     

2009年滦县农村生活饮用水卫生状况调查

目的分析2009年滦县农村生活饮用水监测资料,查找影响农村生活饮用水卫生质量的主要因素,为滦县实施"农村饮水安全工程"提供科学依据。方法采用随机抽样的方法抽取农村不同供水类型(农村小型集中式供水和分散式供水)生活饮用水进行检验,并抽取城区集中式供水水样与之对比,对检验结果进行统计分析。结果农村生活饮用水水质合格率为59.26%(64/108),城区生活饮用水水质合格率为92.31%(12/13),两者合格率有统计学差别,农村生活饮用水水质合格率低于城区生活饮用水水质合格率。农村生活饮用水不同供水方式水质合格率分别为62.12%和54.76%,两者合格率经检验无统计学意义。影响农村生活饮用水卫生质量的检验指标主要为微生物指标,占不合格指标的73.33%。结论滦县农村生活饮用水卫生质量较差,影响农村水质卫生的主要因素为微生物污染,不同供水方式间水质合格率无明显差别。     

嘉祥县农村生活饮用水现状调查

为了解我县农村生活饮用水卫生状况,给改善农村生活饮用水质量和农民健康水平提供依据,我们2004年对我县的322家集中供水单位和164家手压机井进行了水质卫生学调查和水质监测,现将结果报告如下。1调查内容与方法1.1调查内容调查分集中供水的水源类型、水源处理、防护情况和水质分析。1.2调查方法对全县的集中供水单位和手压井采取抽签的方法随机抽取。水源卫生情况进行调查的同时,采取末梢水样进行分析。检验方法按GB5750-8《5生活饮用水标准检验法》,评价按GB5749-8《5生活饮用水卫生标准》。2结果2.1322家集中供水的水源中,地面水有32家…     

海南省2010年农村饮用水水质调查

目的 了解掌握海南省农村生活饮用水水质的卫生现状,为农村生活饮用水的有效管理提供科学依据.方法 分别于枯水期、丰水期对海南省18个市县375个监测点的农村生活饮用水进行检测分析.结果 共监测农村生活饮用水1 500份,合格550份,合格率较低的项目有:菌落总数、总大肠菌群及耐热大肠菌群.结论 细菌学指标是影响海南省农村饮水水质合格率的重要因素,建议加强农村饮用水的消毒,加大对饮用水的监督监测力度,以保障农村居民的身体健康.     

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.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.