可视化针刺治疗肱骨外上髁炎临床观察

目的 使用小针刀治疗网球肘,分析超声监测下小针刀针刺肘关节附近结筋病灶点治疗疾病的临床效果。方法 将60例患者采用随机数字表法分为超声监测下针刺经筋组（针刺结筋病灶点）和非超声监测下针刺经筋组。两组在肱骨外髁、曲池次、泽前次、泽下次、手三里次进行超声监测或非超声监测针刺。通过HSS2肘关节评分、疼痛视觉模拟量表对治疗方法进行对比评价。结果 两种方法对肱骨外上髁炎都起到治疗效果,以超声监测下针刺经筋组效果显著。结论 用超声监测针刺肘关节周围结筋病灶点治疗肱骨外上髁炎更安全,针刀操作更有针对性,效果确切,能够有效缓解患者疼痛症状。     

中国成年人高血压患病区域聚集性及危险因素的多水平模型分析

Objective To analyze the region cluster and risk factors of hypertension in the Chinese adult population and to explore the application of multilevel regression model in the risk factors of hypertension. Methods Multi-stage random sampling technique was used to choose 15 540 individuals aged 35-74 years from 10 regions in China. Two-level logistic regression models were fitted under MLwiN 2.02 software. Results The region cluster of hypertension existed and variance portion coefficient was 3.1%. After adjusting for the age and gender, overall obese people (BMI≥28 kg/m2) were 4.50(95%CI: 4.00-5.06) times, overweight people (BMI=24-27.9 kg/m2) were 2.26 (95%CI: 2.07-2.46) times more likely to be hypertensive as compared with those of normal BMI (18.5-23.9 kg/m2), and those centrally obesive people (Waist circumference≥85 cm in male or 80 cm in female) were 2.62 (95%CI: 2.42-2.83) times more likely to be hypertensive as compared with those of normal WC. The age-and gender-adjusted odds ratios (Ors) of triglyceride (TG), serum total cholesterol (TC), glucose, low-density lipoprotein cholesterol (LDL-C) , high-density lipoprotein cholesterol (HDL-C) and drinking alcohol were 2.10 (95% CI: 1.89-2.33) , 2.08 (95% CI: 1.84-2.35) , 1.85 (95% CI: 1.60-2.14) , 1.58 (95% CI: 1.38-1.81), 1.49(95%CI: 1.32-1.69) and 1.15(95%CI: 1.05-1.27), respectively. Conclusion The prevalence of hypertension was not only affected by individual risk factors, such as obesity, drinking alcohol, abnormal glucose and serum lipids profile, but also affected by the geographic environment where people resided in. Population-and risk factors targeted strategies, proved a promising way to reduce individual risk of hypertension in the primary prevention of hypertension.     

中国成年人高血压患病区域聚集性及危险因素的多水平模型分析

Objective To analyze the region cluster and risk factors of hypertension in the Chinese adult population and to explore the application of multilevel regression model in the risk factors of hypertension. Methods Multi-stage random sampling technique was used to choose 15 540 individuals aged 35-74 years from 10 regions in China. Two-level logistic regression models were fitted under MLwiN 2.02 software. Results The region cluster of hypertension existed and variance portion coefficient was 3.1%. After adjusting for the age and gender, overall obese people (BMI≥28 kg/m2) were 4.50(95%CI: 4.00-5.06) times, overweight people (BMI=24-27.9 kg/m2) were 2.26 (95%CI: 2.07-2.46) times more likely to be hypertensive as compared with those of normal BMI (18.5-23.9 kg/m2), and those centrally obesive people (Waist circumference≥85 cm in male or 80 cm in female) were 2.62 (95%CI: 2.42-2.83) times more likely to be hypertensive as compared with those of normal WC. The age-and gender-adjusted odds ratios (Ors) of triglyceride (TG), serum total cholesterol (TC), glucose, low-density lipoprotein cholesterol (LDL-C) , high-density lipoprotein cholesterol (HDL-C) and drinking alcohol were 2.10 (95% CI: 1.89-2.33) , 2.08 (95% CI: 1.84-2.35) , 1.85 (95% CI: 1.60-2.14) , 1.58 (95% CI: 1.38-1.81), 1.49(95%CI: 1.32-1.69) and 1.15(95%CI: 1.05-1.27), respectively. Conclusion The prevalence of hypertension was not only affected by individual risk factors, such as obesity, drinking alcohol, abnormal glucose and serum lipids profile, but also affected by the geographic environment where people resided in. Population-and risk factors targeted strategies, proved a promising way to reduce individual risk of hypertension in the primary prevention of hypertension.     

组织支持感、心理资本与医生工作绩效和抑郁倾向的关系及作用研究

目的:阐明组织支持感、心理资本与医生工作绩效和抑郁倾向的关系及作用,为提高医生工作绩效,降低抑郁倾向发生率提供科学依据。方法:采用多阶段随机抽样的方法对辽宁省7所三级和二级甲等医院的1000名医生进行匿名问卷调查,问卷包括组织支持感量表、心理资本量表、工作绩效量表和流调用抑郁自评量表。结果:组织支持感可解释医生工作绩效变异的6.8%,心理资本作为中介变量可解释工作绩效变异的26.2%;组织支持感可解释医生抑郁倾向变异的13.3%,心理资本作为中介变量可解释抑郁倾向变异的15.4%。结论:组织支持感及心理资本均对工作绩效和抑郁倾向有预测作用,心理资本在组织支持感与工作绩效的关系和在组织支持感与抑郁倾向的关系中起不完全中介作用。     

河南省在业人口文化素质与经济发展分析

目的：分析河南省在业人口文化素质及对经济发展的影响。方法：应用SAS软件对河南省第3、4及5次人口普查资料和相关资料进行分析。结果：2000年河南省在业人口中,受过大专及以上教育的占3．35％,与1990年相比提高了近2倍;与1990年相比,科研人员的比重提高了13倍多;在业人口人均国民生产总值为8792元。结论：河南省在业人口文化素质不断提高,但与全国相比．河南省在业人口文化素质偏低,经济运行效率不高。     

尤瑞克林对急性脑梗死大鼠保护作用及机制研究

目的 探讨动脉泵入尤瑞克林(HUK)对急性脑梗死大鼠的保护作用及机制。方法 将30只大鼠随机分为假手术组(Sham组)、大脑中动脉闭塞(MCAO)组、HUK组,每组各10只。MCAO组建立永久性MCAO大鼠模型。HUK组建立MCAO模型后经动脉泵入HUK。比较各组大鼠神经功能缺损评分、梗死体积、组织病理学变化,以及神经损伤标志物(S-100β、NSE)水平变化。分析HUK对MCAO大鼠SREBP2/DDAH1/ADMA信号通路的影响。结果 MCAO组大鼠神经功能缺损评分明显高于Sham组与HUK组,差异有统计学意义(P<0.05)。MCAO组大鼠梗死体积高于HUK组,差异有统计学意义(P<0.05)。MCAO组大鼠海马神经元表现为严重的损伤,HUK组神经元损伤明显逆转。MCAO组大鼠大脑组织神经损伤标志物S-100β和NSE蛋白表达高于Sham组与HUK组,差异有统计学意义(P<0.05)。MCAO组大鼠大脑组织ADMA蛋白表达高于HUK组与Sham组,SREBP2、DDAH1蛋白表达低于HUK组与Sham组,差异有统计学意义(P<0.05)。结论 HUK通过S...     

三城市医院流产妇女避孕知识的干预研究

目的:探讨两种干预方案对流产妇女避孕知识、态度的影响及其影响因素。方法:采取以医院为基础的干预性实验研究方法。结果:接受全面干预的人群避孕知识得分(9分)高于接受基本干预(7分)的人群(Z=16.6,P<0.01)和干预前(8分)的人群(Z=12.7,P<0.01);接受基本干预的人群避孕知识得分不比干预前高(Z=1.5,P=0.14)。全面干预组流产后愿意使用和准备使用避孕套避孕的比例最高,三组比较差异有统计学意义。Logistic回归分析结果表明,去除了其它变量对避孕知识得分的影响后,年龄越大、出生在城市、女方及其男伴教育水平越高和接受全面干预的人群避孕知识得分也越高。结论:提供流产后计划生育服务的全面干预能提高流产妇女的避孕知识水平和避孕药具使用率;年龄、本人及男伴文化程度和出生地是避孕知识的影响因素。     

慢性肾功能衰竭患者心力衰竭的原因及治疗

一、ESRD患者心力衰竭的发病 慢性肾功能衰竭(CRF)患者心血管疾病的死亡率较一般人群高10～30倍,为终末期肾衰(ESRD)的第一死亡原因。ESRD患者的心力衰竭具有高发生率和高死亡率的特点,据报道维持透析的患者的充血性心力衰竭发生率高达41～50％,心衰死亡率可高达40％。ESRD患者左室功能不全常见,表现为两种情况,一是左室泵血功能的贮备减少或收缩功能不全;二是正常射血分数伴左