宁波市某高职院校结核病知晓率现状和干预效果分析

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西宁地区老年2型糖尿病并高血压时降钙素基因相关肽、内皮素和肿瘤坏死因子的变化

近年来有关内皮因子降钙素基因相关肽(CGRP)、内皮素(ET)、肿瘤坏死因子(TNF)在心血管疾病时的改变已做了许多研究，但在高原地区老年2型糖尿病(T2DM)合并高血压病时变化的研究报道很少。本文在高寒低氧自然环境下测定老年2型糖尿病合并高血压患者血浆降钙素基因相关肽(CCRP)和内皮素(ET)、血清肿瘤坏死因子(TNF—α)的浓度，探讨其变化及相关关系。     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

影响住院离休干部心理的相关因素与护理对策

从环境、情感、疾病、精神压力等方面分析影响住院离休干部心理的因素,针对影响心理的因素提出应营造良好的医疗环境、建立良好的护患关系、全面评估病情、争取社会情感系统的支持、积极治疗原发疾病、重视心理护理和健康教育等护理对策,以促进离休干部身心健康.     

儒学人文精神在护理文化中的作用

儒学人文精神是中华民族的丰流文化,本文通过阐述儒学人文精神在护士形象表现中的规范作用、在护理环境中的协调作用,说明护理物质文化中的表象特征.通过说明护理制度文化的支撑展现儒学人文精神在护理制度文化的调整作用.其在护理精神文化中是主导与构架作用.     

Meige综合征误诊为结核性胸膜炎

1病例资料【例1】女,61岁。因胸闷、气短10天、胸腔积液40余天入院。患者1个月前因胸闷、气短住某院,摄X线胸片示右侧胸腔积液。胸腔穿刺抽出淡黄色半透明胸腔积液,检验结果呈渗出液。诊断为结核性胸膜炎。抗结核治疗1个月余,胸腔积液吸收不明显,为进一步治疗转入我院。查体:右     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

兰索拉唑联合生长抑素治疗肝硬化上消化道出血48例疗效观察

目的观察兰索拉唑联合生长抑素对肝硬化上消化道出血的治疗效果。方法选择我院2012年2月至2013年9月消化科收治的肝硬化伴上消化道出血患者48例,对所有患者进行常规综合治疗同时予以注射用兰索拉唑30 mg加0.9%氯化钠注射液100 m L静脉滴注,每天2次,同时生长抑素注射液3 mg加0.9%氯化钠注射液48 m L,以4 m L/h持续静脉泵入,所有患者疗程均为5 d。结果显效率66.67%,有效率25%,总有效率91.67%。结论兰索拉唑联合生长抑素治疗肝硬化上消化道出血疗效显著,安全性高,值得临床应用推广。     

氯沙坦引起刺激性干咳2例

例1：女，74岁，因发作性胸闷、心慌30余年，加重2天，于2002年8月6日以冠心病收入院。既往有高血压病史10余年，血压最高时达180／100mmHg。体检：Bp140／80mmHg，双肺呼吸音清，无干湿性罗音，HR68次／分，律齐，心音低钝，各瓣膜未闻及病理性杂音，肝脾不大。ECG示窦性心律，冠状动脉供血不足。胸片示双肺纹理清晰，未见异常。经UCG(超声心动图)、平板运动试验、24小时动态血压监测、眼底、肾功能、CT及内分泌等检查，确诊为冠心病、劳累性心绞痛、原发性高血压Ⅲ级。予以倍他乐克、鲁南欣康、阿司匹林、佳乐定等药口服。2天后胸闷、心慌明显好转，但血压升至170／100mmHg，又加用波依定5mg每晚1次和氯沙坦50mg每天早晨一次口服，血压逐渐平稳。