腰椎间盘突出症患者围手术期运用舒适护理100例的体会

舒适护理是一种整体的、个体化的、创造性的、有效的护理模式,其目的是使病人在生理、心理、社会、灵魂上达到最愉快的状态或缩短、降低不愉快的程度。1995年Kolcaba提出舒适护理的概念(thoeryof comfort care),认为舒适护理应作为整体化护理艺术的过程和追求的结果,使基础护理与护理研究更注重病人的舒适感受和满意度。舒适护理理论大致包     

对结核性脑膜炎治疗中皮肤出现紫纹的探讨

结核性脑膜炎治疗过程中并发皮肤紫纹，是医源性柯兴综合症的种临床表现，我们遇有6例，报告如下。     

蚓激酶胶囊治疗缺血性脑血管病94例临床观察

我院于１９９５年１０月至１９９７年８月蚓激酶胶囊（又名普恩复）应用治疗缺血性脑血管病９４例，疗效满意，现报告如下。１资料与方法１·１一般资料１８８例病人均为我院门诊和住院患者，按就诊和入院先后顺序随机分为两组，即观察组和对照组，每组各９４人，观察组男...     

谈科普类视听教材的设计与制作

结合《农村饮水卫生》电视教材的制作,介绍了科普类视听教材在开发、制作过程中要依据受众广泛的特点,遵循专业知识通俗化、素材摄制与收集多样化、实景拍摄原生态化、编辑要素生活化的原则,并注重与外景地主管部门的沟通协调,同时处理好宣传和隐私的关系.     

胃肠功能障碍患儿淋巴细胞CD11a与CD54的表达及意义

目的 探讨胃肠功能障碍患儿淋巴细胞CD11a、CD54的表达情况及临床意义.方法 采用流式细胞术检测20例胃肠功能障碍患儿和20例对照组患儿外周血淋巴细胞CD11a、CD54表达的阳性率及平均荧光强度.结果 胃肠功能障碍组CD11a、CD54表达的阳性率及平均荧光强度均明显高于对照组,差异有显著性(P＜0.05).结论 胃肠功能障碍患儿淋巴细胞CD11a、CD54表达异常升高,可能为胃肠功能障碍发生发展的一个重要免疫因素,干预CD11a/CD54的黏附,可能为胃肠功能障碍的防治开辟新的途径.     

轮状病毒肠道外感染与血清甘露聚糖结合蛋白水平的关系研究

Objective To explore the relationship between extraintestinal rotavirus infections and serum MBP levels. Methods Serum MBP levels were measured by double-antibody sandwich enzyme-linked immunosorbent assays (ELISA) in children including extraintestinal rotavirus infections (n = 76) and common rotavirus enteritis ( n = 63 ) during the acute and convalescence phases. A group of healthy children ( n =50) were recruited as control. Results MBP levels were significantly lower in patients with extraintestinal rotavirus infections( 176.35 ± 113.12 ) μg/L in acute phases than those in patients with common rotavirus enteritis (392. 27 ± 128.96) μg/L and healthy control group(676. 25 ± 248. 63) μg/L, and the difference was significant (P ＜0. 001 ). The serum MBP levels in convalescence phases in the group of extraintestinal rotavirus infections( 358.63 ± 106. 54 ) μg/L was lower than those in the group of common rotavirus enteritis (558. 49 ± 173. 24 ) μg/L and the healthy controls, and their difference was significant ( P ＜ 0. 001 ). The MBP levels in the acute phases among pneumonia group, hepatic lesion group, cardiac damage group and central nervous system damage group caused by rotavirus infection were ( 198.24 ± 126.47) μg/L, ( 169.34 ±124. 38) μg/L,( 184. 62 ± 123.64) μg/L, ( 180. 74 ± 126. 86) μg/L, respectively. The difference among those groups was not significant ( P ＞ 0. 05 ). Conclusion Patients with extraintestinal rotavirus infections showed significantly lower MBP levels during acute and convalescence phases than patients with common rotavirus enteritis. But MBP levels showed no significant differences among those groups of patients with different extraintestinal organ damage caused by rotavirus infection. Lower MBP levels may be associated with the increased susceptibility to extraintestinal rotavirus infections.     

抗生素相关性肠炎

目的探讨抗生素相关性肠炎的成因及治疗。方法通过查阅各类相关资料综合叙述抗生素相关性肠炎产生成因从而总结出目前主要治疗方法为临床治疗提供理论性依据。结果几乎所有的抗生素均能引起AAC的发生,其治疗应从多方位入手方可取得良好疗效。结论临床药师应利用所掌握的药学知识,充分发挥自己的业务专长,积极参与到临床药物治疗中,尽最大可能预防抗生素滥用所致的抗生素相关性肠炎以确保药物治疗安全有效。     

孤立肾肾结石患者行经皮输尿管镜钬激光碎石术的护理

孤立肾肾结石的治疗一直是泌尿外科临床工作中的难题,治疗相对复杂。采用传统的开放手术,肾功能损害大,手术风险高。我科自2005年11月开始采用经皮输尿管镜钬激光碎石术治疗孤立肾肾结石,无一例患者出现肾功能衰竭,均取得了较好的疗     

“医改”对公立医院运行的影响与思考

随着新“医改”的不断深化,公立医院的财务管理面临着巨大变革。笔者以浙江省人民医院2010年财务运行情况为例,分析新“医改”对公立医院运行的影响,提出相应的应对策略。