中等医学检验专业改革初探

随着知识经济时代的到来和现代检验技术的发展，我省珠江三角洲发达地区检验技术发展快速，粤西、粤东、粤北等欠发达地区检验技术相对落后。特别是乡镇卫生院、社区医疗服务中心等基层医疗单位还欠缺检验技术人才。因此，应积极改革中专检验专业，为基层医疗单位培养初、中级检验技术人才。分析我校近几年检验毕业生就业情况，发现检验专业就业质揖不断提高，就业形式多样化，约有30％的学生到非医疗行业从事检验工作。因此，我们必须以就业为导向，深化医学检验专业教学改革，重整课程结构，调整培养目标．拓宽就业途径。     

某校中专新生HBsAg阳性调查分析

乙型病毒性肝炎是一种全球性疾病。根据WHO统计。全球有3.5亿乙肝毒携带者;而我国是乙肝病毒（HBV）感染的高发区,为加强学生乙肝检验和预防工作,现将我校六届新生5667人乙肝检验情况报告如下。     

成人检验大专《临床检验基础》教学改革初探

根据成人检验大专的特点改革教学模式，改革教学内容，实施讨论式、调研式和研究式等新教学方法，提高教学质量，全面推行素质教育。     

我校检验专业临床检验学近年考试成绩分析

目的对湛江卫生学校检验专业临床检验学近年来的考试成绩进行分析,探索新时期中专检验教学中存在的问题和改革方向。方法利用统计学方法对近年来6届检验学生临床检验学成绩进行方差分析、q检验等,研究近年来湛江卫生学校检验专业教学效果。结果湛江卫生学校检验专业教学质量不断提高,从1996检验班到1999检验班,临床检验成绩逐年提高,但从2001检验班到2003检验班,临床检验成绩急速下降。结论近两届检验学生成绩突然下降,除了和学生入学成绩低有关外,还与学生学习态度、教学条件、教学管理等因素有密切的联系。     

抗血小板抗体在系统性红斑狼疮血小板减少患者中临床意义的研究

Objective To evaluate the clinical significance of antiplatelet antibody in patients with systemic lupus erythematosus complicated with thrombocytopenia.Methods Antiplatelet antibody (anti-GP Ⅱb/Ⅲa antibody, anti-GP Ⅰb/Ⅸ antibody, anti-GP Ⅰa/Ⅱ a antibody, anti-GP Ⅳ antibody) were detected by modified antigen capture ELISA. The positive rate of antiplatelet antibody between SLE complicated with thrombocytopenia group and without thrombocytopenia group before therapy were compared,and the positive rate of antiplatelet antibody before therapy and after therapy in SLE complicated with thrombocytopenia were compared,and the relevance between antiplatelet antibody and conditions in SLE complicated with thrombocytopenia were analyzed. Rank test and Chi square test were used for statistical analysis. Results The positive rate of anti-GP Ⅱb/Ⅲa antibody and anti-GP Ⅰb/Ⅸ antibody in SLE complicated with thrombocytopenia group before therapy was 50% and 67% respectively, however,the positive rate in SLE without thrombocytopenia group before therapy was 11% and 28% respectively,there was significant difference between the two groups (P＜0.05) and the positive rate of anti-GP Ⅱb/Ⅲa antibody and anti-GP Ⅰb/Ⅸ antibody in SLE complicated with thrombocytopenia group after therapy was 6% and 28% respectively, which was significantly lower than those before therapy (P＜0.05). In SLE complicated with thrombocytopenia group before therapy, there was significant relevance between anti-GP Ⅱb/Ⅲ a antibody and anti-GP[b/Ⅸ antibody, and there was significant relevance between these two antibodies and SLEDAI score,but no significant relevance between these two antibodies and ANA,dsDNA, ANCA. Neither anti-GPⅣ antibody nor anti-GP Ⅰ a/Ⅱ a antibody was detected in patients of this study. Conclusion The positive rate of antiplatelet antibody (anti-GP Ⅱb/Ⅲ a antibody, anti-GP Ⅰb/Ⅸ antibody) is significantly higher in patients with active systemic lupus erythematosus complicated with thrombocytopenia,and these two antibodies are significantly associated with clinical outcomes.     

抗风湿药物与其他药物有无配伍禁忌

风湿病是一组以侵犯关节、骨骼、肌肉、血管等结缔组织为主的自身免疫性疾病。发病多较隐蔽而缓慢,病程较长,严重者可影响心、肺、肾、肝、脾等重要脏器,甚至威胁生命,且大多有遗传倾向。其诊断和治疗均有一定难度。治疗目标包括缓解症状、改善病情、恢复功能、提高生活质量,尽可能延长患者的生命。但是,在临床工作中,很多非风湿病专科的医生对抗风湿药物并不是很了解,