Better than a cure

A brief glance through the national papers and medical press shows the depth of concern with the cost of delivering high quality, free at the point of access healthcare to the population. However, at a time of increasingly greater demands being placed on public health systems across the globe, the question of how we can make health and healthcare both accessible to everyone and sustainable in the long term is being posed. In this paper we provide an insight into how England is responding to these challenges.     

笑气吸人分娩镇痛的临床观察

目的:观察笑气吸入镇痛的效果及对母婴的影响.方法:随机选择 60例采用面罩吸入笑气作为观察组; 60例未采用 任何镇痛方法作为对照组,观察比较两组的疼痛程度、产程时间、分娩方式、产后 2小时出血量、新生儿 Apgar评分. 结果:观察组的疼痛明显低于对照组( P<0.0001),总产程明显短于对照组( P<0.05),其差异有显著意义,其它方 面两组比较差异无显著性.结论:笑气吸入能明显减轻疼痛,缩短产程,对母婴无不良影响,方法简单,是一种较为 理想的分娩镇痛方法.     

笑气中毒致周围神经病变1例

分析1例笑气中毒致周围神经系统损害患者的临床资料。患者主要表现为双下肢麻木、无力、行走不稳、双足背屈无力。神经电生理检查以双下肢周围神经源性损害为主。给予维生素B₁₂、叶酸、鼠神经生长因子营养神经,康复锻炼及高压氧联合治疗1个月,患者好转出院。4个月后随访,下肢肌力及步态明显好转。     

笑气吸入用于分娩镇痛的临床研究

目的: 研究笑气吸入性分娩镇痛的疗效和对母儿的影响。方法: 将 280例产妇随机分为研究组和对照组。对照组除不给笑气吸入外, 其它产科处理措施与研究组相同。比较两组的产痛程度、产程时间、分娩方式、新生儿Apgar评分和副反应等情况。结果: 研究组的镇痛效果明显好于对照组, 活跃期和总产程短于对照组, 且剖宫产率明显降低, 差异均有显著性(P<0. 05)。结论: 笑气吸入用于分娩镇痛安全有效, 易被产妇接受, 增加阴道分娩率, 对产程和母儿无不良影响, 是一种理想的分娩镇痛方法, 值得产科临床推广使用。     

笑气吸入镇痛分娩临床分析

目的 研究笑气吸入性分娩镇痛的效果和对母儿的影响.方法 随机抽取250例无合并症及并发症、单胎头位、足月初产妇分为两组.观察组125例,自产程进入活跃期开始吸入笑气进行镇痛分娩;对照组125例,除不予笑气吸入外,其他产科处理措施与观察组相同.观察笑气吸入后镇痛效果和两组产程时间、分娩方式、羊水污染、产后出血量、新生儿Apgar评分及副反应.结果 观察组产妇分娩镇痛强度总评分明显低于对照组(t=19.01,P＜0.05),观察组活跃期和总产程时间短于对照组,差异有显著性(t值分别为2.35、2.13,均P＜0.05),两组羊水污染、产后出血量、新生儿窒息率比较,均无显著性差异.结论 笑气吸入性分娩镇痛产程时间短,对母儿均无不良影响,是一种理想的分娩镇痛方法 ,值得产科临床推广使用.     

Better late than never: workforce supply implications of later entry into nursing

Although the number of people entering nursing in their early to mid-twenties remains at its lowest point in forty years, large numbers of people are entering the profession in their late twenties and early thirties. And although it remains unclear why people are becoming nurses later, there is evidence that nursing is attracting interest from different segments of the potential workforce than it was in the 1970s and 1980s. We analyze these trends using data through 2005 and a revised forecast model that still predicts a nurse shortage by 2020, but a smaller one than previously forecast.