潜艇艇员社会支持的心理社会应激因素研究

目的探讨影响潜艇艇员社会支持的心理社会应激因素。方法对460名潜艇艇员进行量表测评,包括领悟社会支持量表、艾森克人格问卷、生活事件量表和症状自评量表,数据采用SPSS15．0软件包进行统计分析。结果潜艇艇员社会支持与其个性特征、生活事件、心理健康等心理社会应激因素存在显著相关性。多元逐步回归分析显示,对社会支持影响较大的依次为精神质、内外向、忧郁和正性社交其他事件（标准回归系数依次为-0．439,0．188,-0．146,0．109）。结论潜艇艇员社会支持受个性特征、心理健康及生活事件等多因素的影响。     

潜艇艇员心理应激因素的路径分析

目的 探讨潜艇艇员心理应激的影响因素及其相互作用方式和途径.方法 对460名潜艇艇员进行量表测评,包括心理社会应激调查表(PSSG)、生活事件量表(LES)、艾森克人格问卷(EPQ)、特质应对问卷(TCSQ)和领悟社会支持量表(PSSS),采用SPSS15.0建立数据库和Ames7.0进行路径分析.结果 ①潜艇艇员不同衔级组间心理应激水平存在高度显著性差异(F=12.12,P＜0.01),其中高级士官及军官组[(51.46±25.19)分]心理应激水平最高,而义务兵组[(35.63±16.94)分]最低.②潜艇艇员心理应激水平与神经质(r=0.768)、消极应对(r=0.634)、生活事件(r=0.404)和精神质r=0.329)等呈高度显著性正相关,与社会支持r=-0.326)、积极应对r=-0.325)和内外向(r=-0.117)等呈显著或高度显著性负相关.③各因素对潜艇艇员心理应激水平的总效应按影响大小依次为神经质(r=0.724),生活事件(r=0.399),社会支持(r=-0.135),消极应对(r=0.119),精神质(r=0.055),内外向(r=-0.027)和积极应对(r=-0.026).结论 潜艇艇员心理应激受生活事件、个性、应对方式和社会支持等多因素的综合影响.     

退休老人心理社会应激因素与身体健康状况关系的研究

目的 探讨退休老年群体心身健康与心理社会因素的关系。方法 对298例退休老人施测艾森克人格问卷、特质应对问卷、生活事件量表和90项症状自评量表，以及做有关身体和血液生化学检查。分析各心理社会因素分别与心理健康水平的相关性，并以心理症状总量分为应变量作多元逐步回归分析，以寻找老人心理健康水平受哪些心理社会应激因素的影响；同时，统计和分析老人身体健康水平受心理社会因素影响的可能性。结果 生活事件、消极应对和情绪不稳定个性特征三项心理应激因素与心理症状各种量分之间有正相关（P＜0．01），积极应对和外向个性两项心理应激因素与心理症状各种量分之间有负相关（P＜0．01）；多元逐步回归分析以情绪不稳定性、积极应对、消极应对三项进入方程；情绪不稳定性（N分）、消极应对和SCL－90总分等心理社会指标与血小板功能、血甘油三脂和载脂蛋白B等指标有部分相关；患有心血管病、糖尿病和慢性支气管炎等疾病的退休老人存在较多的消极心理社会因素，包括内向和情绪不稳定、心理痛苦症状多和消极的应对方式等。结论 应对方式和个性特征是影响退休老人心理健康水平的主要因素；消极的心理社会因素可能对老年的心血管系统有直接的和不良的生物化学影响，与老年身体疾病也可能存在互为因果的关系。     

飞行员社交回避及苦恼的心理社会因素研究

目的 探讨导致飞行员社交回避及苦恼的心理社会因素.方法 对458名飞行员进行量表测评,包括社交回避及苦恼量表、症状自评量表、卡特尔16种人格因素问卷、领悟社会支持量表、特质应对问卷、生活事件量表.数据采用SPSS10.0作相关、多因素回归分析.结果 飞行员社交回避及苦恼与心理健康水平、个性、社会支持、特质应对、生活事件有显著相关性;运输机飞行员社交回避(F=3.09,P＜0.05)和社交苦恼(F=4.05,P＜0.01)均显著大于其他机种;疾病组社交苦恼明显大于健康组(t:2.74,P＜0.01).多元回归分析显示,兴奋性、有恒性、敢为性和消极应对方式对社交回避行为的影响最大(标准回归系数依次为-0.346,0.230,-0.219,0.209);消极应对方式、兴奋性、社会支持和敢为性对社交苦恼情感的影响最大(标准回归系数依次为0.591,-0.324,0.185,-0.129).结论 个性、特质应对、社会支持、心理健康水平和生活事件等心理社会因素影响飞行员社交回避及苦恼.     

海勤人员夫妻交流的心理社会影响因素分析

目的探讨海勤人员夫妻交流与心理健康、个性特质、家庭社会因素的相关性,为海勤人员的家庭婚姻咨询提供指导。方法采用Olson婚姻质量问卷（ENRICH）中夫妻交流分量表、卡特尔16项人格因素问卷（16一PF）、症状自评量表（SCL一90）、生活事件量表（LES）、特质应对问卷（TCSQ）对375对海勤人员夫妻双方均进行了评定,研究夫妻交流与心理健康、个性特质、家庭社会因素的相关性。结果海勤人员夫妻交流与个性、心理健康、社会支持、生活事件、应对方式均具有显著相关性（P〈0．05）。通过路径分析显示,应对方式、个性对海勤人员夫妻交流的直接效应（β=0．26,P〈0．05;／3=-0．15,P〈0．05）和中介调节效应（β=0．16,P〈0．05;口=0．04,P〈0．05）均显著。结论要促进海勤人员夫妻交流程度,应重视各种心理社会因素的影响。     

集训期新兵心理应激及影响因素研究

目的：探讨集训期新兵心理应激及相关影响因素,为新兵心理素质训练和心理健康教育提供科学依据。方法采用问卷调查法,整群抽取2013年某部集训期新兵共720名,应用应激反应问卷（SRQ）、艾森克个性问卷（EPQ）、特质应对方式问卷（TCSQ）、症状自评量表（SCL‐90）进行团体心理测试和分析。结果集训期新兵SCL‐90总分和各因子分均显著低于2000年新兵常模（P＜0．01）;与2004年中国军人SCL‐90常模比较,躯体化、焦虑、恐怖因子分显著高于国内军人,敌对性、偏执因子分显著低于国内军人（P＜0．05）,独生子女及兵源所在地为城镇户口的新兵心理应激反应较重,不同文化程度新兵心理应激总分和各因子分比差异无统计学意义（P＞0．05）。相关分析结果显示,SCL‐90总分、SRQ总分与情绪稳定性、消极应对方式呈显著正相关（P＜0．01）,与内外倾、掩饰性呈显著负相关（P＜0．01）,SCL‐90总分与SRQ总分呈显著正相关（P＜0．01）。回归分析结果显示,对集训期新兵心理应激有显著预测作用的因子依次为：消极应对、稳定性、内外倾、精神质、是否独生子女。5个变量的决定系数R2＝0．558,F＝163．65,P＜0．01。结论2013年集训期新兵整体心理健康状况良好,个体心理健康状况、个性特征和应对方式对集训期新兵心理应激有显著预测作用。     

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。     

中专生特质应对方式与心理健康关系研究

目的 探讨中专生特质应对方式与心理健康的关系。方法 应用特质应对方式问卷、社会支持评定量表、心理健康问卷、青少年生活事件量表（ASLEC）及一般情况调查表对320名中专学生进行调查，将结果输入SPSS10．0软件进行统计分析。结果 相关分析显示：除自责倾向、受惩罚外，积极应对与心理健康及生活事件中各因子均存在显著负相关（P〈0．05或P〈0．01）；陈丧失外，消极应对与心理健康及生活事件中各因子均有正相关（P〈0．05或P〈0．01）。PC与主观支持、客观支持、利用度之间有正相关（P〈0．05或P〈0．01）；而NC与主观支持、总计之间有负相关，与利用度之间有正相关（P〈0．01），相关关系均有显著性意义。多元逐步回归分析显示：以积极应对方式为因变量，进入方程的变量依次有：社会支持总计、学习焦虑、年级、丧失、性别。以消极应对方式为因变量，进入方程的依次有：孤独倾向、冲动倾向、学习压力、对人焦虑、人际关系5个因素。结论 生活事件、社会支持、心理健康水平、年级等多种因素对中专生应对能力具有重要影响。     

影响慢性皮炎、湿疹患者心理健康状况及心理社会因素的研究

目的 了解影响慢性皮炎、湿疹患者心理健康状况的相关心理社会因素.方法 通过病例对照研究,应用症状自评量表(SCL-90)、成人艾森克个性问卷(EPQ-Adult)、生活事件量表(LES)、特质应对方式问卷、应付方式问卷、社会支持评定量表分别对患者与对照组进行调查分析.结果 与对照组比较,患者组SCL-90总分及各因子分均较高;EPQ量表的N分(神经质)偏高;较多采用消极、不成熟型应付方式;生活事件总量、负性生活事件分值较高.相火及回归分析表明患者的心理健康状况与其个性特征、应对、应付方式、生活事件、社会支持状况均有关.结论 慢性皮炎、湿疹患者存在明显的心理健康问题.患者的个性特征、应对及应付方式、负性生活事件与其心理健康状况密切相关.提示在该疾病的治疗、康复及预防中应重视心理社会因素的作用.     

应急机动卫勤分队队员心理健康及相关因素分析

目的了解应急机动卫勤分队队员心理健康状况及其相关因素。方法采用临床症状自评量表（SCL-90）、卡特尔十六种个性因素问卷（16PF）、生活事件量表（LES）和简易应对方式问卷（SCSQ）对136名分队队员进行测试,并进行多元回归分析。结果应急机动卫勤分队队员SCL-90得分均低于军人常模,且达刭非常显著水平（p〈0．01）;与维和部队比较,除强迫、人际关系敏感、敌对、恐怖和精神病性外,均高于维和部队官兵。以SCL-90总分为因变量。卡特尔十六种个性因素及八个次级因素分、应对方式和生活事件得分为自变量进行逐步多元回归分析,结果表明影响心理健康的因素有3项,分别为适应焦虑、恃强性和消极应对等,3个变量能联合预测SCL-90总分39．4％的变异量。结论应急机动卫勤分队队员心理健康水平较高。个性因素及应对方式对心理健康水平有一定程度影响。     

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.     

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.