自拟祛瘀化癥汤保留灌肠治疗慢性盆腔炎的疗效观察

[目的]观察自拟祛瘀化癥汤保留灌肠治疗慢性盆腔炎的疗效。[方法]将80例慢性盆腔炎病人随机分为对照组和观察组,每组40例,对照组口服桂枝茯苓丸,观察组采用自拟祛瘀化癥汤保留灌肠。比较两组病人治疗效果及观察组病人治疗前后症候积分情况。[结果]观察组总有效率为87.5%,对照组为47.5%,观察组总有效率高于对照组（P〈0.05）;观察组病人治疗后痛经症状、伴随症状和局部体征积分均较治疗前改善（P〈0.05）。[结论]自拟祛瘀化癥汤保留灌肠治疗慢性盆腔炎效果优于口服桂枝茯苓丸。     

早期结肠癌低张气钡双对比造影检查与纤维结肠镜对比分析

目的:对于早期结肠癌的检查,通过低张气钡双对比造影(DCBE)图像与纤维结肠镜检查图像对比观察,分析气钡双对比结肠造影在检出早期结肠癌中的价值。方法:20例经病理证实早期结肠癌病例,采用低张气钡双对比造影方法,实时点片。常规纤维结肠镜检查。结果:Ⅰ型11例,Ⅱa型6例,混合型1例,LST型2例,对比观察造影像及内镜像表现。结论:正确运用气钡双对比造影检查,对早期结肠癌的显示有较大价值。     

盆腔消癥灌肠液对小鼠抗炎镇痛作用的实验研究

目的观察盆腔消癥灌肠液对小鼠的抗炎及镇痛作用。方法选取小鼠48只,随机分为空白对照组、盆腔消癥灌肠液高剂量组、盆腔消癥灌肠液低剂量组、妇炎康片组。空白对照组灌肠生理盐水,其余各组分别给予相应剂量的药液,连续3d。小鼠右耳两面涂二甲苯致肿,左耳不涂,取双耳同一部位的圆片称重,计算比较各组肿胀度。选取大鼠40只,同法随机分四组,连续给药5d,右后足跖部皮下注射10%新鲜鸡蛋清后1-6h分别测量其体积,计算比较各组肿胀度,观察该药的抗炎作用;选取雌性小鼠48只,热板法测量小鼠的痛阈值。同法随机分四组,空白对照组灌服生理盐水,其余各组给予相应剂量的药液,连续3d,计算比较各组的痛阈值和舔足次数变化,观察该药的镇痛作用。结果盆腔消癥灌肠液能明显抑制二甲苯致小鼠耳廓肿胀,与空白组及妇炎康片组相比,盆腔消癥灌肠液高、低剂量灌肠组能显著降低小鼠耳廓肿胀度（P〈0.05）;大鼠足跖肿胀实验中,5h时高剂量灌肠组、低剂量灌肠组与妇炎康片组比较差异有统计学意义（P〈0.05）,与空白组及妇炎康片组相比,盆腔消癥灌肠液对小鼠痛阈值影响不明显（P〉0.05）。结论盆腔消癥灌肠液对小鼠有明显的抗炎作用,镇痛效果不明显。     

Facilitating the quality of care in a specialist Pacific ophthalmic nursing workforce

DU TOIT R., HUGHES F., MASON I. & TOUSIGNANT B. (2011) Facilitating the quality of care in a specialist Pacific ophthalmic nursing workforce. International Nursing Review 58 , 79–88 Background: Sufficient, appropriately trained health personnel need to be retained in the workforce, and their performance maintained, to achieve quality care. Mid‐level ophthalmic personnel in Western Pacific Island Countries and Territories (WPICT) are no exception. Aim: The study aims to assess influences on the quality of care provided by specialist mid‐level ophthalmic personnel in WPICT and devise strategies to train, retain and maintain performance of these personnel. Methods: A situational assessment employed a checklist and semi‐structured interviews with specialist mid‐level ophthalmic personnel, nursing bodies and Ministry of Health representatives from seven WPICT. A selective literature review guided strategies to address the issues identified. Results: Appropriate training allows nurses to fulfill a mid‐level role in WPICT as specialist ophthalmic nurses. Resources generally do not restrict practice. Nursing structures have generally failed to support professionalism: scope and conditions of service, clinical supervision, career structures, professional recognition and opportunities for continuing professional development are rudimentary. Ophthalmic nurses were dissatisfied with the lack of specialty recognition, career progression and salary increase. Regional and local strategies tailored to each country have been devised to establish sustainable processes for support. Conclusion: Salary was a major cause of dissatisfaction. It should be addressed along with professional recognition and related processes. Without professional support, specialist and advanced cadres within nursing may cease to exist, nurses' performance may be affected or they may leave. Specialist ophthalmic nursing, recognized, situated within and properly supported by nursing structures can provide a model for specialist clinical care for other specialties and in other countries.     

通腑泻下法干预危重症患者胃肠功能障碍的临床研究

目的 观察通腑泻下中药灌肠对危重症患者胃肠功能障碍(GIDF)的影响并探讨其机制.方法 将74例危重症患者随机分为对照组及治疗组各37例.其中治疗组女14例,男23例,平均年龄(71.76±11.93)岁,对照组女17例,男20例,平均年龄(72.76±11.24)岁,2组患者的一般资料经对比差异均无统计学意义(P＜0...     

清洁灌肠与心理护理联合中药保留灌肠治疗溃疡性结肠炎随机平行对照研究

[目的]观察清洁灌肠与心理护理联合中药保留灌肠治疗溃疡性结肠炎疗效。[方法]使用随机平行对照方法,将40例住院患者按随机数字表法为两组。对照组20例四君子汤合葛根黄芩黄连汤保留灌肠(党参、白术、茯苓、葛根、黄芩、黄连各15g,甘草8g;气虚乏力加黄芪30g;寒者加附子12g;五更泄泻加四神包煎20g;腹痛腹胀加元胡、川朴、木香各10g);药液温度为37℃,100mL~150mL/次,药液停留时间尽可能长,1次/d。治疗组20例生理盐水500mL~800mL反复多次进行不保留灌肠,直至排出液清洁无粪质为止;心理护理:治疗前护理人员应向病人讲解中药灌肠作用及配合方法,解除病人心理负担,以取得病人积极配合;创造安静环境,保护病人隐私,冬天室温26℃~28℃,灌肠前嘱病人排空大小便;中药液保留灌肠同对照组。连续治疗30d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效6例,有效12例,无效2例,总有效率90.00%。对照组显效1例,有效9例,无效10例,总有效率50.00%。治疗组疗效优于对照组(P0.01)。[结论]清洁灌肠与心理护理联合中药保留灌肠治疗溃疡性结肠炎效果显著,值得推广。     

中药内服联合直肠滴入治疗子宫内膜异位症的疗效观察

目的探讨中药内服联合直肠滴入治疗子宫内膜异位症的临床疗效。方法选择2011年1月~2013年8月我院收治的子宫内膜异位症患者76例,随机分为观察组和对照组,对照组采用补肾活血自拟方内服治疗;观察组在上述治疗基础上增加直肠滴入自拟中药方剂治疗,连续用药3个月经周期后观察其临床疗效。结果治疗1个月经周期、2个月经周期和3个月经周期对照组和观察组临床有效率分别为52.63%和78.94%、68.42%和84.21%、78.94%和94.73%,各治疗时间两组患者临床疗效有效率间差异具有统计学意义(P0.05)。结论中药内服联合直肠滴入治疗子宫内膜异位症具有较好的疗效,值得临床借鉴。