共查询到20条相似文献，搜索用时 253 毫秒
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目的:分析神经科患者以眩晕为主诉的常见病因,以及以眩晕为主诉的常见疾病的临床特征.方法:320例患者均为同一时期门诊及住院患者(门诊161例,住院159例),根据临床特点结合辅助检查,包括CT、TCD检查,Dix-Hallpike 试验,分析确定眩晕病因.结果:320例眩晕患者病因:良性阵发性位置性眩晕(BPPV)158例(49.37%),后循环缺血(PCI)107例(33.44%),神经症19例(5.94%),维生素B12缺乏10例(3.13%),其它26例(8.12%).结论:BPPV是眩晕患者常见病因;在眩晕病因的诊断中,TCD检查基底动脉血流速度缺乏特异性;年龄、眩晕持续的时间等特征可以做为眩晕病因诊断的重要指标. 相似文献
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目的:探讨惊恐障碍的发病相关因素,临床特点及治疗.方法:对50例惊恐障碍病人使用汉密尔顿抑郁自评量表及自制调查问卷,对病人起病因素、临床特点及治疗情况进行分析.结果:惊恐障碍病人多初诊于心内科,症状表现以心血管、呼吸系统症状多见,经心理治疗及抗抑郁剂合并抗焦虑剂治疗,症状迅速缓解.结论:了解这些情况有利于惊恐障碍临床诊断和治疗 相似文献
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黄媛 《淮南职业技术学院学报》2020,(2):110-112
为探讨绘画艺术治疗对抑郁症状高职生的影响,更好治疗高职生抑郁症患者,选取收治的高职生抑郁症患者80例,随机将其分为观察组和对照组各40例,观察组在常规药物治疗方法的基础上采用绘画艺术干预,对照组仅采用常规药物治疗方法,比较两组患者的抑郁症状改善情况和临床疗效。结果表明,绘画艺术治疗对抑郁症状高职生具有积极影响,能改善患者抑郁症状况,提高临床疗效,值得推广和应用。 相似文献
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氟西汀抗脑卒中后抑郁的观察 总被引：1，自引：0，他引：1
目的:观察氟西汀抗脑卒中后抑郁对神经功能缺损的影响.方法:140例患者随机分为2组.治疗组80例,入院后即给予氟西汀0.4mg口服,晚1次,6～10周为1个疗程.对照组60例,入院后口服多虑平25mg,每日1次,其余治疗两组均按脑卒中常规处理.在治疗1周、2周、4周、6周后分别以HAMD量表及ESS量表评定治疗效果.结果:治疗组用药后1周即可显效,而对照组多在2周后显效.两组ESS评分均随HAMD评分下降而下降,两者呈正相关,而治疗组ESS评分较对照组下降明显,有显著性差异(P＜0.01).结论:氟西汀抗脑卒中后抑郁能够改善神经功能缺损症状及患者的预后. 相似文献
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《河西学院学报》2019,(2):32-35
目的:观察手法联合双醋瑞因胶囊口服治疗膝关节骨性关节炎的临床疗效.方法:选择膝骨性关节炎患者68例(不包括脱失和剔除8例患者).观察组33例,共40膝,予手法联合双醋瑞因胶囊口服治疗;对照组35例,共41膝,予双醋瑞因胶囊口服治疗.两组均连续治疗12周.观察两组治疗前后疼痛积分的变化,判定治疗后的临床疗效.结果:两组膝关节疼痛积分在治疗前差异均无统计学意义(P>0.05).治疗后两组积分均较治疗前下降(P<0.01),且治疗后观察组评分低于对照组(P<0.05).观察组临床总有效率为92.5%(37/40),优于对照组的75.6%(31/41,P<0.05).结论:手法联合双醋瑞因胶囊口服治疗膝骨关节炎临床疗效显著,可有效改善膝骨关节炎患者疼痛、肿胀及功能. 相似文献
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《赤峰学院学报(自然科学版)》2016,(1)
目的:探讨脑卒中后抑郁患者识别与护理干预.方法:对住院的脑卒中患者进行抑郁评分,筛查出脑卒中后抑郁者,进行护理干预.结果;入选126名脑卒中患者,有48例不同程度的卒中后抑郁,占36.92%.通过对44例卒中后的患者进行护理干预,症状消失或改善.结论:脑卒中后抑郁是脑卒中后常见的并发症,早期识别和及时采取有效的干预措施,对脑卒中患者的功能康复、使其早日回归社会及恢复正常的社会功能有重要意义. 相似文献
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目的:探讨伴焦虑抑郁障碍冠心病患者接受介入治疗前后情况以及肌胺肽苷注射液联合心理干预的效果.方法:采用Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)对201例拟接受冠脉介入治疗的冠心病患者进行焦虑抑郁障碍调查评分.将201例患者随机分为联合干预组和对照组,干预组在手术前1～2d和手术后7～10d静点肌胺肽苷注射液,同时于上述时段以及术后3月、6月、12月、24月给予心理干预,对照组常规治疗并于同样时间进行焦虑抑郁评定和心理干预.结果: 术前两组患者抑郁发生率、SDS评分无显著差异.术后干预组的抑郁障碍较对照组有明显改善(SDS评分分别为36.54±4.25和46.17±6.42, P<0.01),手术前后干预组抑郁发生率无明显差异,而对照组术后抑郁发生率明显高于手术前(SDS评分分别为46.54±6.25和73.46±6.73, P<0.01),干预组出院后24个月内再住院、心血管事件发生率明显低于对照组,生活质量提高明显高于对照组.多因素分析显示:教育水平低下、近期负性生活事件、社会经济地位、病程绵长、导管介入治疗后遗症与冠心病抑郁之间存在明显相关(P<0.01);且抑郁程度与患者出院后恢复、恶性心血管事件发生之间存在明显相关(P<0.01).结论:肌胺肽苷注射液联合心理干预可以有效减轻抑郁焦虑障碍和降低心血管事件的发生,提高患者的生活质量. 相似文献
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目的:探讨造成剖宫产术后晚期产后出血原因及预防方法.方法:通过收集近5年来在我院产科发生及由下级医院转来的剖宫产术后晚期产后出血22例临床病历进行回顾性综合分析.结果:因剖宫产术后子宫切口坏死、感染、部分裂开20例,合并胎盘胎膜残留1例,合并产后子宫收缩乏力1例,其中15例切口裂开位于子宫切口角部,5例位于子宫切口中央,13例行全子宫切除术,4例行子宫次全切除术,保守治疗5例.22例患者均治愈.结论:对于剖宫产术后晚期出血,重在预防,应防治结合. 相似文献
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探讨在全麻状态下与清醒状态下行导尿术对全麻苏醒期躁动情况的影响．通过选择全麻择期手术患者120例,随机分为两组,每组60人,比较两组患者术后对导尿管刺激反应的程度．结果表明在麻醉前行导尿术,可明显减轻全麻患者苏醒期躁动,减轻患者的痛苦,是导尿的最佳时机． 相似文献
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王建军 《黄冈职业技术学院学报》2012,(4):88-90
目的观察沙丁胺醇和丙酸氟替卡松雾化吸入治疗慢性阻塞性肺病急性加重的疗效。方法将29例慢性阻塞性肺疾病急性加重的患者随机分成两组,对照组28例,常规给予抗生素及相应对照治疗;实验组29例,在对照组的基础上沙丁胺醇与丙酸氟替卡松雾化吸入治疗。用药后观察实验组及对照组临床效应、不良反应及住院时间。结果实验组及对照组每组治疗前后1周临床症状评分差异有显著性,实验组FEV1/预计值,PEF/预计值及住院时间较对照组治疗差异有显著性,并且未发现不良反应。结论在常规抗炎、祛痰等治疗基础上加用沙丁胺醇和丙酸氟替卡松联合雾化治疗一周后,患者临床症状评分及肺功能均明显改善,明显缩短了治疗疗程和住院时间,且无严重不良反应。 相似文献
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OBJECTIVE: The aim of this study was to examine the impact of childhood sexual abuse (CSA) on clinical characteristics and premature termination of treatment in anorexia nervosa (AN). METHOD: The participants were 77 consecutive patients with AN admitted to an inpatient eating disorders unit. The patients were assessed in terms of eating disorder symptoms, general psychopathology, and CSA history at admission to hospital. RESULTS: Thirty-seven patients (48%) reported a history of CSA before the onset of the eating disorder. Individuals with a history of CSA reported significantly greater psychiatric comorbidity, including higher levels of depression and anxiety, lower self-esteem, more interpersonal problems, and more severe obsessive-compulsive symptoms. Patients with the binge-purge subtype of AN (AN-BP) were significantly more likely to report a history of CSA prior to the onset of the eating disorder as compared with patients with the restricting subtype (AN-R) of the illness (65% of the AN-BP patients vs. 37% of the AN-R patients; p<.02). Contrary to our predictions, abused patients were not significantly more likely to dropout of treatment overall. However, patients of the binge-purge subtype (AN-BP) with a history of CSA were significantly more likely to terminate treatment prematurely as compared with the other patients. CONCLUSIONS: Consistent with previous findings, the present results indicate that the prevalence of CSA is high among individuals seeking inpatient treatment for AN. A history of CSA was associated with greater psychiatric disturbance overall and a higher rate of dropout for patients of the binge-purge subtype. 相似文献
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弓剑戟 《雁北师范学院学报》2012,(6):40-41,77
目的分析青光眼滤过术后浅前房的原因及处理。方法对行青光眼滤过手术的256例青光眼住院患者术后发生浅前房的原因及处理方法进行回顾性分析．结果256眼发生浅前房41眼,发生率为16．02％,浅前房发生时间在术后1到6d,其中房水滤过过强29眼,结膜瓣渗漏6眼,脉络膜脱离4只眼,恶性青光眼2眼,手术治疗4眼,其余37眼保守治疗。结论青光眼小梁切除术后浅前房的常见原因为房水滤过过强、结膜瓣渗漏、脉络膜脱离,大多患者都可以通过保守治疗治愈,必要时采取手术治疗． 相似文献
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研究5.12震后三年灾区慢性创伤后应激障碍(PTSD)中学生的抑郁状况及其影响因素。结果:83例慢性创伤后应激障碍学生均存在重度抑郁;抑郁各维度及其总分与主观支持、支持总分及家庭功能的问题解决和沟通维度存在显著的负相关(P<0.01),且抑郁总分与客观支持和家庭功能的角色维度存在显著的负相关(P<0.05)。多元逐步回归分析后发现,支持总分及家庭功能的沟通维度对抑郁的解释贡献率达34.7%,结论:抑郁是慢性创伤后应激障碍的主要共病症状,社会和家庭应给予其更多的社会支持和交流沟通,逐渐降低其抑郁等不良情绪反应。 相似文献
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目的:总结70岁以上老年普胸病人的手术指征,手术治疗及围手术期处理体会.方法:1996.6～2005.6月我院共施行普胸手术578例,其中70岁以上的老年患者118例,占20.4%(118/578).现对118例70岁以上老年患者手术治疗及围术期处理进行回顾性分析.结果:术中术后出现或加重的循环系统并发症34例占28.8%(34/118);呼吸系统并发症29例占24.6%(29/118);消化系统并发症19例占16.1%(19/118);精神神经系统并发症10例占8.5%(10/118);经综合治疗均治愈出院.术后1、3、5年生存率分别为90.0%、77.6%、42.8%.结论:对70岁以上老年普胸病人围术期处理十分关键,因老年人全身各系统器官的衰退及疾病本身的并发症相互叠加,风险较大;但只要手术指征选择合适,手术中间处理严密,围术期处理恰当,70岁以上老年患者施行普胸手术效果理想. 相似文献
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Objective： To evaluate the effect of topical corticosteroid for treatment of moderate or severe dry eye. Methods： Sixty eyes of 30 patients with moderate or severe dry eye, who were not sensitive to artificial tears, were treated with 0.1% fluorometholone eye drops. Subjective symptom and objective tests were used to evaluate the efficacy of treatment before and after application of 0.1% fluorometholone eye drops for 1 week and 1 month. Side effects were also evaluated. Results： After 1 week of treatment, subjective symptoms were improved in all dry eye patients; objective tests were improved in all dry eye patients 1 month after treatment, and the difference was significant. Conclusion： Topical corticosteroid drops can rapidly and effectively relieve the symptoms and signs of moderate or severe dry eye. 相似文献
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OBJECTIVE: The study's goal was to examine the relationship between a history of parental psychiatric disorder and a history of child abuse in a general population sample of Ontario residents. METHOD: A representative community sample of 8548 respondents who participated in the Ontario Mental Health Supplement (OHSUP) were interviewed about parental psychiatric history and completed a self-report measure of childhood physical and sexual abuse. RESULTS: The lifetime prevalence of either parent with a psychiatric disorder was as follows: 14.1% for depression, 3.7% for manic depression, 2.4% for schizophrenia, 2.4% for antisocial behavior, and 17.3% for any parental psychiatric disorder. Respondents reporting a parental history of depression, mania, or schizophrenia had a two to threefold increase in the rates of physical, sexual, or any abuse. Parental history of antisocial disorder increased the risk of exposure to physical abuse (adjusted odds ratios [OR 6.1] and any abuse [OR 7.5]). There was no statistically significant difference between parental psychiatric disorder and childhood physical or sexual abuse by gender of the respondent. There was a trend for increasing risk associated with father only, mother only, and both parents having any psychiatric disorder. CONCLUSIONS: The elevated risk for physical and sexual abuse among respondents reporting a parental history of psychiatric illness highlights the need to examine the mechanism for this association. Such information is important in developing approaches to assist families where the risk of child maltreatment is increased. 相似文献
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Effect of basic fibroblast growth factor （bFGF） on the treatment of exposure of the orbital implants 总被引：5，自引：0，他引：5
Objective： To evaluate the efficacy and the indication of basic fibroblast growth factor （bFGF） in the treatment of exposure of orbital implants. Design： Retrospective and observational case series. Methods： We reviewed 41 patients （41 eyes） suffering exposure of orbital implants from Jan. 2000 to June 2006. The study group patients with mild exposure received combined treatment with bFGF and antibiotic drops, and while the control group patients with mild exposure were treated with antibiotic drops only. The study group patients with moderate and severe exposure received combined treatment with bFGF and antibiotic drops, and after 2 months they were subjected to amniotic membrane transplantation, while the control group patients with moderate and severe exposure underwent amniotic membrane transplantation after using antibiotic drops. Observation of the growth of conjunctival epithelium and comparison of the healing rate of the two groups. Results： The healing rates of the mild, moderate and severe exposure study group were 100% and 92.3%. The healing rates of the mild, moderate and severe exposure control group were 55.6% and 66.7% respectively. The difference of the healing rates of the mild exposure study group and the control group was significant （P=-0.033）. And the difference of the healing rates of the moderate and severe exposure study group and the control group was not significant （P=-0.167）. Conclusion： bFGF may promote obviously the healing of orbital implant exposure, particularly it can be the first choice for the treatment of mild degree exposure. For the moderate and severe cases, it can be administered before surgical repair to enhance neovascularization and will tend to increase the success rate of surgical repair. 相似文献