正念减压训练对癌症患者焦虑抑郁情绪的影响

目的：探讨正念减压训练对癌症患者焦虑抑郁情绪的影响。方法264例癌症患者随机分为正念减压组和对照组,每组132例。对照组采用常规的护理方法进行护理,正念减压组在常规护理的基础上实施正念减压训练。分别于干预前和干预后4周应用焦虑自评量表(SAS)评价患者的焦虑程度,采用抑郁自评量表(SDS)评价患者的抑郁程度。结果两组患者干预前的SAS与SDS评分经比较差异均无统计学意义(P>0.05);正念减压组干预后SAS与SDS评分均显著低于干预前(P<0.05),而对照组干预前后则差异均无统计学意义(P>0.05);正念减压组患者干预后的SAS与SDS评分显著低于对照组,差异具有统计学意义(P<0.05)。结论肿瘤患者在常规护理基础上实施正念减压训练有助于缓解患者的焦虑抑郁情绪。     

正念减压对乳腺癌患者术后自我效能感及生存质量的影响

目的:探讨正念减压对乳腺癌患者术后自我效能感及生存质量的影响。方法:选取2015年6月至2017年6月我院肿瘤内科收治的乳腺癌患者130例,按照随机对照方式将其分为观察组和对照组各65例。对照组患者给予常规护理干预,观察组在此基础上加以正念减压干预,干预3个月后,比较两组患者自我效能感及生存质量评分。结果:两组患者干预前GSES及FACT得分比较差异均无统计学意义(P0.05);干预3个月后,两组GSES及FACT得分均明显改善,且观察组得分显著高于对照组,差异有统计学意义(P0.05)。结论:正念减压干预能明显提高乳腺癌患者术后自我效能感,改善整体生存质量,值得在临床推广和应用。     

正念减压训练联合音乐疗法对乳腺癌术后化疗患者的应用效果

目的正念减压训练联合音乐疗法对乳腺癌术后化疗患者的应用效果。方法选取2018年1月至2019年4月郑州大学第三附属医院收治的76例乳腺癌术后化疗患者,依照建档顺序分为常规组和联合组。常规组(38例)接受常规干预,联合组(38例)在常规组基础上接受正念减压训练联合音乐疗法。对比两组干预前后简易Piper疲乏评估量表(RPFS)、匹兹堡睡眠质量量表(PSQI)、简式心理状态剖面图(POMS)评分。结果联合组干预2个月后POMS、PSQI、RPFS评分较常规组低(P<0.05)。结论正念减压训练联合音乐疗法应用于乳腺癌术后化疗患者,能显著缓解不良心态,提高睡眠质量,减轻癌因性疲乏(CRF)。     

正念减压疗法对乳腺癌患者自我感受负担及家庭功能的影响

目的:探索正念减压疗法对乳腺癌患者自我感受负担及家庭功能的影响。方法:将符合纳入标准的82例乳腺癌患者随机分成正念治疗组和常规对照组各41例。两组均接受相同的治疗方案,常规健康教育和心理护理,正念治疗组还另外接受为期8周的正念减压治疗。比较两组患者干预前后自我感受负担(SPB))及家庭功能(FAD)得分。结果:干预后正念治疗组患者SPB得分、FAD得分均低于常规对照组,差异有统计学意义。组内比较:正念治疗组干预后SPB得分、FAD得分均较干预前下降,差异有统计学意义;对照组干预后SPB得分较干预前下降,差异有统计学意义。结论:正念减压疗法能有效降低乳腺癌患者自我感受负担,提高其家庭功能水平。     

正念减压训练对乳腺癌术后化疗患者应对方式及心身症状的影响

目的 分析正念减压训练对乳腺癌术后化疗患者应对方式及心身症状的影响.方法 选择江苏省人民医院2018年1月至2020年1月接受乳腺癌术后化疗患者82例为研究对象,采用随机数字表法分为对照组和干预组,每组各41例,对照组接受常规干预,干预组接受正念减压训练干预.随访6个月,比较两组应对方式、心身症状、癌因性疲乏评分.结果...     

正念训练干预对乳腺癌患者化疗后癌因性疲乏的研究

目的：探讨正念训练对乳腺癌患者癌因性疲乏（CRF）的影响。方法将2015年1～6月该院收治的200例中青年乳腺癌化疗患者分为观察组和对照组（各100例）,对照组给予常规护理,观察组在对照组的基础上给予正念训练,并参照癌症疲乏量表（CFS）评价患者的疲乏状况,并比较干预前后两组CRF各维度及总疲乏评分。结果乳腺癌术后化疗患者绝大多数存在疲乏症状,CRF发生率为97．0％,以中度疲乏为主,其次为轻度疲乏,重度疲乏最少。在第2次化疗时,两组患者躯体疲乏、认知疲乏、情感疲乏及总疲乏评分比较,差异均无统计学意义（P＞0．05）;第4、6次化疗时,观察组躯体疲乏、认知疲乏、情感疲乏及总疲乏评分均低于对照组,差异均有统计学意义（P＜0．05）。结论正念训练干预可以明显缓解患者的疲乏状态,提高患者的生活质量。     

正念减压疗法对肿瘤放化疗患者自我感受负担及治疗依从性的影响

目的 探讨正念减压疗法(MBSR)对肿瘤放化疗患者自我感受负担及治疗依从性的影响.方法 选取2018年1日至2019年12月安徽医科大学第二附属医院肿瘤科收治的68例接受肿瘤放化疗的患者,采用随机数字表法将其分为对照组与观察组,各34例.对照组给予常规护理,观察组在对照组基础上加以正念减压疗法干预.干预6周后,比较两组患者自我感受负担评分(采用自我感受负担量表测定)及治疗依从性评分(采用治疗依从性量表测定).结果 干预前,两组患者自我感受负担评分、依从性评分差异均无统计学意义(P>0.05);干预后,观察组自我感受负担评分较干预前明显下降,依从性评分较干预前明显降低,组间干预前后差值比较,差异均有统计学意义(P<0.05).结论 正念减压疗法能够有效降低肿瘤放化疗患者的自我感受负担,并提高患者治疗的依从性.     

正念减压疗法联合AIDET沟通对肺癌放疗患者的应用效果

目的分析正念减压疗法联合AIDET沟通对肺癌放疗患者的应用效果。方法选取2018年1月至2019年5月安阳地区医院收治的90例肺癌放疗患者,按入院时间分为研究组(45例)与对照组(45例)。两组均接受常规放疗,对照组接受常规护理,研究组在对照组基础上接受正念减压疗法联合AIDET沟通。对比两组护理工作满意度及干预前后一般自我效能感量表(GSES)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分。结果干预后,研究组GSES评分较对照组高,HAMD、HAMA评分较对照组低(P<0.05);研究组护理工作满意度[97.78%(44/45)]较对照组[82.22%(37/45)]高(P<0.05)。结论对肺癌放疗患者采用正念减压疗法联合AIDET沟通可减轻患者负性情绪,提高患者自我效能,并具有较高的护理工作满意度,值得推广应用。     

基于正念减压理念的居家护理平台在乳腺癌术后深静脉血栓高危患者延续护理中的应用

目的:探讨基于正念减压理念的居家护理平台在乳腺癌术后深静脉血栓高危患者延续护理中的效果.方法:选取2018年1月—2020年6月我院收治的乳腺癌手术患者108例,应用数字表法将其随机分为两组,各54例.对照组采用单纯的正念减压理念对患者进行延续护理,研究组采用基于正念减压理念的居家护理平台进行延续护理.比较两组患者深静...     

正念减压训练联合认知行为干预对急性ST段心肌梗死患者PCI术后疾病不确定感及应对方式的影响

目的 探讨正念减压训练联合认知行为干预对急性ST段心肌梗死患者经皮冠状动脉介入术(PCI)术后疾病不确定感及应对方式的影响。方法 选取我院2019年7月至2020年1月急性ST段心肌梗死患者45例作为对照组,选取我院2019年6月至2019年12月急性ST段心肌梗死患者45例作为联合组。对照组采用常规护理,联合组在常规护理基础上采用正念减压训练联合认知行为干预。比较2组干预前后疾病不确定感水平、应对方式及护理满意度。结果 干预后联合组MUIS评分低于对照组(P＜0.05)；干预后联合组积极应对评分高于对照组,消极应对评分低于对照组(P＜0.05)；联合组护理满意度95.55%(43/45)高于对照组77.77%(35/45)(P＜0.05)。结论 正念减压训练联合认知行为干预可改善急性ST段心肌梗死PCI术后患者疾病不确定感,促使其选择积极应对方式,同时还能增强护理满意度。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.