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系统性红斑狼疮伴原发性胆汁性肝硬化一例

白蛋白袋式装置在重症医学科临床中的实用性效果观察

目的研究白蛋白袋式装置用于重症医学科（ICU）临床工作的有效性和实用效果。 方法选取2013年4月－5月需输注白蛋白的患者120例，随机分为对照组和观察组，研究组患者采用袋式白蛋白装置输注，对照组患者采用瓶装白蛋白装置输注，对比两种方法在操作时间、残留量方面的差异。 结果研究组输注时操作时间较对照组少49 s，两组比较差异有统计学意义（P＜0.05）；研究组残留量≤0.5 mL较对照组多31例，而残留量≤1.0 mL较对照组少31例，两组比较差异有统计学意义（P＜0.05）。 结论白蛋白袋式装置应用更为高效、安全，药物利用率高，值得推广。

Effect of Modified Sleeve Gastrectomy on Ghrelin and Glucagon Like Peptide-1 in Rats with Diet Induced Obesity

ObjectiveTo explore a surgery of effective weight loss concentrating on gut hormone release. MethodsWistar rats were fed with high-fat diet for inducing obesity and which randomly divided into sleeve gastrectomy plus decent jejunoileal bypass (SJB) group (n=12), sleeve gastrectomy (SG) group (n=12), and sham operation (SO) group (n=11), the body weight reduction, food intake, plasma ghrelin level, and glucagon like peptide-1 (GLP-1) level were compared among three groups. ResultsThere were no differences of the body weight and food intake before operation among three groups (Pgt;0.05). Compared with the SO group, the body weight descended and the food intake decreased obviously on 1-8 weeks after operation in the SJB group (Plt;0.05), the body weight of rats on 1-8 weeks after operation in the SJB group significantly descended as compared with the SG group (Plt;0.05), and the food intake of rats on week 3, 6, 7, and 8 in the SJB group signicantly decreased as compared with the SG group (Plt;0.05). There were no differences of the levels of the plasma ghrelin and GLP-1 before operation among three groups (Pgt;0.05). Compared with SO group, the plasma ghrelin level decreased and the GLP-1 level increased in the SJB group and the SG group, meanwhile the SJB group significantly decreased level of plasma ghrelin and elevated level of plasma GLP-1 as compared with the SG group on week 8 after operation(Plt;0.05). ConclusionThe data demonstrate that SJB could represent an effective way of losing weight by interfering with food intake and obesity related hormone levels.

镇痛灸在骨关节痛患者中的应用

【摘要】　目的　总结镇痛灸对骨关节痛患者的治疗效果。　方法　2008年10月—2009年9月，将120例骨关节痛患者随机分成两组，试验组按照常规对其实施物理治疗及输液治疗，在晚上对患者疼痛部位粘贴镇痛灸；对照组仅按常规实施物理治疗和输液治疗。　结果　试验组患者疼痛缓解率明显高于对照组，两组比较，差异有统计学意义（Plt;0.05）。　结论　镇痛灸在骨关节痛患者中镇痛效果明显。

探索重症监护病房量化表饮食护理干预的有效性

目的　探讨重症监护病房（ICU）患者饮食健康教育的有效方式，为ICU患者及家属更好地了解所需膳食结构，从而进行日常饮食护理提供实践依据。 方法　将2011年1月－6月收治的82例清醒可进软食患者随机分为观察组和对照组，每组各41例；观察组结合《ICU病人安全饮食指导表》进行饮食保健指导和营养状态监测等护理干预；对照组给予常规的营养支持和药物治疗。1个月后进行问卷调查,观察临床沟通效果。 结果　观察组较对照组患者及其家属对安全饮食的了解度增加，满意度升高，营养状态好转，护士开展健康指导时间减少（P＜0.05）。 结论　应用《ICU病人安全饮食指导表》等护理干预，可有效增加ICU患者及家属对其所需膳食了解程度，帮助护士或家属更好地安排其膳食，大幅提高护士和患者及家属沟通有效率和优质护理服务满意度。

思乐扣在防止中心静脉导管脱落中的应用及效果

成人特发性肺含铁血黄素沉着症急性肺出血期护理一例

NP 方案联合参一胶囊治疗晚期非小细胞肺癌疗效观察

摘要:目的:观察NP方案与参一胶囊联合治疗晚期非小细胞肺癌的近期疗效和毒副反应。方法:采用 NP方案治疗晚期非小细胞肺癌患者 43例, 化疗同时服用参一胶囊。结果: 可评价疗效病例43例,总有效率44.2%,腺癌有效率高于鳞癌,主要毒性反应为骨髓抑制,但远低于单用 NP方案发生率。结论:NP方案与参一胶囊联合治疗能够提高晚期非小细胞肺癌的疗效,而且可以降低化疗毒副作用,值得临床推广使用。

ICU医护人员对床旁X线摄片的防护对策

目的　探讨ICU医护人员对床旁X线摄片的防护方法与措施。 方法　通过采取时间防护、屏蔽防护、距离防护、提高医护人员防护认知等方法，加强对床旁X线摄片的辐射进行防护。 结果　医护人员对床旁X线摄片防护措施满意度较高；年度体检中未出现与X射线不良反应有关的表现，白细胞均在正常范围。 结论　在合理、科学、正确的应用辐射技术的同时，应使之达到辐射防护的最优化，最大限度的预防和缩小电离辐射对人类的危害。

Practice and Reflection of Supervising Transparent Administration of Clinical Department Affairs

ObjectiveTo carry out the work of overseeing transparent administration of clinical department affairs, have clear knowledge on the progress of making clinical department affairs public, and find out problems the staff focus most. MethodQuestionnaire survey was used, combined with the participation of various meetings, interviews with staff, access to documents and other ways between November and December 2013. ResultsIt showed that the rate of transparent administration of clinical department affairs was (78.39±18.55)%. Among all the affairs, policy ones had the highest scores (over 85%), while the rates of research and academic tenure, financial transactions and remuneration allocation, personnel arrangements and training were the lowest (below 75%), and faculty focused on these affairs. ConclusionsFive methods can improve the rate of transparent administration of clinical department affairs effectively:enough attention from clinical departments, concerning what employees focus on, utilizing methods rationally, strong supervision and making full use of monitoring.