针对性护理干预在青少年牙髓炎根管治疗患者中的效果评价

目的 ：探讨针对性护理干预在青少年牙髓炎根管治疗患者中的效果。方法 ：选取2021年2月至2022年5月在贵州医科大学附属口腔医院收治的60例牙髓炎根管治疗患者,采用区组随机法均分为观察组和对照组,每组各30例,观察组实施针对性护理,对照组实施常规护理,观察两组牙髓炎患者并发症发生率、满意率以及干预前后不良心理及疼痛程度评分改善情况。结果 ：观察组牙髓炎患者并发症发生率为3.33%,满意率为96.67%;对照组牙髓炎患者并发症发生率为20.00%,满意率为76.67%,观察组牙髓炎患者并发症发生率显著低于对照组,差异有统计学意义(P <0.05)。观察组牙髓炎患者总满意率显著高于对照组,差异有统计学意义(P <0.05);观察组牙髓炎患者不良心理以及疼痛程度评分改善情况显著优于对照组,差异有统计学意义(P <0.05)。结论 ：针对性护理干预在牙髓炎根管治疗患者中具有良好的治疗效果。     

不同程度根管钙化后牙牙髓炎的治疗效果分析

目的 对比探讨不同程度根管钙化后牙牙髓炎患者的临床治疗效果与安全性。方法 研究时间范围2019年11月-2021年11月,选择于我院接受口腔治疗的根管钙化后牙牙髓炎患者60例,根据患者根管钙化程度分作三组,即Ⅰ组患者(20例,根管上部钙化后牙牙髓炎),Ⅱ组患者(20例,根管下部钙化后牙牙髓炎),Ⅲ组患者(20例,根管全部钙化后牙牙髓炎),分别采取对症治疗,比较临床治疗总有效率及不良反应总发生率,征求患者配合对此次治疗满意率进行评估调查。结果 三组患者通过对症治疗后,总有效率比较无统计学差异(P>0.05),同时三组患者治疗后不良反应总发生率无统计学差异(P>0.05)。三组患者均表示对此次治疗满意率超过90%,且组间比较无统计学差异(P>0.05)。结论 根管钙化后牙牙髓炎患者接受口腔治疗时应针对钙化程度进行合理分析,从而制定针对性治疗方案,保障治疗效果,提高患者满意率,提倡运用推广。     

小儿病毒性脑炎的护理干预临床效果观察

目的探讨小儿病毒性脑炎的护理干预临床效果。方法选取2012年6月至2013年7月于本院治疗的80例小儿病毒性脑炎患者为研究对象,将其随机分为观察组和对照组各40例,对照组采用常规护理,观察组基于对照组之上给予患儿针对性护理干预。分析对比两组患儿的临床治疗效果。结果观察组临床治疗总有效率为95．0％,满意率为100．0％,对照组总有效率为77．5％,满意率为80．0％,观察组患儿的临床疗效和满意度明显优于对照组（P＜0．05）。结论小儿病毒性脑炎患者采取具有针对性的护理干预可有效增强临床治疗效果,提高患者满意度。它具有重要意义,值得广泛应用推广。     

一次性根管治疗和多次法根管治疗急慢性牙髓炎的疗效研究

目的:研究一次性根管治疗和多次法根管治疗急慢性牙髓炎的疗效。方法:选取2012年1月~2016年12月在本院接受急慢性牙髓炎治疗的患者156例,随机分成实验组和对照组,每组患者78例。实验组和对照组患者分别使用多次法根管治疗和一次性根管治疗,比较两组患者的治疗效果和并发症的发生情况。结果:实验组患者治疗有效率为97.4%,并发症发生率为7.7%;对照组患者治疗有效率为87.2%,并发症发生率为20.5%。由此可见两组患者的并发症发生率和治疗有效率都存在显著差异,具有统计学意义(P<0.05)。结论:在治疗急慢性牙髓炎时采用一次性根管治疗和多次法根管治疗的效果不同,总体而言多次法根管治疗急慢性牙髓炎的疗效更好,并发症发生率比较低,对患者身体的康复起着更加积极的作用。     

两种根管治疗法治疗隐裂性牙髓炎的疗效观察

目的：探讨两种根管治疗法治疗隐裂性牙髓炎的临床效果。方法：选取2010年1月至2013年1月期间我团卫生队收治的120例（120牙）隐裂性牙髓炎患者,并将其随机分为观察组与对照组。观察组患者60例（60牙）,以一次性根管治疗法进行治疗;对照组患者60例（60牙）,以传统多次根管治疗法进行活疗,比较两组患者的临床治疗效果。结果：观察组患者的临床治疗效果明显优于对照组患者,其中,观察组患者的总有效率为96．7％;对照组患者的总有效率为83．3％,两组数据差异显著,结果具有统计意义（p〈0．05）。结论：以一次性根管治疗术对患者进行治疗临床效果显著,患者满意率较高,该治疗法值得在临床上广泛推广,帮助更多患者受益。     

一次性根管治疗方案在小儿乳牙急性牙髓炎中的临床应用

目的:探究小儿乳牙急性牙髓炎患者给予一次性根管治疗方案对临床治疗效果的影响。方法:将2018年6月到2019年6月在我院接受治疗小儿乳牙急性牙髓炎60例患者,随机分两组,每组30例,其中对照组采用常规根管干预,观察组采用一次根管干预,分析两组临床效果及疼痛情况。结果:观察组显著占比53.33%,对照组显效占比33.33%,观察组治疗有效96.67%高于对照组83.33%(P 0.05);且观察组3级疼痛2例疼痛发生率为6.67%显著低于对照组33.33%,差异具统计意义(P 0.05)。结论:小儿乳牙急性牙髓炎采用予一次根管干预,可有效提升疗效,改善患者疼痛感受。     

一次性根管治疗与常规根管治疗术在急性牙髓炎治疗中的效果评价

目的:对比一次性根管治疗与常规根管治疗术在急性牙髓炎治疗中的临床效果.方法:选择2014年4月到2016年1月我院接收的82例急性牙髓炎患者作为此次研究对象,把患者依据不同治疗方式分成对照组与观察组,对照组采用常规根管治疗术治疗,观察组采用一次性根管治疗术治疗,对比两组患者的临床效果.结果:对照组临床总有效率是78.05％,观察组临床总有效率是95.12％,观察组临床效果要显著优于对照组(P＜0.05).结论:一次性根管治疗急性牙髓炎的近期临床效果要显著优于常规根管治疗,值得在临床上大力推广应用.     

大疱性表皮松解型药疹患者的临床护理体会

目的:探讨大疱性表皮松解型药疹患者的临床护理方法.方法:选取60例大疱性表皮松解型药疹患者作为研究对象,根据入院先后顺序分为两组(每组30例),对照组患者实施常规护理,研究组患者在常规护理基础上增加针对性护理干预措施,观察两组患者的护理效果.结果:研究组的平均住院时间为(20.3±6.2)d,显著短于对照组的(32.2±3.6)d,差异具有统计学意义(P＜0.05).研究组患者的并发症总发生率为3.33％,对照组为26.67％,差异具有统计学意义(P＜0.05);研究组患者的护理总满意率为96.67％,对照组为70.00％,差异具有统计学意义(P＜0.05).结论:对大疱性表皮松解型药疹患者实施针对性护理干预,能够有效提高治疗效果,减少并发症发生风险,加快患者康复进程.     

根管治疗联合丁细牙痛胶囊治疗慢性牙髓炎效果观察

目的:对根管治疗联合丁细牙痛胶囊治疗应用于慢性牙髓炎的临床治疗效果进行观察研究。方法:选择2015年12月-2016年12月时间区间我院接收治疗的100例慢性牙髓炎患者,结合对应给予不同治疗方式方法划分成两个小组,对照组50例给予常规药物+根管治疗,研究组50例给予丁细牙痛胶囊+根管治疗,就两个组别临床治疗效果进行观察对比。结果:研究组总有效率94.0%,对照组总有效率84.0%,两组数据相对比明显不同(P0.05);研究组疼痛发生率12.0%,对照组22.0%,两组数据相对比明显不同(P0.05)。结论:根管治疗联合丁细牙痛胶囊治疗应用于慢性牙髓炎治理效果令人满意,可显著降低患者牙部疼痛程度,具备临床推广价值。     

急性牙髓炎一次性根管治疗的疗效体会

目的对急性牙髓炎一次性根管治疗的疗效进行探究。方法选取该院2009年1月—2011年12月期间口腔科所收治的256例急性牙髓炎患者,将256例患者随机划分成实验组及对照组,每组患者各128例,其中,实验组患者应用一次性根管治疗,而对照组患者则进行常规性根管治疗,对两组患者的远期(1年)与近期(72h)的疗效差异加以比较。结果近期两组患者的治疗效果相比有着明显的差异,实验组的疗效比远远的优于对照组;远期两组患者的治疗效果相比并不存在任何明显的差异,但实验组的疗效则优于对照组。结论对急性牙髓炎患者采用一次性根管治疗,不仅疗程较短、简单易行,而且能够起到理想的治疗效果。     

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.