乳腺癌给女性带来了不可估量的身心伤害, 该病引起的社会问题已受到社会的普遍关注. 临床护理中对女性患者加以心理干预显得尤为必要,对调整患者的心理状态,提高其婚姻质量具有积极影响. 本研究探讨心理干预对乳腺癌切除术患者的心理状态和性生活质量的影响,现报告如下.

目的 探讨优质护理在肿瘤患者介入手术中应用的临床效果与价值.方法 随机选取洛阳东方医院收治的行介入手术的肿瘤患者160例,并将其分为观察组和对照组,每组各80例.给予观察组优质护理,对照组则采用常规的护理方式,观察两组患者的不良反应发生情况及护理满意度.结果 观察组患者护理后不良反应发生率为2.50%,显著低于对照组患者的20.00%;给予优质护理的患者满意度较高,为98.75%,而常规护理的患者满意度仅为81.25%,两组数据差异有统计学意义(P<0.05).结论 将优质护理应用于肿瘤患者介入手术中,患者发生的不良反应较少且满意度较高,有利于患者身体的较快恢复,促进医患关系的改善,值得广泛应用与临床的治疗中.

Objective To explore the curative effect of implantation of radioiodine-125 particles in the treatment of patients with nasopharyngeal cancer and the application value of CT and MRI in the follow-up of patients after treatment.Methods 57 cases of patients with nasopharyngeal cancer who were treated in our hospital between January 2011 and December 2014 were included in the study. All patients were treated with implantation of radioiodine-125 particles after radiotherapy. Before treatment, the patients were examined by CT and MRI and were followed up. The CT and MRI image changes after implantation of radioiodine-125 particles were determined.Results Among the 57 cases, 12 cases were CR, 28 cases were PR, 9 cases were SD and 8 cases were PD and the total effective rate was 70.2% (40/57). After treatment, ESR decreased significantly and was lower than that before treatment (P<0.05). CT findings before and after treatment showed that before implantation of radioiodine-125 particles, the shape of nasopharyngeal cavity changed, left-right asymmetry. Nasopharyngeal soft tissues thickened or with presence of masses. The lesions mostly were nodular, thick piece lump-like or mass high metabolic; After treatment, the shape of nasopharyngeal cavity was recovered. Soft tissues became thicker or the masses disappeared; MRI findings before and after treatment showed that before implantation of radioiodine-125 particles, the main findings were presence of mixed signal and edema in nose and throat, equal or long T1 , slightly long T2 abnormal signal of nodule or mass shadow. After enhancement of fat-suppression, they were significantly enhanced. After treatment, the main feature was presence of fibrosis, complicated with edema.Conclusions The application of implantation of radioiodine-125 particles under CT in the treatment of nasopharyngeal cancer after radiotherapy is of relatively better effect. To apply CT and MRI in follow-up after treatment can find changes of the lesions in time, which is of important significance in monitoring prognosis.

<正>抗生素相关性腹泻(ADD)是由于使用广谱抗生素而引起的以腹泻为主要临床症状的肠道菌群失调症。据文献报道[1],几乎所有的抗生素都能引起腹泻,概率大小取决于抗生素抗菌谱、肠腔内抗菌浓度、使用剂量与疗程、重复的抗菌治疗、配伍使用等