太原城区健康成人血清总蛋白及清蛋白参考范围调查

目的 调查太原城区健康人群血清总蛋白(TP)及清蛋白(ALB)参考范围.方法 在全自动生化分析仪上对太原地区710名健康成人的血清TP及ALB水平进行检测,其中TP检测采用双缩脲法,ALB检测采用溴甲酚紫法.结果 TP参考范围为(69.92±8.79)g/L,ALB参考范围为男性(45.95±5.78)g/L,女性(44.59±5.84)g/L.男、女性血清TP及ALB水平均随年龄增长呈现降低的趋势.结论 太原城区健康人群血清TP及ALB参考范围存在性别、年龄的差异,建议各实验室根据性别、年龄建立各自的参考范围.     

Estimation of paracrine signaling using quantitative RT-PCR from multiple patchy lesion samples

We investigated whether correlations between mRNA levels of cytokines versus other proteins from patchy lesion could estimate cytokine paracrine signaling in vivo. Experiments with rat experimental autoimmune myocarditis (EAM), a patchy myocarditis model, indicated IL-1 and other protein levels were correlated, indicating paracrine signaling pathways in vivo.     

‘Struggling to be an insider’: a phenomenological design of new nurses’ transition

Aims and objectives. To obtain a comprehensive understanding of the transition process of new nurses in Taiwan. Background. The transition period for new nurses can be a daunting and traumatic experience. The large number of newly graduated Taiwanese nurses who resign from their jobs within three months indicates that this process can be complicated. However, the problems associated with the experiences of new nurses have not yet been recognised. Design. We adopted a phenomenological design using focus group interviews. Methods. Sixteen new nurses (less than one year working experience) participated in eight weekly group interviews lasting two hours each to grasp their experience of ‘being new’. Interview data were analysed according to Sloan’s (2002) three moments, and the whole process of analysis followed the suggestions of Agar (1986) , which was performed in a close collaboration between researchers until the consensus about the findings could be reached. Results. The overarching pattern of the transition process of new nurses becoming experienced members of the clinical nursing team was revealed as a journey of ‘struggling to be an insider’. This phenomenon was characterised by four themes, including (1) ‘being new as being weak’, (2) ‘masking myself’, (3) ‘internalising the unreasonable’ and (4) ‘transforming myself to get a position’. Conclusions. While Western culture view abusive indoctrination of new nurses as toxic behaviour, under the Chinese traditions of yield, tolerance and self‐oppression, following the power hierarchy and seeking harmony, the transition of new nurses is interpreted differently. Relevance to clinical practice. Recognition of the journey of ‘struggling to be an insider’ helps nurse administrators to (1) gain a better understanding of what new nurses encounter in their transition process, (2) help new nurses without harm, (3) improve in‐service training programmes and (4) retain future nurses.     

侧卧位徒手气道开放置胃管法在重症脑卒中患者的应用

目的探讨适用于重症急性脑卒中昏迷伴舌后坠、颅内压增高患者的胃管置入方法。方法将90例重症急性脑卒中昏迷患者分为3组各30例,观察组采用侧卧位徒手开放气道法,对照1组采用侧卧位置管法,对照2组采用侧卧位拉舌法,比较3组患者1次置管成功情况、不良反应程度和舌损伤情况。结果1次置管成功率,观察组高于对照1组（P<0.01）,与对照2组比较差异无统计学意义（P>0.05）;不良反应程度,观察组低于对照2组（P<0.01）,与对照1组比较差异无统计学意义（P>0.05）;舌损伤情况,观察组低于对照2组（P<0.05）,与对照1组比较差异无统计学意义（P>0.05）。结论侧卧位徒手气道开放置胃管法,用于重症脑卒中昏迷伴舌后坠、颅内压增高患者,成功率高、刺激小、损伤轻,值得临床推广。     

泥灸治疗软组织疼痛病人的疗效观察及护理

软组织疼痛是由急性损伤后、慢性劳损、退行性病变、代谢物质滞留所致无菌性炎症刺激粘连压迫神经而引起。常用按摩、药物、局部封闭等方法来治疗,虽然有效,但疗效不持久,易短期复发,影响病人的生存质量。2009年我院疼痛科运用泥灸疗法配合针灸、拔火罐治疗软组织疼痛,并进行护理干预,疗效满意。