醒脑静联合更昔洛韦在流行性腮腺炎合并脑炎患儿中的临床疗效

目的探讨和分析醒脑静联合更昔洛韦治疗流行性腮腺炎合并脑炎的临床效果和安全性。方法选取2014年5月至2015年5月在我院接受治疗的流行性腮腺炎合并脑炎患儿102例,按照随机数字表法进行分析。结果随机分为3组:联合组(n=34)、醒脑静组(n=34)和更昔洛韦组(n=34)。对3组患儿均采取常规治疗;对联合组患儿在常规治疗基础上给予醒脑静联合更昔洛韦进行治疗,对醒脑静组患儿在常规治疗基础上给予醒脑静进行治疗,对更昔洛韦组患儿在常规治疗的基础上给予更昔洛韦进行治疗。比较3组患儿的治疗总有效率,在发热、头痛、呕吐、神经病理等临床症状的持续时间,及不良反应发生率。联合组患儿的治疗总有效率显著高于醒脑静组和更昔洛韦组(P0.05),联合组患儿头痛、发热、呕吐和神经病理征的持续时间显著短于醒脑静组和更昔洛韦组(P0.05),以上差异均有统计学意义。3组患儿均未发生严重的不良反应,其不良反应发生率差异无统计学意义(P0.05)。结论对于流行性腮腺炎合并脑炎的患儿采取醒脑静联合更昔洛韦的治疗,效果显著,能显著缩短患儿的症状持续时间,并且安全可靠,值得推广应用。     

更昔洛韦治疗贝尔麻痹的临床观察

目的评价更昔洛韦治疗贝尔（Bell）麻痹的疗效。方法选择贝尔麻痹患者63例,随机分为两组,常规治疗组32例和更昔洛韦组31例。常规治疗组予以激素、维生素治疗;更昔洛韦组在常规治疗的基础上加用更昔洛韦。结果治疗2周后,更昔洛韦组总有效率为94％,常规治疗组为77％,两组比较有显著性差异（P〈0．05）。结论更昔洛韦是治疗贝尔麻痹的有效药物,而且未发现明显的不良反应。     

α-干扰素,更昔洛韦及病毒唑治疗儿童手足口病疗效分析

[目的] 探讨治疗儿童手足口病的有效治疗方法. [方法] 将156例手足口病病儿随机分为3组,分别给予干扰素组、更昔洛韦组、病毒唑组各52例,观察临床症状和体征的变化,并对结果进行统计学分析.[结果] 更昔洛韦组、干扰素组、病毒唑组总有效率分别为90.38%.78.85%、69.23%,更昔洛韦组临床症状和体征消失明显较干扰素组及病毒唑组快.[结论] 更昔洛韦治疗儿童手足口病明显优于干扰素和病毒唑.     

痰热清联合更昔洛韦治疗手足口病疗效观察

目的 探讨痰热清联合更昔洛韦治疗儿童手足口病的临床疗效.方法 选取96例手足口病患儿随机分为治疗组和对照组,治疗组应用更昔洛韦和痰热清治疗,对照组采用病毒唑和双黄连治疗.结果 观察两组临床症状及体征改善时间,治疗组热退时间、疱疹结痂及消退时间、开始进食时间、痊愈天数均明显短于对照组(平均约2天)(t值分别为20.30、27.20、10.12、17.79、8.84,均P<0.01),治疗组总有效率亦高于对照组(X2=5.46,P<0.05),经比较差异具有统计学意义.结论 更昔洛韦联合痰热清治疗手足口病疗效确切,值得推广应用.     

小儿水痘采用更昔洛韦治疗的效果分析

目的:探讨小儿水痘采用更昔洛韦治疗的效果。方法:选择2016年2月至2018年9月期间收治的80例小儿水痘患者,随机分为对照组与观察组各40例,对照组运用更昔洛韦治疗,观察组运用更昔洛韦联合维生素C丸治疗(维生素C丸自备),分析不同治疗后患者退热时间、疱疹结痂时间、治疗疗效情况。结果:在退热时间、疱疹结痂时间方面,观察组各项明显少于对照组,组间对比有统计学意义(p0.05);在治疗有效率方面,观察组为97.5%,显著多于对照组,组间对比有统计学意义(p0.05)。结论:小儿水痘采用更昔洛韦联合维生素C丸治疗可以有效的提升治疗疗效,同时有效的加快患者疾病恢复速度。     

更昔洛韦联合人血免疫球蛋白治疗急性病毒性脑炎的疗效观察

目的:探讨观察更昔洛韦联合人血免疫球蛋白治疗急性病毒性脑炎的疗效及分析对比.方法:挑选40例急性病毒性脑炎患者并根据患者治疗方法分为两组,对照组给予更昔洛韦治疗,研究组给予更昔洛韦联合人血免疫球蛋白治疗;观察并比较两组疗效.结果:研究组的治疗总有效率(95.00％)明显高于对照组(70.00％),P<0.05;而对照组的发热、昏迷及抽搐消失时间均长于研究组,P<0.05.结论:急性病毒性脑炎应用更昔洛韦联合人血免疫球蛋白治疗疗效优于单一使用更昔洛韦治疗,可以提高患者的临床疗效,使患者的发热、昏迷及抽搐时间减少,值得临床推广应用.     

更昔洛韦治疗巨细胞病毒性肝炎疗效观察

目的：探讨更昔洛韦对巨细胞病毒性肝炎的疗效。方法：2003年1月-2008年1月常州儿童医院通过检测血CMV—IgG，IgM，肝功能确诊40例CMV肝炎，随机分为2组，均给予保肝，退黄治疗，更昔洛韦组加用更昔洛韦。结果：更昔洛韦治疗可使血cMV-IgM转阴约50％，在降低转氨酶，黄疸消退方面与对照组有显著差异（P〈0．05）。结论：更昔洛韦治疗巨细胞病毒性肝炎疗效好。     

更昔洛韦治疗成人病毒性脑炎的临床研究

目的比较更昔洛韦与阿昔洛韦治疗成人病毒性脑炎的l临床疗效。方法66例患者随机分为两组,分别给予更昔洛韦和阿昔洛韦,比较其主要临床症状及体征恢复的时间。结果更昔洛韦组取得显著临床疗效的时间比阿昔洛韦组缩短（P〈0．05）。结论更昔洛韦治疗病毒性脑炎的疗效优于阿昔洛韦。     

盐酸伐昔洛韦与阿昔洛韦治疗儿童水痘疗效的临床观察

目的研究盐酸伐昔洛韦与阿昔洛韦治疗儿童水痘的临床疗效。方法选取我院2013年6月至2015年12月收治的患有水痘的儿童84例,随机分为对照组和实验组各42例。对照组给予阿昔洛韦治疗,实验组给予盐酸伐昔洛韦治疗,比较两组患儿的症状消退时间和临床疗效。结果实验组的结痂时间、止痛时间、止痒时间和止疱时间均显著短于对照组,差异具有统计学意义(P<0.05)。实验组的总有效率为97.62%,显著高于对照组的80.95%,差异具有统计学意义(P<0.05)。结论与阿昔洛韦比较,盐酸伐昔洛韦治疗儿童水痘的临床疗效更显著,症状消退时间更短,值得临床推广应用。     

阿昔洛韦、更昔洛韦、西咪替丁治疗小儿水痘临床疗效观察

目的探讨阿昔洛韦、更昔洛韦、西咪替丁治疗小儿水痘的临床疗效。方法将解放军第九八八医院2015年2月～2018年6月收治的水痘患儿111例随机分为A、B、C组,每组37例。A组应用阿昔洛韦治疗,B组应用更昔洛韦治疗,C组应用更昔洛韦联合西咪替丁治疗,分别比较B组与A组、C组与B组临床疗效。结果治疗7 d后,B组有效率83.78%,高于A组有效率62.16%,差异有统计学意义(P0.05);B组退热时间、止疱时间、结痂时间均短于A组,差异有统计学意义(P0.05)。C组有效率97.30%,高于B组有效率83.78%,差异有统计学意义(P0.05);C组退热时间、止疱时间、结痂时间均短于B组,差异有统计学意义(P0.05)。结论更昔洛韦治疗小儿水痘疗效优于阿昔洛韦,联用西咪替丁疗效更好,值得临床推广。     

有性才会有健康

性是基本的人权。根据我国著名的性学家史成礼教授的研究,性有“三大功能”:生育功能、享乐功能和健康功能。     

Communicating with people with dementia

It can be very difficult to communicate with people with dementia. Each case requires its own unique handling. Not every scenario is covered, as many times your own judgment is what will work, best according to the circumstances. These can change from dawn to evening and from day to day. Never assume things will be the way they were the last time you communicated. Be on your guard. Be adaptable. The article will help get you started to think of your own ways to communicate.     

经方汗证治验

临床上汗证病情复杂,分自汗、盗汗、黄汗和但头汗出,治疗汗证方药诸多,有益气固表、养阴清热和清热除湿等方法,疗效不一。受恩师刘健主任教导和《伤寒论》《金匮要略》病脉证并治启发,以脉证并治、方证对应思想,浅谈桂枝加附子汤、黄芪芍药苦酒汤、柴胡桂枝干姜汤和三物黄芩汤治疗汗证的经验,为经方治疗汗证提供新思路。     

Working with patients with physical disabilities

Medical practices need to make a number of adaptations to ensure that their facilities and staff are accessible to patients and other office visitors with physical disabilities. This article describes 10 specific strategies for preparing your medical practice for patients with disabilities, both inside and outside your office. It describes minimum standards for office doorways, sidewalk inclines, ramps, reception areas, and other adaptations medical offices need to make. The article also describes specific do and don't advice for communicating with patients with physical disabilities. It suggests strategies for preparing written materials for disabled patients, for communicating verbally, and for providing healthcare education. Finally, it suggests an appropriate role for medical practice staff in the delivery of healthcare services to patients with physical disabilities.     

Coping with Children with ADHD: Coping Styles of Mothers with Children with ADHD or Challenging Behaviours

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) can experience significant levels of stress in their parenting roles, however, little is known about the specific coping strategies used by these parents. This pilot study Investigated the coping strategies used by mothers of children with ADHD. A 34 item questionnaire was developed to identify maternal coping strategies. A cohort of 38 mothers of children with ADHD and a control group of 30 mothers of children without ADHD or any other disability/illness completed the questionnaire. Factor analysis of responses produced three factors: Aggressive/Confrontive Coping, Rational Coping, and Indirect Coping. These factors are similar to coping dimensions proposed by Folkman and Lazarus. Comparisons between the two groups of mothers revealed that mothers of children with ADHD used significantly more Indirect Coping.     

Problems with measuring satisfaction with social care

The measurement of customer satisfaction has become widespread in both healthcare and social care services, and is informative for performance monitoring and service development. Satisfaction with social care services is routinely measured with a single question on overall satisfaction with care, comprising part of the Adult Social Care Survey. The measurement of satisfaction has been problematised, and existing satisfaction measures are known to be under‐theorised. In this article, the process of making an evaluation of satisfaction with social care services is first informed by a literature review of the theoretical background, and second examined through qualitative interviews conducted in 2012–2013 with 82 service users and family carers in Hampshire, Portsmouth and Southampton. Participants in this study were from white British and South Asian backgrounds, and the influence of ethnicity in the process of satisfaction evaluation is discussed. The findings show that the majority of participants selected a positive satisfaction rating even though both positive and negative experiences with services were described in their narratives. It is recommended that surveys provide opportunity for service users and family carers to elaborate on their satisfaction ratings. This addition will provide more scope for services to review their strengths and weaknesses.     

Ending clinical relationships with people with schizophrenia

The potential for the social worker-client relationship to contribute to therapeutic outcomes is not always apparent with clients who have schizophrenia. Their cognitive impairments often make it difficult for these clients to regulate interpersonal boundaries and for social workers to connect with them. Clinical practice is enhanced, however, by recognizing that severely impaired clients have the capacity and desire for relationships with service providers and others. The manner in which the clinical relationship ends is important for maintaining clinical gains and determining whether the client will risk investing in future relationships. The purpose of this article has been to sensitize social workers to the delicate nature of managing the endings of those relationships.