骨肉瘤是临床上最常见的骨组织恶性肿瘤,恶性程度很高,主要发病于儿童、青少年以及50岁以上的中老年人.其早期临床症状为疼痛,随着病情的发展会出现局部的肿块.骨肉瘤患者早期即可出现远处转移,极大部分患者会复发;转移或复发性骨肉瘤患者的五年生存率极低.郑玉玲教授认为癌毒内盛的微环境是导致骨肉瘤转移复发的重要原因.治疗上应着眼于整体,通过调节机体的微环境降低疾病复发率,预防骨肉瘤患者术后转移复发、减轻患者疼痛肿胀临床症状、保护骨质,改善患者的临床症状,取得了满意的疗效.临床用药以仙方活命饮为基础方,辨证施治,获得了较好的疗效.文章结合案例介绍郑教授治疗骨肉瘤经验,以期为临床提供参考.

皮持衡教授结合多年临床经验,提出痛风性肾病的病因为湿、瘀、毒内伤,脾肾亏虚,治疗上应以脾肾为本,以清热化湿、祛瘀泻浊为主,在诊疗痛风性肾病方面取得良好的疗效.该文通过分享皮持衡教授治疗痛风性肾病的临床经验,为治疗痛风性肾病提供临床参考.

目的:研究郑玉玲教授治疗子宫内膜癌的诊疗思路及用药规律,为临床治疗该病提供参考.方法:整理郑玉玲教授治疗子宫内膜癌的门诊病历资料,采用频数及频率分析、聚类分析、因子分析、关联规则及复杂网络分析等方法进行研究.结果:共纳入病例43例,使用频次排名前3位的方剂依次为当归芍药散、四妙散、五苓散;使用频次排名前5位的中药依次为茯苓、当归、炙甘草、白芍、川芎;用方涉及的18类药中,补益、活血化瘀、清热利湿类药物位居前3位;药性以温为主,药味以甘为主,归经以脾、肝、肾居多;聚类分析将高频药物分为3类,因子分析提取了 9个公因子,关联规则分析得到了 13个高关联度的配伍组合.结论:郑玉玲教授认为子宫内膜癌与肝、脾、肾关系密切.肾精亏虚、肝脾不调为本,血瘀、水饮、湿热内阻为标.治疗上扶正重在调补肝脾肾,祛邪以活血化瘀、温阳化饮、清热利湿为主.

目的 探讨乳腺癌患者术后应用分级分期康复训练改善肩关节活动度与患肢水肿程度的临床价值.方法 选择2016年2月至2019年2月在我院行乳腺癌手术的患者60例作为研究对象,依据患者住院顺序编号,以随机数字表法将其等分为研究组和对照组,对照组采用术后常规康复训练,研究组在对照组基础上实施分级分期康复训练,比较两组患者术后肩关节活动度、患肢水肿程度.结果 研究组患者术后12周患侧手臂后伸、前屈、内收、外展、内旋、外旋肩关节活动度指标均较对照组改善明显(P<0.05);研究组患侧肢体水肿程度较对照组减轻,差异有统计学意义(P<0.05).结论 乳腺癌患者术后实施分级分期康复训练,可有效提高肩关节活动度,减轻患肢水肿程度,促进肢体功能恢复,值得推广应用.

Objective To explore and analyze the potential risks during the nursing process in Cardiovascular Department, and provide feasible preventive measures in order to improve nursing levels and reduce nursing risk. Methods To select 380 patients hospitalized in Cardiology Department from January 2012 to January 2014 by convenient sampling method, the patients were averagely divided into control group ( Cardiovascular Department′s routine nursing) and experimental group ( nursing risk evaluation based on routine nursing and provide personalized risk countermeasures). After one course of nursing intervention, the nursing satisfaction and effects were evaluated in two groups and compared between two groups. Results There were 65 patients performed satisfaction and 94 patients presented pretty satisfaction with total 83. 68% satisfaction rate;a total of 110 patients showed satisfaction while 79 patients performed pretty satisfaction with total 99. 47%satisfaction rate;the difference of satisfaction degree compared between two groups with statistical significance (Z=5. 674,P<0. 01). There were 168 patients having excellent or good comments for nursing effect evaluation (88. 42%) in the control group, while 181 patients (96. 84%) given excellent or good comments for nursing effect evaluation with difference having statistical significance (Z=4. 685, P <0. 01); the nursing effect of experimental group was better than that of the control group (χ2 =9. 870,P<0. 01). Conclusions The nursing risks evaluation based on routine nursing of Cardiovascular Department can make efficient nursing plans for patients, which benefits to improve the nursing satisfaction and nursing effects.