本文通过查阅有关文献资料,了解目前市场上用于治疗足癣的药物主要有抗真菌的内服、外用西药以及中药复方汤剂,且以联合用药、中西医结合治疗的疗效较为显著。

医疗质量是医院发展的永恒主题，也是推动医院持续、稳定、健康发展的动力。由于医疗服务对象的特殊性对医院提出了比其他类型服务更高的要求，一旦发生医疗纠纷，对医患双方都会产生影响，结合近年来我院发生的医疗纠纷，本文通过剖析诊疗过程中存在的医疗缺陷，更加自觉落实规章制度，从而达到重视医疗质量，减少医疗纠纷的目的。

军队医院由于历次精简整编和国家卫生改革,如不尽快适应将会面临发展危机.我院作为省内唯一军队医院,已有60余年历史,但昨天的辉煌已成为历史.要生存必须认清医院客观现状,找准短板,借创建军队等级医院契机,在内涵建设和专科技术等方面争取有突破性发展.

<正>随着地方基本医疗保障覆盖面的扩大,军队医院收治患者结构也在发生变化,医保费用控制的责任和压力也越来越大,医保费用拒付已成为影响医患关系、构建和谐社会和制约医院发展的重要因素,也是当前医院和医保管理者反映最为突出的问题〔1〕。

OBJECTIVE:To explore the influence of rosa roxburghii tratt preparation on immune function of arseniasis patients caused by burning coal. METHODS:According to the diagnosis standard for endemic arseniasis(WS/T 211-2001), 62 cases of arseniasis patients who resided in endemic arseniasis area in Guizhou province were selected and divided stratified randomly into two groups: rosa roxburghii tratt juice treatment group and superoxide dismutase(SOD)-enriched rosa roxburghii tratt juice treatment group, with 31 patients in each group.Each patient took 120 ml/d rosa roxburghii tratt preparation or SOD-enriched rosa roxburghii tratt orally for one month. Another 30 healthy residents from a neighbour township 12 km away where arsenic was not prevalent were selected as controls. A 2 ml blood and 50 ml urine samples were collected from individuals and the urine arsenic contents, peripheral blood T-lymphocyte subsets (CD3(+), CD4(+), CD8(+) T cell), serum immunoglobulin (IgG, IgM, IgA) and complement (C3, C4) were detected. The differences between more than two groups on above indicators were compared. The correlations between urinary arsenic and immune parameters were analyzed. RESULTS:Among the rosa roxburghii tratt juice group, SOD-enriched rosa roxburghii tratt juice before intervention group and the control group, the levels of urine arsenic were (76.55 ± 23.02) , (72.60 ± 25.91) and (26.33 ± 11.30) µg/g Cr respectively and IgG were (11.31 ± 1.68), (11.35 ± 1.94) and (9.23 ± 1.75) g/L respectively. The differences were statistically significant(F values were 82.01, 13.82, both P values < 0.05). After intervention with rosa roxburghii tratt preparation, the levels of urine arsenic were (53.21 ± 16.51) and (51.72 ± 17.70)µg/g Cr, both decreased than before intervention (t values were 5.80 and 3.78, both P values < 0.05). The levels of CD3(+) were (44.47 ± 7.14)%, (43.44 ± 6.61)% and (70.78 ± 5.26)%, CD4(+) were (29.87 ± 5.67)%, (29.42 ± 5.87)% and (46.08 ± 5.87)%, CD4(+)/CD8(+) were(1.25 ± 0.42), (1.22 ± 0.39) and (1.79 ± 0.26) and C4 were (0.13 ± 0.08), (0.13 ± 0.09) and (0.20 ± 0.11) g/L respectively among the two treatment group before intervention and the control group. The differences were significant (F values were 178.04, 76.71, 23.13 and 5.26, all P values < 0.05). After intervention, the levels of CD3(+) were (59.73 ± 7.38)% and (66.31 ± 7.57)%, CD4(+) were (34.00 ± 7.97)% and (39.11 ± 5.81)%, CD4(+)/CD8(+) were (1.41 ± 0.37) and(1.58 ± 0.26), all increased than before intervention(t values were 12.47, 25.18, 5.41, 10.47, 3.22 and 5.05, all P values < 0.05). The levels of urine arsenic and CD3(+), CD4(+), CD4(+)/CD8(+), C4 were inversely correlated correlation, while positive correlation existed between the level of urine arsenic and IgG(r values were -0.68, -0.56, -0.51, -0.43 and 0.36, all P values < 0.01). CONCLUSIONS:The level of urinary arsenic level is closely related to immune function suppression in arseniasis patients caused by burning coal, rosa roxburghii tratt preparation can effectively improve immune function of arseniasis patients.

目的 通过对36名老年痴呆照顾者进行健康教育指导,使他们掌握护理方法,提高对老年痴呆患者院外护理技巧.方法 建立出院老年痴呆病人档案,定期随访,从饮食、睡眠、服药、安全、行为、依从性等方面指导照顾者,纠正不良护理习惯.结果 观察组与对照组比较,观察组老年痴呆病人,生活质量明显较对照组患者高.结论 对老年痴呆患者照顾者进行健康教育指导是保持出院居家老年痴呆患者生活质量的重要手段.

<正>自抗生素问世以来,绝大多数的感染性疾病得到有效控制,有的感染性疾病也因此销声匿迹。然而,当人们还在为抗生素的神奇功效顶礼膜拜而不加限制与区分地进行滥用之际,却在不知不觉中打开了另一个潘多拉盒子。近10年

科学发展观是新时期党和部队建设的根本指针.新形势新任务以及思想政治工作的现实状况,要求大力加强和改进党的思想政治工作.如何使医院在日益竞争的市场经济下充分发挥思想政治工作的服务保证作用,运用思想政治工作的强大优势,激发全院人员工作热情和敬业奉献精神,以促进医院全面建设和发展,是当前完成好医疗任务的重要前提.

OBJECTIVE: To explore practice teaching mode of clinical pharmacy interns. METHODS: Through determining practice mode, distributing practice time, selecting practice content, scientific and standardized teaching mode of clinical pharmacy practice for interns was established. RESULTS CONCLUSION: Author believes that clinical practice mode should be established during teaching according to teaching practice. Pharmaceutical knowledge is accounted for one third of the duration of practice and clinical knowledge is accounted for two third. The content of practice should be alternated. At the same time, it is suggested to relevant department reform teaching model of clinical pharmacy, increase educational system of clinical pharmacy and one year of practice. Students can study and practise completely, which contribute to the further practice of pharmacy student and lay a good fundation of furture work.

随着人口老龄化的加速,老年痴呆病人也随之增加.世界卫生组织(WHO)的资料显示,老年痴呆的患病率为0.6%-0.8%,国内资料显示患病率约为240/10万[1].由于受经济、家庭环境等因素的制约,多数患者采取居家治疗.家庭成员的有效参与对于提高患者生存质量,延缓疾病的发展具有重要意义.我院对例老年痴呆出院后进行家庭干预,取得较好效果,报告如下.

OBJECTIVE To investigate the epidemic situation of non-fermentative bacteria causing lower respiratory tract infection and guide rational use of antimicrobials.METHODS ATB analysis system was used for identification of bacteria,extra-susceptibility test was performed by K-B method.RESULTS The most common bacteria were Pseudomonas aeruginosa(54.9%),followed by Acinetobacter baumannii(25.9%) and Stenotrophomonas maltophilia(7.2%).These bacteria had various resistances to all detected antibiotics,the resistance rates of P.aeruginosa and A.baumannii to imipenem were the lowest.CONCLUSION Non-fermentative bacteria infection is gradually rising,and shows high drug resistant rate,so the antibiotics should be used correctly under the guidance of antibiotic susceptibility testing.

<正>根据总部"关于军队医院要积极参与地方社会医疗制度改革"要求,我院成为省市医保定点医疗机构。随着"全民医保"来临,参保人群扩大,面对新的医疗保险政策,医院如何提升医疗保险管理绩效,最终达到参保人员满意、医院满意、医保经办机构满意的三赢目的,是医院面临的难点问题,也是医院医保工作的终极目标。

<正>医德医风是从医人员职业道德的根本体现,反映医院的社会形象、管理与质量水平。医德医风建设既是社会主义精神文明建设的重要内容,也是建设和谐社会及"医疗质量管理年"活动的组成部分,与提高医院影响力、知名度和形象密切相关。

<正>党的"十七大"提出加快推进以改善民生为重点的社会建设的六大任务,其中包括"全面推进新型农村合作医疗制度建设"、"建立基本医疗卫生制度,提高全民健康水平"[1]。新农合制度作为一项重大民生工程,为农民建立了健康保障机制,

预防医疗纠纷引发群体性事件是部队医院安全发展、确保安全稳定的重要课题.本文依照<安全条例>有关规定,结合我院医疗工作实际,从落实安全管理的七项制度着手,就预防医疗纠纷引发群体性事件进行探讨.

处方是医师在医疗诊治活动中为患者用药开具的凭证,与患者用药治疗效果和生命安全有关.同时,在发生医疗纠纷时为重要的法律凭证.处方质量是医疗质量、医师水平和药师专业素质的体现.为了解本院处方质量现状,本文对2009年第四季度全院门诊处方115 285张进行质量分析,并对存在问题进行探讨.

目的 观察肥胖患者在腹部手术后早期挤压手术切口排液治疗,对手术切口愈合的影响.方法 实验组52例,采用早期挤压切口排液换药处理;对照组44例,采用常规换药处理,观察切口愈合情况.结果 实验组切口甲级愈合率较对照组高,愈合时间及延迟愈合时间短,发生脂肪液化及伴发感染降低(P<0.01)).结论 腹部手术后早期挤压切口排液法能提高切口甲级愈合,减少切口脂肪液化及液化量,有效减少切口感染.

医保实行单病种费用包干结算是解决老百姓"看病难、看病贵"的一种有效途径,各地对部分病种实行包干结算,确实减轻了病人负担,节约了医保基金.

目的 探讨医院药品采供托管的实施方法,规范医疗行为、预防职务犯罪、减轻医院负担、减少医疗纠纷.方法 通过检查药品配送率指标、药品质量抽检、临床药品使用满意度调查等.结果 与结论通过试运行,发现问题,完善协议条款,确保配迭医院药品安全有效.

2000年2月至2006年1月,我科对需要行根治术,但患者坚决拒绝接受腹壁人工肛门的低位直肠及肛管癌手术,可行姑且手术但患者拒绝手术及因年龄较大、合并多种病变不能耐受手术需行保守治疗的患者,共54例,复方斑蝥胶囊口服配合冷冻治疗,其中根治性冷冻治疗7例,姑息性治疗47例,取得一定疗效.现报告如下.