艾灸联合弥可保治疗糖尿病周围神经病变40例

目的评价艾灸联合弥可保治疗糖尿病周围神经病变的疗效。方法对糖尿病周围神经病变患者80例按1∶1比例等分为联合组和对照组,两组基于等同的基础治疗之上,联合组用艾灸联合弥可保治疗,对照组单纯用弥可保治疗,疗程3个月,比较治疗前后的神经传导速度变化和症状改善情况。结果联合组和对照组神经传导速度均改善,以联合组改善更明显;联合组和对照组显效、有效、无效分别是52.5%、32.5%、15.0%和35.0%、27.5%、37.5%,组间差异有统计学意义(P<0.01或P<0.05)。结论建立于基础治疗之上的艾灸联合弥可保治疗糖尿病周围神经病变优于单纯弥可保治疗。     

生长抑素对溃疡性结肠炎患者炎症反应及氧化应激的调节作用

目的 探讨生长抑素对溃疡性结肠炎(UC)患者炎症因子和氧化应激的改善作用.方法 收集2019年1—12月法库县卫生健康服务中心收治的活动期U C患者40例,随机分为对照组和观察组各20例.对照组采用常规治疗方案,观察组在其基础上加用生长抑素,0.1 mg/次,1次/8 h,两组均治疗14 d.比较两组治疗后炎症水平和氧...     

警示卡在护士静脉用药安全配置中的应用

静脉用药是临床护理工作中基础的操作项目之一。随着新药层出不穷和大量应用于临床,特别是老年人、儿童用药剂量的特殊性、用药时间差异性及临床护士人员配置不足等原因,容易出现静脉用药配置护理缺陷。为切实提高静脉用药的安全性,减少护理缺陷,保障病人生命安全,我科从2010年1月起建立药物警示卡,对护士在静脉用药环节的操作进行针对性警示,以减少护理不良事件发生,提高用药正确率和及时性。     

前列地尔联合尼莫地平治疗动脉瘤性蛛网膜下腔出血脑血管痉挛的效果分析

目的 探讨前列地尔联合尼莫地平治疗动脉瘤性蛛网膜下腔出血脑血管痉挛的效果.方法 选取2017年6月—2019年12月沈阳市第五人民医院收治的76例动脉瘤性蛛网膜下腔出血脑血管痉挛患者,依据治疗方式的不同将患者分为对照组和观察组各38例.对照组在常规治疗方案基础上加用尼莫地平治疗,观察组在对照组治疗方案基础上联合应用前列...     

从《伤寒论》5条或然证条文看仲景对《神农本草经》的继承与发展

《伤寒论》之药理学基础传承于《神农本草经》,但并不是一味接受,而是有所继承和发展.选取《伤寒论》中的5条或然证条文,探究其组方加减用药规律后发现,仲景治咳用五味子、细辛、干姜,治小便不利用茯苓,治渴用栝楼根,治腹痛用芍药,治呕用生姜,治心悸用桂枝、茯苓.仲景继承《神农本草经》"辨症用药"的思想同时,亦发展了"辨证用药"...     

某院住院药房818例用药错误分析及对策

目的 分析北京大学国际医院（以下简称“我院”）住院药房用药错误的发生情况,探讨提高患者用药安全的应对策略,提出降低差错发生的对策。方法 利用查阅法、回顾性统计分析法对我院2019年11月～2021年6月病房药房登记的用药错误记录进行研究,分析差错原因、归纳相关原因。结果 按错误发生环节统计,共收集到818例用药错误,均为未出门差错。在用药错误分级管理中A级71例、B级747例,无C级以上用药错误。用药错误分类中全部来自调剂差错,差错类型例数由高到低依次是：药品数量325例次,药品种类322例次,其他94例次,药品规格59例次,药品剂型19例次。结论 引起调配差错的因素是多方面的,应针对本医疗机构出现的用药风险隐患开展持续改进,提升医院用药安全为目的,全程防范,闭环管理。     

Low perceived service quality in community pharmacy is associated with poor medication adherence

ObjectiveCommunity pharmacists are highly accessible healthcare professionals, whose regular contact with patients provides ongoing opportunities to improve medication safety and promote medication adherence. This study investigates whether patients who experience low service quality in community pharmacies are less adherent to their regular medications.MethodsEight Australian pharmacies were recruited, 5 self-identified as having a price promotion business strategy and 3 with a service-focused business strategy. Patients taking regular prescribed medicines who had previously attended the pharmacy completed e-surveys in-store with measures of perceived service quality (pSQ) and self-reported adherence. Multivariate regression using multilevel modelling with bootstrapping was used to explore the relationships between variables.ResultsSurveys were completed by 319 respondents. Attending pharmacies with a price promotion business strategy was predictive of lower pSQ and poor medication adherence. The between-pharmacy slope of the relationship between pSQ and adherence was 2.25 (with 95 % confidence intervals = 1.50, 2.86) and was highest in pharmacies with lowest pSQ.ConclusionThis study highlights that when patients experience low service quality, in community pharmacies they are more likely to report poor adherence to their regular prescribed medicines.Practice implicationsCommunity pharmacies need to be designed and managed to allow pharmacists to provide high levels of patient-centred care.