Objective To investigate the effect of daily log combined with multimedia technology on functional exercise in patients with ankylosing spondylitis .Methods A total of 61 patients were randomly assigned to experimental group ( 31 ) and control group ( 30 ) .Two groups of patients accept the same drug therapy.The patients in the experimental group underwent multimedia course and synchronous training of function excise guided by simultaneous video , and they were requested to write daily log about functional exercise .The patients in the control group took use of conventional health education and conventional functional exercise guidance .We assessed patients by Bath ankylosing spondylitis functional index ( BASMI ) , Bath ankylosing spondylitis metrology index ( BASFI ) and functional exercises compliance at pre-and post-treatment three months.Results In the experimental group, BASMI score decreased from (4.6 ±1.8) to (2.6 ±1.6) and BASFI score decreased from (47.67 ±17.31) to (16.72 ±12.91).In the control group BASMI score reduced from (4.7 ±1.7) to (3.5 ±1.3) and BASFI score declined from (48.01 ±16.86) to (23.83 ± 13.03).The difference of BASMI score and BASFI score between these two groups were significant at post -treatment (t=3.125, 3.213;P<0.01).The excellent rates of functional exercises compliance were indifferent between two groups before intervention , but it increased to 83.9% in the experimental group and the number was 46.7%in the control group at three month post-treatment (P<0.01).Conclusions Daily log combined with multimedia technology applies for patients with ankylosing spondylitis contributing them to master the method of functional exercise , and the spinal motion and body function can be significantly improved after three months′intervention .

Objective To study the status of the usage and the awareness of drip chamber in the application in administration of medicine .Methods The self-designed questionnaire about drip chamber used for administration of medicine was used to survey 310 nurses.Results There were different kinds of appellations for the drip chamber , among with the “Murphy's Dropper” was used the most , and it was not in line with the national and the international standards .298 nurses ( 96.13%) in the survey accepted and used the drip chamber for administration of medicine .246 nurses (82.55%) replaced the intravenous injection by the drip chamber for administration of medicine .Only 12 nurses were opposed to the drip chamber for administration of medicine.All the respondents failed to give the exact answer of drug concentration changes and the amount of electrolyte solution used for rinsing drip set .Conclusions The application of drip chamber should be standardized by national and international standards .Nurses fail to fully recognize the way of using drip chamber for medicine, so it cannot be replaced completely by the intravenous injection .

目的 观察复方丹参滴丸对初发2型糖尿病患者尿微量白蛋白排泄率(urinary albumin excretion rate,UAER)的影响.方法 2005-05-12选择门诊和住院初发2型糖尿病患者68例,入组前均未诊治.随机分为对照组(35例)和丹参组(33例).比较治疗期间UAER变化,并分析与糖化血红蛋白(HbA1c)、血脂、血压等关系.结果 (1)第5年、7年时对照组患者血总胆固醇(TC)与治疗前比较明显减低(P＜0.05),对照组低密度脂蛋白(1DL-C)治疗5年后与治疗前比较降低明显(P＜0.05).丹参组治疗7年后高密度脂蛋白(HDL-C)、三酰甘油(TG)与治疗前比较有明显差异(P＜0.05),但两组患者7年前后的空腹血糖(FPG)、HbA1c、血压及血脂水平同期比较均无统计学差异.(2)两组UAER均逐渐增高,治疗5年、7年后两组与治疗前比较均有统计学差异(P＜0.01),治疗7年后丹参组(22.31±3.14)mg/24 h增高低于对照组(25.81 ±3.83)mg/24 h.(3)治疗7年后,对照组糖尿病肾病发生率(33.3％)高于丹参组(10.0％),差异有统计学意义(P＜0.05).结论 复方丹参滴丸治疗可延缓糖尿病肾病的发生及发展.

Objective To analyze the misdiagnosis cause of cough variant asthma(CVA) so as to propose counter-measures.Methods Retrospective analysis of clinical data of 40 misdiagnosed patients with CVA in our hospital during September 2009 and September 2011 were performed.Results Misdiagnosis rate of this group was 20.8%(40/192).Cardinal symptoms of 40 patients were amyctic cough at night and in early morning,a little amount of cough up sputa with a cold before coughing.They were misdiagnosed as having chronic or brachychronic bronchitis,chronic pharyngitis and upper respiratory tract infection.Treatment effect was poor based on misdiagnosed diseases with recurrent attacks.Patients were diagnosed as having cough variant asthma by pulmonary function test and bronchial relaxation test(male).Conclusion The misdiagnosis rate of CVA is high.Patients with recurrent chronic irritable cough should be given examination of lung function to confirm the possibility of CVA.

1 病例资料 男,21岁.主因双下肢皮肤淤斑10月余入院.既往体健,10个月前患者无明显诱因出现双下肢皮肤淤斑,可自行消退,反复出现,偶有牙龈出血,无其他伴随症状.在当地医院查血常规示:白细胞1.61×109/L,中性粒细胞0.68,血小板29×109/L.为进一步诊治来我院.查体:双下肢散在陈旧出血点、淤斑,余未见明显阳性体征.

<正>1病例资料女,60岁。因间断头晕、意识丧失伴恶心、呕吐5天入院。有高血压病史10月余。病程中无视物旋转感,无发热、肢体抽搐、言语及肢体活动障碍、大小便失禁,无心慌、胸闷及心前区、肩背部疼痛。至当地县医院急诊,测血压160/100 mmHg;心电图检查示:窦性心律,心率67/min,Q-T间期0.548 s;头颅CT检查未见异常。