心理干预治疗抑郁症的临床疗效观察

目的：评价心理干预对抑郁症的临床疗效。方法：将60例符合CCMD-3诊断标准的抑郁症患者随机分为心理干预组（观察组）和对照组（单用抗抑郁剂治疗组）。于干预前后用HAMD量表和护士用住院患者观察量表（NOSIE）对患者的病情进行观察评定。结果：观察组患者临床症状的改善、生活能力和社会适应能力的提高显著优于对照组。结论：心理干预对抑郁症患者的康复有较好的疗效。     

梅毒血清学试验三种方法比较评价

目的 用3种不同的血清学方法,对治疗前后的梅毒患者进行检查,并对各项试验之间的相互关系和应用价值进行分析评价.方法 对20例梅毒患者血清采用梅毒螺旋体血凝试验(TPHA)、酶联免疫吸附试验(ELISA)、胶体金免疫层析法(GICA)3种不同的血清学方法进行对比检测.结果 3种方法TPHA、GICA、ELISA对血清检测结果用x2检验统计,TPHA与GICA比较,两者差别无统计学意义;TPHA与ELCA比较,两者差别无统计学意义.两种方法TPHA与ELISA对血清梅毒检测其结果的相关性,用S/CO值与TPHA的滴度比较用相关系数检测,两值者呈正相关,ELISA的S/CO随TPHA滴度的增高而增高.结论 用GICA对梅毒进行筛选,ELISA双抗原夹心法对梅毒进行确诊,并用ELISA结合TPHA进行疗效判断,是较为理想的血清学实验组合.     

舍曲林与氯丙咪嗪治疗阿尔茨海默病所致抑郁症对照研究

目的 为探讨舍曲林治疗阿尔茨海默病所致押郁志者的临床疗效及安全性,与氯丙嗪进行对照研究.方法 66例AD病致抑郁患者,随机分为两组,实验组舍曲林口服,对照组与氯丙咪嗪口服治疗,采用汉密尔顿抑郁量表于治疗前和治疗后2、4、6、8周末分别评定疗效,井对比两药不良反应.结果 实验组起效快,不良反应少.结论 舍曲林治疗AD所致抑郁症疗效显著,不良反应少,适合AD病所致抑郁症患者使用.     

纤溶酶联合阿斯匹林治疗频发短暂性脑缺血发作90例分析

对我院2004—05～2006—05住院的频发短暂性脑缺血（TIA）应用纤溶酶联合阿斯匹林治疗90例分析如下。     

三种蛋白染色方法在SDS-聚丙烯酰胺凝胶电泳中的应用

目的：比较ＳＤＳ－聚丙烯酰胺凝胶电泳（ＳＤＳ－ＰＡＧＥ）中蛋白染色的３种方法。方法：将ＳＤＳ－ＰＡＧＥ中的蛋白分别用银染、同染和考马斯亮蓝染色,并对铜染或考马斯亮蓝染色后的蛋白进行相应的复染。结果：快速银染法灵敏度最高,但操作步骤繁琐,染色时间约５０ｍｉｎ;考马斯亮蓝染色灵敏度最低,需染色和脱色,时间约为１ｈ;铜染灵敏度介于银染和考马斯亮蓝染色之间,但染色时间仅５ｍｉｎ,不需脱色,且可直接用考马斯亮蓝或快速银染法复染。结论：用ＳＤＳ－ＰＡＧＥ进行蛋白检测时,铜染可作为蛋白快速分析的首选方法。     

郑州部分医疗机构口腔器械消毒灭菌现状调查

目的 探索郑州部分医疗机构口腔器械消毒灭菌的现状。方法 采用方便抽样方法抽取郑州市各级医疗卫生机构进行口腔消毒管理及口腔器械消毒灭菌状况进行调查,采用描述性分析方法对医疗机构口腔器械消毒灭菌合格情况进行分析。结果 本研究共对9家一级医院、4家二级医院、1家三级医院的器械消毒情况开展调查。不同级别的医疗机构的扩大钳、正畸钳消毒灭菌合格率差异无统计学意义（均P>0.05）。个体诊所的车针、扩大钳、拔牙钳、洁牙机以及印模托盘等医疗器械的消毒灭菌合格率明显低于三级医院、二级医院以及一级医院的车针、扩大钳、拔牙钳、洁牙机以及印模托盘等医疗器械的消毒灭菌合格率（均P<0.05）。三级医院和二级医院的使用中消毒剂合格率均为100%,一级医院的合格率为90.00%,个体诊所合格率为88.46%,但差异无统计学意义（P>0.05）。各级别医疗机构使用中医疗器械的乙型肝炎表面抗原检出率差异无统计学意义（P>0.05）,但均有较高的检出率。消毒后个体诊所的乙型肝炎表面抗原检出率为4.17%,明显高于其他级别医疗机构的乙型肝炎表面抗原检出率,不同级别医疗机构医疗器械乙型肝炎表面抗原检出...     

北京城、郊区儿童哮喘及相关过敏疾患的室内环境因素比较

Objective To study the indoor environmental factors associated with the prevalence of asthma and related allergies among school children.Methods A cluster sampling method was used and the ISAAC questionnaire was conducted.A total of 4612 elementary students under Grade Five of 7 schools were enrolled in the survey for the impact of indoor environmental factors on the prevalence of asthma and related allergies in several urban and suburban schools of Beijing.Results A total of 4060 sample were finally analyzed including 1992 urban and 2068 suburban.The prevalence of wheeze, allergic rhinoconjunctivitis and atopic eczema in the past 12 months was 3.1% (61/1992) ,5.3% (106/1992) ,1.1% (22/1992) among urban children while 1.3% (27/2068) ,3.1% (65/2068), 1.0% (22/2068) among suburban children respectively.The prevalence of wheeze and allergic rhinoconjunctivitis of the past 12 months in urban were both significantly higher than that in suburban ( χ2 = 14.77, 11.93, P ＜ 0.01 ).The incidences of having asthma and eczema ever among urban children (5.3% (105/1992) ,29.4% (586/1992))were significantly ( χ2 = 39.03, 147.22, P ＜ 0.01 ) higher than that among suburban ( 1.7% ( 35/2068 ), 13.8%(285/2068)).Atlthough the distributions of indoor environmental factors were similar in both areas, passivesmoking and interior decoration had different influence on the prevalence of asthma and related allergies among school children in the two areas.The significant impact of passive smoking on having asthma ever among suburban children was observed ( OR = 2.70,95% CI = 1.17 - 6.23 ) while no significant result in urban ( OR = 1.06,95% CI = 0.71 - 1.58 ); the percentage of interior decoration was 84.0% ( 1673/1992 )among urban children and 80.0% (1655/2068)among suburban children, there was significant impact of interior decoration on the prevalence of having eczema ever among urban children ( OR = 1.57,95% CI =1.17-2.10) but no significant results were found in suburban sample (OR= 1.06,95% CI =0.76-1.48).Conclusion The prevalence of asthma and related allergies among school children is much higher in urban areas than that in suburban areas and the indoor environmental factors such as passive smoking and interior decoration may differently explain the prevalence of asthma and related allergies in the two areas.     

老年患者尿流动力学检查的护理配合体会

尿动力学检查是研究尿路输送、储存、排出尿液的功能及其功能障碍性疾病的一项技术，对于老年排尿功能障碍性疾病的诊断、鉴别诊断、治疗方法的选择、疗效的判定及分析术后并发症的原因等均具有重要的参考价值，已成为泌尿外科临床工作中的常规检查技术之一。我院自2005年开始开展此项检查。现将检查过程中护理配合总结如下。     

甲状舌管囊肿超声表现1例

患女，8岁。主因发现颈前区肿物，反复肿胀5年余入院。体格检查：颈前区正中有一肿物，直径2cm左右，质软，边界不清，与周围软组织无粘连，吞咽时肿物上下移动，无压痛。B超检查：伤脑筋AU-6探头，探头频率8MHz。