中医药临床疗效评价实践中的思路与方法

中医药的有效性已有数千年的临床验证，但由于缺乏科学客观的证据，其结果不能被广泛认同。建立——套符合现代科学研究一般原则和国际通行标准，又能够充分反映中医药怖床疗效且为国内外同行认可和接受的中医药临床疗效评价体系，已成为中医药学术发展迫切需要解决的问题。     

手法结合康复治疗中风后足下垂37例疗效观察

中风后由于神经系统功能受损．反射性地引起交感神经营养不良．神经血管萎缩．因此患者多于病后1周内出现患侧足下垂，部分患者伴胀痛，皮温升高，影响足功能，直接关系到日常生活能力。因此，对于中风有足下垂症状者必须精心护理，积极治疗。早期进行治疗和康复锻炼很重要。我们从2004年至2008年应用中医手法结合康复治疗中风后足下垂，先报道如下。     

老年糖尿病患者康复指导及护理分析

糖尿病是一种常见的内分泌代谢障碍性疾病,时刻威胁着人们的健康,而老年糖尿病患者起病隐匿,病程长而缓慢,加强对老年糖尿病患者进行康复指导和护理,可有效改善患者的不良心理,树立战胜疾病的信心,积极预防并发症的发生,提高生活质量,益寿延年。     

骨折术后护理宣教促进下肢骨折康复

为使下肢骨折患者在骨痂形成期后,离床步行锻炼时正确使用拐杖,减少并发症,促进患者顺利康复,通过临床宣教,使患者掌握拐杖的选择,扶拐行走的原则与时机,正确扶拐方法,扶拐的步法,双单拐的使用原则及弃拐的注意点.160例患者接受宣教后,无1例因拐杖使用不当发生并发症.     

广东省梅县重点人群碘营养状况调查分析

Objective To estimate the present salt iodine content and iodine nutrition need of high risk population of iodine deficiency disorder in Meixian County. Methods Each primary school was selected from urban and rural areas(Xiyang Town, 20 kilometers away from Meixian County), the goiter rate of 8 to 10 year-old students was examined and urinary iodine and household salt iodine was sampled. Twenty to 40 year-old women of childbearing age nearby schools around the urban and villages around Xiyang Town were selected to collect their urine and salt samples. At urban hospitals and rural health centers, 0 to 2 year-old infant urine samples were collected, Thyroid gland was palpated and urinary iodine was determined by iodine in urine by As3+-Ce4+catalytic spectrophotometry, salt iodine was determined by direct titration. Results The goiter rates of 8 to 10 year-old students were 1.5 % (3/200), 1.0% (1/100) for the urban area and 2.0% (2/100) for rural area. Median of urinary iodine in 8 to 10 year-old students, infants, women of childbearing age averaged at 237.1 μg/L and 280.1, 234.7,187.6 μg/L respectively, with each being 287.4,245.0,205.5 μg/L in urban area and 278.9,228.5,176.4 μg/L in rural area. Women of childbearing age had a higher percentage of urinary iodine < 50.0 μg/L than students,students had a higher percentage than infants, each being 7.5%(15/200), 4.5%(9/200), 4.0%(4/100). The ration of urinary iodine > 300.0 μg/L was more in infants than in students, that in students was more than that in women of childbearing age, each being 33.0% (33/100), 30.0% (60/200),22.5% (45/200). The median of salt iodine was 27.2 mg/kg. The coverage of iodized salt was 100.0%(400/400). Ninty-seven percent(194/200) and 96.0% (192/200) of qualified iodized salt were consumed in urban area and in rural area. Conclusions The amount of iodine added to salt meets the requirement in the 3 kinds population risk of iodine deficiency disorder. But a higher iodine status has been found out in students and infants. It is reasonable to decrease the present salt iodine content.     

康复指导对直肠癌Miles术后恢复期患者性生活质量的影响

目的：探讨康复指导对直肠癌Miles术后恢复期患者性生活质量的影响。方法：54例直肠癌Miles术后患者，其中32例(治疗组)于术后2周始给以人工肛门综合护理、性生活指导及心理干预等康复治疗。22例(对照组)只给以人工肛门一般性护理指导。利用0lson婚姻质量问卷(ENRICH)分别于术后2周及6个月对两组患者性生活质量进行评估。结果：治疗组治疗前后性生活因子分别为21．3l&;#177;9．18，33．20&;#177;10．76，差异有显著性意义(t=2．34，P=0．024)。对照组治疗前后分别为20．56&;#177;9．24，24．27&;#177;9．09，差异无显著性意义(t=1．7l，P=0．10)。结论：康复指导能改善Miles术后恢复期患者的性生活质量。     

《中国美容整形外科杂志》编委

张余光教授，1962年出生，博士，博士后。上海交通大学医学院附属第九人民医院整复外科主任医师、教授。现为中国康复医学会修复重建外科专业委员会委员、常委，中国中西医学会医学美容专业委员会委员，上海医学会整形外科学会委员秘书长，《中国美容整形外科杂志》编委。     

上海市桃浦地区卫生服务现状和对策

桃浦地区是一直被人们关注的地区，各级领导都很重视。近年来桃浦地区的卫生服务工作在上级部门领导的关心和支持下，基本形成功能合理，方便群众的卫生服务网络。本文重点报道桃浦社区卫生服务现状，以致得到社会各界和同道的帮助、指导，共同探讨。     

云南新型农村合作医疗评价指标体系及标准研究

介绍了新型农村合作医疗评价指标体系及标准的产生过程、研究采用的方法 ,指标体系包括可行性评价和效果评价两个部分。     

护理干预对2型糖尿病患者康复作用的研究

目的 探讨护理干预在2型糖尿病患康复中的作用。方法 对80例2型糖尿病患，随机分成干预组和对照组，干预组实施全程护理干预，对照组实施常规的治疗护理。结果 干预组血糖控制良好，并发症发生率明显降低。结论 护理干预是2型糖尿病康复治疗的有效方法。