青光眼睫状体炎综合征反复发作对视网膜神经纤维层厚度及视野影响的研究

目的 观察青光眼睫状体炎综合征反复发作是否会对视网膜神经纤维层厚度及视野产生影响.方法 收集2014年7月—2016年7月在我院诊断为青光眼睫状体炎综合征且发作2次的患者16例,将其发病眼作为发作眼组,对侧眼列为对侧眼组,选取在我院健康体检者为正常对照组.在第1次及第2次发作眼压控制后3 d内及满3个月时均记录一般资料、眼部常规检查,并运用自动视野计行标准全视野检查,眼科相干光断层扫描仪行以视乳头为中心1.73 mm半径内不同象限视网膜神经纤维层厚度检查.结果 各组不同时间点视网膜神经纤维层厚度的比较差异无统计学意义(P>0.05);16例患者在反复发作后出现视野缺损和出现鼻侧阶梯或者旁中心暗点的患者均为0例(0眼).结论 青光眼睫状体炎综合征反复发作对视网膜神经纤维层厚度的改变不明显,但可能出现视野损害.     

低位胎头吸引术在头位难产中的应用

目的：分析和探讨低位胎头吸引术在孕妇阴道头位难产中的应用价值以及安全性。方法：在2008年1月-2010年1月期间，我院共接收了3321名产妇，其中已做低位胎头吸引术的产妇132例，约占4％，对她们的病历进行分析，作为观察组；采用随机数字表法抽取进行阴道顺产的产妇132例作为对照组，对比两组产妇产后的身体损伤程度及胎儿的各项指标。结果：胎头吸引术在我院分娩中占4％（约数），母体的损害常见软产道损伤，占10％（约数）。对新生儿的损害表现为头皮血肿、新生儿窒息及新生儿缺血、缺氧性脑病，占15％（约数）。结论：低位胎头吸引术在头位难产中起到的作用不容小视，操作简单易行，使用价值高，减少剖宫产率，但目前对母体及胎儿仍存在一定的损伤影响，有待进一步的探究及考证。     

不同性别肝炎患者心理健康状况比较

随着现代医学从单纯的生物医学模式向生物 心理 社会医学模式的转变 ,社会心理因素对疾病的发生、发展和预后的影响愈来愈受到人们的重视。我们对 1 1 8例病毒性肝炎住院患者进行问卷调查 ,旨在寻找男、女肝炎患者心理健康状况的差异。对象与方法一、研究对象以 2 0 0 0～ 2 0 0 1年期间我科住院病人中确诊的 1 1 8例肝炎病人为调查对象 ,符合以下条件者 :1 .年龄在 1 6～ 60岁 ;2 .近一周未服用精神药物 ;3 .初中以上学历 ;4.既往无精神病史现无合并其它心身疾病史 ;5 .愿意参加该心理测验 ;6 .急、慢性肝炎中不包括重症肝炎、肝硬化 ,均符…     

SARS流行期间武汉地区一线医护人员心理调查

目的对严重急性呼吸道综合征(SARS)流行期间武汉地区战斗在SARS一线的医护人员心理状况进行调查,以便能给予更有效的心理及社会干预.方法随机抽取武汉地区486名工作在SARS一线的医护人员,采用标准的焦虑自评量表(SAS)、抑郁自评量表(SDS)、以及社会支持评定量表(SSRS)进行自评问卷调查,数据结果采用SPSS10.0软件进行统计学分析.结果武汉地区SARS一线的医护人员SAS及SDS评分与中国常模比较,差别无显著性(P>0.05).但医护人员不同性别之间的SAS、SDS、及SSPS评分的统计学分析却有显著性差异(P<0.01).并且SAS及SDS的评分与SSPS的评分有高度的负相关性(P<0.01).结论 SARS流行期间,武汉地区SARS一线的医护人员总体上无明显的焦虑及抑郁心理情绪,但女性医护人员较男性在心理变化上可能更易产生焦虑及抑郁情绪的倾向,而且与其社会支持程度有一定的相关性,因此应当重点给予女性医护人员适当的心理干预及社会干预.     

改良显微小梁切除术治疗葡萄膜炎继发性青光眼

Objective To investigate the effect of trabeculectomy combined with segmental iridectomy, mitomycin C (MMC) and viscoelastic agents usage on the treatment of glaucoma secondary in uveitis. Methods According to the age, degree of inflammation and the condition of Tenon capsule of patients, differ-ent concentration of MMC (0.25-0.33 mg/ml) was used during the operation, with separation of the anterior and posterior synechia, resection of pupillary organization membrane using viscoelastic agents. Segmental iridec-tomy and releasable sutures were also performed on the patients. The visual acuity of preoperation and postoper-ation, intraocular pressure, inflammation and the complication were record. Results Forty-two eyes of 38 cases with glaucoma secondary in uveitis were studied, the mean follow-up time was (12.01±3.56) months. The postoperative visual acuity improved in 14 eyes, didn't change in 28 eyes. The postoperative inflammation of anterior chamber disappeared in 35 eyes, relieved in 7 eyes. And the average postoperative intraocular pres-sure (15.20± 4.64) mmHg was significantly lower than the preoperative intraocular pressure (38.37±12.93) mmHg (t = 8.255, P = 0.000). The total success rate was 92.9%. There were no severe complication. Conclusion Trabeculeetomy combined with MMC, viscoelastic agents usage, separation of anterior and poste-rior syneehia, segmental iridectomy and releasable suture could increase the success rate of operation on pa tients with glaucoma secondary in uveitis, decrease the complication and inflammation reaction of operation, and the recurrence of uveitis.     

病毒性肝炎患者SCL-90的相关调查

为探讨病毒性肝炎对患者心理健康状况的影响,用SCL-90(Symptom Checklist 90,SCL-90)量表对142例病毒性肝炎患者进行问卷调查.对象与方法以1999～2000年我院住院病人中确诊的142例病毒性肝炎病人为调查对象,并符合以下条件:年龄16～60岁;近一周未服用抗精神病药物;初中以上学历;既往无精神病史现无合并其他心身疾病史;愿意参加该心理测验;病毒性肝炎中不包括重症肝炎、肝硬化.男107例,女35例,平均年龄(31.72±10.17)岁;其中甲肝9例,乙肝85例、丙肝6例,戊肝4例,病原学未定者33例,乙肝合并甲肝2例,乙肝合并戊肝3例,均符合1995年中华传染病会议(北京)制定标准;已婚87人,未婚54人,离异1人;文化程度:博士后1人,硕士1人,大学(含大专)以上63人,高中(含中专)46人,初中31人;职业:干部27人,职员8人,教师12人,学生16人,工程师6人,翻译1人,医护人员4人,财会7人,公检法3人,商业服务4人,司机5人,工人32人,农民3人,个体1人,下岗人员13人.发出调查表150份,回收合格答卷142份.     

改良显微小梁切除术治疗葡萄膜炎继发性青光眼

Objective To investigate the effect of trabeculectomy combined with segmental iridectomy, mitomycin C (MMC) and viscoelastic agents usage on the treatment of glaucoma secondary in uveitis. Methods According to the age, degree of inflammation and the condition of Tenon capsule of patients, differ-ent concentration of MMC (0.25-0.33 mg/ml) was used during the operation, with separation of the anterior and posterior synechia, resection of pupillary organization membrane using viscoelastic agents. Segmental iridec-tomy and releasable sutures were also performed on the patients. The visual acuity of preoperation and postoper-ation, intraocular pressure, inflammation and the complication were record. Results Forty-two eyes of 38 cases with glaucoma secondary in uveitis were studied, the mean follow-up time was (12.01±3.56) months. The postoperative visual acuity improved in 14 eyes, didn't change in 28 eyes. The postoperative inflammation of anterior chamber disappeared in 35 eyes, relieved in 7 eyes. And the average postoperative intraocular pres-sure (15.20± 4.64) mmHg was significantly lower than the preoperative intraocular pressure (38.37±12.93) mmHg (t = 8.255, P = 0.000). The total success rate was 92.9%. There were no severe complication. Conclusion Trabeculeetomy combined with MMC, viscoelastic agents usage, separation of anterior and poste-rior syneehia, segmental iridectomy and releasable suture could increase the success rate of operation on pa tients with glaucoma secondary in uveitis, decrease the complication and inflammation reaction of operation, and the recurrence of uveitis.     

防疟大事不可疏忽

正2015年10月5日,瑞典卡罗琳医学院在斯德哥尔摩宣布,中国女性药学家、中国中医科学院中药研究所首席研究员屠呦呦因为发现了抗疟药物青蒿素而获2015年诺贝尔生理学或医学奖。这是中国科学家在中国本土进行的科学研究而首次获诺贝尔科学奖,是中国医学界迄今为止获得的最高奖项。青蒿素能有效降低疟疾患者的死亡率。至此,疟疾再度出现在公众的视野中。     

改良显微小梁切除术治疗葡萄膜炎继发性青光眼

Objective To investigate the effect of trabeculectomy combined with segmental iridectomy, mitomycin C (MMC) and viscoelastic agents usage on the treatment of glaucoma secondary in uveitis. Methods According to the age, degree of inflammation and the condition of Tenon capsule of patients, differ-ent concentration of MMC (0.25-0.33 mg/ml) was used during the operation, with separation of the anterior and posterior synechia, resection of pupillary organization membrane using viscoelastic agents. Segmental iridec-tomy and releasable sutures were also performed on the patients. The visual acuity of preoperation and postoper-ation, intraocular pressure, inflammation and the complication were record. Results Forty-two eyes of 38 cases with glaucoma secondary in uveitis were studied, the mean follow-up time was (12.01±3.56) months. The postoperative visual acuity improved in 14 eyes, didn't change in 28 eyes. The postoperative inflammation of anterior chamber disappeared in 35 eyes, relieved in 7 eyes. And the average postoperative intraocular pres-sure (15.20± 4.64) mmHg was significantly lower than the preoperative intraocular pressure (38.37±12.93) mmHg (t = 8.255, P = 0.000). The total success rate was 92.9%. There were no severe complication. Conclusion Trabeculeetomy combined with MMC, viscoelastic agents usage, separation of anterior and poste-rior syneehia, segmental iridectomy and releasable suture could increase the success rate of operation on pa tients with glaucoma secondary in uveitis, decrease the complication and inflammation reaction of operation, and the recurrence of uveitis.