Objective:To investigate the therapeutic effect of integrated traditional Chinese and Western medicine and emotion therapyon hypnotic intoxication.Methods:Ninety cases of hypnotic poisoning patients in our hospital in February 2014 to February 2016 were randomly divided into the observation group and the control group,45 cases in each group.The control group was treated by western medicine,and the observation group was given traditional Chinese medicine therapy and rational emotive therapy based on the control group.Two groups were compared treatment effect and suicidal ideation changes.Results:The total effective rate in the observation group was higher than that in the control group.The conscious time,symptoms disappeared time and hospitalization time were shorter than those in the control group.The complications were less than those in the control group and the difference was statistically significant (P ＜ 0.05).The SSI scores in the observation group after 1 week and 1 month of discharge was lower than that in the control group and the difference was statistically significant (P ＜ 0.05).Conclusion:Integrated traditional Chinese and Western medicine and emotion therapy can improve the treatment effect of hypnotic intoxication,reduce the patient's suicide ideation and prevent the occurrence of the event again.

Objective To discuss the application effects of emergency care path on rescue of patients with acute myocardial infarction.Methods A total of 84 patients with acute myocardial infarction were selected by purposeful sampling method as the study subjects from January 2015 to December 2016 in Emergency Department in the Second Affiliated Hospital of Qiqihar Medical University, and were divided into control group and observation group by random number table, in which 40 cases were treated with traditional nursing model in the control group, and 44 cases were treated with emergency nursing path model in the observation group. We compared Seattle angina questionnaire, nursing satisfaction scale for patients' evaluation.Results After interventions, the patients' scores of observation group were (18.03±1.55),(17.82±2.15),(18.27±1.69), (18.92±0.76),(18.95±0.57),higher than (15.46±1.76),(14.76±2.01),(15.72±2.17),(14.87±1.56), (14.82±1.27)in the control group in angina pain, restriction degree of body activity, occurrence of angina, disease recognition degree, pain control satisfaction (t=-5.663, -5.791, -5.691, -6.702, -6.772;P<0.05). After intervention, the patient's satisfaction in the observation group was 97.73%, higher than 77.50% in the control group (χ2=8.174,P<0.01).Conclusions Emergency care pathways can rescure patients with acute myocardial infarction, effectively improve the patient's symptoms, and contribute nursing satisfaction.

目的：对老年癫痫患者感染病原菌分布及对患者血清热休克蛋白（HSP）和胶质纤维酸性蛋白水平影响进行研究。方法120例老年癫痫感染患者作为感染组，对患者感染病原菌的分布进行分析，酶联免疫吸附测定法检测感染患者血清中 HSP、胶质纤维酸性蛋白水平的变化；以医院同期健康体检者120例作为对照组，老年癫痫未感染病原菌患者120例为未感染组。结果感染组颅内感染24例（20．0％），血液感染5例（4．2％），上呼吸道感染21例（17．5％），肺部感染24例（20．0％），皮肤感染15例（12．5％），下呼吸道感染18例（15．0％）；感染组共分离病原菌144株，革兰阳性菌69株（47．9％）；革兰阴性菌68株（47．2％），真菌感染7株（4．9％）；感染组血清中 HSP、白细胞介素（IL）－2和 IL－6明显高于对照组和未感染组，而胶质纤维酸性蛋白明显降低（P＜0．05）。结论老年癫痫患者容易受到病原菌感染，且感染后患者血清中 HSP 和胶质纤维酸性蛋白及 ILs 蛋白水平存在明显异常。

Objective:To explore the quality on 64-slice CT coronary angiography with different injection rates of contrast agent.Methods: 120 patients who have been diagnosed or suspected coronary atherosclerosis were selected in our hospital and were randomly divided into group A(4.5ml/s), group B(5.0ml/s) and group C(5.5ml/s), with 40 cases in each group. We observed CT attenuation values, image quality, and adverse reactions of the three groups.Results: There were significant differences in the ascending aorta, descending aorta, left main, left anterior descending artery, circumflex artery and the right coronary artery and other parts of the CT attenuation value (F=6.838,F=4.002,F=7.261,F=5.992,F=8.281,F=5.790,F=6.126;P<0.05). In image quality, the group B with 34 cases was significantly better than group A with 12 cases and group C with 20 cases (x2=9.632,x2=5.475;P<0.05). The rate of adverse reactions was 30%, 7.5% and 22.5% with 12 cases in group A, 3 cases in group B and 9 cases in group C. The rate in group B was significantly lower than in group A and group C (x2=12.985,x2=10.236;P<0.05).Conclusion: Through the application of the same concentration of the contrast agent and scan conditions to coronary angiography, we can get a good vascular enhancement and high quality imaging when the injection rate of contrast medium is 5ml/s, while incidence of adverse reactions may be reduced.

目的：研究神经生长因子联合弥可保联合治疗糖尿病周围神经病变的应用价值。方法将60例糖尿病周围神经病变患者随机分为治疗组（30例）和对照组（30例），观察两组的临床疗效和神经传导速度的变化。结果观察组与对照组的治疗效果比较差异有显著性。结论神经生长因子联合弥可保治疗糖尿病周围神经病变具有良好疗效，具有推广价值。

目的 探讨医院感染中医疗废物管理存在的问题及对策.方法 督查时发现的医疗废物管理工作中普遍存在的风险因素,制定相应措施和对策.结果 通过加强管理,采取相应措施和对策,使医疗废物达到严格分类放置、回收时由专人负责,有效地控制了医院感染的发生.结论 加强医疗废物的规范放置和管理,是为患者创造优良环境与控制感染的重要措施.

目的:探讨护理干预对围孕期妇女孕前麻疹和风疹防治认知的影响。方法:对2010年10月至2012年1月间我院所辖15个社区的1 210名围孕期孕前妇女进行健康指导、情景教育、疫苗接种护理等护理干预,并在干预前后进行问卷调查。结果:经过护理干预后孕前妇女对麻疹和风疹的各项认知率均较干预前提高,差异有统计学意义(P<0.05)。结论:围孕期妇女孕前护理干预可以提高对麻疹和风疹的认知率,对减少缺陷儿及妊娠并发症的发生具有重要作用。

<正>瘢痕是指局部病损皮肤胶原纤维增生性病理改变,成条索状或瘤样,多见于青年,好发于手术后感染、烧伤、烫烧及机械创伤后,多发生在皮肤紧张度较高的部位。轻者仅有不同程度的痛痒,重者有一定的功能障碍,甚至有损美观。核医学科以往采用激光及封闭治疗,复发率较高。2009年1月-2011年10月间,齐齐哈尔医学院第一附属医院美容科对60例颜面外伤术后瘢痕采用90锶(90Sr)敷贴治疗,经过严格的治疗和规范的护理,临床效果比较满意。现将护理体会报告如下。