银屑病的情志护理

中医护理极为重视情志与疾病的关系,情志变化易引起体内阴阳、气血失调,脏腑、经络功能紊乱。在对银屑病患者的护理中,医护人员重视舒展患者情志、消除患者消极心态,促进疾病的恢复,获得了良好的护理效果。     

手部经络操联合常规护理在脑梗死康复护理的应用研究

目的研究手部经络操联合常规护理在脑梗死康复护理中的应用效果,为临床提供依据。方法选取2013年6月~2016年1月我院诊治的90例脑梗死患者资料进行分析,将患者根据随机数字表法分为对照组和试验组,每组45例。对照组采用常规方法护理,试验组在对照组基础上联合手部经络操护理,比较两组护理效果。结果试验组治疗疗效率为88.9%,显著高于对照组的68.9%(P<0.05);两组患者治疗前Fugl-Meyer评分、Barthel指数差异无统计学意义(P>0.05);试验组治疗后Fugl-Meyer评分、Barthel指数,显著高于对照组(P<0.05);试验组治疗后SAS评分,显著低于对照组(P<0.05);试验组治疗后ADL评分,显著高于对照组(P<0.05)。结论脑梗死患者治疗过程中在常规护理基础上联合手部经络操护理效果理想,能改善患者焦虑、抑郁状态,提高患者肢体运动功能,值得推广应用。     

中风患者的中医护理体会

目的 探讨中风患者的中医护理体会.方法 对70例中风患者的临床中医治疗护理资料进行分析.结果 中经络以平肝息风、化痰通络为主,中脏腑以息风泻火、豁痰开窍为主,脱者急选用救阴回阳固脱为主,预防并发症发生.结论 通过中医护理对中风患者减轻残障,促进身体功能恢复,提高患者的生活质量.     

穴位贴敷治疗失眠的护理体会

药物穴位贴敷是一种疾病外治疗法，利用中药疏通经络、运行气血、调节脏腑功能，使阴阳得以平衡。应用穴位贴敷治疗各种原因的失眠症疗效比较满意。就护理体会报告如下。     

高位截瘫合并肺部感染等重症患者的综合护理

目的 探讨高位截瘫合并肺部感染等重症患者的综合护理方法.方法 对28例高位截瘫合并肺部感染等重症患者做好气道护理、防窒息、防烫伤、防压疮、防深静脉血栓形成、大小便失禁、功能训练、心理护理等的综合护理.结果 28例患者中93％无出现护理并发症,只有1例患者因家属自行使用热水袋出现了烫伤,1例患者因病情进展有深静脉血栓形成.结论 给高位截瘫合并肺部感染等重症患者进行积极的综合护理干预,能达到减少并发症发生,降低死亡率,提高生活质量等预期效果.     

下肢骨折有关节僵硬危险与潜在并发症状关节僵硬的整体护理

笔者于1999年9月-2001年3月对本病区实施整体护理的452例下肢骨折合并关节僵硬危险因素的病人进行分析:发生关节僵硬危险因素与依据、预期目标、护理措施有密切关系.护理诊断对固定肢体忽视早期功能锻炼应提“有关节僵硬的危险“这一护理诊断.当骨折已达愈合期仍未能开始功能锻炼,肢体长期固定致经络不通、肢体不温、气血凝滞、关节囊挛缩、关节活动不利是极易发生关节僵硬的.提潜在并发症:“关节僵硬“比提“有关节僵硬的危险“更为确切.故医护配合及患者合作的肢体早期功能锻炼,是预防关节僵硬的关键,而整体护理的实施可降档低关节僵硬的发生.     

经络穴位抚触护理对新生儿摄奶量和NBNA评分的影响分析

目的:分析经络穴位抚触护理对新生儿摄奶量和NBNA评分的影响。方法:在2016年2月~2017年8月,选取某院新生儿80例均分为对照组与观察组,对照组给予常规护理,观察组给予经络穴位抚触护理,观察新生儿摄奶量、NBNA评分、体重、排便次数、哭闹时间、睡眠时间。结果:观察组新生儿摄奶量比对照组多,NBNA评分、体重比对照组高,排便次数及睡眠时间比对照组多,哭闹时间比对照组少,P0.05。结论:给予新生儿经络穴位抚触护理,能增加新生儿摄奶量,提高NBNA评分,增加体重,新生儿状态较好,值得借鉴。     

推拿按摩风险排行榜

传统医学认为推拿按摩可调整经络、气血和脏腑,从而改善和恢复人体生理功能。现代医学也认为推拿按摩能促进血液循环、刺激神经、放松肌肉、活动关节,还能在短期内提升人的情绪,因此推拿按摩日益风行。然而,推拿是按照中医阴阳、五行、经络、输穴等理论指导,在人体特定的部位上进行操作,来达到疏通经络、活血化瘀、补气养血等效果,需要长期的手法和功法学习,不能速成。而各种美容中心、洗浴中     

返璞归真,自制艾叶保健用品

艾叶能祛寒、除湿、通经络,因现代人普遍寒湿重,所以艾叶就成了防病治病不可缺少的帮手。不少,现代人在经历了七孔枕等高科技产品之     

功能康复操对妇科腹腔镜术后疼痛综合征的影响

目的：总结功能康复操对妇科腹腔镜手术患者术后疼痛综合征的影响。方法：将近两年在本科住院的200例腹腔镜手术患者根据年龄、文化程度、手术、病种、术后情况等随机分为两组各100例,锻炼组术后除常规护理外,术后6h行功能康复操锻炼,常规组术后行常规护理,观察两组护理术后因CO2气腹所致的肩背部及膈肌疼痛、恶心呕吐等情况。结果：锻炼组患者肩背部及膈肌疼痛、恶心呕吐等症状明显少于常规组。结论：功能康复操在减轻妇科腹腔镜术后患者因CO2气腹所致的肩背部及膈肌疼痛、恶心呕吐等症状方面有明显的临床效果。     

慢性关节炎宜从“血瘀”论治

目的探讨慢性关节炎的治疗方法。方法通过对其病因病机分析和病理学、临床实践研究结论进行归纳。结果 "血瘀"是慢性关节炎中普遍存在的病理改变,该病以血瘀为本,风、寒、湿为标,经络痹阻为机,属本虚标实,虚瘀相夹之症。结论对慢性关节炎的治疗,不应仅从祛风除湿散寒、补益肝肾入手,更应以祛瘀为核心,抓住疾病主要矛盾,才可标本同治。     

小儿脊髓栓系统综合征手术治疗的护理

目的:探讨小儿脊髓栓系统综合征(TCS)手术治疗的适宜护理方法,以改善神经功能障碍,提高患儿的生存质量。方法:回顾本院2006年1月～2007年1月,对76例脊髓栓系综合征手术治疗的患儿进行的术前心理护理、体位及膀胱功能训练,术后生命体征的监测,皮肤及伤口的护理和康复训练等措施。结果:76例患儿中出现脑脊液漏9例,尿潴留5例,经及时落实护理措施,临床症状均得到改善,未出现新的并发症。结论:完善的术前准备,术后加强病情观察,做好伤口及皮肤的护理,尽早进行功能训练,可最大限度地恢复脊髓神经功能,提高患儿的生存质量。     

Why is coronary collateral growth impaired in type II diabetes and the metabolic syndrome?

Type II diabetes and the metabolic syndrome are strong predictors of severity of occlusive coronary disease and poorer outcomes of coronary revascularization therapies. Coronary collateral growth can provide an alternative or accessory pathway of revascularization. However, collateral growth is impaired in type II diabetes and the metabolic syndrome. Although many factors necessary for collateral growth are known and many interventions have shown promising results in animal studies, not a single attempt to induce coronary collateral growth in human clinical trials has led to satisfactory results. Accordingly, the first part of this review outlines the known deleterious effects of diabetes and the metabolic syndrome on factors necessary for collateral growth, including pro-angiogenic growth factors, endothelial function, the redox state of the coronary circulation, intracellular signaling, leukocytes and bone marrow-derived progenitors cells. The second section highlights the gaps in our current knowledge of how these factors interact with the radically altered environment of the coronary circulation in diabetes and the metabolic syndrome. The interplay between these pathologies and inadequately explored areas related to the temporal regulation of collateral remodeling and the roles of the extracellular matrix, vascular cell phenotype and pro-inflammatory cytokines are emphasized with implications to development of efficient therapies.     

Why is coronary collateral growth impaired in type II diabetes and the metabolic syndrome?

Type II diabetes and the metabolic syndrome are strong predictors of severity of occlusive coronary disease and poorer outcomes of coronary revascularization therapies. Coronary collateral growth can provide an alternative or accessory pathway of revascularization. However, collateral growth is impaired in type II diabetes and the metabolic syndrome. Although many factors necessary for collateral growth are known and many interventions have shown promising results in animal studies, not a single attempt to induce coronary collateral growth in human clinical trials has led to satisfactory results. Accordingly, the first part of this review outlines the known deleterious effects of diabetes and the metabolic syndrome on factors necessary for collateral growth, including pro-angiogenic growth factors, endothelial function, the redox state of the coronary circulation, intracellular signaling, leukocytes and bone marrow-derived progenitors cells. The second section highlights the gaps in our current knowledge of how these factors interact with the radically altered environment of the coronary circulation in diabetes and the metabolic syndrome. The interplay between these pathologies and inadequately explored areas related to the temporal regulation of collateral remodeling and the roles of the extracellular matrix, vascular cell phenotype and pro-inflammatory cytokines are emphasized with implications to development of efficient therapies.     

Gastrointestinal pain in functional bowel disorders: sensory neurons as novel drug targets

Functional bowel disorders (FBDs) are defined by symptoms of gastrointestinal (GI) dysfunction, discomfort and pain in the absence of a demonstrable organic cause. Since the prevalence of FBDs, particularly functional dyspepsia and irritable bowel syndrome, can be as high as 20%, FBDs represent a significant burden in terms of direct healthcare and productivity costs. There is emerging evidence that the discomfort and pain experienced by many FBD patients is due to persistent hypersensitivity of primary afferent neurons, which may develop in response to infection, inflammation or other insults. This concept identifies vagal and spinal sensory neurons as important targets for novel therapies of GI hyperalgesia. Sensory neuron-specific targets can be grouped into three categories: receptors and sensors at the peripheral nerve terminals, ion channels relevant to nerve excitability and conduction and transmitter receptors. Particular therapeutic potential is attributed to targets that are selectively expressed by afferent neurons, such as the transient receptor potential channel TRPV1, acid-sensing ion channels and tetrodotoxin-resistant Na + channels.     

护理干预对内科护理质量的影响

目的 探讨护理干预对内科护理质量的影响.方法 选择60例内科住院的脑血管意外中风老年患者实施人性化护理干预措施四周进行生活质量综合评定问卷(GQOLI)、疾病治疗功能评估调查问卷(FACT-G)调查.结果 干预后脑血管意外中风老年患者生活质量综合评分提高;疾病治疗功能评分均有显著性提高,差异均有统计学意义(P<0.05).结论 人性化护理干预是对脑血管意外中风老年患者的一种切实可行的护理措施.     

Evaluation of toxicity equivalent factors of paralytic shellfish poisoning toxins in seven human sodium channels types by an automated high throughput electrophysiology system

Although voltage-gated sodium channels (Na_v) are the cellular target of paralytic shellfish poisoning (PSP) toxins and that patch clamp electrophysiology is the most effective way of studying direct interaction of molecules with these channels, nowadays, this technique is still reduced to more specific analysis due to the difficulties of transforming it in a reliable throughput system. Actual functional methods for PSP detection are based in binding assays using receptors but not functional Na_v channels. Currently, the availability of automated patch clamp platforms and also of stably transfected cell lines with human Na_v channels allow us to introduce this specific and selective method for fast screenings in marine toxin detection. Taking advantage of the accessibility to pure PSP standards, we calculated the toxicity equivalent factors (TEFs) for nine PSP analogs obtaining reliable TEFs in human targets to fulfill the deficiencies of the official analytic methods and to verify automated patch clamp technology as a fast and reliable screening method for marine toxins that interact with the sodium channel. The main observation of this work was the large variation of TEFs depending on the channel subtype selected, being remarkable the variation of potency in the 1.7 channel subtype and the suitability of Na_v 1.6 and 1.2 channels for PSP screening.     

电针刺激曲池穴在颈脊髓效应的功能磁共振成像研究

目的应用脊髓血氧浓度相依对比（BOLD）功能成像技术,观察电针刺激曲池穴在颈脊髓磁共振功能成像激活情况。方法 20例健康志愿者,电针刺激曲池穴,使用统计参数图（SPM2）软件得到健康志愿者脊髓内的激活区,观察激活区在矢状位和横断位上的功能成像激活特征。结果 20例受试者颈脊髓功能成像均可以分析出脊髓神经功能激活区,横断面上激活区域主要位于同侧（右侧）脊髓后角,同侧前角及对侧后角也有不同程度激活;矢状面上功能激活区主要位于C4-7,高位颈脊髓C1-2也有少量激活。结论电针刺激右侧曲池穴均可以引起C1-7水平脊髓的功能激活,成像发现矢状位激活区主要位于C4-7,横断位激活区主要位于同侧（右侧）脊髓后角区,激活区域与脊髓神经反射通路基本一致。C1、C2、C3及延髓功能激活区可能是电针刺激曲池穴在颈脊髓的特定后效应功能区,可能提示针灸有复杂的脊髓内神经机制与经络独特的传感通道存在。     

Diseases of the neuromuscular junction

The neuromuscular junction is a prototype synapse and it is also the site of well-characterised autoimmune and hereditary disorders. In the presynaptic terminal, voltage-gated potassium channels and voltage-gated calcium channels are subtly altered in genetic disorders and mutations in the enzyme that synthesises acetylcholine have been demonstrated in a particular form of hereditary myasthenia syndrome. Recent advances have revealed agrin, muscle-specific kinase (MuSK) and rapsyn as important signalling elements in the development and maintainance of the molecular architecture of the postsynaptic membrane. This is proving relevant to seronegative myasthenia gravis, with the discovery of anti-MuSK antibodies, and to a type of congenital myasthenic syndrome, in which acetylcholine receptor deficiency is due to mutations in rapsyn.     

解毒化瘀汤治疗邪毒阻络型小儿紫癜性肾炎56例疗效观察

目的:观察中药解毒化瘀汤治疗邪毒阻络型小儿紫癜性肾炎的疗效。方法:将87例小儿紫癜性肾炎患儿随机分为2组,治疗组56例,对照组31例,2组患儿均予休息、常规对症等综合治疗,治疗组在此基础上加自拟解毒化瘀汤,疗程8周,观察2组患儿的临床疗效、中医证候变化。结果:治疗组总有效率为91.1%,对照组为77.4%,2组比较差异有统计意义(P0.05);治疗组血尿(镜下血尿)、蛋白尿消失时间均短于对照组(P0.05);治疗组对邪毒阻络证改善亦较对照组显著(P0.05)。结论:解毒化瘀汤治疗邪毒阻络型小儿紫癜性肾炎疗效好,症状改善快,值得临床推广使用。