《化工原理》是药物制剂专业的一门重要专业基础课,但是学生在学习该课程时常感觉有一定的难度。笔者结合药物制剂专业特点,对《化工原理》课程教学进行了探索,收到了较好的效果。
Objective:To compare the therapeutic effects of Gamma nail and DHS on femoral intertrochanteric fractures.Methods:It was analyzed retrospectively the information of 58 cases with femoral intertrochanteric fractures including 28 cases receiving Gamma nail treatment and 30 ones doing DHS treatment.Results:Compared with the DHS group,the total blood loss was less,the time walking on the ground was earlier,healing time of fracture were shorter,the good and excellent rate of the hip joint functional outcomes was higher,and the incidence of complications was less in the Gamma nail group(P<0.05).Conclusion:The Gamma nail is of some advantages in the treatment of femoral intertrochanteric fracture over DHS.
Based on the worthy notion of the scientific views of development pay regards to this article surveys the rapid development of Chinese hospitals, analyses the challenges that the scientific views of development to hospital management, considers that only through establishing whole concept of quality as the core of scientific views of hospital quality, that is, people-oriented, comprehensive, coordinated and sustainable scien- tific views of quality, the hospitals are capable of overcoming the obstacles of the rapid development, achiev- ing true scientific development, and the hospital management can be beyond challenges.
Objective To discuss the application of health education in nursing the patients receiving colostomy in order to facilitate their rehabilitation and improve their life quality.Methods Health education and health guidance on psychology and general knowledge of disease were conducted among 50 patients receiving colostomy before and after operation and during rehabilitation period.Results After health education,the patients could care their stoma wound independently or by the help of family members except 2 patients who were allergic to the viscose for ostomy and had dermatitis around the stoma and 3 patients whose skin was stimulated to have lesion because of the unfit size of the hole cut which led the excretion spillovering.Conclusion Health education could effectively improve the cognitive ability of the patients receiving colostomy and make them to know the methods of stoma nursing and return to society quickly.
病毒性脑炎是指病毒直接侵犯脑实质引起的颅内急性炎症,其预后与病变范围及病变轻重有关.病程大多2～3周,多数能完全愈合,少数有癫痫、肢体瘫痪、智力发育迟缓等后遗症[1].
目的:探讨氯沙坦对早期糖尿病肾病的治疗作用.方法:对我院2003年6月～2007年6月收治的120例早期糖尿病肾病患者在对症治疗的基础上,加服氯沙坦,比较治疗前后各项指标的变化.结果:经过治疗,患者的各项指标除BuN外,UAER、HbAlc、Scr、MAP、FBG均有显著降低,与治疗前比较差异有统计学意义(P<0.05).治疗后无明显不良反应,所有患者均可耐受并坚持完疗程.结论:氯沙坦治疗早期DN可以显著减少尿蛋白排出,疗效确切,无明显毒副作用,患者依从性好,值得进一步开发和推广.
目的:了解不同浓度富马毒素(FB1)诱导肝癌细胞产生凋亡时FasLmRNA表达的变化方法:采用流式细胞术检测细胞的凋亡;荧光定量RT-PCR测定细胞FasLmRNA表达的水平.结果:5～40μmol/L FB1实验组均诱导肝癌细胞出现凋亡,经流式细胞仪检测凋亡率与对照组相比差异有显著性(P＜0.05).荧光定量PCR检测结果显示,各实验组FasLmRNA与对照组相比表达均有一定程度降低,差异有显著性(P＜0.05).结论:一定浓度的FB1可诱导肝癌细胞凋亡;各实验组FasLmRNA均无表达的增加并且降低.
目的:探讨安放宫内节育器(IUD)手术中操作失败的原因及常见操作不当的处理方法.方法:回顾性分析我院200B年～2008年6年间门诊IUD安放和取出手术,操作失败的患者63例的临床资料.结果:安放和取出IUD手术平均操作失败率为4.5%,6年间安放和取出IUD手术的失败率差异无统计学意义(P>0.05);年龄越小安放IUD失败率越高,而随着患者年龄增加取IUD失败率增加(P<0.05),环型IUD操作失败率高于T型IUD(P<0.05).多因素logistic回归分析显示:年龄大、金属环、孕次低、产次低、手术类别(放环)等因素是导致节育环手术失败率上升的非手术者和非操作的影响因素,提示,安放IUD失败率高于取出IUD.结论:IUD手术中应注意操作因素和非操作因素对手术的影响,加强对易导致手术操作失败的影响因素的重视,规范手术操作,减少手术者的操作不当.
目的:介绍应用有限内固定结合踝关节外支架治疗27例高能量损伤致胫骨远端粉碎骨折的临床疗效.方法:总结分析2002年至2007年我院27例胫骨远端高能量骨折应用单侧带关节外支架跨踝关节外固定结合胫骨微创切开复位有限内固定及腓骨切开复位内固定治疗的临床资料.结果:术后随访8～24月,平均随访时间11月,骨折平均愈合时间7月,疗效根据Edwards评定系统评定,好:18例,可:8例,差:1例.结论:有限内固定结合踝关节外支架是治疗高能量胫骨远端骨折的一种较好方法,具有手术创伤小,并发症少,关节功能恢复满意等优点.
Objective:To evaluate the clinical significance of applying blood sugar continuous monitoring system in diabetes mellitus and it's nursing.Methods:72 hours continuous monitoring of blood sugar was applied in 30 cases of diabetic,and health education and nursing were carried out.Results:All the 30 cases had been undergone continuous monitoring of blood sugar and had good tolerance.And optimal treatment could be done according to the valuable information from the monitoring system.Conclusion:The monitoring system is helpful to study the sugar excursion trend and make treatment plan.Furthermore,it needs to be guaranteed by improving nursing.
Objective Discuss losartan treatment 120 cases of early diabetic nephropathy therapeutic effect.Methods In June 2003～June 2007 120 cases of early diabetic nephropathy patients in our hospital oraled losartan based on symptomatic treatment,comparied the indicators change before and after treatment.Results After treatment,patients each indicators in addition to the BUN,UAER,HbAlc,Scr,MAP,FBG were significantly lower,the differences were significant compared with pre-treatment(P<0.05).there was no significant adverse reactions after treatment,all patients can tolerate and adhere to treatment end.Conclusion losartan treatment early diabetic nephropathy can significantly reduce the discharge of urine protein,effect is precise,no significant side effects,patients compliance is good,worthy of further development and promotion.
Objective:To explore the clinical effect of artificial nasolacrimal ductus stent for treating nasolacrimal duct obstruction.Methods:32 cases of patients with nasolacrimal duct obstruction,who were chosen from 2008 to 2009,underwent permanent artificial nasolacrimal duct stent placement through nasal cavity under local anesthesia.Then the clinical effect were followed up for three months.Results:Artificial nasolacrimal duct stent was successfully placed in 31 cases.After 3 months followed-up,no case with lacrimation was observed.Irrigation of duct stent showed that all of the 33 eyes were unobstructed.Conclusion:This technique of permanent artificial nasolacrimal duct was safe,effective with micro incision,which was worthy of being popularized.
结合我国感染管理法律、法规,根据工作实践经验,制定并实施预防医院感染的各种管理措施,能够有效预防医院感染的发生,为预防医院感染提供依据。
目的探讨教学方法与学习成绩的关系。方法实验班与对照班分别采用优化教学和传统教学模式进行教学,通过实践考察其教学效果并进行对比。结果实验班的教学效果明显优于对照班。结论优化教学方法是提高病理学成绩的重要途径。
Objective:To investigate the clinical application of intrafascial hysterectomy under peritoneoscope.Methods:128 cases with intrafascial hysterectomy under peritoneoscope from this hospital since 2003 were collected as the experimental group,and 115 cases with total hysterectomy in the same period were selected as control group.And clinic indexes were observed and analyzed.Results:There had no significant difference of average duration of operation and blood loss after operation between this two groups(gPg>0.05).But there had significantly less blood loss in the course of operation,shorter time of hospitalization,lower postoperative morbidity,and better recovery symptoms in the experimental group(P<0.05).Conclusion:As the method of intrafascial hysterectomy under peritoneoscope has many advantages,such as micro-incision,less blood loss and fewer complications,it is available for clinical application.
As an invaluable Chinese heritage,Confucian moral thought can be applied to realize the integration of Confucianism with college moral education,which is valuable for college moral education construction.
目的:评价阴道镜检查对宫颈疾病的诊断价值。方法:回顾分析2004年3月~2007年3月对行阴道镜检查,同时根据阴道镜图像异常处定位活检的371例患者资料。结果:根据阴道镜诊断与病理诊断结果对照,对宫颈癌的符合率100%,对CIN诊断符合率87.10%,对宫颈湿疣的符合率100%。结论:阴道镜检查对宫颈癌、宫颈上皮内瘤变及宫颈湿疣的早期诊断与病理诊断有较高的符合率,具有重要的临床价值。
目的:减少检验科在日常工作中存在问题,为医疗举证倒置提供真实资料。方法:根据检验工作中常见问题,提供防范问题出现的应对措施。结果:采用防范措施后,在医疗纠纷中因检验科原因造成的举证不力现象大为减少。结论:医疗举证倒置的出台,明确了检验科日常工作在医疗纠纷处理中的重要作用,要求检验科工作必须客观、及时、准确、完整。
