鼻内镜下微波治疗鼻出血100例体会

目的探讨鼻内镜下微波治疗鼻出血的方法和效果。方法回顾性分析100例鼻内镜下微波治疗鼻出血的病例资料。结果本组100例均手术顺利,全部治愈。结论鼻内镜可直视及直接发现通常难以发现的鼻腔后部及顶部的出血点,联合微波凝固止血,操作时间短,止血效果好。     

茜栀汤加昧治疗顽固性鼻衄50例

顽固性鼻衄又名反复性鼻衄、习惯性鼻衄、特发性鼻衄，占全部鼻出血的90％。其临床特征是鼻衄时好时发，长期不愈，出血量一般虽不多，但因持续时间长，也可引起继发性贫血，亦有突然变为严重鼻衄者。常见病因为鼻中隔粘膜糜烂及遗传性末梢血管扩张症。茜栀汤是我院老中医曹新胜总结的治疗顽固性鼻衄的民间验方，曾总结发表于《中国民间疗法》1995年第4期。2004年2月～2006年2月我科试用茜栀汤加味治疗顽固性鼻衄，疗效满意，兹介绍如下。[第一段]     

完美主义在依恋和抑郁间的中介效应研究

目的:探讨完美主义在依恋与抑郁之间的中介效应。方法:采用成人亲密关系经历量表中文修订版、近乎完美量表修订版的中文修订版和Beck抑郁问卷对500名大学生集体施测,用SPSS12.0和Lisrel 8.70进行数据分析。结果:完美主义的消极维度部分中介了依恋焦虑和抑郁间的关系、完全中介了依恋回避和抑郁间的关系,完美主义的积极维度与依恋焦虑、依恋回避和抑郁都不相关。结论:依恋焦虑和依恋回避促进了完美主义消极维度的形成,进而加重个体的抑郁。     

领悟社会支持在完美主义和抑郁间的中介效应

目的 探讨领悟社会支持在完美主义和抑郁间的中介效应.方法 采用近乎完美量表修订版的中文修订版、领悟社会支持量表和Beck抑郁问卷对454名大学生进行集体施测,并使用SPSS12.0进行Spearman相关分析,Lisre18.70进行结构方程模型分析.结果 领悟社会支持在差异和抑郁间的部分中介效应模型M1的拟合指数为)(χ2/df=2.15,RMSEA=0.049,SRMR=0.068,NNFI=0.97.CFI=0.98,IFI=0.98,PNFI=0.74,ECVI=0.35,模型拟合良好;高标准、差异、领悟社会支持和抑郁关系的整合模型M3的拟合指数为χ2/df=1.77,RMSEA=0.040,SRMR=0.059,NNFI=0.98,CFI=0.98,IFI=0.98,PNFI=0.76,ECVI=0.48,模型拟合良好.结论 领悟社会支持部分中介了完美主义消极成分对抑郁的影响;完美主义积极成分调节了消极成分和抑郁间的关系;考虑到完美主义积极成分的影响后,领悟社会支持依然部分中介了完美主义消极成分和抑郁间的关系;可以通过改变或影响领悟社会支持的水平和性质,降低具有完美主义人格特质的个体的抑郁水平.

Abstract：

Objective To explore the mediating effect of perceived social support on the relationship between perfectionism and depression. Methods 454 college students completed Almost Perfectionism Scale Revised Chinese Revised, Perceived Social Support Scale and Beck Depression Inventory. SPSS 12.0 was used for Spearman Correlation Analysis and Lisrel 8. 70 was used for Structural Equation Model Analysis. Results The model(M1) fit indexes of perceived social supports partial mediating effect on the relationship between discrepancy and depression were χ2/df = 2.15, RMSEA = 0.049, SRMR = 0.068, NNFI = 0.97, CFI = 0.98, IFI = 0.98, PNF1 =0.74, ECVI =0. 35. The model( M3) fit indexes of the relationship among high standard, discrepancy, perceived social support and depression were χ2/df = 1.77, RMSEA = 0.040, SRMR = 0.059, NNFI = 0.98, CFI = 0.98, IFI = 0.98, PNFI = 0.76, ECVI = 0.48. The two models were proved well. Conclusions Perceived social support partially mediates the relationship between the negative component of perfectionism and depression; The positive component of perfectionism moderates the relationship between the negative component of perfectionism and depression; Considering the effect of the positive component of perfectionism, perceived social support still partially mediates the relationship between the negative component of perfectionism and depression; To change the perceived social support of level may help perfectionistic individuals to decrease their depressive level.     

领悟社会支持在完美主义和抑郁间的中介效应

Objective To explore the mediating effect of perceived social support on the relationship between perfectionism and depression. Methods 454 college students completed Almost Perfectionism Scale Revised Chinese Revised, Perceived Social Support Scale and Beck Depression Inventory. SPSS 12.0 was used for Spearman Correlation Analysis and Lisrel 8. 70 was used for Structural Equation Model Analysis. Results The model(M1) fit indexes of perceived social supports partial mediating effect on the relationship between discrepancy and depression were χ2/df = 2.15, RMSEA = 0.049, SRMR = 0.068, NNFI = 0.97, CFI = 0.98, IFI = 0.98, PNF1 =0.74, ECVI =0. 35. The model( M3) fit indexes of the relationship among high standard, discrepancy, perceived social support and depression were χ2/df = 1.77, RMSEA = 0.040, SRMR = 0.059, NNFI = 0.98, CFI = 0.98, IFI = 0.98, PNFI = 0.76, ECVI = 0.48. The two models were proved well. Conclusions Perceived social support partially mediates the relationship between the negative component of perfectionism and depression; The positive component of perfectionism moderates the relationship between the negative component of perfectionism and depression; Considering the effect of the positive component of perfectionism, perceived social support still partially mediates the relationship between the negative component of perfectionism and depression; To change the perceived social support of level may help perfectionistic individuals to decrease their depressive level.     

自尊在完美主义和抑郁间的中介效应研究

目的:在考虑完美主义的积极成分对消极成分与抑郁间关系调节效应的情况下,探讨自尊在完美主义的消极成分与抑郁间的中介效应。方法:采用近乎完美量表修订版的中文修订版、自尊量表和Beck抑郁问卷对488名大学生进行集体施测,用SPSS 12.0和Lisrel 8.70进行数据分析。结果:在整合模型中高标准调节了差异和抑郁间的关系,自尊部分中介了差异和抑郁间的关系。结论:在控制了高标准对差异和抑郁间关系的调节效应的情况下,自尊仍然部分中介差异和抑郁间的关系。     

“前自杀尝试”替代“自杀意图”：对自杀人际理论的全路径验证

目的：用“前自杀尝试”替代“自杀意图”对自杀人际理论的核心假设进行进一步探索和验证。方法：采用人际需求量表、自杀行为筛查问卷和获得性自杀能力量表对862名大学生施测。结果：（1）累赘感知、归属受挫和获得性自杀能力与自杀意念、前自杀尝试和自杀尝试显著正相关；（2）自杀意念和前自杀尝试在累赘感知/归属受挫与自杀尝试的关系中起链式中介作用；（3）该链式中介作用受到获得性自杀能力的调节。结论：使用“前自杀尝试”替代“自杀意图”后，自杀人际理论的核心路径均被验证。