目的提高骨科治疗中医疗风险防范能力。方法分析骨科治疗中发生医疗纠纷的原因,应用临床心理学知识探讨骨科治疗时可能发生的医疗纠纷。结果找出了风险存在的因素,提出了防范骨科治疗中医疗纠纷的对策和措施。结论加强骨科治疗中医患协调沟通技巧的培训,了解患者就诊心理,是有效防范医患纠纷、保证治疗工作顺利完成的重要环节。

目的 比较三维牵引、平面牵引治疗腰椎间盘突出症的疗效.方法 将160例腰椎间盘突出症患者随即分到治疗组(n=80)和对照组(n=80).治疗组采用三维牵引疗法,对照组采用平面牵引疗法,比较两组的疗效.结果 三维牵引治疗组疗效优于平面牵引对照组,差异具有统计学意义(P<0.05]).结论 三维牵引治疗腰椎问盘突出症具有疗效快、安全实用,容易量化控制等特点,是目前较理想的治疗方法.

Objective:To figure out the curative effects of 50% glucose and Meibao therapy on burns and wounds difficult to heal.Methods:300 patients were divided into two groups randomly:intervention group 150 patients(conventional treatment+50% glucose + Meibao),control group 150 patients(conventional treatment).The cure rate and healing time were compared between the two groups.Results:The curative rate of intervention group was higher than control group (p0.05);the healing time was shorter than control group (p0.05);which had statistically difference.Conclusion:50% glucose and Meibao therapy could promote the healing of burns and ulcers effectively.

可控性回盲肠膀胱是利用一段回肠及盲升结肠,将部分肠管剖开,用补片法、回结肠重组法或结肠重组法建成储尿囊.可控性膀胱术是比较接近生理的尿流改道法,腹壁造口处不漏尿,不需配带尿袋,可以淋浴.远期随访,"膀胱"容量达400～800m1.若肾脏功能良好,一般不会并发代谢紊乱[1].2001年9月我院为1例女性患者实施回盲肠代替膀胱术,用补片法为患者实施手术,经过精心医治,术前术后对患者进行系统的护理,住院4周治愈出院.在护理上我们积累了一些经验,现介绍如下.