目的:针对脂肪肝疗养员的干预措施,选择使用膳食指导措施,并探讨其使用后的效果,及对疗养员TG、TC的影响.方法:随机抽取2019年2月至2022年2月于本中心接受诊治的50例脂肪肝疗养员为研究对象,采用随机数字表法划分为实验组、对照组各25例.其中对对照组研究对象使用常规干预措施,实验组研究对象则使用膳食指导干预措施.结果:研究对象的满意度方面,比对对照组,实验组所得数值更高,差异有统计学意义(P<0.05);研究对象TG、TC、ALT水平方面,比对对照组,实验组所得数值更低,差异有统计学意义(P<0.05);研究对象的生活质量评分方面,比对对照组,实验组所得数值更高,有十分明显的差异,差异有统计学意义(P<0.05).结论:临床上对脂肪肝疗养员使用膳食指导干预措施,可有效改善疗养员的临床症状,同时可进一步降低TG、TC、ALT水平,有效改善疗养员的肝功能的情况,其预后效果相对更好,具有一定的优越性.

新型冠状病毒肺炎(以下简称为"新冠肺炎")疫情是新中国成立以来我国遭遇的传播速度最快、感染范围最广、防控难度最大的公共卫生事件[1-4].军队广大医务人员积极响应党和人民的号召逆行湖北抗疫一线,取得了总体战、阻击战的决定性胜利.在完成任务撤回的隔离疗养期间,营养膳食做为隔离疗养保障的重要环节必须做细做好做到位,真正体现出保健康、保战斗力的服务宗旨.

利用《军队疗养院信息系统》收集某疗养机构2010年-2019年疗养员8项基础数据,归纳分析其特点规律.10年间每年疗养员总数各不相同,男女性别比例基本为8:2;保健疗养的占比呈增加趋势,康复疗养的占比则逐渐下降,新开展的特勤疗养,每年疗养人数基本相同但占比逐渐增加;疗养员年龄以40～69岁为主,29岁以下占比增加明显,70岁以上则减少明显;在职疗养人数逐渐增加、离退休人员则呈逐渐减少趋势;该院疗养员出生地以北方省份为主,前3位为山东、河北及江苏;民族中汉族占近99％,少数民族仅占1％,健康状况以健康为多数,患病人数及占比呈逐渐下降趋势,所患疾病的前3位依次为高血压、糖尿病和冠心病.通过疗养员基础数据变化的对比分析,为进一步改进和完善疗养饮食保障工作提供了客观依据.

目的:了解陆军某特种部队营以下军官心理健康状况.方法:选取陆军某特种部队营以下军官为研究对象,采用症状自评量表(SCL-90)和卡特尔16种人格因素测验(16 PF),评估其心理健康状况,并与中国军人常模对比分析.结果:发放问卷200份,收回有效问卷191份.(1)SCL-90测试:研究对象心理问题检出率为22.0％,低于军人常模;在单项因子阳性率方面,研究对象强迫症状因子非常显著高于军人常模(P＜0.01),躯体化因子、恐怖因子和精神病性因子显著或非常显著低于军人常模(P ＜0.05,P＜0.01);在单项因子得分方面,研究对象强迫症状因子和人际关系因子得分显著或非常显著高于军人常模(P＜0.05,P＜0.01),躯体化因子得分显著低于军人常模(P＜0.05).(2)16 PF测试:研究对象人格因素聪慧性、稳定性、恃强性、兴奋性、有恒性、敢为性、幻想性、世故性、自律性、内向外向型、感性用事与安详机警性、怯懦与果敢型、心理健康因素、专业成就个性因素和新环境成长能力因素等15个因子显著或非常显著高于军人常模(P＜0.05,P＜0.01);敏感性、怀疑性、忧虑性、紧张性和适应焦虑型等5个因子非常显著低于军人常模(P＜0.01);人格因素低分人数比例较高的敏感性占20.8％、怀疑性占50.5％、忧虑性占27.6％、适应焦虑型占22.4％、专业成就个性因素占36.6％、创造能力个性因素占54.5％;人格因素高分比例较高的敢为性占20.8％、兴奋性占40.1％、内向外向型占28.1％、心理健康因素占86.4％.结论:陆军某特种部队营以下军官心理健康状况总体良好,但仍有部分心理问题需要有针对性地进行心理干预.

Objective To investigate the efficacy and the nursing experience of vacuum sealing drainage (VSD) combined with topical oxygen therapy on healing of pressure ulcers in intensive care unit. Methods Totally 44 cases of patients in intensive care unit with pressure ulcers on stage Ⅲ and Ⅳbedsore, from May 2015 to October 2017, were divided into 2 groups according to the random number table.22 cases, as the control group, were treated with routine methods and VSD.22 cases, as the test group, were treated with topical oxygen therapy on basis of the treatment of control group, 10 days for a cycle. The effects of the two methods were compared according to the wound healing rate, the bacterial quantitative, the cell apoptosis rate and the capillary density after a treatment cycle. Results The average wound healing rates of the control group and the test group were (16.5±6.7)% and (26.2±5.6)% respectively, between which there was a significant difference (t=5.09, P＜0.01). Before treatment, the bacterial quantitative, cell apoptosis rate and capillary density in the control group were (2.7 ± 0.8) × 107CFU/g, (9.3±1.5)%, 13.43±3.21 respectively, and in the test group were (2.9±1.1)×107CFU/g, (10.1± 1.1)% , 11.51 ± 2.75, there was no significant difference between the two groups (all P>0.05). After treatment, the bacterial quantitative, cell apoptosis rate and capillary density in the control group were (4.9±1.4)×104CFU/g, (5.5±0.8)%, 38.64±10.14, and in the test group were (2.5±0.7)×104CFU/g, (2.9± 0.9)% , 41.09 ± 9.28. The differences before and after treatment in the control group were statistically significant (q=1 967.75, 3.51, 6.12, all P<0.01 or 0.05), and the differences before and after treatment in the test group were statistically significant (q=3 912.32, 5.22, 8.07, all P<0.01). There were significant differences in the bacterial quantitative and cell apoptosis rate between the two groups after treatment (q=3.85, 3.78, all P<0.01), however, there was no significant difference in vascular density (P>0.05). Conclusion The vacuum sealing drainage combined with topical oxygen therapy can enhance wound healing and control infection significantly, is a safe and effective therapeutic method.