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目的:介绍美国药物治疗管理服务(MTMs)项目开展情况与药师服务模式,为提高我国药学服务开展的标准化程度提供参考。方法:查阅文献,对MTMs的概念及其业务模式、MTMs于美国实际应用中的要素以及药师在MTMs中的服务要点进行回顾性分析。结果与结论:MTMs是为优化患者个体治疗结果而提供的独特的或群体的服务;业务模式包括服务对象、服务项目、合格的提供服务者与付费标准4部分。美国MTMs包括项目目标、服务对象、服务人员及付费方式4个要素。药师在MTMs中的服务要点包括可提供药物治疗回顾、建立个人药物记录、制定药物相关活动计划等。MTMs可提高治疗效果和降低治疗费用,是具有积极意义的、经济的、人性化的医疗管理模式,可为我国建立自己的服务体系和收费标准,促进我国药学服务事业的快速发展提供参考。 相似文献
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目的探讨闭合复位外侧经皮克氏针固定治疗小儿肱骨髁上骨折的临床效果。方法采用在C型臂X线机透视下用手法闭合复位外侧经皮克氏针固定加石膏固定治疗小儿肱骨髁上骨折86例。结果随访6~12个月,按照Flum肘关节功能评分:优82例,良3例,可1例,优良率98.8%。结论闭合复位外侧经皮克氏针固定治疗小儿肱骨髁上骨折具有微创、操作简单、稳定性良好、骨折愈合快、并发症少等优点,适合临床开展。 相似文献
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患者女,62岁.面、躯干及四肢红色斑丘疹10年,加重2年.患者有类风湿关节炎病史20年,同时合并有干燥综合征、Ⅱ型糖尿病、间质性肺炎、慢性肾功能不全等疾病.皮肤科检查:面颈、躯干、四肢泛发粟粒至绿豆大小水肿性红斑、丘疹、斑丘疹,局部散在浸润性结节,以背部为著.双上肢伸侧、双膝及股臀部弥漫大片暗红斑.双手足、肘膝关节、双耳等处可见鸽卵大小暗红色或黑褐色疼痛性结节.类风湿因子阳性.皮损组织病理示,真皮上部弥漫淋巴细胞、中性粒细胞浸润,可见少许核尘及红细胞外溢,无血管炎表现.结合病史、皮损特点、实验室检查、皮损组织病理检查,确诊为类风湿性嗜中性皮炎. 相似文献
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Objective To investigate the effect ofpeptidoglycan from Staphylococcus aureus on the release of several chemokines including intedeukin 8 (IL-8), regulated upon activation, normal T cell expressed and secreted (RANTES), macrophage-derived chemokine (MDC) by normal human epidermal keratinocytes (KCs) and the role of Toll-like receptor 2 (TLR2) in this process. Methods KCs were derived from the foreskin of a healthy boy and propagated. After 2 - 4 passages, KCs were collected and treated with various concentrations (3, 10, 30 and 100 mg/L) of peptidoglycan for 24 hours or with peptidoglycan of 100 mg/L for varying durations (3, 6, 12, 36 hours). A fi'action of KCs were pretreated with functional grade purified anti-TLR2 monoclonal antibody before the treatment with peptidoglycan of 100 mg/L. After additional 12-hour culture following the treatment, enzyme linked immunosorbent assay was used to detect the level of IL-8, RANTES and MDC in culture supernatants of KCs. Results KCs spontaneously released IL-8 and RANTES. Peptidoglycan increased the production of IL-8 but decreased that of RANTES by KCs. The levels of IL-8 were 209.96 ± 10.31 ng/L, 250.28 ± 9.52 ng/L, 285.11 ± 10.28 ng/L, 359.40 ± 6.93 ng/L in KCs treated with peptidoglycan of 3, 10, 30, 100 mg/L, respectively, compared to 135.41 ± 14.37 ng/L in untreated KCs (all P < 0.05). On the contrary, a significant decrement was seen in the secretion of RANTES by KCs treated with peptidoglycan of 10, 30, 100 mg/L compared with untreated KCs (110.72 ± 8.51 ng/L, 90.50 ±2.45 ng/L, 49.89 ± 13.74 ng/L vs 149.94 ± 18.71 ng/L, all P < 0.05). The monoclonal antibody to TLR-2 could markedly suppress the promotion of IL-8 production by peptidoglycan, but had no obvious influence on the inhibition of RANTES production by peptidoglycan. MDC could not be detected in the culture super-natants of KCs with or without peptidoglycan stimulation. Conclusion Peptidoglycan could inhibit RANTES secretion but induce IL-8 production by KCs likely via TLR2. 相似文献
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目的:探讨微创技术结合锁定钢板治疗老年骨质疏松性肱骨干骨折的临床疗效。方法 :2012年7月至2016年12月,采用微创技术结合锁定钢板治疗26例老年骨质疏松性肱骨干骨折患者,男10例,女16例;年龄61~81岁,平均70.3岁;平均骨密度值-2.74。26例骨折均为闭合性骨折,其中A型6例,B型7例,C型13例。所有病例术后随访12个月,统计术前及术后12个月Constant肩关评分和Mayo肘关节评分。结果:26例均获随访,时间12~16个月,平均13.2个月,骨折均在16周内愈合,平均愈合时间14.3周。Constant肩关节评分术前及术后12个月分别为54.61±2.09、88.50±2.47;Mayo肘关节评分术前及术后12个月分别为58.19±2.74、90.30±2.16。结论:微创技术结合锁定钢板治疗老年骨质疏松性肱骨干骨折术后肩、肘关节功能恢复良好,是治疗老年骨质疏松性肱骨干骨折的有效方法。 相似文献
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患者男,55岁,因车祸致意识丧失、肢体抽搐、小便失禁、呕吐4h人院。急诊行头颅CT检查,诊断为:急性内开放性重型颅脑损伤、双额脑挫裂伤、外伤性蛛网膜下腔出血、颅骨骨折、颅底骨折以及头皮裂片。给予脱水、补液、营养神经等对症支持治疗。其中应用丙氨酰谷氨酰胺(重庆莱美药业股份有限公司,批号1201150)10g,加入复方氨基酸注射液(18AA—V)(山东鲁抗辰欣药业有限公司,批号1203120513)200ml静脉滴注。 相似文献