自拟“参田方”治疗高血压病血脂升高的临床疗效观察与研究

目的旨在观察参田方在治疗高血压病血脂升高的疗效。方法将2005年7月到2007年7月岳阳市中医院的内科住院病人中符合高血压病和高血脂症的病人随机分为2组,观察2组病人使用参田方和尼群地平片．不同药物的治疗后血压和血脂的变化结果。结果参田方治疗组的降压效果显著优于对照组,降低高血压病患者血清总胆固醇、甘油三脂显著优于对照组。结论参田方组合治疗高血压病血脂升高疗效可靠,经得起重复。     

自我:当事人中心治疗的一个核心概念

自我在个体发展之初从经验场中分化出来,由于重要他人的关注态度不同,而导致自我逐渐走向不同的方向:受到无条件积极关注的个体依靠机体评价过程来处理经验,自我积极发展向着"机能充分发挥的人"迈进;而受到有条件关注的个体自我慢慢异化甚至走向人格解体.当事人中心治疗的核心即是透过无条件积极关注的咨访关系来促成当事人自我的重建和人格的重整.     

Review:Acute lung injury/acute respiratory distress syndrome (ALI/ARDS): the mechanism,present strategies and future perspectives of therapies

INTRODUCTION OF ACUTE LUNG IN- JURY/ACUTE RESPIRATORY DISTRESS SYN- DROME (ALI/ARDS) Acute lung injury (ALI) and its more severe form, the acute respiratory distress syndrome (ARDS) are syndromes of acute respiratory failure, which was defined by radiological (bilateral lung field infiltrates) and physiological (the ratio of arterial oxygen pres- sure and the inspiratory oxygen concentration, Pa O 2 /Fi O2≤300 mmHg for ALI and ≤200 mmHg for ARDS) criteria in…     

走出“无意义”的思想困境——基于儒家文化资源与劳动治疗路径的思考

意义感的丧失是当代人面临的严重的思想病症之一,其实质是人们缺乏价值感导致的一种精神层面的存在空虚,而非情绪疾病或心理困扰。现代科技的负面影响以及多元文化价值观的流行、日趋激烈的生存竞争环境、人与自然以及人与人关系的失衡与疏离、自我实现度的低级化等是导致当代人意义感丧失的主要因素。"无意义"之思想病症并非不可疗愈。治疗"无意义"之思想病症有多种精神资源与突破进路。其中,儒家文化是难得的精神资源,而劳动作为人类最基本的生存方式,既是劳动者发现和获得生命意义的实践路径,也是值得我们深入发掘的"无意义"之思想病症的治疗路径。     

60例老年住院病人用药分析

老年人由于内脏功能减退，免疫功能差，易患多种疾病，另一方面，老年病人的药物分布，代谢、清除等因年龄增加而衰退，本文分析了老年病人临床治疗用药方面的特殊性，并就其多种药物并用的原因和对策进行了讨论，老年人药物治疗应严格地掌握适应症。对有合并症患者的用药尤需谨慎，尤其是搭配及混合用药方面，应考虑避免或减少药物毒性作用的产生。     

羌医药浸酒外搽配合局部推拿理疗对慢性运动性闭合性软组织损伤康复效果的观察

目的：观察分析羌族民间传统药方浸酒外搽配合局部推拿理疗对慢性运动性闭合性软组织损伤的临床疗效。方法：选取2012年1月至2013年12月因慢性运动性闭合性软组织损伤而就诊的患者共110例,随机分为推拿理疗组、推拿理疗＋内服中药组和推拿理疗＋羌族药方浸酒外搽组。对比三组患者治疗前和治疗2个月后的临床病状积分和运动后各时段酸痛等级,对比三组患者治疗前和治疗2个月后的VAS疼痛评分和Oswestry评分,同时对比三组患者治疗2个月后的临床疗效。结果：三组患者治疗2个月后的各项临床病状积分、运动后各时段酸痛等级、VAS疼痛评分和Oswestry评分均显著低于治疗前,且推拿理疗＋羌族药方浸酒外搽组治疗2个月后的各项临床病状积分、运动后各时段酸痛等级、VAS疼痛评分和Oswestry评分均显著低于其他两组,P〈0.01。推拿理疗＋羌族药方浸酒外搽组治疗2个月后的临床疗效显著优于其他两组,P〈0.05。结论：羌族药方浸酒外搽配合局部推拿理疗可显著改善慢性运动性闭合性软组织损伤患者的临床症状和生活质量,具有良好疗效,值得临床推广。     

关于阅读疗法书目编制问题的思考

阅读治疗书目的编制是实施阅读疗法的核心与关键环节,在阅读疗法中处于基础而又十分重要的地位。文章从阅读疗法书目的概念、书目类型的选定、书目编制的原则与方法三方面对阅读疗法书目编制的基本问题进行了探讨。     

Red blood cell membrane-camouflaged nanoparticles loaded with AIEgen and Poly(I : C) for enhanced tumoral photodynamic-immunotherapy

Red blood cell (RBC)-mimicking nanoparticles (NPs) offer a promising platform for drug delivery because of their prolonged circulation time, reduced immunogenicity and specific targeting ability. Herein, we report the design and preparation of RBC membrane-bound NPs (M@AP), for tumoral photodynamic-immunotherapy. The M@AP is formed by self-assembly of the positively charged aggregation-induced emission luminogen (AIEgen) (named P2-PPh3) and the negatively charged polyinosinic : polycytidylic acid (Poly(I : C)), followed by RBC membrane encapsulation. P2-PPh3 is an AIE-active conjugated polyelectrolyte with additional photosensitizing ability for photodynamic therapy (PDT), while Poly(I : C) serves as an immune-stimulant to stimulate both tumor and immune cells to activate immunity, and thus reduces tumor cell viability. When applied in tumor-bearing mice, the M@AP NPs are enriched in both the tumor region as a result of an enhanced permeability and retention (EPR) effect, and the spleen because of the homing effect of the RBC-mimicking shell. Upon light irradiation, P2-PPh3 promotes strong ROS generation in tumor cells, inducing the release of tumor antigens (TA). The anti-tumor immunity is further enhanced by the presence of Poly(I : C) in M@AP. Thus, this strategy combines the PDT properties of the AIE-active polyelectrolyte and immunotherapy properties of Poly(I : C) to achieve synergistic activation of the immune system for anti-tumor activity, providing a novel strategy for tumor treatment.     

Group Therapy for Improving Self-Esteem and Social Functioning of College Students With ADHD

The present study examined the effectiveness of interpersonal group therapy designed to improve self-esteem and social functioning in college students with Attention-Deficit/Hyperactivity Disorder (ADHD). Participants with documented ADHD diagnoses completed self-report measures of self-esteem and social functioning at the initiation of the study, after 6 weeks, and at 12 weeks. Half the participants completed a 12-week interpersonal group therapy while the other half served as a control group matched by gender and age. Findings suggest that interpersonal group therapy improves self-esteem, psychosocial competence, and emotional maturity, and should be a treatment option for college students with ADHD. Implications for practice are discussed.     

老年人食疗知识普及现状及教育策略探讨

普及食疗知识对于维护老年人的健康具有重要意义。本文通过问卷调查对济南市区老年人有关食疗知识的认知、应用及需求等几个方面进行实证研究,分析了老年人食疗知识普及教育的现状特点,提出相应的食疗知识普及教育的参考建议,为老年人食疗普及化教育提供相应指导。