中药外敷治疗单纯胸腰椎骨折患者腹胀的护理观察

目的 观察单纯胸腰椎骨折后腹胀患者中药外敷治疗及护理效果.方法 将蜜调芒硝、大黄外敷于60例患者的神阙穴,配合综合护理.结果 2例因过敏予以剔除,治疗显效40例占68.9%,有效15例占25.9%,无效3例占5.2%,总有效率为94.8%.结论 外敷蜜调芒硝、大黄于神阙穴配合综合护理对解除单纯胸腰椎骨折后腹胀有良好的疗效.     

心理干预对肝硬化患者不良心理的影响

目的 探讨心理护理对肝硬化患者的影响.方法 将65例肝硬化患者分为观察组(31例)及对照组(34例);观察组在常规治疗护理的同时给予心理干预,对照组给予常规治疗护理.治疗前后分别采用症状自评量表(SCL-90)对2组患者进行测评.结果 观察组躯体化、焦虑、精神病性和人际关系、抑郁、恐怖因子优于对照组,2组比较差异具有统计学意义(p<0.05、p<0.01).结论 心理护理可改善肝硬化患者不良心理状态.     

高压氧治疗突发性耳聋的疗效观察及护理

目的 探讨高压氧治疗突发性耳聋的疗效及护理.方法将60例突发性耳聋的患者随机分为对照组和观察组各30例,对照组给予常规药物治疗,观察组在常规治疗基础上加用高压氧治疗,比较2组治疗效果.结果 2组临床总有效率分别为93.33%和70%,2组比较有明显差异(P＜0.05).结论高压氧治疗突发性耳聋可明显提高疗效,完善的护理对治疗具有重要的意义.     

消炎散外敷治疗浅静脉留置针所致静脉炎的疗效观察

目的 观察消炎散外敷治疗浅静脉留置针所致静脉炎的疗效.方法 将50例因浅静脉留置针所致静脉炎的患者随机分为治疗组和对照组各25例,对照组用常规硫酸镁外敷,治疗组用本院自制消炎散外敷,观察比较2组的临床疗效.结果 总有效率治疗组96%,对照组76%;2组治疗后的综合疗效比较,差异有统计学意义(p<0.05),治疗组优于对照组.结论 消炎散外敷治疗浅静脉留置针所致静脉炎的疗效显著.     

极固宁治疗牙本质过敏症的临床疗效分析

目的:观察极固宁治疗牙本质过敏症的临床疗效,为临床治疗方案的选择提供参考.方法:选择我院口腔科2009年5月～2010年4月收治的牙本质过敏患者106例(128牙),随机分为对照组54例(64牙),观察组52例(64牙).对照组给予75%氟化钠甘油进行脱敏治疗;观察组患者给予极固宁进行脱敏治疗.观察并比较两组患者即时疗效的差异;随访6个月,观察并比较两组患者长期疗效的差异.结果:对照组即时总有效率为79.69%(51/64),长期总有效率为71.88%(46/64);观察组即时总有效率为93.75%(60/64),长期总有效率为90.62%(58/64).两组患者即时总有效率和长期总有效率比较,差异均有统计学意义(p＜0.05).结论:采用极固宁治疗牙本质过敏症,可以取得良好的即时疗效和长期疗效,值得临床推广应用.     

人文关怀护理在恶性肿瘤患者放疗中的效果观察

将86例行放射治疗的恶性肿瘤患者随机分为对照组40例和观察组46例,对照组行放射治疗时给予常规护理,观察组在常规护理基础上实施人文关怀护理.对两组患者放射治疗过程中紧张恐惧及抑郁情况比较分析.结果观察组患者的紧张、恐惧及抑郁程度明显低于对照组(P<0.01).认为人文关怀护理可缓解患者的紧张、恐惧及抑郁心理,使其积极配合治疗,从而提高了治疗效果.     

思密达外敷联合红外线照射治疗压疮疗效观察

目的 探索思密达外敷联合红外线照射治疗压疮的临床疗效.方法 选取长期卧床脑中风合并Ⅲ期压疮患者60例,随机分为治疗组32例共47处Ⅲ期压疮和对照组28例共41处Ⅲ期压疮,对照组采用常规治疗,治疗组在常规治疗基础上加用思密达外敷联合红外线局部照射治疗.比较2组患者疗效.结果 治疗组疗效优于对照组,差异有统计学意义(p＜0.05).结论 思密达外敷联合红外线照射治疗压疮疗效显著,值得临床推广.     

临床护理路径在老龄白内障超声乳化摘除加人工晶体植入术中的效果观察

目的 探讨临床护理路径在老龄白内障超声乳化摘除加人工晶体植入术中的应用效果.方法将64例手术老龄白内障患者随机分为观察组和对照组,每组各32例.观察组按临床护理路径进行护理,对照组给予常规护理.比较2组患者健康教育知识掌握情况及对护理工作满意度.结果观察组和对照组对护理满意度分别为96.8%和71.8%,2组患者对护理工作满意度和对健康教育知识掌握情况比较差异均有统计学意义(P<0.05).结论在老龄白内障超声乳化摘除加人工晶体植入术患者中应用临床护理路径模式,能使患者很好地掌握该手术的相关知识,积极配合治疗,提高了疗效和满意度,值得临床推广.     

中药热奄包结合穴位注射治疗膝骨性关节炎的疗效观察及护理

目的:探讨中药热奄包结合穴位注射治疗膝骨性关节炎(OA )的疗效及护理方法.方法:将60例患者随机分为治疗组和对照组各30例,治疗组给予中药热奄包结合穴位注射;对照组给予穴位注射结合TDP照射,比较两组疗效.结果:治疗组总有效率为93.3%,对照组为76.6%,两组比较差异有统计学意义(P<0.05).结论:中药热奄包结合穴位注射治疗膝骨性关节炎(OA)安全、有效.     

综合疗法治疗肩周炎45例临床观察

目的:探讨综合疗法治疗肩周炎的临床疗效.方法:选取我院2010年1月至2010年12月我院收治的肩周炎患者86例,随机分为两组,对照组41例,治疗组45例,对照组采取常规治疗,治疗组采取综合疗法治疗.比较两组患者的临床疗效.结果:治疗组痊愈39例,占86.7%,对照组痊愈11例,占26.8%,治疗组治愈率显著优于对照组;治疗组显效5例,好转1例,对照组显效7例,好转10例对照组显效及好转例数优于治疗组;治疗组总有效率达100.0%,对照组总有效率为68.3%,治疗组疗效显著优于对照组,P<0.05,具有统计学意义.结论:综合疗法治疗肩周炎显著优于常规疗法.     

The effect of amount of possession of the trait of hostility on accuracy of perception of hostility in others.

Some theories of personality hold that an individual's perception of others is influenced by his own personality characteristics; more specifically, that a trait of low social value will be projected more into others, and that insight into the possession of these characteristics reduces this distortion. These 2 hypotheses were tested by having a group of college students rate each other (including themselves) on degree of friendliness or hostility. Agreement with group rating about self yielded the insight score. In general, the hypotheses were supported; the "friendly" Ss were most accurate in their perception of others, and insight was positively associated with accurate perception. From Psyc Abstracts 36:04:4HL16M. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparison of rates of infection of two methods of emergency ventricular drainage

The rates of infection of two methods of external ventricular drainage in use at Atkinson Morley's Hospital--namely, (a) percutaneous drainage with Rickham reservoirs and (b) tunnelled ventriculostomies--were compared in this retrospective review. Percutaneous drainage of CSF with Rickham reservoirs was associated with a 27% rate of infection as identified by positive microbiological cultures; tunnelled ventriculostomy catheters had a 10% infection rate. The difference in the infection rate between the two methods was statistically significant (P < 0.015). Other variables examined, including the age and sex of the patients and the reasons for ventricular drainage, were not associated with an increased rate of infection. Most infections from either method were caused by a coagulase negative staphylococcus. The average duration of ventricular drainage before identification of positive cultures was 5.7 days for Rickham reservoirs and 6.0 days for ventriculostomies.     

浅析《野草》的版画特征

鲁迅先生一生热爱美术作品,对版画中木刻兴趣尤甚.<野草>作为其"写心之作",亦呈现出一些与木刻版画一致的审美特征:一是具有木刻版画的色彩特征,多对比、多冷色,有阴郁的美感;二是具有木刻版画的力度特征,环境描写、人物刻画处处刀锋毕现,遒劲有力,有一种"力之美".     

四辊破碎机车刀架的改造

针对四辊破碎机车刀架车削中存在的几个问题,详细介绍了电动车刀架的结构和工作原理,建立主要设计参数的数学表达式,并进行适当的分析。改造后,这种电动车刀架运行平稳、可靠、方便、省力,取得了预期的效果。     

转炉炉壳热应力分析

根据实际转炉建立实体模型。以有限元为手段,考虑了炉衬和炉壳材料的物性参数随温度变化的特点和炉衬与炉壳之间膨胀间隙,计算了转炉炉壳在温度载荷和炉衬膨胀压力同时作用下的热应力。所得结果可为转炉炉壳设计提供依据。     

Comparison of the results of surgical and conservative treatment of fractures of the diaphysis of the tibia

In this paper is treated the fundamental problematic of the fracture of the diaphysis of the tibia and the therapeutic results after the conservative and operative treatment are confronted. Among 518 patients with 433 open fractures and 35 with closed fractures of the diaphysis of the tibia, successful treatment of more 2/3 was obtained in the period from 1968 to 1972. Following our casuistics and literature, whose results are similar, we find out that the average total treatment of the osteosynthesis of the fracture of the diaphysis was shortened for 2,5 months depending upon the type and the localisation of the fracture. Apolied methods of the operative and conservative and conservative treatment in relation to the velocity of the medical cure as well as to the extreme anatomical-functional results are analised. We noticed that osteosynthesis, made by the intermedullary nail and the extension of the canals or by a small AO table, by the achieved stability makes conditions of immediate motions and an early rehabilitation. Because of that it gives the best functional results.     

Results of treatment of cancer of the cardia

Cancer of the cardia is traditionally discussed with cardiac cancer of the lower portion of the esophagus and upper gastric cancer invading the esophagus, and the specific characteristics of cancer of the cardia have never been clearly defined. We reviewed the outcome of 172 patients with adenocarcinoma of the cardia who had undergone radical surgery between 1949 and 1994 in the Division of Gastrointestinal Surgery of the Cancer Institute Hospital. The centers of the tumors were located within 2 cm above and below the boundary between the esophagus and the stomach, and their longitudinal diameter was less than 8 cm. We divided the patients into an early period (1949-1979; n = 79) and a late period (1980-1994; n = 93), and focused on the historical transition. There were no differences in patient gender or histology between the two periods. However, the late period was associated with fewer cases of esophageal invasion and shorter longitudinal diameter, as the age of the population advanced. The number of advanced cancers such as the localized and infiltrative type had decreased, and early cancer and early clinical stage had become more common, but despite the fact that the number of early cancers had increased, extended dissection, such as thoracic and paraaortic lymph node dissection, was performed more frequently. By clinical stage, the long-term outcome markedly improved in Stage I patient in the late period, and tended to improve in Stage II and III patients. This appears to have been attributable to the prevention of micrometastasis by extended dissection, although the number of early cancers is another major potential cause. There were no differences in the outcome of Stage IV patients between the two periods, and further advances in multimodality therapy must be awaited. The range of resection is basically proximal gastrectomy, and if there are adequate indications, the prognosis is favorable. In view of the status of lymphatic flow and lymph node metastasis, and long-term results, lateroaortic lymph node dissection is important. Since the number of early cancer patients has been increasing, if intraabdominal recurrence is prevented, intrathoracic lymph node dissection will contribute greatly to the outcome of such patients.     

焦炭热性能指标意义浅析

通过对焦炭在高炉内的历程及其变化规律的剖析,阐述焦炭热性能指标的意义,形象地把焦炭在高炉内的损耗分为三部分(M1,M2,M3)。指出M2对焦比及焦炭价格有一定的指导作用。     

参与式农业基地建设行动方案设计

为了编制实用性强的基地建设行动方案,首先,确定参与式发展的主体,搭建一个"决策框架";其次,针对行动目标,提出不同参与主体,如管理者、农民、消费者等团队与个人的目标及行动内容;最后,工作应向重塑伙伴式合作关系,挖掘农民自我发展潜力,完成三大角色的转换,打造农业基地文化等方向推进.