随着生活水平的提高,人们在满足温饱的基础上,开始把重心转移到心身健康方面.越来越多的人开始定期进行健康体检,为了拥有一个真正健康的体魄.本文针对目前国内健康体检的现状、健康体检的对象以及取得的成果和意义进行探讨,为我国健康体检领域提供新的信息和资源.

探讨无肝素血液滤过的护理.

目的研究优质护理服务模式在肿瘤内科住院病房的应用效果。方法将160例入住我院肿瘤内科住院病房患者的临床资料随机均分为对照组和观察组。对照组采用肿瘤内科常规护理;观察组采用优质护理服务模式,包括心理干预制度、社会干预制度、术后回访制度。比较两组护理缺陷发生率、并发症发生率、护患纠纷以及患者满意度。结果实施优质护理模式后,观察组肿瘤内科住院病房护理缺陷、并发症发生率、护患纠纷明显降低,组间比较具有统计学差异(P<0.05);观察组患者对护理满意度明显提高,组间比较具有统计学差异(P<0.05)。结论优质护理服务对肿瘤内科护理人员素质提高有很大帮助,降低了护理中的缺陷,提高了患者满意度。

目的探讨预见性护理对中年乳腺癌患者术后乳房形态恢复的作用,并与常规护理的效果进行比较和评价。方法设立对照分析,预见性护理组(实验组)与常规护理组(对照组)各40例,观察术后一个月两组患者乳房形态恢复状况。结果实验组乳房形态恢复评估优良率高于对照组患者;实验组评估优例数显著高于对照组(P<0.01)。结论预见性护理有助于中年乳腺癌患者术后的乳房形态恢复,值得临床推广。

目的:对帕米磷酸二钠联合放疗与单纯放疗治疗骨转移癌性疼痛进行临床分析。方法:70例骨转移癌患者随机分为帕米磷酸二钠联合放疗组和单纯放疗组,两组治疗前后KPS变化有显著性差异(P<0.05)。结论:帕米磷酸二钠联合放疗在治疗骨转移癌性疼痛和改善患者生存质量方面比单独应用放射治疗更有效。

Objective:To observe the effect of Huaier granule combined with chemotherapy on TCM symptoms and life quality in advanced colorectal cancer patients.Methods:60 advanced colorectal cancer patients were randomly divided into two groups.30 patients in the treatment group were treated with Huaier granule and chemotherapy and the controlled group was treated with chemotherapy only.The two groups were both given FOLFOX4 regiment treatment.The changes in their TCM symptoms,KPS,weight and appetite were observed.The following data must be measured before the chemotherapy and 4 courses after it.Results:There was significant difference in their syndrome scores,KPS,weight and appetite(P<0.05).Conclusion:Huaier granule could improve TCM symptoms and life quality indeed.It was effective for advanced colorectal cancer patients.

目的:探讨治疗慢性粒细胞性白血病疗效显著、可延长患者生存期且不良反应发生率低的有效方法。方法:回顾性分析2001年～2009年我科治疗的99例慢性粒细胞性白血病病例,比较干扰素联合羟基脲化疗法(对照组Ⅰ)、清肝化瘀汤配合羟基脲化疗疗法(对照组Ⅱ)和中医辨证配合伊马替尼疗法(治疗组)的临床疗效,比较患者生存期并观察不良反应发生情况。结果:治疗组6个月内血液学完全缓解率90.9%,疗效显著优于2个对照组(P<0.01);治疗组血液学有效率及36个月生存率明显优于2个对照组(P<0.05);治疗组不良反应发生率明显低于2个对照组。结论:中医辨证配合伊马替尼疗法治疗CML疗效显著,可延长患者生存期,不良反应发生率低。

<正>静脉留置针技术在临床的应用有利于配合抢救患者、又能快速给药、减少反复穿刺给患者带来的痛苦、提高了护理效率、给护理工作带来很大的便利,但同时又增加了静脉感染及静脉炎的机会,从而增加患者的痛苦及经济负担,故做好预防静脉留置针造成的感染尤为重要。1留置针的护理

目的:研究身心护理配合中药治疗原发性肝癌的作用和效果。方法:对来本院治疗的50例原发性肝癌患者进行中药治疗和身心护理,观察治疗和护理效果。结果:进行中药治疗和身心护理后,收到了比较理想的效果,总有效率达到92%。结论:对原发性肝癌患者进行中药治疗和身心护理效果比较理想,值得广泛推广使用。

Objectives: To explore on the effective methods in the treatment of chronic bacterial prostatitis.Methods: The control group was treated with integrated Chinese and western medicine,while the treatment group was added with prostate message.Results: The treatment group was significantly higher in overall efficacy(P0.05),but lower in recurrence rate than the control(P0.05).Conclusion: Qianliexin Capsules,roxithromvcin combined with prostate massage is effective in treating chronic bacterial prostatitis,producing low recurrence rates and no adverse events.

目的:探讨射频消融治疗老年和非老年肝癌患者疗效。方法:选择2009年4月-2011年6月来我院经皮射频消融(PRFA)治疗后的患者68例,其中老年组34例,非老年组34例,两组患者在病情上无显著差异,两组患者肾、肺、心脏等主要器官均无明显损伤,两组各项生理指标无明显差异,P>0.05。用Redionics公司生产的经皮肝穿刺冷循环射频消融术(Cool-tipRF)进行治疗。治疗依据病灶直径采用不同方法治疗,患者在术后如存在肿瘤为完全灭活或随访过程发现复发情况,采取重复射频消融或无水酒精进行治疗。结果:经过治疗1周后效果无明显差异;1、2、3年内两组在复发率、复发时间、生存率、并发症上无明显差异,P>0.05。老年组、非老年组在1、2、3年内生存率分别为88.2%、65.5%、34.0%和80.5%、49.6%、30.0%,虽然老年组的生存率略高于非老年组但无明显差异,P>0.05。结论:老年患者和非老年患者经过治疗后即时效果、复发率、复发时间、并发症、生存率均无明显差异。

Objective: To observe the clinical application value of Kuier in the patients with advanced colorectal cancer.Method: 60 cases of advanced colorectal cancer patients were divided into the treatment group and the control group with 30 cases each.The treatment group was with the chemotherapy treatment and Kuier granules,and the control group was with the chemotherapy treatment only.The chemotherapy was with the FOLFOX4 protocols.The changes in T cell subgroup(CD3+,CD4+,CD8+ and CD4+/CD8+),the tumor size,liver and kidney functions,and the other safety indicators before and after the treatment were recorded.Result: Compared with those of the control group,the values of CD8+ in the treatment group were decreased,while CD4+/CD8+ was increased significantly(P<0.05).The differences in the tumor size and adverse reactions were not significant(P>0.05).Conclusion: Kuier granules combined with chemotherapy in the treatment of advanced colorectal cancer can obviously improve the immune function with mild toxicity and high safety,suggesting promising application value in clinics.

目的:探讨老年人急性心肌梗死临床诊疗及护理方法。方法:对2007年3月～2010年3月两年间,我科共收治老年AMI病人31例的临床诊疗及护理进行回顾性分析。结果:治愈29例,占93.55%,死亡2例(为年龄偏大,死于并发症),占6.45%。结论:治疗措施科学、严谨,护理措施得当的治疗成功、降低死亡率的关键。

Objective To study the effect of oxymatrine (OMT) combined with radiotherapy on the growth of HO8910 cells of human ovarian cancer in vitro.Methods All human ovarian cancer samples were divided into four groups:control group,treated with culture solution; OMT group,treated with 4 mg/ml OMT; radiotherapy group,treated by 4 Gy radiotherapy; and combination group,firstly treated by 4Gy radiotherapy,and then cultured with 4 mg/ml OMT.Observed the changes of cell morphology by invert microscope at 10,24,48,and 72 hours respectively.Flow cytometry was adopted to detect cell apoptosis.Results ① invert microscope observation showed that compared with the control group,HO8910 cells demonstrated apoptosis of diminution in volume,thickening in cytoplasm,and gathering in nucleus in all the other three groups at 24 and 48 hours.② Flow cytometry showed that apoptosis rate of HO8910 cells and cell population in G1 phase increased in the combination group,which were significantly higher than the other three groups (P＜0.05).Conclusion Both OMT (4 mg/ml)and radiation (4Gy)can induce cell apoptosis,while the combination of them showed better therapeutic results.

目的:探讨中西医联合佐治晚期肺癌患者临床观察及护理。方法:采用中药润肠汤+重组人血管内皮抑制素(恩度)联合化疗治疗晚期肺癌,对护理配合情况进行回顾性分析。结果:本组41例患者均顺利完成疗程方案的治疗;生存质量评价总有效率97.6%;治疗后1、2年生存率分别为73.2%(30/41)和46.3%(19/41)。结论:对联合化疗治疗晚期肺癌患者实施精心的护理,能够延长病人生存期,提高其生存期的生活质量。

<正>目前,化疗是癌症病人主要的治疗方法之一,但药物外渗、静脉炎等不良反应时有发生,使得许多患者望而却步、甚至痛苦万分。PICC技术的应用有效降低了此类不良反应的发生。2008-01～2010-10我科为10例癌症化疗患者实施了PICC置管术,减轻了患者的痛苦,加强治疗信心,提高了生活质量,现护理体会总结如下。

目的:探讨老年人冠状动脉支架围术期护理内容。方法:对2007年11月～2010年4月我科实施PCI术13例病的围术期护理内容进行回顾性分析。结果:严密观察生命体征、预防股动脉穿刺处出血的护理是主要护理内容。结论:规范的术前、术中、术后护理是保障手术成功的关键。

目的:探讨肺癌化疗患者实施PICC置管术的护理规范。方法:对2009年1月～2010年3月我科为28例肺癌化疗患者应用PICC导管及护理情况进行回顾性分析。结果:本组28例实施PICC置管术后,无浅静脉穿刺置管所致的药物渗漏造成的局部组织损伤及坏死,无深静脉穿刺置管引起的严重并发症,PICC置管术成功率100%。结论:操作技术过硬、护士高度的责任心、严格执行PICC导管护理操作规程是保障操作成功的关键。

目的研究肝癌患者的中药治疗和身心护理的作用和效果。方法对来本院治疗的50例肝癌患者进行中药治疗和身心护理,观察治疗和护理效果。结果进行中药治疗和身心护理后,收到了比较理想的效果,总有效率达到92%。结论对肝癌患者进行中药治疗和身心护理效果比较理想,值得广泛推广使用。

<正>鼻咽癌是常见的恶性肿瘤之一,其发病率占头颈部肿瘤首位。鼻咽癌由于肿瘤位置深且隐蔽,无法经手术大块切除,且癌细胞分化差,对放疗敏感,故其治疗首选放射治疗。我科2006-01~2009-01对19例鼻咽癌患者进行放射治