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991.
目的观察肠内营养(EN)与肠外营养(PN)治疗重症急性胰腺炎(SAP)的临床效果。方法将64例SAP患者随机分为EN组和PN组,每组各32例。两组均给予常规治疗,PN组采用肠外营养治疗,EN组采用肠内营养治疗。分别在入院时及治疗14d后采血测定C一反应蛋白(CRP)及相关生化指标,观察两组患者感染并发症、手术治疗率、住院时间及死亡率。结果治疗14d后,两组患者的CRP及生化指标均较治疗前明显改善(P〈0.01);与PN组比较,EN组治疗后血清白蛋白明显升高(P〉0.01),而丙氨酸氨基转移酶明显降低(P〈0.01),其他指标比较差异无统计学意义(P〉0.05)。EN组感染率低于对照组(P〈0.05),住院时间短于对照组(P〈0.01),但两组手术治疗率及死亡率比较,差异无统计学意义(P〉0.05)。结论与PN治疗SAP相比,EN在改善患者营养状况、减少并发症和缩短住院时间等方面更有优势。 相似文献
992.
Almost every national and supranational health policy document accords high importance to the need to listen to and ‘empower’
patients. The relationship between pharmaceutical policy and the lay public is not direct but mediated by several actors,
including health care workers, patient organisations, industry and, most recently, the media. Although the overall aim of
health and pharmaceutical policy is to address the needs of all citizens, there are only a few, well organised groups who
are actually consulted and involved in the policymaking process, often with the support of the industry. The reasons for this
lack of citizen involvement in health and pharmaceutical policymaking are many, for example: there is no consensus about what
public involvement means; there is a predominance of special interest groups with narrow, specific agendas; not all decision
makers welcome lay participation; patients and professionals have different rationalities with regard to their views on medicine.
Because the lay public and medicine users are not one entity, one of the many challenges facing policy makers today is to
identify, incorporate and prioritise the many diverse needs. The authors recommend research which includes studies that look
at: lay attitudes towards pharmaceutical policy; lay experiences of drug therapy and how it affects their daily lives; the
problem of identifying lay representatives; the relationship between industry and the consumers; the effect of the media on
medicine users and on pharmaceutical policy itself. The authors acknowledge that although lay involvement in policy is still
in its infancy, some patient organisations have been successful and there are developments towards increased lay involvement
in pharmaceutical policymaking.
This article is the fourth in a series of articles on this topic that will appear in Pharmacy World & Science during 2005. 相似文献
993.
鼻肠管早期肠内营养辅以肠外营养支持在重型颅脑损伤中的临床研究 总被引:1,自引:0,他引:1
潘锦贤 《中国现代药物应用》2009,3(11):25-26
目的观察鼻肠管早期肠内营养辅以肠外营养对重型颅脑损伤患者的治疗效果。方法将72例重型颅脑损伤患者随机分为实验组与对照组各36例,实验组留置鼻肠管,对照组留置鼻胃管,均给予早期肠内营养辅以场外营养的营养支持方式,观察两组生活指标、胃肠道耐受及并发症情况。结果营养支持后7d血清蛋白呈上升趋势,但两组比较无差异(P〉0.05);两组血糖均较营养支持前下降,两组比较差异具有统计学意义(P〈0.01);实验组并发症发生率比对照组明显降低(P〈0.05)。结论重型颅脑损伤病患者鼻肠管早期肠内营养辅以场外营养支持方式,可以明显改善营养状况,减少并发症的发生。 相似文献
994.
995.
996.
OBJECTIVES: To investigate the relationship of specific nutrients and food items with oral precancerous lesions among tobacco users.
DESIGN: A population-based case-control study. SETTING: Villages in Palitana taluk of Bhavnagar district, Gujarat, India.
SUBJECTS AND METHODS: An interviewer-administered food frequency questionnaire, developed and validated for this population, was used to estimate nutrient intake in blinded, house-to-house interviews. Among 5018 male tobacco users, 318 were diagnosed as cases. An equal number of controls matched on age (±5 years), sex, village, and use of tobacco were selected.
MAIN OUTCOME MEASURES: Odds ratios (OR) from multiple logistic regression analysis controlling for relevant variables (type of tobacco use and economic status).
RESULTS: A protective effect of fibre was observed for both oral submucous fibrosis (OSF) and leukoplakia, with 10% reduction in risk per g day-1 ( P < 0.05). Ascorbic acid appeared to be protective against leukoplakia with the halving of risk in the two highest quartiles of intake (versus the lowest quartile: OR = 0.46 and 0.44, respectively; P < 0.10). A protective effect of tomato consumption was observed in leukoplakia and a suggestion of a protective effect of wheat in OSF.
CONCLUSION: In addition to tobacco use, intake of specific nutrients may have a role in the development of oral precancerous lesions. 相似文献
DESIGN: A population-based case-control study. SETTING: Villages in Palitana taluk of Bhavnagar district, Gujarat, India.
SUBJECTS AND METHODS: An interviewer-administered food frequency questionnaire, developed and validated for this population, was used to estimate nutrient intake in blinded, house-to-house interviews. Among 5018 male tobacco users, 318 were diagnosed as cases. An equal number of controls matched on age (±5 years), sex, village, and use of tobacco were selected.
MAIN OUTCOME MEASURES: Odds ratios (OR) from multiple logistic regression analysis controlling for relevant variables (type of tobacco use and economic status).
RESULTS: A protective effect of fibre was observed for both oral submucous fibrosis (OSF) and leukoplakia, with 10% reduction in risk per g day
CONCLUSION: In addition to tobacco use, intake of specific nutrients may have a role in the development of oral precancerous lesions. 相似文献
997.
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1000.
《Vaccine》2018,36(1):1-3
This article discusses concepts of eradication, some issues relating to vertical and horizontal public health programs, some current issues relating to measles and rubella, and what we need to do about them. It concludes that measles and rubella/CRS can and should be eradicated. A target date should be established in 2020 (or before). Eradication can only be accomplished in the context of strengthening ongoing immunization services and strengthening surveillance so it can guide activities. Additional resources will be required to achieve the goal. 相似文献