基于资源库应用的高职高专"药理学"课程教学设计

"药理学"作为一门高职高专医药类专业重要基础课,是基础医学与专业课的桥梁学科.但是药理学理论性强,涉及面广,学习难度大,学生积极性不高,传统填鸭式教学效果欠佳.随着现代信息化技术的发展,新的教学理念和教学模式不断涌现,利用信息化技术改革课堂教学,增加学生参与度提高教学质量已成为必然趋势.本文利用资源库智慧职教平台探索信息技术在"药理学"课程教学中的应用.     

“停课不停学”背景下多平台联合教学模式在药理学教学中的应用与思考

2020年初,各级学校响应教育部“停课不停学”号召,纷纷开展在线教学。药理学教学面临较大挑战,为了保障教学的进程与质量,该教研室对众多教学平台、社交平台进行筛选,融合各平台优势,构建多平台联合教学的新型网络教学模式,并应用于本学期教学实践,取得较满意教学效果,学生对该教学模式的各项评价肯定率均达到80%以上。多平台联合模式可能成为教育信息化的新趋势。     

经阴道子宫瘢痕妊娠切除12例分析

目的探讨剖宫产术后子宫瘢痕妊娠（caesarean sear pregnancy,CSP）经阴道手术切除的价值。方法采用腰硬联合麻醉,膀胱截石位,子宫颈膀胱间隙注射垂体后叶素,电切开宫颈前方阴道黏膜,上推膀胱,暴露剖宫产切口处肿物,给予切除,并吸引宫腔一遍,切口给予缝合。结果12例CSP行经阴道子宫瘢痕妊娠切除,顺利完成,术后住院3～5d,3周HCG恢复正常,3—7d阴道流血干净,1—2个月恢复月经。结论经阴道子宫瘢痕妊娠切除,疗效好,手术简单、安全,费用低,恢复快,值得推广。     

应用高频电波刀电圈切除术治疗宫颈上皮内瘤样病变临床护理

目的:探讨应用高频电波刀电圈切除术(LEEP)治疗宫颈上皮内瘤样病变的护理方法及注意事项。方法:LEEP术前对患者做好心理护理,术中保护阴道壁,避免阴道壁灼伤,术后防止感染。结果:LEEP治疗宫颈上皮内瘤样病变操作简便,并发症少,治愈率达89.4%~93.39%。结论:LEEP治疗宫颈上皮内瘤样病变,精心护理可使LEEP的优越性得到更充分发挥。     

儿童胸膜肺母细胞瘤的CT表现及鉴别诊断

目的探讨胸膜肺母细胞瘤(PPB)的CT表现,加深对本病的影像学认识。方法回顾性分析8例经穿刺或手术病理确诊的胸膜肺母细胞瘤患儿的CT图像特征,8例均行平扫及增强扫描。结果本组8例中,男性3例,女性5例,年龄7月~8岁9月,右侧5例,左侧3例,Ⅱ型(囊实性)6例,Ⅲ型(实性)2例。CT平扫表现为胸腔内巨大囊实性、实性肿块,可占据整个胸腔,主要伴随征象为胸膜增厚、胸腔积液、肺不张、纵隔移位,2例肺门及纵隔可见肿大淋巴结,邻近骨性胸廓未见累及,增强扫描肿瘤实性部分明显不均匀强化或延迟强化,囊性成分不强化。结论PPB非常罕见,其CT表现具有一定特征,CT在PPB的鉴别诊断中具有一定价值,最终确诊需依赖病理学。     

基于EXCEL函数和图表的门诊指标分布研究

Microsoft Excel提供了丰富的公式与函数功能,在许多领域得到广泛应用。正确使用Excel函数与图表,能够方便的研究医院门诊的各种指标,为医院管理决策提供数据支撑。     

米非司酮治疗人工流产术后宫腔残留的临床观察

<正>治疗人工流产不全的传统方法是行清宫术,再次搔刮宫腔易造成内膜损伤,增加子宫穿孔风险,给受术者造成极大痛苦。本文探讨口服米非司酮治疗人工流产术后宫腔残留的有效性及安全性。1资料与方法1.1一般资料2011年6月~2013年3月本院收治的人工流     

萱草花对抑郁模型大鼠行为学及学习记忆的影响

Objective To observe the effects of the extract from daylily on the learning and memory in depression model rats, and to explore its possible mechanism. Methods Rats were randomly divided into control group, model group ( CUMS), the positive group (CUMS + fluoxetine) , high, medium and low dose group (stress + daylily extract in different doses), 12 rats in each group. The depression model was established by combining separation and chronic unpredictable stress. Body mass, open-field-test and sugar consumption experiment were used to evaluate the changes of behaviors in rats. And morris water Maze test was used to evaluate the ability of learning and memory. Results There was no statistically distinction between the rats of each group on weight and the behavioral indicator before modeling. Compared with the control group, the vertical movement,horizontal movement of open box test in the model group were reduced (P＜0.05 ) ,and sugar consumption and preference degree decreased (P<0.05 ).The target quadrant time, platform resident time, effective area residence time and crossing platform times in the water maze test of the model group was less than those of the control group. The daylily effect was evaluated at 0, 7, 14, 21, 28, 35, 42 days respectively post treatment. There were significant differences in depression behaviors between model group and daylily group(P＜0.05). And each indicator in the water maze test of the daylily group (high, medium dose) was more than that of model group (P ＜ 0. 05). Control group, model group, positive group, high, medium and low dose group, vertical movement scores were (41.83 ± 17.63; 8.14 ±4.23; 12.73 ±7.21; 23.17 ± 18.75; 8.38 ±3.46; 13.50 ±5.44); horizontal movement scores were (69.92 ±34.04; 28.33 ±20.36; 62.25 ± 15.72; 69.42 ±35.17 ; 49.08 ±32.85; 48.08 ±21.19). Conclusion Daylily may be partially work on the depression of rats, with some antidepressant effect, meantime,daylily can improve the ability of learning and memorizing of the depressed rats.     

先天性右冠状动脉缺如1例

患者 男,52岁,农民。发作性头晕10年余,再发加重2天就诊。患者10年前无明显诱因出现头晕,并伴有心前区不适,每次发作持续数10-15s,服用丹参、川芎嗪、尼莫地平后缓解。2天前无明显诱因上述症状再次出现,性质相似,自服药物后未缓解而入院治疗。患者既往体健,否认高血压及其他病史。辅助检查：肝肾功能、电解质、血脂均无异常。心电图及心脏、双侧颈动脉、椎动脉及肾上腺彩超亦未见异常。临床诊断：椎基底动脉供血不足？冠心病？行64层MSCT冠状动脉成像：显示右冠状动脉缺如,左冠状动脉前降支中段轻度狭窄,左冠状动脉回旋支中段中度狭窄。