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如何认识带状疱疹后神经痛 总被引:1,自引:1,他引:0
王家双 《中国疼痛医学杂志》2011,17(4)
神经病理性疼痛简称神经痛,它是人类和社会送给疼痛学科的"礼物",也是随着人类社会高度发展以后带给疼痛学科新的挑战和机遇,她使得疼痛科医师能够有机会体现自己学科的核心技术和价值.国家卫生部2007年发出的227号文件宣布在我国二级以上医院正式建立疼痛科是我国临床医学界的一件大事,她体现了政府对于慢性疼痛疾病和慢性疼痛患者的高度重视和人文关怀,同时对于新兴的疼痛医学寄予厚望. 相似文献
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疼痛学是一门跨学科的新兴学科,是专门研究疼痛生理学、病理学、药物学以及各种疼痛性疾病、疼痛症状的诊断、鉴别诊断与治疗的新学科。随着现代医学科学技术的发展,由许多学科的边缘部分,重新组合成新的学科。疼痛治疗就是在这种形势下,由许多分支学科中涉及疼痛的部分,采用类似的治疗方法,相互综合,彼此连结而发展和形成的。本文重点对疼痛治疗范围及方法加以综述以达到在临床工作中安全、准确、有效的解除疼痛的目的。1 疼痛治疗的范围疼痛治疗是指已明确诊断的神经性疼痛、腰背痛和恶性肿瘤引起的继发性疼痛等。具体分为:(l)神… 相似文献
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《中国疼痛医学杂志》2015,(3):160
<正>《中国疼痛医学杂志》(Chinese Journal of Pain Medicine)由北京大学、中华医学会疼痛学会主办,中国科学院韩济生院士担任主编。本刊报道有关疼痛学科基础和临床的研究性质的文章。主要读者对象是:国内临床各疼痛相关科室的医务人员和从事疼痛医学基础研究、教学的工作者。本刊的宗旨是:根据"基础与临床结合、普及与提高并重"的原则,通过报道有关疼痛学科基础与临床研究的最新进展,促进我国疼痛医学 相似文献
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, 《中国疼痛医学杂志》2013,19(1):6
《中国疼痛医学杂志》(Chinese Journal of Pain Medicine)由北京大学、中华医学会疼痛学会主办,北京济生疼痛医学基金会支持出版。中国科学院韩济生院士担任主编。本刊报道有关疼痛学科基础和临床的研究性质的文章。主要读者对象是:国内临床各疼痛相关科室的医务人员和从事疼痛医学基础研究、教学的工作者。本刊的宗旨是:根据"基础与临床结合、普及与提高并重"的原则,通过报道有关疼痛学科基础与 相似文献
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《中国疼痛医学杂志》2017,(7)
<正>要想提高疼痛科地位,必须提高疼痛医师本领。提高疼痛医师技能,特别要提高年轻疼痛医师能力,成为关键。韩济生疼痛医学研究院头一号任务,就是进一步提高疼痛医师水平。近年来,疼痛诊疗技术快速发展,从盲探穿刺到X线引导下介入治疗可视微创技术的进步,使得疼痛学科的建设取得了斐然的成绩。但是,目前疼痛科的发展与社会需求比较差距仍然比较大,各地区间水平发展很不均衡,部分地区学科建 相似文献
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《中国疼痛医学杂志》2017,(9)
<正>要想提高疼痛科地位,必须提高疼痛医师本领。提高疼痛医师技能,特别要提高年轻疼痛医师能力,成为关键。韩济生疼痛医学研究院头一号任务,就是进一步提高疼痛医师水平。近年来,疼痛诊疗技术快速发展,从盲探穿刺到X线引导下介入治疗可视微创技术的进步,使得疼痛学科的建设取得了斐然的成绩。但是,目前疼痛科的发展与社会需求比较差距仍然比较大,各地区间水平发展很不均衡,部分地区学科建 相似文献
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《中国疼痛医学杂志》2017,(1)
<正>要想提高疼痛科地位,必须提高疼痛医师本领。提高疼痛医师技能,特别要提高年轻疼痛医师能力,成为关键。韩济生疼痛医学研究院头一号任务,就是进一步提高疼痛医师水平。近年来,疼痛诊疗技术快速发展,从盲探穿刺、X线引导下介入治疗到可视微创技术的进步,使得疼痛学科的建设取得了斐然的成绩。但是,目前疼痛科的发展与社会需求比较差距仍然比较大,各地区间水平发展很不均衡,部分地区学科建 相似文献
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疼痛科为一级诊疗科室,疼痛医学是以诊断和治疗慢性疼痛为主的临床平台学科.目前我国尚在探索建立规范化的疼痛医学人才培养体系.本文介绍了北京大学医学部在系统、规范地开展疼痛医学专科医师培训方面所做的尝试,包括在调研各附属医院和教学医院疼痛科现状基础上,制定并实施了培训方案和考核方案,以及对于疼痛学科设置思考等内容,为建立疼... 相似文献
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康复医学与疼痛医学密切相关,由于这与两个学科的多学科组成和基础与临床紧密配合两个学科基本特点,使得这两个学科相互促进并各自得到长足发展[1—2]。国外多学科疼痛治疗已经发展60余年,且相对于其他单一疗法有更强的循证依据[3],其中物理治疗、康复护理和疼痛认知占重要比例。目前国内两者结合的实际操作中由于各地医院有各自解 相似文献
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住院病人静脉输液需求调查与分析 总被引:21,自引:2,他引:19
目的 :了解住院病人对静脉输液的需求与满意程度 ,分析原因 ,提供科学、有效的改进方法 ,满足病人的需求。方法 :对4 2 7名住院病人采取问卷调查的形式 ,了解他们在接受静脉输液治疗过程中 ,对护理服务的满意程度、不满意因素以及接受静脉输液治疗时最关心的问题等。结果 :住院病人对现有的静脉输液服务满意度为 92 .0 3% ,不满意的主要原因是被动更换率高和穿刺技术水平有待提高 ,病人把安全输液作为治疗中最关心的问题。结论 :增加输液巡视次数、静脉穿刺技术水平和为病人提供安全静脉输液 ,作为改进输液服务的根本目的 相似文献
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残留黄疸多出现于急慢性肝病的治疗后期,病机复杂,常规的退黄治疗效果欠佳,张老认为湿邪阻滞、瘀血内结是导致该病最基本的中医病因病机,其病位可涉及肝、脾、肾、胆、胃等,病性多属虚实夹杂,临床上表现为“湿—瘀—虚”的演变过程,但以湿邪、瘀血贯穿疾病始终。治疗当以清热利湿、活血退黄为基本原则,结合多年临床经验,自拟中药方剂金虎退黄汤治疗急慢性肝病后期残留黄疸,取得了一定效果。 相似文献
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L.A. BOCKERIA G.V. MIRSKY L.K. MAKAROVA 《Pacing and clinical electrophysiology : PACE》1990,13(12):1967-1971
BOCKERIA, L.A., ET AL.: Computerized Methods of Pace-Mapping for Topical Diagnosis of Ventricular Arrhythmias. Surgical treatment of ventricular arrhythmias (VAs) is an effective method of solving sudden cardiac death. The important problem of surgical treatment of VAs is the topical diagnosis of the origin of arrhythmia. The precise localization of this area is extremely important for effectiveness of operation. The method of epicardial mapping of the heart during the induced paroxysm of VA is widely used for solving this problem. This problem is difficult when it is impossible to induce tachycardia during the operation. The method of pace-mapping was developed for such cases. This method includes sequential electrical stimulation of ventricles with ECG recording and comparison between intraoperative and preoperative ECG. The goal is the identification of the area of ventricles closed to preoperative ECG with VA. Manual processing of these data is difficult and takes time. The results of such processing have a low precision. That is why we propose using computerized methods. The goal of this investigation is to develop computerized methods of topical ECG diagnosis of VA. We propose a method of computer comparative analysis of ECG morphology for spontaneous and stimulated ECG. The goal is the determination with stimulated ECG the point of ventricles with ECG closest to spontaneous ECG during ventricular tachycardia. Nine patients (15–57 years old) with VA were studied. The main result of this investigation is that computerized pace-mapping method is an effective tool for topical diagnostics of different forms of VAs, which is impossible to induce by electrical programmed stimulation. 相似文献
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目的探讨肾脏横纹肌肉瘤的流行病学、临床表现、诊疗方案及预后。方法回顾收治的1例肾脏横纹肌肉瘤患者的临床资料。男性,43岁,临床表现为右上腹疼痛6 d。B超提示右侧腹膜后肿瘤,CT提示右肾与肝实质之间实质性包块,肿瘤直径约10 cm。结果患者行右腹膜后肿物根治性肾切除术。术中见肿物来源于肾脏中极,与腹膜及肾周广粘连明显,且与下腔静脉紧密粘连,术后病理报告:瘤细胞多形性,胞浆内见嗜酸性包涵体,免疫组化:Vimentin(+),病理诊断右侧肾脏横纹肌肉瘤。术后患者予以舒尼替尼靶向治疗,术后3个月复查肾脏CT,未见肿瘤复发。结论肾横纹肌肉瘤是一种发病年龄低、恶性程度高的少见肾脏恶性肿瘤。光镜下具有嗜酸性包涵体特征性表现,以手术治疗为主,辅以放化疗,术后多靶点酪氨酸激酶抑制剂治疗,效果较好。预后与发病年龄及肿瘤分期有关,预后较差。 相似文献
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Geoff Hide 《Expert review of anti-infective therapy》2016,14(3):335-344
The parasite, Toxoplasma gondii, is a highly successful pathogen that infects around 30% of the global human population. Additionally, it is able to infect all warm blooded animals with high prevalence. This is surprising as it is a parasite of the cat and can only complete its full sexual cycle in that host. This review examines the important key routes of transmission: infective oocysts from the cat, ingestion of raw infected tissue and vertical transmission. The latter route of transmission has traditionally been thought to be rare. In this review, this assumption is examined and discussed in the light of the current literature. The available evidence points to the possibility that vertical transmission occurs frequently in natural populations of mice however the evidence in sheep is currently ambivalent and controversial. In humans, the situation appears as though vertical transmission may be rare although there is still much that is unexplained. 相似文献
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应激性溃疡的发病机制研究进展 总被引:8,自引:0,他引:8
应激性溃疡(seress ulcer,Su)是临床危重疾病的严重并发症,在重症监护病房内的发生率达60%,有较高的死亡率。应激性溃疡的发生是多种因素综合作用的结果。本文就近年来国内外文献报道的SU发病机制及其研究现状进行阐述。 相似文献
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Risk of Complications of Atrial Fibrillation 总被引:2,自引:0,他引:2
ALESSANDRO CAPUCCI GIOVANNI QUINTO VILLANI DANIELA ASCHIERI 《Pacing and clinical electrophysiology : PACE》1997,20(10):2684-2691
Atrial fibrillation is associated with three major risk of complications: thromboembolism, hemodynamic compromise, and arrhythmogenesis. In patients with chronic atrial fibrillation the incidence of embolization is about 5% per year. The risk of embolism and in particular of stroke can be reduced by warfarine anticoagulation. Aspirin is generally less effective than warfarin, although it is probably more effective than placebo. The hemodynamic complications which may occur during atrial fibrillation are mainly due to the loss of effective atrial contraction, the irregular ventricular rhythm, and the possible excessively rapid ventricular rate. Sudden death is a recognized manifestation of Wolff-Parkinson-White syndrome and is considered to be precipitated by atrial fibrillation in the majority of patients. Torsades de pointes is perhaps the most widely recognized proarrhythmia associated with treatment of atrial fibrillation, especially with 1A antiarrhythmic drugs and sotalol. The chronic treatment with type 1C drugs in 3.5%–5% of patients may induce atrial flutter with 1:1 conduction with significant hemodynamic compromise. 相似文献
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Hirst IS 《Journal of psychiatric and mental health nursing》2003,10(3):359-366
The idea and practice of mindfulness has a long history in some of the world's religions and is also articulated in a number of secular discourses. The therapeutic potential of mindfulness is now being recognized and is being researched in a diverse range of healthcare settings including mental health. Being mindful presupposes that individuals whose awareness is not impaired do have a choice in what phenomena they attend to and how they act. For the psychiatric nurse, understanding the idea and practice of mindfulness is useful for developing both trans-cultural awareness and to recognize that personal inattention could compromise care. In terms of mental health promotion, mindfulness is worthy of consideration as an important life skill. This paper explores the notion of mindfulness from a number of perspectives. The paper does not claim to have explored all the options. The Buddhist understanding of mindfulness provides the perspective for continuity within the paper and is used to illuminate any similarities and differences with the secular discourses being considered. 相似文献
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李妮 《中国实用护理杂志》2000,16(5):23-24
新生儿黄疸是新生儿常见病症 ,其高胆红素血症造成的神经损伤日益受到重视 ,光疗是一种简便、易行、疗效好、见效快的方法。用Bilibed婴儿蓝光床和传统温箱加双面蓝光照射治疗新生儿高胆红素血症 ,经临床观察对照 ,发现Bilibed婴儿蓝光床不仅在疗效和护理方面优于传统光疗法 ,而且其治疗方式也易被患儿及家属接受 相似文献