目的 研究老年慢性心力衰竭患者血清胱抑素C(Cys C)及N端B型尿利钠肽原(NT-proBNP)水平变化与心室重构的关系.方法 选取老年慢性心力衰竭患者125例为观察组,选取30例同期老年健康体检者为对照组.观察组按照美国纽约心脏病协会(NYHA)标准分为Ⅰ级组(25例)、Ⅱ级组(53例)、Ⅲ级组(29例)和Ⅳ级组(18例);依据左心室射血分数(LVEF)＞50％为射血分数保留心力衰竭组(HFpEF),(LVEF)＜40％为射血分数减少心力衰竭组(HFrEF).入院后空腹采血测定Cys C和NT-proBNP等;利用心脏彩色多普勒超声记录左心室舒张末容积(LVEDD)和LVEF,对上述资料进行相关分析.结果 与对照组比较,HFpEF组和HFrEF组血清Cys C和NT-proBNP水平有统计学差异(P＜0.05).与对照组、NYHA Ⅰ级组、NYHA Ⅱ级组和NYHA Ⅲ组比较,NYHA Ⅳ级组血清Cys C和LVEDD值明显增加,差异有统计学意义(P＜0.05).结论 老年慢性心力衰竭患者血清Cys C水平与心室重构相关.
<正>随着我国社会经济的发展和医疗卫生的进步,我国人口的疾病谱正在发生变化。伤害已与传染性疾病、慢性非传染性疾病一起构成危害人类健康的三大疾病[1]。有研究表明,损伤与中毒已位于疾病顺次的首位[2,3]。预防控制损伤中毒的发生必须建立在了解其发生频率和分布上。本文就某院损伤与中毒病例特征进行描述分析,为制定有针对性的干预措施提供依据。
病案资料是一种系统、客观地反映医院医疗质量、科研水平、服务态度和医疗经济效果的信息资源。随着医疗机构体制改革的深入以及社会信息化的飞速发展,病案信息资源开发利用已成为病案管理部门主动为医院医疗、教学、科研、管理以及社会服务的重要手段。在病案资料中寻求医院经营管理的现状及水平,提供对医院经济管理具有指导性的信息和建议,体现了病案资料对提高医院社会效益和经济效益的价值。通过对病案室的病案管理流程和数据统计整理后的信息资料,有助于医院管理者的决策。
Objective Having a retrospective statistical analysis on external reasons of injury and poison for 4 years in a hospital knows about their epidemic characteristic,exploring prevention control direction of injury and poison. Methods Using ICD-10 as standard,this paper confirmed 7374 research objects by screening front sheet of medical record of injury and poison patients from 2006 to 2009 of a first class and grade three hospital,adding up related data and describing their epidemic characteristic.Results the top three formations for external reasons of injury and poison are respectively transportation accident,accident injury and injury causing by other person.The gender proportion of male to women is 2.94:1.People from 15 to 44 age rank first in patients of injury and poison,taking up 59.54% of the total cases. Peasant,worker,student and preschool children take up highest proportion of it.The time of injury and poison centre upon from May to September.Conclusions Injury and poison severely harm people's health,adding to social burden and loss of family.Hospital and related departments should strengthen the prevention and control of this kind of disease.
The paper discusses that using the concept of Moment of Truth(MOT) in enterprise management for medical record management and how it affects service contact and service quality.This article analyzes the interaction among requirer of medical record information and manager of medical record and service entity in service contact,pointing out the methods of identifying and managing the contact between the requirer and manager of medical record through using the concept of MOT.It also suggests that manager of medical record should strengthen service management of MOT like in enterprise for improving medical record quality.
将44例Ⅰ、Ⅱ期高血压病人随机进行研究，40例完成研究。氨氯地平组服用氨氯地平5mg，每日1次，硝地平组服用硝苯地平10 mg，每日3次，治疗2周。根据血压情况，若血压≤140/90mmHg，给予维持剂量，再服用4周。若血压≥140/90mmHg，剂量加倍，即氨氯地平10mg每日1次，硝苯地平20mg，每日3次，治疗 2周若血压降到正常给予维持量再治疗2周。结果，氨氯地平组血压从175±9/102±6mmHg降到130±12/87±7mmHg，前后降压有极显著性差异(P＜0.001)。硝苯地平组血压从173± 8/102±7mmHg降至144±18/92±7mmHg(P＜0.01)。两组降压疗效有极显著性差异(P ＜ 0.01)。氨氯地平组，总有效率95%，硝苯地平组总有效率70%，两组间有显著性差异(P＜0.0)。提示，氨氯地平降压疗效明显优于硝苯地平，氨氯地平能维持24小时血压稳定，病人对药物有良好的耐受性。
"AO"中空加压螺纹钉固定术因其具有对骨折处行加压内固定坚强、可靠,使骨折达到解剖复位,术后不打石膏,可行早期功能锻炼以防止并发症的发生,且手术操作简单等优点,而被广泛应用于骨折创伤的治疗.我科自1996年初开始在区内首先引进该技术,收效颇好.现将护理体会总结如下.
