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目的了解消化系癌症(DC)患者抑郁症发病情况并探讨其相关因素。方法收集2008年6月~2011年3月两所三级甲等医院多个科室的DC患者321例,进行抑郁自评量表(SDS)和Hamilton抑郁量表(HAMD)的评定及抑郁相关因素调查,收回有效问卷315份,研究DC并发抑郁症的发病情况,进行相关因素分析。结果DC患者抑郁发生率为44.76%,以轻、中度程度为主,与文化程度和TNM分期有关。结论DC患者抑郁发生率较高,与文化程度和TNM分期相关,临床应加以辨识。 相似文献
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目的探讨10%5-氨基酮戊酸光动力联合胶原蛋白贴治疗中重度痤疮的临床疗效。方法选择我院2010年1月-2011年6月收治的160例中重度痤疮,按照数字编号随机分为治疗组与对照组。治疗组80例,予10% 5-氨基酮戊酸光动力联合胶原蛋白贴治疗;对照组80例,仅予10%5-氨基酮戊酸光动力治疗,8周后进行总体评估,并记录两组治疗过程中出现的不良反应。结果治疗组痊愈率50.63%,总有效率86.08%,对照组痊愈率40.51%,总有效率72.15%,两组痊愈率比较差异无统计学意义(x2=1.29,P〉0.05),总有效率比较差异有统计学意义(x2=4.63,P〈0.05)。结论10%5-氨基酮戊酸光动力联合胶原蛋白贴治疗中重度痤疮可提高疗效,并减少不良反应。 相似文献
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《The spine journal》2023,23(4):533-549
BACKGROUND CONTEXTPrevious low-quality evidence has suggested preoperative Modic changes (MC) showed a trend toward less improvement in low back pain in patients with lumbar disc herniation (LDH) undergoing discectomy. However, a recent meta-analysis concluded that the presence of preoperative MC did not significantly impact clinical outcomes following lumbar discectomy.PURPOSETo compare low back pain and functional outcomes of patients after discectomy for LDH with preoperative MC.STUDY DESIGNSystematic review and meta-analysis of cohort studies.METHODSThis comprehensive systematic review and meta-analysis used English-language articles identified through searches using Pubmed, Web of Science, Embase, and Cochrane library until August 2022. The included studies identified publications that concentrated on the patients suffering from LDH with different preoperative MCs treated by discectomy. The Visual Analogue Scale (VAS) and the Oswestry Disability Index (ODI) were the two main metrics to evaluate outcomes.RESULTSA series of 2,299 LDH patients with a definitive type of MC were included in four retrospective and five prospective studies. Overall, there is moderate to high quality evidence suggesting no significant difference between normal and MC groups for pain outcomes as well as normal and Modic type 2 groups in terms of pain or functional outcomes at one or two-year follow up. There are less functional outcomes in LDH patients with preoperative MC compared with no MC at 2-year follow up and showed no significant difference at 1-year follow-up. However, above all results may due to heterogeneity. Subgroup analysis revealed that only Modic type 1 showed statistically lower functional scores (mean difference in ODI scores range from 0 to 100) compared with Modic type 2 or compared with no MC at 2-year follow-up and showed no significant difference at 1-year follow-up (MC1 vs. MC0, p=.24, MD= -2.70; 95% CI, -7.15 to 1.76 for 1-year;p<.00001, MD= -7.92; 95% CI, -11.19 to -4.66 for 2 years. MC1 vs. MC2, p=.58, MD= -1.29; 95% CI, -5.83 to 3.25 for 1-year;p<.0001, MD= -6.77; 95% CI, -9.94 to -3.61 for 2 years).CONCLUSIONSThese data suggest LDH patients with or without preoperative MCs show a similar improvement of low back pain at 1 and 2-year follow-up and functional scores after discectomy at one-year follow-up. LDH patients with preoperative Modic type 1 are associated with worse functional status after discectomy at 2-year follow-up. However, high-quality randomized controlled trials and prospective cohort studies which focus on analyzing the risk and confounding factors are lacking. 相似文献
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目的:为了调查我国精神科医生对赌博成瘾的认识、经验和态度,以便做好今后的教育或培训工作,为促进我国精神科医生对于赌博成瘾的认知而提出更多建设性的建议。方法:采用自行设计的问卷来调查我国部分地区精神科医生对赌博成瘾的认识、诊断和治疗经验、接受培训的经历及有关态度。结果:共收回有效问卷110份,其中45%的精神科医生在临床实践中没有见过赌博成瘾病人,见过者中有67%的人见过病人不超过5个。所有110名被调查者中只有1人接受过赌博成瘾治疗的教育/培训,尽管有83%的人愿意接受该障碍识别与治疗方面的培训。90%以上的被调查者能认识到赌博成瘾的不良后果,80%者同意该障碍是一个公共卫生问题并且为一种成瘾障碍,70%者同意该障碍易共患其他重要的精神障碍,但仅有41%者知道精神病人赌博问题发生率比一般人群高。36%者表示能够评估并诊断赌博障碍,同时,23%者表示能够治疗该障碍。缺少知识、培训、资源及政府的支持是妨碍精神科医生参与治疗该障碍的主要因素,这些因素也是导致赌博成瘾在精神卫生场所未被识别的主要原因。结论:大多数精神科医生对赌博成瘾仅有很少的认识,几乎没有人接受过这方面的教育/培训。我国大多数精神科医生不仅对赌博成瘾的临床经验很少,也没有能力诊治该障碍。 相似文献
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和平时期,由于爆破作业、恐怖袭击以及易爆危险品失控性爆炸,可造成严重的爆炸伤亡事故。回顾近十年来,严重爆炸事故在国内呈逐渐增多趋势,而爆炸冲击伤作为现场人员致死、致残的主要致伤原因,虽已引起国内医学界关注,但针对爆炸冲击伤的关注更多集中在诊治水平的渐进提升方面,对于爆炸冲击伤的防护研究虽已进行了积极探索,并在实验研究方面积累了许多数据,但在防护材料、防护装备以及防护策略的理论跟进和深度挖掘上亟待加强。笔者从冲击伤诊治角度反思了对冲击伤防护措施的现实需求,并结合冲击伤防护材料与装备研发现状,探讨了非战争性爆炸防护策略的精准性和适配性。这对于相当长的时期内,在尚无法杜绝爆炸事故发生条件下,无疑具有重大理论价值和现实指导意义。 相似文献
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目的建立高效液相色谱法测定甘草远志合剂中甘草酸铵的含量。方法色谱柱:Inertsil ODS.SP(4.6mm×250mm,5μm),流动相:乙腈-0.1%磷酸溶液(42:58),检测波长:252nm,流速:1.0ml/min,进样量:10μl,柱温:30℃。结果甘草酸铵在4.008~160.3μg/ml(r=0.9999)范围内,峰面积与其浓度呈良好的线性关系,平均回收率为100.79%,相对标准偏差为0.98%(n=6)。结论本方法准确、灵敏度高、重复性好、简便可行,可作为甘草远志合剂的质量控制方法。 相似文献
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Ying-Ying Ma MS Ze-liang Wei PhD Ya-Jing Xu MD Ji-Min Shi MD Hai Yi MD Yong-Rong Lai MD Er-Lie Jiang MD San-Bin Wang MD Tao Wu MD Lei Gao MD Li Gao MD Pei-Yan Kong MD Qin Wen MD Hai Bai MD Yu Li BS Yi-geng Cao MD Qiao-Chuan Li MD Zhong-Ming Zhang MD Bei-Cai Liu MS Yi Su MD Xiao-Yu Lai MD Xia Ma MS Ting-Ting Cheng MS Yi Luo MD Xi Zhang MD Cheng Zhang MD 《Cancer》2023,129(13):2013-2022
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目的 了解独生子女和非独生子女新兵的人格特征及其对部队生活的感受和认知,为进一步的心理健康服务提供指导.方法 采用卡特尔16种人格因素问卷(16PF)和自编问卷对2012年某部信息填写完整的3574名入伍新兵进行测查,其中独生子女1391人作为研究组,非独生子女2183人作为对照组,比较两组的人格特征及其对部队生活的感受和认知差异.结果 研究组在16PF中的乐群性、聪慧性、恃强性、兴奋性、敢为性、敏感性和世故性这些单因素,以及内向和外向等次级因素上的得分均高于对照组(P<0.05);研究组中心理健康水平较低者占0.9%,低于对照组的1.7%(P<0.05).在对部队生活的感受和认知上,两组比较差异无统计学意义(P>0.05).结论 独生子女和非独生子女新兵对部队的认知并无不同,人格特征略有差异,提示不宜将新兵中的独生子女作为特殊群体区别对待,同时也不应忽视非独生子女新兵的心理健康问题. 相似文献