目的 探讨慕课在消化科中医住院医师规范化培训教学改革中的作用.方法 选取2021年1月1日—2022年2月28日,在首都医科大学附属北京中医医院消化中心进行中医住院医师规范化培训的学员112人,随机分为对照组和观察组,各56人.对照组采用临床带教结合科内定期讲课的传统教学法,观察组在此基础上,同时实施慕课教学,培训时间均为1个月.观察2组学员在理论知识考核、腹腔穿刺、腹部查体、病历书写及对带教教师授课质量评价方面的差异.结果 观察组理论知识考核各单项得分及总分均高于对照组,差异有统计学意义(P＜0.05);腹部查体得分高于对照组,差异有统计学意义(P＜0.05);对带教教师授课质量评价中"准备充分、病例选择合理"等7项得分及总分均高于对照组,差异有统计学意义(P＜0.05).结论 将慕课应用于消化科中医住院医师规范化培训教育教学改革实践中,可有效提高学员的理论水平及专科查体技能,且获得了较高的教学满意度.

张声生教授在脾胃病的临证治疗中善于应用黄连,其认为黄连苦寒性降,一药功兼多效,包括清热利湿、降逆除痞、苦寒坚阴、厚肠止泻等,在针对不同特点胃肠疾病的遣方用药中,通过不同的配伍方法,使其在多种胃肠疾病治疗中发挥良好的药用效果.附验案1则以佐证.

TCM understanding,exploration into western medicine mechanism and the progress of TCM clinical therapy of functional dyspepsia(FD)of spleen-deficiency qi-stagnation pattern were stated,the advantages of TCM therapy for FD and the existing problems currently were discussed,in the wish of benefiting the therapies for FD.

张声生教授认为溃疡性结肠炎的基本病机在于寒热错杂、气血凝滞,常常由于脾气亏虚、湿热滞肠、气血凝滞,导致肠络损伤而发病,而“气虚”“气滞”“血热”“血瘀”夹杂其中.提出了从调节“寒热”“气血”论治本病的观点,并确定了寒热并用、调气行血的基本治法.临证遣方用药配伍精当、圆机活法,随症加减常常佐以消导、滋阴、温肾等法,并配合灌肠提高疗效.

张声生教授针对慢性萎缩性胃炎患者脾胃亏虚的内在基础及气滞、血瘀、热毒等病理状态,提出了从“虚”“瘀”“毒”论治本病的观点,临证以健脾理气、化瘀解毒立法,采用“萎胃治疗方”治疗胃黏膜非典型增生,疗效显著.

Objective:To have an exploration on strengthening management innovation of laboratory reagent and consumables in medical colleges and universities, to improve the level of our reagent and consumables management and to service for teaching and scientific research effectively.Methods: To explore on the management innovation methods and instruments through establishing reagent and consumables information management platform as well as implementing of the tripartite system of acceptance.Results: To establish and perfect the system of acceptance and the reasonable and effective methods in order to strengthen the quality control of reagent and consumables. To set up reagent and consumables information management platform to promote a close relation between purchasing staffs and suppliers, and to greatly improve the management efficiency and quality of reagent and consumables.Conclusion: Standardizing the procurement contracts, establishment the system of acceptance and selection of the reasonable and effective method greatly improve the management performance in reagent and consumables, maintain the school interests and guarantee the normal work of the teaching and research in the school.

目的:从患者的角度,评价中药基于"寒热虚实"辨证治疗功能性消化不良的疗效和安全性。方法:采用多中心、随机、双盲、安慰剂对照的方法将来自5个分中心的527例功能性消化不良患者,基于"寒热虚实"辨证分为脾胃虚弱（寒）、脾虚气滞、脾胃湿热、寒热错杂4个证型,分别随机给予中药1、2、3、4号配方或安慰剂治疗。中药及安慰剂均为配方颗粒,分早晚2次服用,每次150m L。两组治疗疗程均为4周,治疗结束后4周进行随访。评价指标为基于患者评价的消化道症状积分,包括消化道总体症状积分和单项症状积分,分别在第0、4、8周观察记录。结果:4种证型患者接受治疗4周后及随访时,试验组消化道总体症状积分和单项症状积分改善均优于对照组（P＜0.01,P＜0.05）。临床试验期间未出现与药物相关的不良反应。结论:中药基于"寒热虚实"辨证治疗功能性消化不良,可改善患者的临床症状,效果明显优于安慰剂,且安全性良好。

目的:观察中医药辨证治疗功能性消化不良的临床疗效. 方法:100例功能性消化不良患者随机分为治疗组50例、对照组30例与安慰剂组20例. 治疗组采用中药辨证论治,对照组予莫沙必利等常规西药治疗,安慰剂组予中药配方颗粒安慰剂.3组均服药4周后观察并比较临床疗效及主要症状改善情况.结果:治疗组、对照组和安慰剂组中医证候总有效率分别为94.0%、80.0%、45.0%,治疗组疗效明显优于对照组及安慰剂组(P<0.05). 在主要症状方面,治疗组与对照组治疗后上腹痛、上腹烧灼感、餐后饱胀不适及早饱感评分均明显低于治疗前(P<0.01),治疗组患者治疗后上述症状评分明显低于对照组与安慰剂组(P<0.01),上腹痛、上腹烧灼感评分明显低于对照组(P<0.05,P<0.01). 治疗结束1个月后随访,治疗组各症状评分稳定,对照组餐后饱胀不适及早饱感评分明显高于治疗后(P<0.01).结论:辨证治疗功能性消化不良具有较好的近远期临床疗效.

The secure operation of the laboratory serves as the most basic and critical management in the development of the university. In the laboratory of medical colleges and universities, there are multiple hazardous substances. Therefore, the ifne management of the laboratory hazardous waste is necessary. This paper took the practice of Capital Medical University in ifne management of laboratory hazardous wastes from three aspects as an excellent example, including improvement of the rules and regulations, provision of training and education in diversiifed ways, as well as worklfow reifnement and standardization.

Objective: To discuss the distribution disciplines of TCM syndromes and their classified symptoms of chronic superficial gastritis.Methods: By epidemiology ascertainment methods,we first determined the syndromes and symptoms to be observed,which was based on literature,and then designed a unified form for execution.Results: In 960 cases of chronic superficial gastritis,the frequencies of occurrence of different TCM syndromes were: 51.0% incoordination between the liver and stomach,18.8% stagnation of liver-qi with deficiency of the spleen,11.7% weakness of the spleen and stomach,10.2% dampness-heat of spleen and stomach and 8.3% asthenic fluid in stomach.And frequencies of occurrence of symptoms in different syndromes varied.Conclusion: The distribution disciplines of chronic superficial gastritis syndromes differed from the traditional believed ones,with Liver Stagnation related syndromes most common.There are different features in the patterns of symptoms occurrence frequencies in different syndromes.And the relationship between liver and spleen was the most intimate with the symptoms spectrum.

高校低值物资的规范化管理在促进科研经费效益化和科学化管理方面发挥着重要的作用,文章结合低值物资管理工作实践,对当前科研经费用于购置低值物资的管理工作进行了分析,并从加强低值物资管理入手,进而推动高校科研经费的规范化管理提出了几点建议.

Aiming at clinical medical work and characteristics of standardized training of resident doctors, the authors formed their own unique experience which included the following points, namely: paying attention to relative work, completing training system, building reasonable personnel structure, implementing feasible training measures and strict examination system.

With the increasing investment in education ,the purchase quantity of instruments and equipment is increasing year by year .The instruments and equipment procurement in colleges and universities of our country has been incorporated into the scope of the government procurement . Combining the characteristics of government procurement of colleges and universities ,the present situation of the implementation of government procurement is analyzed in detail .According to the characteristics and practice of government procurement , some suggestions on how to further deepen the government procurement work are put forward .

报告了1例溃疡性结肠炎全结肠型伴重度营养不良患者的护理过程。根据患者重度营养不良，发病时间长等特点，与中医专职护士共同制订了详细的营养支持方案与中医辅助治疗的护理计划。注重其饮食情志调理，有效的控制了病情，改善了营养状况。

This paper mostly focuses on the fully developed understanding and discussion of elaboration management in colleges and universities,and introduces the practice work of resource allocation in colleges and universities.According to the study,a conservation-oriented campus should be based on the intensification of both the effectiveness and the rationality of resource allocation.Particularly,the elaboration management should be emphasized.

Objective To observe the efficacy of No.2 gastrosis compound onTCM syndrome in patients with functional dyspepsia(FD) of spleen deficiency and qi stagnation syndrome.Methods A random and double blind trial was conducted;one hundred and sixty patients with FD in spleen deficiency and qi stagnation syndrome were divided into a treatment group,which was given by No.2 gastrosis compound,and a placebo group,which was treated with placebo.The course was 4 weeks and the follow-up was at the 1st month after treatment.TCM syndrome scores were recorded before,the 4th week of,and 1 month after the treatment.Results The total efficacy rate of TCM syndrome in the treatment group(88.7 %) was superior to that in the placebo group(59.3 %),with significant difference(P 0.01);after 4 weeks of the treatment,the TCM syndrome score of the treatment group was(6.57±6.71),and that of the placebo group was(11.63±7.03),which had significant difference(P 0.01);at the 1st month after the treatment,the TCM syndrome score of the treatment group was(6.31±6.06),and that of the placebo group was(11.35±7.63),with statistical significance(P 0.01).Conclusion The No.2 gastrosis compound couldimprove TCM syndrome in patients with FD,moreover it has better efficacy than the placebo.

In the practice of training of digestive house physician for nearly one year,we tried the PBL teaching method and improved the effect of the training,and made this summary and laid the foundation for the promotion of it.We emphasized the duty of first treatment doctor as the basis of the PBL teaching,and gave the house physicians real responsibility of the first time of treatment and compelled them to think about the clinical problems they faced.Insisting on core curriculum training wasalso animportantbasisof the PBL teaching method.To strengthen the system of medical cases discussion was important to the improvement of clinical thinking ability.The positive feedback system was an important link in the teaching process,we used it in the test on completion of a course and strengthen the definite remark of each of the examiner to each student,then the students could understand their shortage and superiority,which was beneficial to theirimprovement in the future.After all,the positive feedback system got a positive function.

Objective To explore Tiaoganlipihewei prescription(TGLP) on the effects of symptoms and function of esophageal motility in patients with gastroesophageal reflux disease(GERD).Methods Thirty-two cases of GERD with typical gastroesophageal reflux symptoms were selected,and the symptoms were evaluated,high-resolution esophageal manometry was applied.All patients were treated with TGLP,then the change condition of gastroesophageal reflux symptom and esophageal motility before and after the treatment was compared.Results Compared with before the treatment,TGLP decreased each individual symptom of gastroesophageal reflux and total symptom score;the pressure value was increased in GERD patients of low LES resting pressure(P < 0.05),there was insignificant difference in UES resting pressure,UES relaxation time and LES relaxation rate(P > 0.05);the pressure of locus medialis and inferior,and the contraction score of locus inferior were increased(P < 0.05),while there was insignificant difference in the success rate of swallow and the peristalsis speed(P > 0.05).Conclusion TGLP has a good effect on improving the gastroesophageal reflux symptoms in GERD patients,increasing esophagus LES pressure and partly improving the function of esophageal body motility,as well as the anti-esophageal reflux.

Aim: To discuss an effective method by analyzing statistic RIS data to optimize the management of the radiology department and improve efficiency of workflow.Method: Extracting the time data of the each step of the examination process respectively(e.g.,registering,taking photos,reporting and signing diagnosis reports and releasing reports) from RIS,and then analyzing these data and assessing the results quantitatively.Results: Adjusting and balancing the distribution of the resources in every step of the examination process according to the results,which can lead to save the time in each step during the examination to improve the efficiency.Conclusion: Analyzing data of RIS can optimize the distribution of the recourses in every step of the examination as well as the process of working,and finally can reduce the time for waiting,promoting the rate of satisfaction of patients and improve the quality of the healthcare significantly.

Fixed assets and its operation process and the results are evaluated and analyzed by fixed assets performance management,which can make assets performance continuously upgrade,and fully realize the value of assets in use.This paper describes the guiding ideology and basic principles of fixed assets performance evaluation system,and tries to explore performance management and performance evaluation system building of fixed assets usefully.This paper also describes the basic contents of the management indicators,security target rate,safety and quality indicators,utilization indicators,efficiency indicators and other major fixed assets performance evaluation.