狼疮性肾炎患者血浆内皮素与一氧化氮的关系

狼疮性肾炎（LN）是系统性红斑狼疮（SLE）累及肾脏所引起的肾炎，此为免疫复合物介导炎症。内皮素-1（ET-1）为血管收缩剂和细胞因子，可引起肾脏损害；而一氧化氮（NO）是血管舒张因子，可拮抗ET-1收缩血管的作用来保护肾脏，故ET-1和NO在LN发病中可能起重要作用。本研究检测了48例LN患者血浆ET-1和NO含量，探讨两者的关系。     

瑞芬太尼合用异丙酚麻醉高龄患者的临床观察

目的评价瑞芬太尼复合异丙酚静脉麻醉对高龄患者麻醉诱导和苏醒的影响。方法手术患者40例,随机平分为瑞芬太尼(R)组和芬太尼(F)组。观察全麻诱导及气管插管时的血压、心率,术毕停药后患者自主呼吸恢复、呼之睁眼、定向力恢复和离开恢复室(PACU)的时间。结果R组诱导时低血压和插管应激反应发生率低于F组,两组有显著性差异(P<0.05)。R组术后自主呼吸恢复、呼之睁眼、拔管、定向力恢复、离开恢复室的时间明显短于F组,两组有显著性差异(P<0.01)。结论与芬太尼比较,瑞芬太尼用于高龄患者麻醉诱导更加平稳,苏醒时间短。     

贵州省黔南州某医院女职工心理压力现状调查

目的了解贵州省黔南州某医院女职工心理压力状况,为探索有效的心理健康教育方式提供依据。方法对贵州省黔南州某医院2005年7月在册481名女职工心理压力来源和舒缓方式进行问卷调查。结果认为有心理压力的人有372人,占94.4%;来自工作压力最多,占69.0%;工作压力中最主要的是工作量大,占71.0%;家庭压力中主要是经济状况,占52.0%;最想舒缓心理压力的方法为找朋友聊天,占51.5%;认为最有利于疏导心理压力的方法是向朋友倾诉,占64.0%。结论医院女职工普遍存在心理压力,希望得到多方面的心理压力疏导和心理健康教育。     

农村贫困地区2002年至2006年县级卫生机构人员流动状况调查

Objective To probe into the HR development of healthcare professionals in poor rural areas. Methods 51 county-level healthcare institutions from 13 counties in six provinces were sampled to study the turnover from 2002 to 2006. Results The number of healthcare professionals per 1 000 population in the poor counties investigated was in average lower than that of counties in the same province; the inflow of personnel was higher than that of outflow. Of the inflow, 43. 50％ were fresh university graduates, and 40. 58％ were transferred from other organizations, 95.83％ have degrees of technical secondary schools and above, and 87. 17％ were healthcare professionals. 70. 44％ of the outflow were retirees, and 22. 33％ were transferred outside; 28. 00％ have only senior high school degrees or below, 69. 74％ were healthcare professionals. Conclusions The quality of healthcare personnel has been improved to some extent; but the risk of brain drain remains a challenge. An appropriate mechanism of personnel turnover should be built, and graduates from medical schools should be directed to reinforce healthcare teams in poor areas.     

产科DIC18例治疗体会

目的:探讨产科DIC的诊治体会.方法:将2000年至2006年经我院救治的产科DIC18例作一总结分析.结果:18例中17例治愈,治愈率94.4%,15例行全子宫切除术,1例子宫破裂导致羊水栓塞诱发DIC抢救无效死亡,新生儿存活13例.结论:早期明确诊断,及时正确治疗对减少病死率至关重要.以抢救产妇的生命为主.及时终止妊娠.     

农村贫困地区2002年至2006年县级卫生机构人员流动状况调查

Objective To probe into the HR development of healthcare professionals in poor rural areas. Methods 51 county-level healthcare institutions from 13 counties in six provinces were sampled to study the turnover from 2002 to 2006. Results The number of healthcare professionals per 1 000 population in the poor counties investigated was in average lower than that of counties in the same province; the inflow of personnel was higher than that of outflow. Of the inflow, 43. 50％ were fresh university graduates, and 40. 58％ were transferred from other organizations, 95.83％ have degrees of technical secondary schools and above, and 87. 17％ were healthcare professionals. 70. 44％ of the outflow were retirees, and 22. 33％ were transferred outside; 28. 00％ have only senior high school degrees or below, 69. 74％ were healthcare professionals. Conclusions The quality of healthcare personnel has been improved to some extent; but the risk of brain drain remains a challenge. An appropriate mechanism of personnel turnover should be built, and graduates from medical schools should be directed to reinforce healthcare teams in poor areas.     

上海市闵行区中小学生午餐行为及膳食营养状况

了解上海市闵行区中小学生午餐膳食营养状况和对午餐的满意度,为开展学生营养干预、改善学生午餐膳食营养提供依据.方法 采用随机整群抽样方法,抽取上海市闵行区10所中小学三~九年级学生3 978名,开展学校食堂供应午餐满意度问卷调查;采用食物称重法,对其中2所学校一~九年级1 154名中小学生开展调查.结果 小学生蔬菜类、大豆及其制品和中学生粮食类、蔬菜类、大豆及其制品摄人量均明显低于推荐值.小学生与中学生午餐中能量、蛋白质、钙、锌、维生素A、维生素B1和维生素B2实际摄入量低于推荐值;中学生铁、硒、磷摄入也低于推荐值.三大营养素实际摄入能量来源比中,碳水化合物偏低,脂肪偏高,蛋白质适宜.50.7%的中小学生不喜欢学校食堂提供的午餐.结论 中小学生午餐膳食结构和营养质量较推荐量标准还有很大差距.学校应加强营养教育并配备专职营养师,指导、督促学校食堂严格执行膳食营养标准,改善午餐质量.     

下肢深静脉血栓形成护理干预体会

目的探讨下肢深静脉血栓形成（DVT）的预防护理措施。方法将我院收治的50例下肢DVT的高危患者进行系统的护理,总结护理经验。结果本组50例经预防护理后,无一例患者发生DVT,均获得痊愈出院。全部病例均随访5个月,院外未发生下肢DVT。结论积极全面的预防护理能有效的避免下肢DVT,值得重视。     

超早期小骨窗微创脑出血清除术治疗高血压脑出血的效果

目的:研究超早期小骨窗微创脑出血清除术治疗高血压脑出血的效果。方法:纳入本次研究的94例高血压脑出血患者来源于某院2017年3月～2019年3月收治,根据患者病情发作至接受手术治疗期间的时间长短平均分为观察组与对照组,两组在治疗方法上保持一致,观察组为脑出血发生后6h内接受小骨窗微创出血清除术治疗,对照组则是在病情出现6h后接受治疗。结果:两组在总疗效方面,观察组91.49%高于对照组53.19%,组间差异具有统计学意义(P0.05);两组在手术时间、血肿清除率、住院时间以及并发症发生率等临床指标方面,观察组优于对照组,且组间差异均具统计学意义(P0.05)。结论:超早期小骨窗微创脑出血清除术治疗高血压脑出血的效果显著,值得临床应用。