Objective To analyze and research the clinical efficacy of Tanreqing in the adjuvant treatment of acute pneumonia. Methods 132 cases with acute pneumonia from October 2010 to 2012 October were retrospectively analyzed and divided into two groups according to the treatment method,the observation group had 66 cases,the control group had 66 cases,the control group was treated with cefotaxime,the observation group was treated by Tanreqing basis on the control group.after the treatment,compared the therapeutic effect of the two groups. Results The total efficiency of the two groups had significantly different (P<0.05),the difference had statistically significant. After the treatment, the leukocyte of the two groups had significantly different (P < 0.05),the difference had statistically significant. Conclusion Tanreqing can effectively play its anti-inflammatory,antibacterial,antitussive,expectorant,antipyretic in the treatment of acute pneumonia,adverse reactions of patients were mild during the treatment,it's safe and reliable,and it can reduce bacterial resistance by overuse of antibiotics,it's worthy for clinical application and promotion.

目的分析本院2012年的临床抗菌药物用药情况。方法对本院2012年度的临床抗菌药物使用情况进行回顾性分析。结果本院的临床抗菌药物根据2012年的销售金额进行排名,第一名头孢呋辛,第二名美洛西林,第三名头孢曲松,第四名头孢西丁,第五名美罗培南;本院的临床抗菌药物根据2012年的抗菌药物类别使用情况进行排名,第一名头孢菌素类,第二名青霉素类,第三名碳青霉烯类,第四名大环内脂类,第五名氨基糖苷类。结论本院的临床抗菌药物使用情况基本趋于合理,符合我国对抗菌药物临床使用的基本原则。

为提高药物信息的利用效率及利用水平,使药学专业人员的价值得到真正体现。本研究就医院实施药理学服务模式后药物需求发生的变化、应用药物信息的主要方式,及药物学服务信息的需求特点等方面进行探讨分析。并以此为依据对药理学信息管理的发展趋势进行评估。

Objective To explore the clinical effects of ozone treatment on different types of cervical spondylosis. Methods 20 cases of cervical spondylosis were treated under the surveillance of C-arm positioning with 75% concentration of ozone 8 ~ 12 ml into the corresponding symptoms of cervical gaps. Results All the 20 patients recovered, followed up for 6 months without recurrence, without any complications. Conclusion Minimally invasive ozone treatment of cervical spondylosis is simple, safe, less traumatic, significantly and reliably effective, which is the best choice of treatment for elderly patients with cervical spondylosis.

Objective To compare the efficacy of three methods of conservative treatment,open reduction and internal fixation,external fixation.Methods 60 patients were randomly divided into three groups,fixed effects and infections were statistically compared.Results The failure rate of conservative treatment group was 40%;in open reduction and internal fixation group the rate of broken plates and off-needles was 25%,the infection rate of pinhole was 15%;in external fixation group the healing rate was 90%,the fixation failure rate was 10%,the infection rate of pinhole was 10%.Conclusion The treatment of external fixation device is a reliable method of minimally invasive,external appearance beauty,which is better than conservative treatment and open reduction and internal fixation.

[Objective]To study the function of creatine phosphate sodium in the myocardial protection of hand-foot-and-mouth disease children.[Methods]Chose 200 hand-foot-and-mouth disease children in our hospital,who were randomly divided into control group and experimental group.The control group was dealt with conventional antivirus,anti-infection,antipyretic and other symptomatic support treatment,the patients in the experimental group based on routine treatment were given acid sodium phosphate treatment.Compared serum myocardial cTnI(cTnI),phosphoric acid creatine kinase isozymes(CK-MB),lactate dehydrogenase isozymes(LDH-1)changes in two groups before and after treatment.[Results]After treatment:(1)cTnI of the patients in the experimental group was 0.54±0.12 mg/l,and 0.98±0.16 mg/l in the control group;(2)CK-MB of the patients in the experimental group group was 27.6±12.3 U/L,and 34.9±7.6 U/L in the control group;(3)LDH-1of the patients in the experimental group was 52.1±13.4 U/L,and 71.6±13.5 U/L in the control group.The above values were all with statistical significance.[Conclusion]The function of acid sodium phosphate in myocardial protection of the hand-foot-and-mouth disease children is effective and can better reduce the concentration of serum myocardial enzyme,avoid myocardial injury.

目的探讨臭氧治疗颈椎病围手术期的护理要点及患者出院后的日常生活护理要点。方法总结经皮穿刺臭氧治疗颈椎病30例围手术期护理并进行术后随访指导康复锻炼。结果和结论有效的围手术期护理为手术的成功奠定了良好的基础;患者出院后的日常生活护理指导及积极主动的功能锻炼,大大缩短了康复时间,同时对患者手术疗效的巩固及颈椎病复发的预防起到了关键的作用。

<正>膝关节持续被动运动(continuous passive motion cpm)在膝关节手术后对膝关节的功能恢复有有效的辅助治疗作用。自2009年3月~2011年3月,我科50例患者在膝关节手术后采用cpm持续被动锻炼,取得满意效果,现报道如下:

目的从临床药学角度分析钙制剂使用中的问题及应用探讨。方法从药学角度分析钙制剂的种类,使用中存在的问题,并提出针对性的钙制剂选择方法和合理使用方法。结果从品种、剂量、生物利用度、维生素D等角度合理应用钙制剂,充分考虑机体的吸收能力,对钙制剂的合理应用有较好的指导效果。结论临床应用钙制剂应从钙的作用、机体利用度、不同钙制剂的特点和选用等多角度合理的为患者选择含量高、质地优、生物利用度高的钙制剂,达到最好的治疗及保健效果。

Objective Approach the transition of the dispensing pattern of work in hospital.Methods Analysis the superiority and insufficient in the zero distance dispensing mode of dispensary for outpatients and single dose dispensing in dispensary for inpatients and the prepare center of pharmacy intravenous admixture.Results The dispensing pattern of work comply with the change from the dispensing mode of medicine supply to the dispensing mode of pharmaceutical care to put patient into center,to expend the service connotation of hospital pharmacy work.Conclusion The pattern in favour to promote rational use and to increase the level of pharmaceutical care in hospital and to embody the social value of pharmacist.The launch of new work mode need pharmacy technicist with high diathesis and the strongly support of nation policy.

2007年2月,卫生部发布新的《处方管理办法》,对调剂工作提出了更高的要求.《处方管理办法》规定具有药师以上任职资格的人员负责处方审核、评估、核对、发药及安全用药指导,药士从事处方调配工作,向患者交付药品时,按照药品说明书或者处方用法,进行用药交待与指导.随后河南省卫生厅及河南省中医管理局制定了《河南省处方管理办法实施细则》明确处方调配、审核、核对、发药岗位不得少于两人操作,特殊情况单人值班时,应按两人调剂岗位的程序操作.

目的:了解我院肺炎治疗中抗菌药物使用的合理性。方法:抽取2005年9-11月出院的肺炎患儿病例资料111份,统计使用抗菌药物的品种、使用频度、联合用药情况等,依据《抗菌药物临床应用指导原则》分析应用抗菌药物的合理性。结果:我院肺炎治疗中使用频度高的抗菌药物依次为头孢菌素类、青霉素类、大环内酯类。其中,单用占83.8%,二联用药占16.2%,首选宜选药物占77.5%。结论:我院肺炎治疗中抗菌药物大多为单用,且多选用宜选药物,符合《抗菌药物临床应用指导原则》,但仍存在某些问题需要改进。

我院临床药学工作2001年起步,历经四年不懈努力,取得了较大发展,现总结介绍如下. 1开展药物咨询 2004年12月我们开展了药物咨询工作.在门诊大厅设"用药咨询台",每周一至周五上午三位临床药师轮流值班,回答患儿家长咨询、发放"爱心卡"宣传各种药物知识;在"爱心卡"上公布咨询电话,每周一、三、五下午接待患儿家长的电话咨询:随时接待本院医务人员的咨询.各种咨询分别详细记录,便于电话回访和总结,要求临床药学室每月写出药物咨询总结,交科主任审核后报主管院长,必要时在院周会上通报,使临床医师与药学人员了解患儿家长对用药方面的要求,对用药中存在的问题及时解决.

Children are more susceptible to ADR than adults because of the characteristic of children,s physiologic and medication, and it takes more serious effect and harm to children. Drug safety for children is an important task not only for people's healthy but also improving all civilian,s constitution. ADR monitoring should be strengthened. Drug administration on children should be more reasonable, thus ADR can be reduced and avoided efficiently and the drug for children should be more reasonable, safely and effectively. On the other hand, medical staffs should timely make known the ADR report or monitoring, and the support and administration of hospital are necessary too.