目的 探讨将临床业务数据用于住院医师规范化培训(简称住培)培训质量评价的途径.方法 以广东省中医院重点专业基地2018年招录、2021年结业的住院医师180人为研究对象,选取住培期间有代表性的临床业务指标,如住院医师独立管床人数占比、住院医师主管病人病例组合指数(case-mix index,CMI)总值等进行统计分析.结果 临床业务数据能在一定程度上反映住院医师的临床能力及住培基地的培训质量.结论 有效的临床业务数据可作为住院医师岗位胜任力评估的补充途径,也可作为住培基地培训质量评价的客观指标之一.但如何科学地选取评价数据,值得进一步研究探讨,且培训基地在鼓励住院医师"独立行医"的同时,须有相应措施保障医疗安全和医疗质量.

作为全国中医行业推广建设现代医院管理制度的标杆,广东省中医院高度重视人才工作,坚定不移地实施人才战略,着力打造人才工程,践行感恩文化并将感恩文化作为人才工程的"导航系统",不断完善和创新爱才、育才、用才和聚才的工作机制,把医院建设成为人才茁壮成长的沃土和名医的摇篮,提升医院核心竞争力,使医院实现了跨越式的发展.

目的 通过利用“理论与实践一体化建设的住院医师规范化培训师资建设体系”,对我院规培带教老师进行师资培训,对比培训前后的带教水平.方法 利用《广东省中医院带教老师师资能力评价表》,分别对同一批带教老师培训前与培训后进行评分.采取统计学方法对“理论与实践一体化建设的住院医师规范化培训师资建设体系”进行科学评价.结果 通过对培训前后《广东省中医院带教师资能力评价表》得分情况进行对比,发现培训后各个维度的得分情况明显高于培训前的得分.结论 “理论与实践一体化建设的住院医师规范化培训师资建设体系”有助于提高带教老师的带教质量,提高规培医生的满意度.

目的 研究目标管理模式的教学方式在脊柱外科进修带教中的应用效果.方法 选取2019年3月至2021年3月在该院脊柱外科进修的医生60名,按照随机数字表法进行分组,分为试验组和常规组,各30名,分别采用目标管理模式和常规教学方法进行带教.进修结束后,对两组进行理论知识和实践技能考核评价,并进行满意度测评.结果 试验组的理论知识考核和实践技能操作得分均高于常规组,差异均有统计学意义(P<0.05).试验组的非常满意度为86.7％,明显高于常规组的66.7％,但差异无统计学意义(P>0.05).结论 在脊柱外科进修医生中采用目标管理模式进行带教,带教效果比常规带教方法好,能够有效提高教学效果,且进修医生的满意度更高.

目的 探讨PDCA循环在规培医生临床技能培训中心的应用.方法 对广东省中医院2016级中医规培生第三季度急救技能考核考生进行PDCA循环模式改革,培训结束后进行考核,并与第二季度未进行PDCA循环培训考生成绩进行比较.结果 PDCA循环教学模式下规培生的考核成绩优于传统技能培训模式下考生的成绩(P＜0.05).结论 在临床技能培训中实施PDCA循环法管理,有利于培养规培生临床实践的应对能力,并能持续改进技能培训的教学质量,使得技能培训工作能够做到规范化、系统化.

OBJECTIVE:To evaluate the feasibility, reliability, validity and responsiveness of a Chinese Menopause Rating Scale (CMRS).METHODS:Cross-sectional survey and convenience sampling were adopted.PARTICIPANTS:women with menopause syndrome and those in menopause but without menopause syndrome were recruited. All participants were asked to complete the CMRS, Kupperman Index, WHOQOL-BREF and MENQOL. The Self-control observation design was adopted when the responsiveness was evaluated. Patients were treated with TCM for weeks. MRSTCM was evaluated before and after the treatment.RESULTS:(1) Feasibility: 3343 participants including 2320 patients and 1023 menopause women, were surveyed in 8 different settings. The recovery rate of CMRS was 100%, with a response rate as 99.7%. The completion of the CMRS took 10.30 minutes on average. (2)Reliability: Cronbach's alpha of CMRS, soma dimension, psychology dimension and community dimension of CMRS were 0.93, 0.87, 0.89 and 0.73 respectively, with the correlation coefficient of split half of the CMRS. Soma dimension, psychology dimension and community dimension were 0.92, 0.89, 0.86 and 0.73 respectively and the test-retest correlation coefficient of MRSTCM, the soma dimension, psychology dimension and community dimension were as 0.88, 0.91, 0.85 and 0.77 respectively. (3) VALIDITY: CMRS was established on the basis of connotation of menopause syndrome, and a series of steps were adopted to modify the scale. CMRS was applicable for patients with menopause syndrome. CMRS seemed to have had good content-related validity. The result of exploratory factor analysis was accorded with the theory frame of CMRS by and large. The correlations between CMRS and KI, CMRS and WHOQOL-BREF, CMRS and MENQOL seemed good. The CMRS was able to discriminate between groups of people with or without menopausal syndrome and had good discriminative validity. (4) Responsibility: The CMRS was measured based on 174 patients with menopausal syndrome before and after the TCM therapy. Our result showed that the CMRS having the ability to measure the clinically important differences.CONCLUSION:CMRS was suitable for outcome assessment of menopausal syndrome. This primary research proved that the CMRS had good feasibility, reliability, validity as well as responsiveness.

目的:观察补肾调肝中药组方治疗女性更年期综合征疗效。方法:将60例女性更年期综合征患者随机分为两组进行观察。结果:治疗组总有效率(87.7%)高于对照组(67.7%)(P<O.05)。结论:中医补肾调肝方治疗女性更年期综合征的临床疗效较好。

目的:观察补肾调肝法治疗女性围绝经期综合征的疗效.方法:对60例女性围绝经期综合征患者用补肾调肝中药组方治疗并进行观察.结果:痊愈20例,显效32例,无效8例,总有效率86.7%.结论:中医补肾调肝法治疗女性围绝经期综合征临床疗效确切.

目的:探讨中药珠竭散治疗慢性宫颈炎的临床疗效。方法:采用中药珠竭散治疗150例慢性宫颈炎患者,进行回顾性分析。结果:治疗后2个月复查,总治愈率达56.7%,总有效率98.7%,无明显不良反应。结论:中药珠竭散治疗慢性宫颈炎疗效肯定,方法简便、安全。

Objecetive:On the basis of strict quality evaluation, appraise the clinical document of traditional Chinese medicine systematically.Method: The document: Publish at home, studying traditional Chinese medicine used to treat depression clinically and the contrasting documents of curative effects. The data base: The data base of Chinese biomedicine CD( CBMDisc 1981 - 2003) and data base of scientific and technical literature of traditional Chinese medicine ( TCMLRS 1981 - 2003).According to clinical epidemiology /DME principles and method to make systematilc Evaluation for traditional Chinese medicine used to treat depression.go on statistical analysis from the following 9 respects from at random, Groups section harmony,Include in and get rid of standards, contrasts, sample content, blind law, statistical method, factors of patients, standard of curative effect etc.Fmaliy Calculate the percentage of various kinds of situations, and appraise its quality. Pass heterogeneity inspection before the result to every RCT is amalgamated, because heterogeneity is too big, So unsuitable to carry on Meta analysis.Conclusion: The method of treating the depression with traditional Chinese medicine still needs to be improved.

目的:探讨抑郁妇女中医证候和血清内分泌、免疫等实验室各项指标之间的相关性.方法:对辨证属肝郁气滞、肝郁脾虚、心脾两虚、肝肾阴虚证的150例抑郁妇女,进行抑郁量表的评定以及内分泌和T淋巴细胞亚群的测定,并进行中医证候量表的评定,进行内分泌、免疫指标和中医证候的相关性分析.结果:肝肾阴虚证FSH与证候分成正相关,而E2和PRL与之成负相关;心脾两虚证CD8+与证候分成显著正相关,CD4+和CD4+/CD8+与之成负相关;与正常组相比,肝肾阴虚证血清FSH和LH显著升高,CD4+、CD4+/CD8+显著降低.结论:肝肾阴虚型抑郁症的内分泌表现紊乱,其中FSH、LH升高可能是其特异性的指标;其免疫系统处于抑制状态.

崩漏即功能失调性子宫出血,是指经血非时而下,忽然大下谓之崩中或经崩,淋漓不断谓之漏下或经漏,是妇科疑难病症,也是急重病症.历年来,多采用中医辨证论治,雌孕激素使子宫内膜周期脱落,重建月经周期,或刮宫、微波等治疗,但治疗周期长,疗效欠稳定.近年,我科采用中医传统针刺艾灸疗法治疗崩漏,临床取得满意疗效.现将2002年1月-2003年10月以"崩漏"为主要诊断收治我科并采用针灸疗法的病例进行总结,报道如下.

异黄酮类化合物是天然存在于大豆中的植物雌激素,与雌激素结构相似,在组织中能够与雌激素受体结合,具有弱类雌激素样作用,被认为是雌激素的天然替代品,受到极大的关注,逐渐成为研究的热点.

To study the effect of kidney_nourishing and spleen_strengthening herbal medicine (Bushen Yigu Gao) on bone metabolism and serum estradiol in postmenopausal women with kidney deficiency syndrome, ninety_six cases of postmenopausal osteoporosis were randomly allocated to three groups: group A (placebo of soft extract and placebo of capsule), group B (Bushen Yigu Gao and placebo of capsule) and group C (α_D3 Capsule and placebo of soft extract). The score of ostealgia, bone mineral density(BMD) of radius and ulna and serum estradiol level were observed. The results showed that after a 3_month treatment course, BMD was increased in group B and group C; the total effective rate in group B was similar to group C but the remarkably effective rate was superior; serum estradiol level was both increased in the two groups. However, BMD and serum estradiol level were decreased in group A. It is indicated that kidney_nourishing and spleen_strengthening herbal medicine exerts a better effect in preventing and treating the disorders of bone metabolism and serum estradiol in postmenopausal women.