WHOQOL-BREF量表在流动人口生存质量评价中的应用

目的:评价WHOQOL-BREF量表(中文版)在流动人口生存质量测定中的效果.方法:采用分层抽样的方法,测定浙江省1217名流动人口的生存质量.结果:生存质量四个领域的Cronbach's a系数均大于0.7,也大于与其他领域的相关系数,说明量表的内部一致性良好;提取的5个公因子共解释了57.77%的总方差,主要因子与原量表的结构基本一致.结论:中文版WHOQOL-BREF量表有较好的信度和效度,可用于流动人口生存质量的测定.     

单纯脑桥梗死的TOAST分型特征分析

研究背景通过对不同磁共振成像和脑血管造影资料分析,了解脑桥梗死与后循环血管病变之间的关系,并对不同类型单纯脑桥梗死病因进行分型,比较不同分型方法间的临床特征。方法选择首次发病的单纯急性脑桥梗死患者进行病因分析,根据影像学检查分为大动脉闭塞性疾病型、基底动脉分支病变型、小动脉型、其他原因型和病因不确定型;同时参照TOAST分型,分为大动脉粥样硬化型、小动脉闭塞型、心源性栓塞型、其他明确病因型和不明原因型。结果在影像学分型中以基底动脉分支病变型脑桥梗死常见,约占50.59%(43/85),然后依次为小动脉闭塞型28.23%(24/85)、大动脉闭塞性疾病型14.12%(12/85)、病因不确定型7.06%(6/85);TOAST分型中以小动脉闭塞型为主,占67.06%(57/85),其次为大动脉粥样硬化型30.59%(26/85)、不明原因型2.35%(2/85),未发现心源性栓塞型和其他明确病因型。结论单纯脑桥梗死在TOAST分型中以小动脉闭塞型为常见病因,基于多种脑血管造影检查方法对其进行TOAST分型,对制定具有针对性的治疗方案至关重要。     

HIV感染3例分析

1　病例报告　例 1男 ,2 5岁 ,山西籍农民 ,1 998- 0 5- 2 0因腹泻、消瘦、伴发热半年入院 .入院查体 :T 39.8℃ ,P 78次·min-1 ,R2 2次· min-1 ,BP1 3.3/ 9.33k Pa,神志清楚 ,精神极差 ,全身皮肤均匀分布点状色素沉着 ,直径 2～ 3mm,呈慢性消耗性病容 ,口腔粘膜牙龈糜烂 ,有散在小溃疡 ,咽部充血 ,颈软 ,双肺呼吸音粗糙 ,双肺中下部可闻及散在细湿鸣 ,粪常规报告可见巨噬细胞 ,粪培养报告 :无细菌生长 ,查 HIV抗体初筛试验报告 (+) ,立即上报省防疫站 ,HIV抗体确定性实验(+) ,确诊 :AIDS.例 2女 ,32岁 ,山西籍 ,农民 .不明原因发…     

癌症患者亲属的焦虑、抑郁状况及相关因素研究

Objective The purpose of the study was to examine anxiety and depression in primary family caregivers of patients with cancer and to examine related factors that are associated with anxiety and depression of family caregivers.Methods The anxiety was rated with the Serf-Rating Anxiety Scale (SAS) and the depression rated with the Center for Epidemiological Survey,Depression Scale ( CES-D ).The general conditions of the caregivers were collected with questionnaires designed by authors among the 106 primary family earegivers for inpatients having cancer.Results The mean depression scores of caregivers rated by the 106 earegivers themselve for the cancer patients on the CES-D was ( 18.75±9.06),which was significandy higher than that of the normal samples in our country and exhibited a statistical difference (P＜0.01).55.7% of caregivers reported depression symptoms.In 106 caregivers,the score from self-rating anxiety scale is ( 33.94±7.09),which was higher than that of the normal samples in our country,having a statistical difference (P＜0.01).22.6% of the caregivers reported their SAS scores exceeded thresholds for clinical anxiety.The high anxiety index was significandy associated with the caregivers reported more patients symptoms,and the spouses of the patients were also at the high risk of anxiety.Conclusions A high level of severe anxiety and depression existed in primary family caregivers of cancer patients.The psychological status of caregivers was influenced by many kinds of factors.Health care personnel should actively provide corresponding interventions to improve the level of mental health in family caregivers of patients.     

原发性肝脏巨大神经内分泌癌一例

患者男，59岁，因右上腹饱胀不适1个月入院，自诉1个月来右上腹饱胀不适，伴有食欲下降体重减轻，无明显腹痛，无腹泻，面部潮红，气喘及发热等症状，大小便正常。曾于当地医院行MRI检查，怀疑“原发性肝肉瘤”，既往无肝炎，结核等病史，无特殊药物应用史，家族史无特殊。体检；全身皮肤，黏膜无黄染，浅表淋巴结无肿大，     

变异性心绞痛综合征心电图特殊表现及其临床意义探讨

变异性心绞痛综合征心电图特殊表现及其临床意义探讨中国医科大学第一临床学院急救医学教研室赵敏，黄建群海城市中心医院内科任宁愚变异性心绞痛（ＶＡ）为一种严重疾病，其发作时可致晕厥、心肌梗塞（ＭＩ）、肺水肿或猝死，故有变异性心绞痛综合征（ＶＡＳ）之称［１］...     

外周血DNA及其遗传学改变与肿瘤转移复发

随着近年来肿瘤细胞生物学及分子生物学的深入研究，以及分子生物学检测技术的快速发展，外周血肿瘤标记由于检测的方便和非侵入性已逐步替代了受到标本采集以及无法连续检测和随访追踪等诸多限制的组织学肿瘤标记。外周血DNA及其改变的分子遗传学检测正以其不可替代的优点逐渐被人们所重视，并成为肿瘤细胞生物学及分子生物学研究中引人注目的一个亮点。     

癌症患者亲属的焦虑、抑郁状况及相关因素研究

Objective The purpose of the study was to examine anxiety and depression in primary family caregivers of patients with cancer and to examine related factors that are associated with anxiety and depression of family caregivers.Methods The anxiety was rated with the Serf-Rating Anxiety Scale (SAS) and the depression rated with the Center for Epidemiological Survey,Depression Scale ( CES-D ).The general conditions of the caregivers were collected with questionnaires designed by authors among the 106 primary family earegivers for inpatients having cancer.Results The mean depression scores of caregivers rated by the 106 earegivers themselve for the cancer patients on the CES-D was ( 18.75±9.06),which was significandy higher than that of the normal samples in our country and exhibited a statistical difference (P＜0.01).55.7% of caregivers reported depression symptoms.In 106 caregivers,the score from self-rating anxiety scale is ( 33.94±7.09),which was higher than that of the normal samples in our country,having a statistical difference (P＜0.01).22.6% of the caregivers reported their SAS scores exceeded thresholds for clinical anxiety.The high anxiety index was significandy associated with the caregivers reported more patients symptoms,and the spouses of the patients were also at the high risk of anxiety.Conclusions A high level of severe anxiety and depression existed in primary family caregivers of cancer patients.The psychological status of caregivers was influenced by many kinds of factors.Health care personnel should actively provide corresponding interventions to improve the level of mental health in family caregivers of patients.     

简易视觉生物反馈装置应用于脊髓损伤患者自主排尿训练的护理

应用自制简易视觉生物反馈装置,对33例脊髓损伤后神经源性膀胱患者进行排尿功能训练。通过采取有效沟通、标注训练目标、预防泌尿系感染、记录排尿日志的方法,提高了患者参与训练的积极性,培养了患者自我管理的能力。33例经过4周训练,29例有自主排尿,残余尿量≤100ml。