Objective To observe the effect of probiotic composition on depression with anxiety pain. Methods 97 patients with anxiety and depression were divided into the control group(48 cases) and the study group(49 cases).According to random number table, the control group was treated with paroxetine hydrochloride tablets routinely, and the study group was treated with probiotic composition. The physical and mental indexes of the patients in the two groups were compared with t-test and chi-square test 30 days later. Results TNF-α of patients in the control group 54.07±5.12 pg/mL,and that in the study group was 42.16±3.97 pg/mL, which were significantly lower than those in the control group(P＜0.05). The 5-HT of patients in the control group was 256.74±22.61 ng/mL, and that in the study group was 301.65±27.05 ng/mL, which was significantly higher than that in the control group(P＜0.05). SAS scores of patients in the control group were 55.28±5.41 points, and those in the study group were 47.91±4.62 points, which were significantly lower than those in the control group(P＜0.05). The SDS scores of the patients in the control group were 59.83±5.62 points, and those in the study group were 51.76±4.97 points, which were significantly lower than those in the control group(P＜0.05). The PSQI scores of the patients in the control group were 11.72±1.06 points, while that in the study group were 9.83±0.94 points, which were significantly lower than that in the control group(P＜0.05). The incidence of adverse reactions in the control group was 20.83％, while that in the study group was 6.12％, which was significantly lower than that in the control group(P＜0.05). Conclusion The probiotic composition is beneficial to reduce the level of TNF-a, promote the synthesis of 5-HT, alleviate anxiety, depression and insomnia symptoms, and reduce adverse reactions.

目的 探讨助产士全程导乐分娩模式在初产妇自然分娩中的应用价值.方法 将120例初产妇按照随机数字表法分为观察组和对照组,每组60例.对照组产妇给予常规护理,观察组在分娩时由助产士全程给予导乐分娩模式干预.比较2组产妇产前焦虑及抑郁评分 、分娩方式 、总产程 、产后出血量 、产后焦虑及抑郁评分,胎儿窘迫发生率等.结果 观察组产妇的剖宫产率 、总产程明显低于对照组产妇(P<0.05).观察组产妇产前焦虑 、抑郁评分与对照组比较,差异无统计学意义(P>0.05).观察组产妇产后焦虑 、抑郁评分明显低于对照组产妇,差异有统计学意义(P<0.05).观察组胎儿窘迫发生率与对照组比较,差异无统计学意义(P>0.05).结论 全程导乐分娩模式可以有效改善产妇的生产体验,减少总产程,降低剖宫产率,并有效降低产后焦虑 、抑郁等评分.

临床实习是护理教育的重要阶段,是培养学生综合能力的关键环节.现在普遍的90后护理实习生有其薄弱的一面,如健康教育、沟通交流、病情观察和临床技能等,而这些能力是开展各项临床护理工作最重要的能力,因此探索能够提高学生临床护理能力的护理实习教学方法是实习医院带教工作的重要任务.

穴位疗法的催产作用在中医文献中早有记载,现代报道也不少,均以针合谷、三阴交为主,有一定疗效[1]. 穴位疗法有针刺术、艾灸、拔罐、按摩、指压等,其中指压法是临床助产士容易掌握的干预法,具有简单易行、安全性大的优点.随着整体护理的开展,待产室允许亲属陪伴,在助产士的指导下,亲属也可以运用指压穴位方法.2002年11月～2003年4月对在我院分娩的产妇分娩阵痛时,采用指压合谷、三阴交穴位,既可达到镇痛效果,又可缩短产程.现将观察情况报告如下.