痰热清注射液佐治小儿肺炎支原体肺炎疗效观察

目的观察红霉素/阿奇霉素联合痰热清注射液治疗小儿肺炎支原体肺炎的临床疗效。方法将196例肺炎支原体肺炎患儿随机分为观察组98例和对照组98例,两组均使用红霉素和阿奇霉素粉针剂序贯治疗,观察组在此基础上加用痰热清注射液静脉滴注治疗,观察两组临床退热时间、咳嗽明显好转时间、平均住院时间、肺部阴影消失时间及副反应。结果观察组在退热时间、咳嗽明显好转时间、肺部阴影消失时间均短于对照组,差异有统计学意义（p〈0.05）,且未发现不良反应。结论红霉素/阿奇霉素联合痰热清注射液治疗小儿肺炎支原体肺炎有较好疗效。     

痰热清联合阿奇霉素序贯治疗小儿支原体肺炎临床疗效观察

目的:探讨痰热清联合阿奇霉素序贯治疗小儿支原体肺炎的临床疗效。方法:采用痰热清联合阿奇霉素序贯治疗小儿支原体肺炎,并与单独用药组进行疗效对比。结果:联合组的显效率和总有效率分别为38.3%和97.1%;经统计分析发现联合组的显效率及总有效率均明显高于痰热清组和阿奇霉素组(P<0.05)。联合组患儿的咳嗽消失时间、肺部啰音消失时间、胸闷气喘缓解时间、X线吸收消散时间及平均住院时间均明显低于痰热清组和阿奇霉素组(P<0.05)。联合组中发生恶心呕吐、腹痛、腹泻的患儿明显少于痰热清组和阿奇霉素组。结论:痰热清注射液联合阿奇霉素序贯疗法治疗小儿支原体肺炎疗效显著,缩短了疗程,不良反应轻微且发生率低,安全性高,值得临床推广使用。     

阿奇霉素序贯疗法联合痰热清注射液治疗小儿支原体肺炎的效果观察

目的观察阿奇霉素序贯疗法联合痰热清注射液治疗小儿支原体肺炎的临床疗效。方法选择我院小儿科2012年3月-2014年3月收治的148例支原体肺炎患儿,随机分为联合组和对照组,每组74例,对照组单纯采用阿奇霉素序贯疗法进行治疗,联合组在对照组治疗方法的基础上加用痰热清注射液,治疗2个疗程后比较两组疗效、退热时间、哕音消失时间以及住院时间。结果联合组退热时间、哕音消失时间以及住院时间均明显少于对照组,差异有统计学意义（P〈0．05）;联合组有效率为95．95％,明显高于对照组的83．78％,差异有统计学意义（p〈0．05）。结论阿奇霉素序贯疗法联合痰热清注射液可以明显提高小儿支原体肺炎能的治疗效果,值得临床推广应用。     

大环内酯类抗生素序贯疗法治疗小儿支原体肺炎的疗效分析

目的探讨大环内酯类抗生素序贯疗法治疗小儿支原体肺炎的临床疗效及安全性。方法选择112例小儿支原体肺炎患儿,随机均分为两组。在常规对症治疗的基础上,观察组采取红霉素静滴联合阿奇霉素口服序贯治疗,对照组采取阿奇霉素静滴联合阿奇霉素口服序贯治疗。结果观察组的总有效率明显高于对照组(P<0.05)。观察组的发热消失时间、咳嗽消失时间、肺部啰音消失时间及疗程均明显短于对照组(P<0.05)。观察组的恶心呕吐、腹痛腹泻、注射部位疼痛发生率均明显低于对照组(P<0.05)。结论大环内酯类抗生素序贯治疗小儿支原体肺炎的疗效肯定,红霉素联合阿奇霉素序贯疗法有利于缩短治疗时间,改善患儿临床症状,减轻不良反应,提高治疗效果。     

头孢他啶钠联合阿奇霉素治疗小儿肺炎支原体肺炎的临床效果及安全性分析

目的分析头孢他啶钠联合阿奇霉素治疗小儿肺炎支原体肺炎的临床效果及安全性。方法将收治的小儿肺炎支原体肺炎患儿134例作为研究对象,随机分为对照组67例,仅采取常规阿奇霉素治疗;观察组67例,采取头孢他啶钠联合阿奇霉素治疗。观察患儿症状改善时间,记录炎性指标血清C反应蛋白(CRP)变化,评估用药疗效及不良反应。结果观察组患儿在发热消退时间、肺部湿啰消退时间、咳嗽喘息消失时间及住院时间均明显少于对照组患儿,差异有统计学意义(P<0.05);观察组患儿CRP水平降低幅度显著高于对照组患儿,差异有统计学意义(P<0.05);观察组患儿治疗总有效率97.01%显著高于对照组患儿治疗总有效率80.60%,差异有统计学意义(P<0.05);全部患儿在用药期间均未出现严重不良反应症状,观察组患儿不良反应发生率明显低于对照组患儿,差异有统计学意义(P<0.05)。结论头孢他啶钠联合阿奇霉素治疗小儿肺炎支原体肺炎疗效确切,能够短期缓解炎性反应,抑制病情恶化,改善症状,减少患儿用药不良反应发生,具有极高的治疗安全性。     

红霉素与阿奇霉素两种序贯疗法治疗小儿肺炎支原体肺炎临床疗效分析

目的观察红霉素静滴序贯疗法和阿奇霉素序贯疗法在小儿肺炎支原体肺炎治疗中的疗效.方法将89例肺炎支原体肺炎患儿随机分成两组,治疗组45例,应用红霉素静滴同时口服阿奇霉素,而后改阿奇霉素口服序贯治疗;对照组44例,先用阿奇霉素静滴,以后改为口服阿奇霉素序贯治疗.结果治疗组在促进炎症消散,加速患儿症状、体征消失,缩短住院时间,明显优于对照组,差异均有统计学意义(P＜0.05).结论红霉素静滴序贯疗法治疗小儿肺炎支原体肺炎效果显著,疗程短,不良反应少,值得临床推广.     

红霉素与阿奇霉素治疗小儿肺炎支原体肺炎的临床研究

目的分析红霉素联合阿奇霉素治疗小儿肺炎支原体肺炎的临床效果。方法选择我院2013年12月至2015年12月收治的106例小儿肺炎支原体肺炎患儿,按照随机数字法分为两组。对照组患儿单纯接受阿奇霉素治疗,观察组患儿给予红霉素联合阿奇霉素序贯治疗。观察比较两组患儿的治疗效果、临床症状改善时间及不良反应发生情况。结果观察组患儿的治疗总有效率为94.34%,显著高于对照组的71.70%(P<0.05)。观察组患儿的退热时间、止咳时间及肺部啰音消失时间均显著短于对照组(P<0.05)。观察组患儿的不良反应发生率为5.66%,显著低于对照组的22.64%(P<0.05)。结论红霉素联合阿奇霉素序贯治疗小儿肺炎支原体肺炎的效果较好,能快速改善患儿的临床症状,安全有效,值得临床推广。     

阿奇霉素序贯疗法治疗小儿支原体肺炎的疗效

目的观察小儿支原体肺炎应用阿奇霉素序贯疗法治疗的疗效及安全性。方法选择高唐县人民医院2016年6月-2017年6月接收的支原体肺炎患儿116例,随机分为观察组和对照组各58例,两组在对症治疗基础上,观察组给予阿奇霉素序贯疗法,对照组给予红霉素治疗,观察两组治疗效果。结果观察组患儿治疗总有效率为94.8%,高于对照组的82.8%;观察组患儿咳嗽、发热、肺部湿啰音消失时间,住院时间均低于对照组;观察组不良反应发生率为13.8%,低于对照组的31.0%,差异均有统计学意义(P0.05)。结论临床采用阿奇霉素序贯疗法治疗支原体肺炎患儿,可快速消除患儿的临床症状,促使患儿尽早痊愈,且能减少不良反应,安全有效,临床应用价值较高,值得推广。     

98例小儿肺炎支原体肺炎临床治疗分析

目的：探讨阿奇霉素联合痰热清治疗小儿肺炎支原体肺炎的临床疗效。方法将2010年1月至2011年12月入住余杭区第一人民医院儿科确诊肺炎支原体肺炎的患儿98例按就诊顺序分为两组,对照组选用阿奇霉素序贯疗法,观察组采用阿奇霉素和痰热清联合治疗,两组各治疗1个疗程后观察患儿临床疗效。结果观察组总有效率为98．0％;对照组总有效率为83．7％,两组总有效率比较差异有统计学意义（χ2＝7．85,P＜0．05）。观察组咳嗽消失时间、体温恢复正常时间、干湿罗音消失时间均低于对照组,两组比较差异均有统计学意义（t值分别为10．85、12．92、9．88,均P＜0．01）。观察组不良反应1例,占2．0％,对照组不良反应6例,占12．2％,两组不良反应发生率比较差异有统计学意义（χ2＝2．84,P＜0．05）。结论阿奇霉素与痰热清联合应用治疗小儿肺炎支原体肺炎,临床效果显著,可有效改善患者各方面临床症状和体征,毒副作用小,并可大大缩短病程,避免并发症的发生,具有积极的临床意义。     

阿奇霉素序贯治疗结合常规疗法在小儿支原体肺炎中的疗效分析

目的 分析阿奇霉素序贯结合常规疗法在小儿支原体肺炎中的疗效。方法 选取2017年3月-2019年5月该院收治的小儿支原体肺炎患儿80例为研究对象,采用随机分配法将其分为对照组和研究组,每组各40例。对照组患儿采用常规疗法,研究组患儿采用阿奇霉素序贯疗法结合常规疗法,观察两组患儿的治疗效果、临床症状、炎症因子及不良反应发生情况。结果 研究组患儿治疗后用药效果更理想,不良症状消失及住院时间明显低于对照组,且CRP、IFN-γ、TNF-α及IL-6水平炎症因子水平均降低,不良反应发生率得到控制,两组比较,差异均有统计学意义(均P<0.05)。结论 对小儿支原体肺炎患儿采用阿奇霉素序贯疗法联合常规治疗,可进一步提高临床治疗效果,改善患儿炎症因子水平,值得在临床中推广应用。     

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.     

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.     

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。     

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.