Prostate cancer is the most common malignant tumor in men of western countries and its incidence is increasing in China.However,the traditional methods of screening and diagnosing of prostate cancer are of limited value.Multiparametric magnetic resonance imaging (MRI) is an examination which combines morphologic sequences with one or more functional sequences.Multiparametric MRI can not only display the anatomical structures and morphologic changes of organs,but also reflect some histological components,providing pathophysiological and biochemical information of tissues and guiding prostate targeted biopsy at the same time.These advantages give multiparametric MRI high application value in the diagnosis and evaluation of prostate diseases.This review summarized the recent progress in multiparametric MRI diagnosis of prostate cancer.

Objective To investigate the effects of cognitive behavior therapy on self-efficacy,hope level of patients with primary liver cancer(PLC).Methods By convenience sampling,a total of 202 patients with PLC were recruited from Changhai Hospital.The patients were equally divided into treatment group and control group based on their admission time.Patients in the treatment group were intervened with cognitive behavior therapy and patients in control group received routine care.After 10 or 15 days intervention, patients were evaluated using General Self-Efficacy Scale(GSES),and hope index.Results There were no significant differences between treatment group and control group in scores of self-efficacy and hope levels before health education(P>0.05).Both routine care and cognitive behavior therapy can increase the scores of GSES and hope index,especially in treatment group(P<0.01).Conclusion Cognitive behavior therapy is effective in improving quality of life of patients with PLC by easing pressure,and promoting hope and recovery.

目的观察化疗患者足三里穴位注射地塞米松对减轻化疗后骨髓抑制的效果。方法随机抽取化疗后0～Ⅲ级骨髓抑制患者40例,随机分为2组各20例,对照组仅采用常规口服升白药物治疗,观察组在化疗后第1天起同时给予穴位注射地塞米松,出院前抽血常规评定。结果治疗后2组患者白细胞及粒细胞均显著升高,但以观察组更为明显(P<0.01)。结论足三里穴位注射地塞米松联合口服升白药物能显著升高白细胞数及中性粒细胞数。

目的 探讨术前腕踝针留置疗法缓解肝癌肝动脉化疗栓塞(TACE)术后疼痛的效果.方法 将52例行TACE的肝癌患者随机分为观察组和对照组各26例.观察组观察组TACE术前30 min按腕踝针选区原则选择下1、2区针刺,并以胶布固定12～24 h.对照组不留置腕踝针.TACE术后0、1、2、4、24h五个时间点比较判定两组疼痛程度及术后镇痛药物用量.结果 观察组各时点疼痛例数均少于对照组(P＜0.01或0.05);镇痛药物用量均小于对照组(P＜0.01).结论 TACE术前30 min留置腕踝针有助于缓解术后疼痛.

<正>随着PICC置管的增多,我院PICC输液门诊导管维护问题也日益凸显,特别是天气寒冷时,患者穿衣偏多偏厚重,尤其是穿刺点在肘上部位时,每次换药或门诊输液非常不方便,影响置管及换药依从性。我科将上衣改良术应用到临床,取得良好效果,现介绍如下。