目的 构建高校突发公共卫生事件应对能力评价指标体系,为进一步提升高校公共卫生事件应对能力提供依据.方法 于2019年11月,在文献研究和专家讨论基础上制定评价体系,选择15名专家通过层次分析法进行主观评价,调查120所江苏省高校,通过反熵权法进行客观评价,以主客观联合赋权法进行最终评价.结果 指标体系由4个一级指标、9个二级指标、32个三级指标以及67个四级指标构成.组合赋权法分析显示,一级指标权重从大到小依次为事件处置能力(0.666)、事件发现能力(0.203)、事前准备能力(0.101)和事后恢复能力(0.031).二级指标权重前三位为应急响应(0.480)、监测与报告(0.203)和指挥协调(0.151).一致性指标评价结果显示,专家权威系数为0.909,Kendall's W协调系数为0.836(P＜0.01),一致性比例值均＜0.1.结论 研究构建的评价体系有较高的科学性和可信性,对于评价高校突发公共卫生事件应对能力提供了依据.

Objective To understand health literacy and associated factors of freshmen from Jiangsu Province, and to provide reference for youth health education. Methods From 2017 October to 2018 October, a total of 15 602 college freshman were randomly selected from 20 universities in Jiangsu Province via stratified cluster sampling method. Structural questionnaires were used to investigate the status of health literacy. The χ 2 test and multivariate Logistic regression model were used to analyze the influencing factors of health literacy. Results The health literacy level of college freshmen from Jiangsu Province was 20.2%, among which the literacy levels of knowledge, behavior and skills were 23.0%, 30.7% and 31.5% respectively. The literacy levels of the six public health issues, including safety and first aid, scientific health attitude, knowledge of prevention and treatment of infectious diseases, health information, basic health care, and prevention and treatment of chronic diseases, from high to low, were 72.8%, 58.7%, 28.5%, 28.2%, 20.3% and 15.9%, respectively. Multivariate Logistic regression analysis has showed that students from undergraduate colleges ( OR = 2.77, 95% CI =2.47–3.11), urban areas ( OR = 1.20, 95% CI = 1.07–1.34), or southern Jiangsu regions ( OR = 1.10, 95% CI = 1.00–1.22), being the only child ( OR = 1.13, 95% CI = 1.03–1.25), higher maternal education level ( OR = 1.53, 95% CI = 1.30–1.79), having both parents ( OR = 1.16, 95% CI = 1.00–1.34), reported higher level of health literacy. Conclusion The three aspects and six dimensions of health literacy of college freshmen were unbalanced. Health literacy is a shared function of multiple factors including society, family, and individuals. It is essential to promote health education through more efforts on key issues, in order to effectively elevate the health literacy level of adolescent students. 【摘要】 目的 了解江苏籍大一新生健康素养现况及影响因素, 为开展青少年学生健康素养提升行动提供科学依据。 方法 于 2017 年 10 月一2018 年 10 月采用分层随机抽样的方法选取江苏省 20 所髙校 15 602 名江苏籍大一新生, 使用标准 健康素养问卷通过 “江苏髙校大一新生健康数据管理系统” 线上调査,应用 χ 2 检验和多因素 Logistic 回归模型分析健康素 养的影响因素。 结果 江苏籍大一新生健康素养水平为 20.2%, 基本知识和理念、健康生活方式和行为、基本技能 3 个方 面素养水平分别为 23.0%, 30.7% 和 31.5%; 6 类健康问题素养水平由髙到低依次为安全与急救 (72.8%)、科学健康观 (58.7%)、传染病防治 (28.5%)、健康信息 (28.2%)、基本医疗 (20.3%) 和慢性病防治 (15.9%)。多因素 Logistic 回归分析 显示, 学校类型、家庭居住地、地区、是否独生子女、母亲文化程度、家庭结构是江苏籍大一新生健康素养的影响因素, 本科 院校 ( OR = 2.77,95% CI = 2.47~3.11)、城市 ( OR =1.20,95% CI = 1.07~1.34)、苏南地区 ( OR =1.10,95% CI =1.00~1.22)、独生 子女 ( OR = 1.13,95% CI = 1.03~1.25)、母亲文化程度为专/本科及以上 ( OR =1.53,95% CI = 1.30~1.79)以及父母健全家庭 ( OR =1.16,95% CI =1.00~1.34) 的学生具有更髙的健康素养水平。 结论 江苏籍大一新生健康素养水平一般, 健康素养 3 个方面、6 类问题的发展不均衡。健康素养是社会、家庭、个人多因素共同作用的结果, 应针对重点问题加大健康促进力 度, 有效提升青少年学生健康素养水平。

目的了解江苏籍大一新生艾滋病知识知晓情况及其对性态度和性行为的影响,为针对性开展青少年学生预防艾滋病教育提供科学依据。方法多阶段分层随机抽取江苏省20所高校的8 633名江苏籍大一新生,通过艾滋病知识"国八条"问卷在线调查艾滋病知识知晓情况和性态度、性行为状况。采用多因素Logistic回归模型分析知识知晓情况的影响因素,校正知识对性态度和性行为的影响。结果江苏籍大一新生艾滋病知识总体知晓率为87.6%,8个条目的知晓率为59.8%～98.3%。学校类型、民族、母亲文化程度和是否独生子女是影响大一新生艾滋病知识知晓情况的独立因素（P值均＜0.05）。艾滋病知识知晓情况对学生的性态度及性行为具有影响,知识知晓者比不知晓者更倾向于赞成婚前性行为（OR=1.31,95%CI=1.11～1.63）,更愿意坚持使用安全套（OR=1.67,95%CI=1.43～1.92）和接受艾滋病毒抗体检测（OR=4.54,95%CI=3.13～6.52）;知识不知晓者已发生性行为比例更高（OR=1.89,95%CI=1.42～2.49）;发生过性行为的新生中知识知晓者坚持使用安全套的比例更高（OR=2.13,95%CI=1.22～3.78）。结论江苏籍大一新生艾滋病知识知晓的比例尚未达到国家规定的青年学生达90%的标准。艾滋病知识教育有助于青少年形成正确的性观念,养成健康的性行为。

OBJECTIVE To observe the effect of Tongxinluo Capsule in the treatment of stable angina pectoris.METHOD Seventy-six patients were randomly divided into a control group of 39 patients treated with Tongxinluo Capsule as well as western drugs Metoprolol,Simvastatin,and enteric-coated aspirin,and a control group treated with only the western drugs mentioned above.All the patients were given therapeutic effect evaluation four weeks after the treatment.RESULT The total effective rates with ECG obtained in the treatment and control groups were 71.18% and 48.64% respectively(P0.05).CONCLUSION Tongxinluo Capsule has definite effect in treating stable angina pectoris.

Objective To observe the clinical curative effect ofChinese patent medicine on stable angina.Methods The treatment group was treated with compound Danshen guttate;and the control group was treated with Xinkeshu.Results The compare of the clinical curative effect showed that,the total effective rate was 87.2%and 62.8% in the treatment group and in the control group respectively.The curative effect in the treatment group was better than that in the control group(P<0.01).There was significant difference between two groups in ECG(P<0.05).Conclusion Compound Danshen guttate is an effective and safe therapy in treating coronary heart disease with anginapectoris.

<正>近年来,笔者采用加味泻黄散治疗小儿慢性唇炎18例,疗效满意,现介绍如下。1一般资料18例慢性唇炎患儿中,男10例,女8例;年龄最小2岁,最大10岁;病程5～10d。