基于中国传统运动疗法的慢性筋骨病康复模式构建思路探析＊

中国传统运动疗法作为极具特色的康养健身运动疗法，在防病治病中的宝贵价值备受国际康复医学界关注。而慢性筋骨病是骨伤科临床中的常见病、多发病与疑难杂病，临床呈现出“一大五多五高”的特征，成为当前重大的健康问题与临床防治研究课题。本文通过深入探究中国传统运动疗法特点以及其在慢性筋骨病康复中的应用原理、原则及优势作用，提出以传统运动疗法为依托，构建慢性筋骨病防病治病应用方法模式；以三因制宜为指导，构建医院-社区-团体-患者为一体的康复管理模式；以“治未病”工程为支撑，构建慢性筋骨病管理信息资源共享平台模式；为切实提高防、控、治的能力与水平找准抓手与路径，为构建慢性筋骨病康复模式提供新的思路与方向。     

慢性宫颈炎合并HPV感染患者实施循证护理的分析

目的 探讨对慢性宫颈炎合并 HPV 感染患者应用的循证护理方法的效果。方法 选择我院 2019 年 3 月到 2020 年 3 月治 疗的 80 例慢性宫颈炎合并 HPV 感染患者作为研究对象。采取随机分组法分为参考组和实验组。参考组采取常规性护理方案， 实验组患者接受循证护理，比对两组的护理效果。观察和对比两组的临床疗效，护理满意度和 HPV 清除率。结果 实验组临床 疗效显著优于参考组（P<0.05）。实验组的护理满意度、HPV 清除率显著高于参考组（P<0.05）。结论 慢性宫颈炎合并 HPV 感 染患者实施循证护理，能够提升临床疗效和 HPV 清除率，改善护理满意度。     

腺样体切除对儿童慢性鼻窦炎治疗效果的影响

目的研究并分析腺样体切除对儿童慢性鼻窦炎的治疗效果,以及产生的影响。方法选取2018年5月至2019年9月于本院接受治疗的慢性鼻窦炎患儿102例作为研究对象,将102例患者按随机数字表法分为对照组与试验组,两组各51例。对照组患儿实施常规药物进行治疗,试验组患儿实施腺样体切除术进行治疗,对比两组患儿治疗前后的Lund-Mackay(鼻内镜)评分、并发症的发生情况,以及临床效果。结果治疗前,试验组与对照组患儿的Lund-Mackay评分分别是(5.97±1.49)分、(5.98±1.50)分,组间差异无统计学意义(P> 0.05);治疗后,试验组患儿的Lund-Mackay评分是(3.04±1.43)分,显著低于对照组的(4.73±1.52)分,差异具有统计学意义(P <0.05)。对照组患儿的并发症总发生率是17.65%(9/51);试验组患儿的并发症总发生率是3.92%(2/51),试验组低于对照组,差异具有统计学意义(P <0.05)。对照组患儿的治疗有效率是76.47%,试验组患儿是96.08%,对照组低于试验组,差异具有统计学意义(P <0.05)。结论对慢性鼻窦炎患儿实施腺样体切除术治疗的效果相比实施常规药物治疗的效果更为理想,不仅能有效降低患儿的鼻内镜评分,减少并发症的发生概率,还可明显提升治疗效果。     

妇科炎症用药四误区

妇科炎症是一种常见病、多发病,发病率较高的是慢性宫颈炎、阴道炎和慢性盆腔炎,累及我国八成以上的妇女。懂得正确进行自我药疗的女性则是少之又少。用药不规范给女性患者带来了很多后续问题。所以,妇科炎症用药须多加注意,避免以下误区。误区一:让中成药唱主角。因为广告宣传的关系,加上传统医药深入人心,治疗妇科炎症的中成药大多"名声"很响,比如妇科千金片、花红片、金鸡胶囊,还有乌鸡白凤丸等。很多女性有了妇科炎症的症状,比如白带量多、颜色和气味异常、阴道口瘙痒等,习惯于马上求助于中成药治疗。但无论是慢性宫颈炎,还是阴道炎,首选的治疗皆不是中成药。     

经鼻高流量氧气湿化治疗老年慢性阻塞性肺疾病急性加重合并呼吸衰竭的可行性研究

ObjectiveTo investigate the feasibility of transnasal heated humidified high flow nasal cannula oxygen therapy (HFNC) in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with respiratory failure in elderly patients. MethodsA total of 176 elderly patients with AECOPD complicated with respiratory failure who were hospitalized at Peking University Shougang Hospital from December 2016 to January 2022 were enrolled, including 82 patients in an HFNC group and 94 patients in an NPPV group. After treatment, pulse oxygen saturation (SPO₂), arterial partial pressure of carbon dioxide (PaCO₂), oxygenation index (OI), respiratory rate (RR), heart rate (HR), mean arterial pressure (MAP), comfort score, discharge rate, rate of endotracheal intubation, rate of transfer to intensive care unit (ICU), and mortality were compared between the two groups. The independent sample t-test was used for comparison between the two groups. Statistical data are expressed in percentage or number of cases and the χ² test was used for their comparisons. ResultsThe SPO₂ values at 30 min, 1 h, and 6 h were significantly higher in the HFNC group than in the NPPV group (t=-2.049,-2.618, and -3.314, P=0.043, 0.010, and 0.001, respectively). SPO₂ before discharge was significantly lower than that of the NPPV group (t=2.162, P=0.033), but OI at each time point and before discharge had no statistical significance (P＞0.05). MAP at 6 h was significantly higher in the HFNC group than in the NPPV group (t=-2.209, P=0.029), but within the normal range. HRs at 2 h and 3 h in the HFNC group were significantly higher than those of the NPPV group (t=-2.199 and -2.336, P=0.030 and 0.021, respectively). There were no significant differences in RR, HR, or MAP between the two groups at other time points and before discharge (P＞0.05). There was no significant difference in PaCO2 between the two groups (P＞0.05). Comfort score in the HFNC group was significantly higher than that of the NPPV group (t=-46.807, P＜0.001). There were no significant differences in discharge rate, ICU transfer rate, endotracheal intubation rate, and mortality between the two groups (P＞0.05). ConclusionHFNC is as effective as NPPV in treating elderly patients with AECOPD complicated with type Ⅰ or mild type Ⅱ respiratory failure, and HFNC is more comfortable than NPPV.