小米、北芪加红枣治疗保胎孕妇便秘的效果观察

目的：观察小米、北芪加红枣治疗保胎孕妇便秘的临床效果。方法将100例保胎孕妇便秘患者随机分为观察组和对照组,各50例。观察组给予小米、北芪加红枣煮粥服用,对照组给予常规方法护理。结果观察组治疗总有效率为100．0％,高于对照组的78．0％（ P＜0．01）。结论小米、北芪加红枣有补中益气、补脾健胃、补益气血之功效,保胎孕妇便秘患者服用效果显著,且安全性和依从性较高,值得临床推广应用。     

食用蜂蜜蜂王浆配合穴位按摩预防脑卒中患者便秘的效果观察

目的:探讨食用蜂蜜蜂王浆配合穴位按摩对脑卒中患者便秘的预防作用。方法:将131例患者随机分为对照组62例和观察组69例,对照组给予常规饮食预防护理,观察组在常规护理的基础上,于入院后第二天开始服用蜂蜜蜂王浆,每天早晚饭后各服1次,每次10毫升,连续服用15天,配合穴位按摩,比较两组患者每日排便情况。结果:两组脑卒中后便秘发生率对照组为48.4%,观察组为23.2%,差异具有统计学意义(P<0.05)。结论:食用蜂蜜蜂王浆配合穴位按摩,对脑卒中患者便秘具有预防作用,该方法简便有效,价格便宜,具有推广使用价值。     

护理干预配合蜂蜜油对老年股骨颈骨折病人长期卧床便秘的影响

目的：研究护理干预配合蜂蜜油对老年股骨颈骨折患者长期卧床致便秘的影响。方法：对120例65岁以上股骨颈骨折长期卧床的老年患者,随机分为观察组与对照组各60例,观察组在传统护理方法的基础上,采用护理干预和口服蜂蜜油预防便秘。对照组采用传统方法预防便秘（如粗纤维饮食、水果、多饮水、有效腹部按摩和训练等）．结果：两组预防便秘的效果,有显著差异（P〈0．01）。两组患者排便时间、排便性状情况比较,观察组优于对照组（P〈0．01）,结论：蜂蜜油能有效预防老年股骨颈骨折患者长期卧床引起的便秘,提高患者的生活质量,减轻了患者的痛苦。     

乳果糖口服液联合腹部按摩预防骨折患者便秘的疗效观察及护理

目的；探讨乳果糖口服液联合腹部按摩对骨折卧床患者发生便秘的预防效果。方法：将160例骨折患者随机分为两组，各80例，对照组给予常规护理，观察组在常规护理的基础上，给乳果糖口服液10ml／次，2次／d，联合腹部按摩，同时给予有效的护理干预。结果：观察组总有效率为97．5％，优于对照组的73．8％，两组比较差异有统计学意义（P〈0．05）。结论：乳果糖口服液联合腹部按摩对骨折患者的便秘有较好的预防作用，不良反应少，利于骨折恢复，同时增加护理满意度。     

掐压商阳穴和腹部按摩对骨科患者便秘的护理研究

目的：研究分析掐压商阳穴与腹部按摩对骨科患者便秘的护理效果。方法：选取2012年6月～2013年6月期间我院骨科住院治疗的110例便秘患者，随机分成两组。一组按照骨科的常规护理，采用热敷结合腹部按摩进行护理为对照组。一组在对照组采取常规护理的基础上，采用掐压商阳穴结合腹部按摩进行护理为观察组。一个疗程后对比分析两组患者额便秘效果。结果：观察组护理总有效率是92．72％，对照组护理的有效率是70．91％，两组护理有效率对比差异显著，P＜0．05有统计学意义。结论：掐压商阳穴结合腹部按摩可以良好的改善骨科患者的便秘情况，有效促进排便。     

护理干预对缓解住院保胎孕妇便秘的效果观察

目的探讨护理干预对缓解住院保胎孕妇便秘的效果.方法选取2010年8月—11月无便秘病史的住院保胎孕妇72例,作为观察组,入院后予以护理评估、心理、饮食、生活形态、药物影响等护理措施干预,观察干预后的便秘发生情况.回顾2010年4月—7月住院保胎孕妇66例作为对照组,比较两组便秘的发生情况.结果观察组便秘发生率率显著低于对照组孕妇,且差异有统计学意义(P<0.05).结论住院保胎孕妇的便秘症状经护理干预后可以得到有效缓解.     

护理干预对骨科卧床患者便秘的影响

目的：探讨预防骨科卧床患者便秘的护理方法。方法：对50例骨科卧床患者进行了系统护理干预，即健康宣教、心理护理、饮食护理、排便护理、腹部按摩及腹式运动、康复锻炼；并与50例常规护理组进行对照。结果：系统护理干预组与对照组差别有显著性（P〈0．01）。结论：护理干预能有效减少便秘的发生，并能增进护患之间的合作与了解。     

鲜梨汁和腹部按摩联合应用预防鼻饲患者便秘

目的：探讨鲜梨汁和腹部按摩联合应用对脑卒中鼻饲患者便秘的预防作用。方法：将65例首次发病的脑卒中鼻饲患者按鼻饲日分为实验组（34例）和对照组（31例）。对照组给予常规护理,实验组在常规护理基础上在管喂开始时即鼻饲鲜梨汁并联合应用腹部按摩,观察患者的排便情况,持续观察14 d。结果：对照组便秘的发生率为53.3%,实验组便秘的发生率为21.9%,并且第1次排便时间比对照组提前了1 d多,两组对比差异具有统计学意义（P〈0.05）。结论：通过鼻饲鲜梨汁联合腹部按摩对脑卒中鼻饲患者发生便秘有较好的预防作用。     

中药穴位贴敷结合穴位注射预防骨折卧床患者便秘的效果观察

目的探讨中药穴位贴敷结合穴位注射预防骨折卧床患者便秘的疗效。方法采用抛硬币法将骨科100例骨折便秘患者随机选择分为两组，对照组50例采用常规健康教育指导及运用腹部按摩及饮食调护等传统治疗方法，观察组50例采用中药穴位贴敷结合穴位注射治疗，观察两组患者疗效。结果观察组治艘7例，好转9例，无效14例；对照组治愈15例，好转10例，无效25例，观察组疗效优于对照组，差异有统计学意义（P〈0．05）。结论采用中药穴位贴敷结合穴位注射对骨折卧床患者进行护理，能够很好地预防便秘。     

穴位按摩在预防脊柱损伤患者便秘中的应用

目的探讨穴位按摩在预防脊柱损伤患者便秘中的应用效果。方法将60例脊柱损伤患者随机分为观察组和对照组,每组各30例,对对照组患者实施常规的肠道护理,在对照组的基础上对观察组患者进行穴位按摩,48小时后观察2组患者便秘发生情况。结果对照组便秘发生率为46.7%,观察组便秘发生率为10%,观察组便秘发生率更低,组间差异具有统计学意义(P0.05)。结论在常规肠道护理的基础上对脊柱损伤患者实施穴位按摩,可以对便秘起到良好的防治作用,值得应用和推广。     

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…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.