《黑龙江医学》杂志创刊于1972年,是由黑龙江省卫生健康委员会主管、黑龙江省卫生健康发展研究中心主办、国内外公开发行的医药卫生综合学术期刊.《黑龙江医学》读者对象主要为各级各类医疗卫生机构的卫生技术人员,卫生行政管理人员,医学院校、科研机构从事教学、科研的工作人员.本刊的办刊宗旨是:贯彻党的卫生与健康工作方针,坚持理论与实践相结合,普及与提高相结合,全面反映黑龙江省医学发展水平,报道黑龙江省及全国临床医学、基础医学、康复医学、护理学等研究的新成果、新经验和新方法,介绍国内外医学科技动态和进展,为医学事业发展服务.
Objective:Color Doppler ultrasound technology was applied to the diagnosis of breast cancer to analyze its efficacy in diagnosing microcalcification conditions.Methods:The clinical data of 122 breast cancer patients who underwent physical examination in the health management center of the sample hospitals from March 2020 to March 2022 were retrospectively analyzed and divided in to malignant guoup of 65 cases and benign group of 57 cases according to the image results.The imaging performance,the different nature of calcifications,and the sensitivity,specificity,and accuracy of microcalcifications diagnosis under color Doppler ultrasound high-frequency diagnosis were analyzed.Results:The number of patients with burr phenomenon,irregular mass shape,microcalcifications,blurred borders,and blood flow grade 2 and 3 in the malignant group had more tumor margins than in the benign group,with statistically significant differences(χ2=5.667,5.634,9.332,4.541,7.882,P＜0.05).Microcalcifications and arcuate calcifications were higher in the malignant group than in the benign group,with statistically significant differences(χ2=11.224,14.235,6.342,P＜0.05).There was no statistically significant difference in coarse calcification in the malignant group compared with the benign group(χ2=1.341,P＞0.05).The specificity of color Doppler ultrasound in diagnosing microcalcifications in breast cancer was 89.47%,sensitivity was 93.94%,and accuracy was 92.94%.Conclusion:The application of color Doppler ultrasound technology in the diagnosis of breast cancer microcalcifications can be of good value and is at a high level of specificity,sensitivity,and accuracy.
Objective:To explore the status of adolescent health checkups in Heilongjiang Province and to analyze the abnor-malities.Methods:Health checkups were conducted for 1981 adolescents in Heilongjiang Province from May 2019 to July 2023 in accordance with the hospital's self-designed checkup forms and programs.Results:The top percentages of abnormalities in screening programs were,in order,systolic blood pressure,electrocardiogram,eye disease,BMI,naked eye vision,diastolic blood pressure,abdominal ultrasound,heart rate,ALT,and psychosomatic testing.Health problems were centered on high blood pressure,poor vision,fatty liver,obesity,heart disease,and psychosomatic abnormalities.Logistic regression analysis showed that age,body weight,systolic blood pressure,naked-eye visual acuity around,and ocular disease were significant influences on the examination results(OR=0.780,1.120,1.190,0,0,P＜0.05).Conclusion:Heilongjiang Province is a cold region,and cardiovascular disease,eye disease,obesity,fatty liver,and liver function abnormalities are the main health problems in adolescents,and age,body weight,systolic blood pressure,naked-eye visual acuity,and eye disease are the important influencing factors affecting the results of the examination.
Objective:To summarize the practical experience of balanced fire cupping technique training for nursing staff in Chinese medicine hospitals,and to enhance the ability of Chinese medicine nursing staff to apply cupping-type techniques to identify evidence.Methods:The Balanced Fire Jar Technology Group was established,and the group implemented internal management,developed management systems and training programs,and organized their implementation.The training program focused on developing the ability of cupping-type techniques to identify and apply evidence for the members of the group,including 3 modules on basic knowledge of Chinese medicine,technical operation,and clinical practice,covering observation of illnesses,the doctrine of Tibetan phenomena,the doctrine of meridians and collaterals,key points in identifying evidence,case writing,and nursing outpatient follow up.Results:After 30 months of training,the standardized process of balanced fire cupping technology was constructed,and the members of the school group mastered various techniques of cupping and the operation process of balanced fire cupping to achieve the homogenization of the operation of the members of the school group.12 protocols for the clinical application of balanced fire cupping technology were sorted out.Conclusion:Through the implementation of the teaching mode of the Balanced Fire Cupping Technology Group,the theoretical level of TCM nursing and the ability of clinical practice of TCM nursing staff were effectively enhanced,and the implementation mode of the Balanced Fire Cupping Technology Group provided effective reference for the standardized training and promotion of the application of TCM nursing technology.
Objective:To assess the efficacy of montelukast sodium combined with budesonide nebulized inhalation on commu-nity-acquired pneumonia and airway hyperresponsiveness in children.Methods:102 cases of community-acquired pneumonia ad-mitted to the hospital from January 2019 to January 2022 were selected for the study,and were divided into the experimental group and the conventional group according to the random number table method,with 51 cases in each group.The conventional group was treated with budesonide and the experimental group was treated with montelukast sodium on the basis of the conventional group.Children in both groups were treated continuously for 7 d.Eosinophil cationic protein(ECP)and interleukin-4(IL-4)levels were collected and measured within 24 h(before treatment)and 1 week after treatment,respectively.After 7 d of treatment,the clinical efficacy of the two groups was evaluated,and the occurrence of adverse reactions during treatment was recorded.Results:The serum ECP and IL-4 levels of children in both groups were lower than those before treatment,and the difference was statisti-cally significant(t=5.247,6.741,P＜0.05),and the experimental group was lower than the conventional group,and the difference was statistically significant(t=6.044,22.808,P＜0.05).The total effective rate of the experimental group(94.12%)was higher than that of the conventional group(78.43%),and the difference was statistically significant(χ2=4.129,P＜0.05).The difference in the total incidence of adverse reactions between the two groups of children was not statistically significant(χ2=2.124,P＞0.05).Con-clusion:In the treatment of community-acquired pneumonia in children with montelukast sodium combined with budesonide nebu-lized inhalation,the effect is more obvious,significantly improve the symptoms of the children,at the same time,it can effectively alleviate the hyperresponsiveness of the children's airway,promote the rapid recovery of the children,and it is safe and reliable.
