强制戒毒期海洛因依赖者自测健康的对照分析

目的探讨强制戒毒期海洛因依赖者自测健康状况.方法对60名强制戒毒者及60名社区人员采用自测健康评定量表(RHM)进行评定.结果强制戒毒者的SRHMS总分、生理、心理和社会健康因子分均明显低于社区组,两者之间的差异具有非常显著性意义(P＜0.01).结论吸毒严重损害人们的生理、心理及社会健康,提示要采取措施加强对该人群的心理行为干预及监督管理.     

海洛因依赖者自测健康的对照分析

目的:探讨自愿和强制戒毒海洛因依赖者的自测健康状况。方法:采用自测健康评定量表(SHRMS)对自愿和强制戒毒的海洛因依赖者各60例分别进行评定。结果:自愿戒毒者的身体症状与器官功能维度分和心理健康子量表分高于强制戒毒者,两者之间的差异有显著性(P<0.05)。而其它维度分和生理、社会健康子量表分及自测健康总分之间的差异无显著性(P>0.05)。结论:吸毒严重损害人们的生理、心理及社会健康,不因个人情况及家庭环境的不同而有所区别。提示应加强禁毒,防止吸毒,并对吸毒人员加强监督和管理。     

服用抗精神病药物对老年期精神分裂症患者自测健康的影响

目的：探讨服用抗精神病药物对老年期精神分裂症患自测健康的影响,方法：对43例服用抗精神病药物及31例长期停服抗精神病药物的老年期精神分裂症患采用自测健康评定量表（SRHMS）进行评定。结果：服药组病人的身体症状与器官功能维度分较低,而其日常生活功能及身体活动功能度分较高,与停药组相比差异有显性（P＜0．05）,但两组病人的SRHMS总分及生理,心理,社会健康子量表分无统计学差异（P＞0．05）,结论：服用抗精神病药物不影响老年期精神分裂症患的自测健康。     

深圳特区人群自测健康状况特点的研究

目的了解深圳特区居民自测健康状况的特点。方法采取整群分层随机抽样方法,抽取5940名社区居民,采用自测健康评定量表(SRHMS)进行调查。结果深圳居民自测生理、心理、社会健康3个子量表及SRHMSV1.0总量表的终得分均在70.0~80.0分,其中生理健康子量表的均分较高。生理健康子量表中有7个条目,心理健康子量表中有5个条目,社会健康子量表中有5个条目的终得分<70.0分。结论深圳市社区居民的自测健康状况较好,生理健康问题主要表现在疲劳、胃肠道症状、躯体疼痛、视力、睡眠等;心理健康问题表现在强迫、焦虑、抑郁症状、记忆力和注意力等方面;社会健康问题反映深圳市社区居民参加社团活动、遇到困难的时候寻求帮助和依靠朋友与家庭的情况。     

西部地区某医学院学生健康现状研究

目的了解医学生生理、心理、社会健康现状。方法采用多层随机抽样方法，从四川省某医学院抽取443名在校医学生，用自测健康评定量表（SRHMS量表）进行横断面调查。结果SRHMS总平均得分为（73．50±9．20）分。医学生的健康状况不存在性别、专业及城乡差异，但存在年级、家庭结构和民族差异。结论亚健康状态在医学生中普遍存在，高校应有针对性地进行干预。     

监狱长与管教干警心身健康状况的调查比较

目的了解、对比监狱长与管教干警的心身健康，探讨SRHMS的评分方法。方法对应用SCL-90和SRHMS两个量表对248名监狱长与607名管教干警进行评定、比较，并对SRHMS的评分方法进行改良。结果在SRHMS中，监狱长的自测心理健康、自测社会健康和对健康的总体自测三方面的得分明显高于管教干警；在自测生理、自测心理、自测社会以及健康总体、自测几个方面，一线干警的得分又明显低于二线。在SCL-90中，监狱长的强迫、人际关系、敌意、偏执4个因子及总分明显高于管教干警；一线干警，在除恐怖因子外所有因子的得分都明显高于二线干警。结论监狱长的心身健康最佳，二线管教干警次之，一线管教干警最差。所采用新的SRHMS的评分方法简洁、直观，便于比较。     

住院精神分裂症男女患者自测健康对照分析

目的：了解精神分裂症男、女患者自测健康状况。方法：采用自测健康评定量表（SRHMS）对120例住院精神分裂症患者进行自测健康水平评定。结果：男女组之间在社会健康子量表方面具有显著性差异（P〈0.05）。而生理健康子量表分、心理健康子量表分、健康自测量表总分均无显著性差异（P〉0.05）。结论：女性精神分裂症患者社会健康水平高于男性患者,自测健康评定量表能较客观地反映健康状况的性别差异。     

深圳市居民自测健康的人口学因素调查分析

目的了解深圳市居民自测健康的人口学影响因素。方法应用自测健康评定量表（SRHMS V1．0）对深圳特区人群5940个居民进行现场调查。结果深圳市居民生理、心理及社会健康子量表分及SRHMSV 1．0总分在性别、年龄、婚姻状况、文化程度、职业、经济状况及户籍等方面存在统计学意义;而不同民族之间差异无显著性。结论SRHMS V1．0能够客观、准确地反映深圳居民不同人群的自测健康状况,深圳居民自测健康在性别、年龄、婚姻状况、文化程度、职业、经济状况及户籍等人口学方面存在差别。     

服用抗精神病药物对老年期精神分裂症患者自测健康的影响

目的探讨服用抗精神病药物对老年期精神分裂症患者自测健康的影响.方法对43例服用抗精神病药物及31例长期停服抗精神病药物的老年期精神分裂症患者采用自测健康评定量表(SRHMS)进行评定.结果服药组病人的身体症状与器官功能维度分较低,而其日常生活功能及身体活动功能维度分较高,与停药组相比差异有显著性(P<0.05).但两组病人的SRHMS总分及生理、心理、社会健康子量表分无统计学差异(P>0.05).结论服用抗精神病药物不影响老年期精神分裂症患者的自测健康.     

住院精神分裂症患者自测健康的对照研究

目的：比较住院精神分裂症患者和躯体疾病患者的健康状况,及了解影响精神分裂症患者健康的因素。方法：采用“自测健康评定量表”（SRHMS）对81例慢性精神分裂症康复期患者和82例躯体疾病病人作自我评定,进行对照研究,并对相关因素作多元逐步回归分析。结果：两组间SRHMS总分、心理健康子量表总分比较不存在显著性差异;（P＝0．39）;生理及健康子量表及总分,社会健康子量表总分两组间的差异均有非常显著性差异（P＝0．00）。经多元逐步回归分析,精神分裂症组病程,IPROS总分、服药剂量影响SRHMS的评分。结论：自测健康评定量表是健康测定的一个有效工具,测试结果反映了两组人群实际健康状况。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.