目的 探讨医养结合的中医药特色健康管理模式在老年糖尿病患者管理中的应用效果.方法 选取120例老年糖尿病患者.采用随机数字表法分为对照组和观察组,对照组采用科室常规实施的健康管理模式,观察组采用医养结合的中医药特色健康管理模式进行健康管理.统计两组干预前后各临床指标及糖尿病患者自我管理行为量表、糖尿病痛苦量表、糖尿病患者生存质量特异性量表评分.结果 干预后观察组较对照组血糖指标明显稳定,自我管理能力明显提高,糖尿病疼痛有一定程度缓解,生存质量明显改善(均P<0.01).结论 医养结合的中医药特色健康管理模式有利于老年糖尿病患者稳定血糖,提高自我管理能力,缓解糖尿病疼痛,改善生存质量.

国家心血管病中心公布的统计数据显示,高血压已成为我国心血管疾病最重要的危险因素,80％的急性脑卒中归因于高血压,且高血压患病率随年龄增加明显升高,年龄≥75 岁的老年人高血压患病率超过60％[1-2].2019年10月,中国心脏病学会第十届委员会高血压小组发布的研究报告显示,现阶段,我国高血压知晓率、治疗率和控制率仍处于较低水平,且多数患者高血压缺乏自我管理[3].国内外研究发现,社区防治是控制高血压最有效的路径[4-5].本研究以海口市社区卫生服务中心管理的高血压患者为例,通过调查问卷方式了解患者血压自测情况和影响因素,为社区高血压防治和有效管理提供参考.

As a country with the fastest population aging rate in the world, China's existing elderly care and medical resources are not enough to meet the growing and complex needs of elderly care and health services. The Chinese government is actively promoting the integrated development of medical and elderly care institutions, but it has yet to give full play to the inexpensive and existing advantages of traditional Chinese medicine in the treatment of diseases and rehabilitation of the elderly, by sorting out the advantages of "TCM + intelligent pension" in medical expenses, pension costs, disease prevention, intelligent pension services, and so on. In view of the current problems existing in China's pension, this paper mainly proposes to solve the pension dilemma in China from several aspects: improving the supervision and evaluation system, increasing capital investment, building a unified digital medical and pension service platform, and strengthening the talent training in the field of traditional Chinese medicine integration. The application of the "TCM + smart elderly care" system into the medical and elderly care service system is promoted to effectively improve the operation efficiency of the whole medical and elderly care service system and the satisfaction of elderly families.

反贫困是社会工作的基本服务领域,是社会工作专业人才实现自身价值与使命的时代必然.社会工作专业人才作为一支具有专业优势的新兴人才队伍,可以为贫困群众提供心理疏导、精神关爱、关系调适、能力提升、社会融入等专业服务,在帮助贫困群众转变思想观念、树立脱贫信心、拓宽致富路径、提升脱贫能力等方面可以发挥积极作用.

目的：观察和评估使用小剂量多巴胺联合托拉塞米对慢性心力衰竭的老年患者的治疗效果。方法将136例心力衰竭患者随机分为联合托拉塞米组（68例，简称联合组）和呋塞米组（68例，作为对照组）。联合组给予小剂量多巴胺联合托拉塞米静脉注射，对照组仅用呋塞米静脉注射。观察两组患者在心衰病房（ HFCU）的住院天数（心力衰竭改善的时间）、出现利尿剂抵抗、所需超滤或血液透析治疗、肾功能恶化及死亡患者的比例。结果 HFCU平均住院天数：联合组（3.46±1.12）d，呋塞米组（4.24±1.43）d，住院天数明显缩短（P＝0.031）；出现利尿剂抵抗和肾功能恶化的患者比例：联合组（1.5％和7.4％），对照组（20.6％和26.5％），显著降低（P值均＝0.000）；联合组无需要超滤或血液透析治疗，对照组为4例（P＞O.05）；联合组无死亡患者，对照组死亡2例（P＞0.05）。结论应用小剂量多巴胺联合托拉塞米能及时有效改善患者体液潴留和心力衰竭症状，保护脏器，降低死亡率。

目的 观察中西医结合治疗2型糖尿病并发急性脑梗死患者的疗效.方法 将86例2型糖尿病合并急性脑梗死患者随分成观察组和对照组,每组各为43例,对照组采用西医常规治疗,观察组则在对照组治疗基础上加服中药自拟降糖脑康宁汤,10d为1疗程,共治疗4个疗程.比较两组脑梗死的临床疗效及治疗前后凝血指标和神经功能缺损评分情况.结果 观察组总有效率90.60％,优于对照组的总有效率79.06％ (P ＜0.05);观察组凝血指标及神经功能缺损的改变均优于对照组(P＜0.05).结论 2型糖尿病合并急性脑梗死患者采用中西医结合疗效更加明显.

本文拟了解和掌握海口市黎族老年人的慢性病及其危险因素。

<正>肾结核多在成年人发生,据国家卫生部统计数据表明,约75%的病例发生在20～40岁之间,但儿童和老年亦可发生,且老年患者的患病率呈现上升趋势。本研究以海口市某老年病医院收治的肾结核患者诊疗资料为研究对象,对其临床表现及诊断方法进行比较。1资料与方法1.1资料收集2000～2010年海口市某老年病医院病案科电

[目的]了解血清高敏C-反应蛋白(high-sensitivity C-reactiveprotein,hs-CRP)和肿瘤坏死因子(TNF)-α与老年脑梗塞发生之间的关系。[方法]检测急性期和恢复期93例老年急性脑梗塞组患者和74例正常组对照组的hs-CRP和TNF-α水平,并进行比较分析。[结果](1)脑梗塞组在急性期和恢复期TC差异无统计学意义(P﹥0.05),HDL-C明显低于正常对照组(P﹤0.01);(2)急性期HDL-C明显低于恢复期(P﹤0.01),hs-CRP、TG、TNF-α、LDL-C水平高于恢复期(P﹤0.05);(3)老年脑梗塞患者TNF-α(r=0.548,P﹤0.01)、hs-CRP(r=0.414,P﹤0.01)与LDL-C呈正相关,与HDL-C无相关性;TNF-α与hs-CRP(r=0.326,P﹤0.05)、TG(r=0.552,P﹤0.01)呈正相关。[结论]TNF-α、hs-CRP、LDL-c与老年急性脑梗塞的发生和发展密切相关。

[Objective]The experiment was designed to investigate the relationship between tumor necrosis factor(TNF)polymorphism and acute infarction in Li minority patients in Hainan.[Methods]All these samples were detected by polymerase chain reaction-restriction fragment length polymorphism between the acute infarction group(84 cases)and the control group(79 cases)of TNFβ-G252A polymorphism.[Results]Compare with the two groups,the gene frequency and genotypes of TNFβ-G252A showed significant difference(P﹤0.05).[Conclusion]Association is found between TNFβ-G252A polymorphism and acute infarction in Li minority patients in Hainan.

Objective The experiment was designed to investigate the relationship between tumor necrosis factor(TNF) polymorphism and cerebral infarction in senior Han patients in Hainan. Methods All these samples were detected by polymerase chain reaction-restriction fragment length polymorphism between the cerebral infarction group(108 cases) and the control group(121 cases) of TNFα-238 G/A polymorphism.Results Compare with the two groups,the gene frequency and genotypes of TNFα-238 G/A showed significant difference(P0.01).Conclusions Association was found between TNFα-238 G/A polymorphism and cerebral infarction in senior Han patients in Hainan.

Objective To investigate the status quo sexual behavior of college students in Hainan province and explore the factors related to sexual behavior,and to make recommendations for sexual education.Methods 2 875 college students in Hainan province were selected by random cluster sampling method,and were surveyed with the self-designed questionnaire.Results The incidence of sexual behavior among college students was 21.25% in Hainan province,and it was different in different groups by gender and grades.The male students(31.04%) and high grade(OR=1.487) had higher incidence.The incidence was higher among the students who get sexual information through the erotica,internet,and so on.Loneliness,family-type,smoking,drinking,and video games also have influence to sexual behavior.Conclusions College students' sexual behaviors and personal habits are closely related.We should strengthen sexual health education for college students to promote the healthy development of college students' sexual psychology and personality.

目的观察通心络、辛伐他汀对老年急性脑梗死患者肿瘤坏死因子(TNF)-α、血清高敏C反应蛋白(hs-CRP)和血脂的影响。方法将134例老年急性脑梗死患者随机分为通心络组和辛伐他汀组,每组67例。通心络组在常规治疗基础上加服通心络,每次1 g,每日3次;辛伐他汀组在常规治疗基础上加服辛伐他汀,每次5 mg,每晚1次。正常对照组86例。观察患者治疗前后TNF-α、血清hs-CRP和血脂水平的变化。结果两个治疗组TNF-α、hs-CRP、低密度脂蛋白胆固醇(LDL-C)和总胆固醇(TC)均明显下降(P<0.01);与通心络组比较,辛伐他汀组的HDL-C明显升高(P<0.01)。结论辛伐他汀治疗老年急性脑梗死疗效显著。

老年右位心存在全心脏传导系统阻滞十分罕见,未见报道.现有1例右位心并发冠心病及老年退行性心肌和瓣膜病的患者出现了心脏所有传导部位阻滞,其临床和心电图分析介绍如下.