随着人们生活方式的改变,高血压的发生率也在逐年提高.根据相关统计,我国成人高血压患病率已经达到11.4％.但是,不少人对于高血压的认知比较片面,尤其在日常护理方面容易走入误区.

Objective To observe the clinical effect of xingnaojing combined with muscular amino acids and nucleosides on cerebral ischemic stroke. Methods From September 2012 to September 2013,a total of 80 patients with cerebral ischemic stroke were selected in the Department of Neurology,People's Hospital of Qian'an,and they were divided into control group and study group,each of 40 cases. Patients of control group received muscular amino acids and nucleosides,while patients of study group received xingnaojing combined with muscular amino acids and nucleosides;both groups treated for 3 months. Clinical effect,blood lipids index( including TC,TG,LDL-C and HDL-C),serum CRP level,modified Barthel index(MBI)score,NIHSS score and blood flow parameters of middle cerebral artery(including Vp,Vd,Vm,PI and RI) before and after treatment were compared between the two groups. Results The clinical effect of study group was statistically significantly better than that of control group(u = - 2. 276,P = 0. 023). No statistically significant differences of serum level of TC,TG,LDL-C,HDL-C or CRP was found between the two groups(P > 0. 05);after treatment,serum levels of TC,TG, LDL-C and CRP of study group were statistically significantly lower than those of control group,while serum HDL-C level of study group was statistically significantly higher than that of control group(P < 0. 05). No statistically significant differences of MBI score or NIHSS score was found between the two groups before treatment(P > 0. 05);after treatment,MBI score of study group was statistically significantly higher than that of control group,while NIHSS score of study group was statistically significantly lower than that of control group( P < 0. 05). No statistically significant differences of Vp,Vd,Vm,PI or RI of middle cerebral artery was found between the two groups before treatment( P > 0. 05);after treatment,Vp,Vd and Vm of middle cerebral artery of study group were statistically significantly higher than those of control group,while PI or RI of middle cerebral artery of study group were statistically significantly lower than those of control group( P < 0. 05). Conclusion Xingnaojing combined with muscular amino acids and nucleosides has certain clinical effect in treating cerebral ischemic stroke,can effectively relieve the inflammatory reaction,adjust the blood lipid metabolism,promote the recovery of neurological function and improve the ability of daily living.

目的：探讨肌氨肽苷联合不同剂量的醒脑静注射液治疗高血压脑出血患者的临床效果及对患者神经功能缺损的影响作用。方法采用随机数字表法将本院神经内科收治的120例明确诊断的高血压脑出血中患者分为肌氨肽苷组（8 mL／d）、小剂量组（醒脑静20 mL／d＋肌氨肽苷8 mL／d）、大剂量组（醒脑静40 mL／d＋肌氨肽苷8 mL／d）各40例，比较3组患者的临床治疗效果差异及对患者治疗后神经缺损功能的影响。结果治疗14 d后，3组患者的血清 TNF-a、IL-6、CRP、NPY水平较治疗前均显著降低（P＜0.05），小剂量组、大剂量组治疗后的血清 TNF-a、IL-6、CRP、NPY降低效果优于肌氨肽苷组（P＜0.05）。NIHSS、GCS、BI指数评分、血肿体积、脑水肿指数治疗后小剂量组、大剂量组优于肌氨肽苷组（P＜0.05），大剂量组和小剂量组比较差异无统计学意义（ P＞0.05）。大剂量组的临床有效率90.00％，小剂量组为87.5％均显著高于肌氨肽苷组的67.5％（ P＜0.05）；大剂量组和小剂量组比较差异无统计学意义（ P＞0.05）。结论肌氨肽苷联合醒脑静注射液治疗高血压脑出血对于改善患者的脑水肿，降低炎症反应，促进神经功能恢复具有积极作用，但加大醒脑静的剂量并不能显著提高临床疗效。

目的：将连续性护理流程模式引入股动脉加压灌注治疗糖尿病足患者的护理，总结护理经验，探讨其对提高患者的自我管理能力的效果。方法选取内分泌科2013年1月至2014年6月住院的糖尿病足患者150例，采用随机数字表法分为对照组和试验组，每组75例。对照组患者采用传统护理流程模式，试验组患者采用连续性护理流程模式，比较2组患者自流程者的自我管理能力的差异。结果试验组患者的饮食控制、主动运动、足部护理、自我血糖检测、按时服药5方面的自我管理能力均优于对照组，差异有统计学意义（ P ＜0．05）；试验组患者按时复诊例数和疾病未复发例数均优于对照组，差异有统计学意义（ P ＜0．05）。结论对股动脉加压灌注治疗的糖尿病足患者实施连续性护理流程，能够提高患者的自我管理能力，加强治疗和护理的远期效果。

目的 对通过股动脉加压灌注治疗糖尿病足的患者进行护理,以此来总结护理效果.方法 选择2014年4月-2015年4月一年间本院收治的糖尿病足60例患者,所有患者均接受血糖控制、消毒、抗炎等治疗,在此基础上,所有患者接受股动脉加压灌注法给予生理盐水加丁略地尔、红花、川芎嗪等制剂治疗,治疗后均接受专业护理,记录并统计护理后的治愈情况.结果 在我院经过专业治疗和护理后,60例患者中,出院随访护理中有50例治愈,10例好转.结论 糖尿病足患者经过股动脉加压灌注治疗后再经过护理干预,其并发症发生的几率明显降低,从而促进患者的康复.

目的：总结护理干预对糖尿病足患者康复的影响。方法：对2012年1月-2013年李克玲12月间我院收治的30例糖尿病足患者的护理干预过程进行回顾性分析。结果：28例痊愈，1例截肢，1例放弃治疗。结论：给予患者正确的护理干预，能促进患者早日痊愈，减少并发症。

目的：观察联合中药制剂对糖尿病足患者股动脉加压灌注治疗的临床效果并总结护理经验。方法选取110例糖尿病足患者，采取胰岛素控制血糖及抗炎、局部换药等常规治疗基础上，随机分为2组：股动脉加压灌注治疗组（A组）55例采取股动脉加压灌注方法给予活血化瘀联合中药制剂，股动脉注射组（B组）55例采取股动脉注射单一西药制剂。结果 A组有效率为92．7％明显高于B组的74．5％，差异有统计学意义（ P ＜0．05）。2组均未见明显不良反应发生。结论利用股动脉加压灌注联合中药制剂方法治疗糖尿病足较简便，股动脉注射西药制剂方法疗效显著。

目的:观察愈疡汤治疗溃疡性结肠炎的临床疗效。方法:将60例溃疡性结肠炎患者随机分为2组,治疗组30例予愈疡汤(白头翁、穿山龙、败酱草、徐长卿、仙鹤草等);对照组30例予柳氮磺吡啶肠溶片,每次1 g,每日3次口服。2组均4周为1个疗程,2个疗程后统计疗效。观察2组治疗前后免疫球蛋白IgA、IgG、IgM、T细胞亚群的变化以及治疗前后临床症状、体征的改善情况。结果:2组治疗后临床症状、体征改善情况比较差异均有统计学意义(P<0.05),治疗组优于对照组;治疗组治疗后IgA较治疗前显著下降,2组治疗后IgG均下降,与治疗前比较差异均有统计学意义(P<0.05,P<0.01),治疗组下降更为明显(P<0.01)。结论:愈疡汤治疗溃疡性结肠炎疗效确切。

目的:通过分析新农合政策在医院运行中存在的问题并提出相应的对策,打开农民进城治病、报销无障碍的绿色通道.方法:针对2008年至2009年来我院诊治的新农合患者所存在的问题,通过对问题进行分析,我们对各地农合及本院相关部门提出良好的建议.结果:这些建议陆续被采纳后,各地新农合政策不断完善.结论:只有院方与各地农合政府共同努力,才能不断完善新农合政策,并且更好地执行新农合政策.

目的:探讨护理干预对肥胖型2型糖尿病血糖血脂的影响.方法:将80例肥胖型2型耱尿病患者随机分为现察组和干预组各40例,观察组给予一般性护理,干预组在饮食、运动、药物、心理社会行为进行护理干预.结果:干预组在半年随访时血糖血脂控制情况与护理前有显著差异(P<0.05血糖血脂水平优于常规组.结论:对肥胖型2型糖尿痛进行系统性护理干预可以有效地控制血糖血脂.

Objective:To observe the clinical effect and to summarize the nursing care experience of enhancing perfusion in femoral artery to cure diabetic foot.Methods:To randomly divide 106 patients with diabetic foot who are treated on the regular basis such as insulin regulating the blood sugar, anti-inflammatory therapy,partial dressing change and so on into two groups.Group A with 52 cases who are treated with Chinese drugs preparation for promoting Blood circulation by removing Blood Stasis by enhancing perfusion in femoral artery.Group B 54 cases who are treated by with Chinese drags preparation for promoting Blood circulation by removing Blood Stasis on the blood-filled centers of veins.Both of the groups have had the course of medical treatment for 15 days to 30 days.Results:Total effective rate in group A and in group B is 88.5% and 79.5% respectively and the statistical discrepancy in the comparison of the total effective rate between two groups is P<0.05.Conclusions:Enhancing perfusion in femoral artery to cure diabetic foot has the better clinical effect and shorter course of medical treatment.

目的:通过控制新农合住院患者的自费药品比率,提高患者的可报费用比率和补偿费用,减轻新农合患者的医疗负担.方法:我院对2010年上半年新农合住院患者严格控制自费药品比率,自费药品总费用控制在药品总费用的10%以内.同2009年上半年来采取严格控制措施的新农合患者进行比较.结果:2010年上半年新农合住院患者的报销比明显高于2009年上半年.结论:严格控制新农合患者的自费药品比率,提高患者可报费用比率,患者得到的补偿费用才会有所增加;严格控制自费药品比率,才能真正减轻新农合住院患者的医疗负担.

浓缩血小板(PCs)在临床治疗中发挥着重要作用,其制备方法有:富含血小板血浆法(PRP)、白膜层法(BC)和机采血小板.机采血小板临床使用较普遍,但是,由于无偿捐献机采血小板者不能满足临床需求,必须用手工浓缩血小板来补充,同时也避免血液资源的浪费.为了使手工浓缩血小板达到机采血小板的输注效果,减少输注血小板导致过敏和非溶血性发热反应,我们研究了混合PRP--PCs的制备、洗涤方法.目的是把单袋制备的浓缩血小板汇集混合,便利临床输注,效果与一人分机采血小板相同.