近年来,随着人们生活水平的提高、饮食结构和生活方式的改变,脂肪肝发病率不断增高。脂肪肝是一种脂代谢紊乱性疾病,是由各种原因引起的,肝细胞内脂肪过多堆积而形成,与单纯性肥胖、饮酒、营养失调、糖尿病等有关 [1] 。脂肪肝已成为仅次于病毒性肝炎的第2位肝病,且其中5% 1 5%的患者有发展为肝硬化的潜在危险 [2] 。脂肪肝的发生与行为和生活方式密切相关,良好的生活方式是有效控制脂肪肝的关键 [3] 。为此,我们于2014年6月至2105年7月对健康体检

Objective To investigate the effect of the administrative intervention on smoking cessation of medical personnel and demonstrate the feasibility and the validity of this approach.Methods Two comparable hospitals were selected,one hospital with 136 smoking medical staff members was used as the intervention group;the other hospital which had 127 smoking medical staff members was used as the control group.We applied administrative intervention and health education to the intervention group and health education only to the control group.The intervention time was 10 months,we used the questionnaire survey before and after intervening to evaluate the smoking rate,the intention to quit smoking,the willingmess to accept the help of quitting and the proportion of those who quitted smoking.Results The smoking rate of intervention group (37.4％) was lower than that of control group (77.2％),the difference was statistically significant (x2=40.99,P＜0.01).The proportion of control group smokers in planning(51.1％) is statistically significant as compared with intervention group (46.18％) (x2=46.18,P＜0.01).The proportion of people who were willing to accept the help from families and friends and smoking cessation counseling in intervention group was significanly higher than that in the control group.(x2=10.04,x2=7.73,x2=7.58;P＜ 0.01).But the proportion of accepting the medicine for quitting smoking was not significantly different (x2=0.16,P＞0.05).The proportion of smokers who wanted to quit smoking on their own willingness in control group was significantly higher than that in intervention group (x2=36.27,P＜0.01).After10 months,61 people (46.6％) in the intervention group succeeded in quitting smoking and 13 (10.6％) people in control group succeeded (x2=28.21,P＜0.01).Conclusion Administrative intervention has feasibility and validity when hospitals take activities for smoking cessation.

<正>顺铂为治疗多种实体瘤的一线用药,临床常以PC方案化疗,用于交界性及恶性肿瘤的预防及治疗。患者用药过程中出现过敏性休克者较少见。现将笔者所在科1例静脉滴注顺铂致过敏性休克的护理体会报道如下。1病例介绍患者,女,42岁,因"卵巢交界性粘液性囊腺癌术后"预行第3次化疗于2010年3月20日入院,完善相关辅助检查,予以提高免疫力治疗,入院后第2天,患者一般情况好,无化

目的 开展社区卫生服务,推广下肢骨折患者的社区护理,提高疗效,缩短康复期,保证治愈率.方法 通过定期到社区巡诊,对患者实施相应的护理措施,指导患者及陪人预防褥疮及下肢深静脉血栓的方法,保持患者正确的体位,抗皮肤搔痒,预防泌尿系感染,功能锻炼,饮食调理,电话咨询,告知相关的健康教育知识.结果 38例患者社区护理前1例褥疮3期,经社区护理21d后愈合;肢体功能恢复正常36例,社区护理前后无泌尿系感染,无1例因治疗护理失败而转送医院治疗.社区护理后能提高患者掌握正确卧位和饮食知识.结论 选择适合在社区医疗护理的患者,认真做好医、护、患合作,定期诊视观察,细心护理,指导功能锻炼,正确的饮食调理是社区医疗护理促进康复的关键.

2002年7月～2004年7月,我们收治颈髓损伤致四肢瘫痪患者36例,除1例伴脑挫裂伤死亡外,其余经精心护理,效果满意.现将护理体会报告如下.