浅谈肿瘤病人的心理治疗

浅谈肿瘤病人的心理治疗杨晓辉，蒙硕１５００４０黑龙江省哈尔滨市第五医院由于群众中普遍存在着癌症是“不治之症”的看法，所以肿瘤病人极易产生恐惧心理，常处于消极、悲观、绝望的境地，这势必影响病人的预后。因此，在临床上必须重视肿瘤病人的心理治疗。首先，要为...     

经皮侧后路椎间孔镜下髓核摘除术治疗青少年腰椎间盘突出症的疗效与安全性分析

[目的]探讨经皮侧后路椎间孔镜下髓核摘除术治疗青少年腰椎间盘突出症的疗效与安全性.[方法]选自本院于2013年5月至2015年5月期间收治的青少年腰椎间盘突出症患者72例.依据随机数字表法分为观察组和对照组,各36例.对照组采用传统手术方法治疗,观察组采用经皮侧后路椎间孔镜下髓核摘除术治疗.[结果]观察组治疗总有效率(86.11％)高于对照组(63.89％)(P<0.05);观察组手术切口长度短于对照组,术后下床活动时间快于对照组,住院时间短于对照组,手术时间短于对照组,均有统计学差异(P<0.05);两组VAS评分术后3d、术后1个月、术后6个月、术后12个月下降(P<0.05);观察组VAS评分术后3d、术后1个月、术后6个月、术后12个月低于对照组(P<0.05);两组JOA评分术后3 d、术后1个月、术后6个月、术后12个月增加(P<0.05);观察组JOA评分术后3 d、术后1个月、术后6个月、术后12个月高于对照组(P<0.05).[结论]经皮侧后路椎间孔镜下髓核摘除术治疗青少年腰椎间盘突出症的疗效显著,安全性良好,具有重要研究意义.     

米非司酮联合利凡诺在瘢痕子宫中期妊娠引产中的应用

我们对孕16~26周有瘢痕子宫的引产对象应用米非司酮联合利凡诺取得较好的临床效果,总结如下。1对象和方法1.1对象选择我院2000-09~2005-11因孕16~26周、既往有剖宫产史或子宫肌瘤剔除术病史、要求终止妊娠的孕妇60例,随机分为观察组和对照组,所有对象经检查均无利凡诺和米非司酮用药禁忌证,观察组年龄(27.55±3.32)岁,孕周(23.42±2.52)周,剖宫产前有阴道分娩史者4例,对照组年龄(26.78±3.12)岁,孕周(23.12±1.98)周,剖宫产前有阴道分娩史者3例,两组对象均无剖宫产或子宫手术后阴道分娩史,比较两组一般资料,差异无显著性(P>0.05)。1.2方法…     

胫骨骨折三种内固定方法的临床疗效分析

我院骨科2005年6月～2007年10月手术治疗,胫骨骨折 318例,其中加压钢板110例,改良外固定疗效分析如下:     

案例教学法在卫生化学课程中的应用

随着现代社会的快速发展和科学技术的不断进步,传统的教学方法已经不能满足高等教育教学的需求,这就要求高校教师寻找适应学生发展的多种教学方法,案例教学法就是其中之一。案例教学法(Case method)又称"苏格拉底式教学法"(Socraticmethod),是美国法学教育中最主要的教学方法[1]。所谓案例教     

护理干预在预防重症监护室医院感染中的作用

重症监护室患者病情较重,不能自理,多伴吞咽障碍、多器官功能衰竭等,是医院感染的重点科室.为降低医院感染发生率,我们制订了一系列措施,通过积极的护理干预,预防了重症监护室医院感染暴发流行.现报告如下. 1 加强人员培训 科室每月组织学习医院感染相关知识、预防医院感染措施等.同时,加强全科人员的职业道德教育,自觉遵守各项规章制度和规范.     

Prolift网片与聚丙烯网片在全盆底重建治疗中的对比

BACKGROUND: A large number of studies focused on mesh application in the whole pelvic floor reconstructive surgery, but the comparative research on the Prolift mesh and polypropylene mesh (Gynemesh) in the whole pelvic floor reconstruction is rarely reported. OBJECTIVE: To compare the Prolift mesh with Gynemesh in the whole pelvic floor reconstructive surgery. METHODS: Totally 90 female patients with pelvic organ prolapse were enrolled, aged 40 to 80 years old, and were randomly divided into Prolift group and Gynemesh group, who were subjected to full pelvic floor reconstruction with Prolift mesh or Gynemesh, respectively. Afterwards, operation time, intraoperative blood loss, postoperative vaginal bleeding, hematoma, local paresthesia, urinary retention, overactive bladder, residual urine, postoperative incision infection, mesh exposure and postoperative quality of life were compared in two groups. RESULTS AND CONCLUSION: No hematoma, local paresthesia, urinary retention and rejection reactions appeared in both two groups. The operation time, intraoperative blood residual urine, length of stay, catheter retention time had no significant differences between two groups. In the Prolift group, one case had a small amount of vaginal bleeding, one case had overactive bladder, five cases had mesh exposure at the anterior wall of vaginal, and two cases had light stress urinary incontinence; in the Gynemesh group, no vaginal bleeding, overactive bladder and stress urinary incontinence occurred, but four cases had mesh exposure at the anterior wall of vaginal. Additionally, the scores on the quality of life in the two groups at the last follow-up were significantly lower than those before surgery (P < 0.05), but there was no significant difference between the two groups (P > 0.05). These results demonstrate that both Prolift system and Gynemesh are safe and effective for the whole pelvic floor reconstruction, resulting in few postoperative complications. Patients can quickly recover, and obtain satisfactory outcomes.     

健康促进的社会市场营销学学习班在京举行

在北京市卫生局基层卫生处的领导下,北京市心防办特邀澳大利亚Ｎｅｗｃａｓｔｌｅ大学健康促进系的Ｊｏｈｎ．Ｗｉｇｇｅｒｓ教授来京办班讲学。Ｊｏｈｎ．Ｗｉｇｇｅｒｓ教授同时也是Ｎｅｗｃａｓｔｌｅ猎人健康发展中心的研究人员,既拥有丰富的健康促进理论知识,又有...