健脾补肾泄浊法治疗肾性贫血30例临床观察

目的:观察健脾补肾泄浊法配合促红细胞生成素(EPO)治疗肾性贫血的临床疗效。方法:治疗组给予EPO(宁红欣)3000u皮下注射,并口服健脾补肾泄浊中药;对照组只给予EPO3000u皮下注射。结果:治疗组总有效率为86.2%,对照组总有效率为70.0%。治疗组疗效优于对照组,差异有显著性(P<0.05)。两组治疗后血红蛋白、红细胞比容均较治疗前明显上升(P<0.01),但治疗组优于对照组(P<0.05);治疗组血清肌酐、尿素氮、血清总蛋白治疗后与治疗前相比,差异有显著性(P<0.05),两组间比较,差异亦有显著性(P<0.05)。结论:健脾补肾泄浊法配合EPO治疗肾性贫血,能明显改善患者贫血状况,对肾功能有较好的保护作用,提高患者生活质量。     

西方女性主义思潮对家庭治疗的冲击和影响

西方女性主义思潮对传统家庭治疗理论模式和方法造成冲击和影响是从20世纪70年代后期开始的,可以将其概括为四个主要的方面:其一是强调用政治的眼光看待家庭;其二是反对"谴责母亲";其三是主张从社会性别的视角看问题;其四是正视家庭暴力.当人们尝试以女性主义所引导的视线来认真地对我们的社会生活、家庭生活审视一番,人们就会在那些已被认为是司空见惯的事实、理所当然的真理背后找出存在的问题.女性主义将会为家庭治疗领域的整体发展做出自己的重要贡献.     

中学生青春期的家庭心理治疗

青少年在青春期这个过渡时期会出现不同的问题,其中心理问题尤为严重,它可能涉及早年的父母教养问题,甚至可能是更上一代人的创伤所致。我们可以从一个家庭视角看青少年心理问题的成因,以及青少年的转变造成的家庭困扰。因此,在青少年的心理干预中,家庭心理治疗起着举足轻重的作用。     

The frozen rhetoric of AIDS denialism and the flourishing claims of a cure: A Comparative analysis of Thabo Mbeki and Yahya Jammeh’s rhetoric

This article compares and contrasts the frozen rhetoric of Thabo Mbeki’s Aids denialism and Yahya Jammeh’s flourishing claims of a cure for HIV/Aids. While Jammeh invoked Allah as the source of his herbal therapy, Mbeki employed what scientists referred to as pseudoscience to justify his claim. In the final analysis, whereas Mbeki’s denialist rhetoric froze in South Africa, Jammeh’s cure rhetoric continues to flourish in the Gambia. First, the rhetorical situation in both countries is appraised. Next, antiretroviral drugs (ARVs) and alternative therapies, which are at the center of the polemics, are placed in dialogue before the dynamic subject is located at the critical junctures of space, power and the dominant truth games, where the subject shapes the same truth games that shape the subject. Accordingly, the outcomes of the ARVs debate in South Africa and the Gambia flowed from the interactions of space, power and the prevailing truth games in relation to the subject.     

家庭治疗的发展:回顾与展望

家庭治疗起源于现实的需要及对一种新的理念和方法的尝试,代表了心理治疗领域一个新的发展方向。经历了发展的黄金期,受到后现代建构主义、女性主义、多元文化主义的质疑与挑战,家庭治疗进入了一个新的发展时期。整合是当代家庭治疗发展的主要趋势,在整合的同时更加强调治疗过程的系统化与综合性,并致力于对特定情境下特定家庭问题的研究,以响应不断发展变化的家庭事实。     

Verbal Aggression Among Male Alcoholic Patients and Their Wives in the Year Before and Two Years After Alcoholism Treatment

Our earlier reports on 88 male alcoholics and their wives showed that domestic violence decreased significantly in the first and second year following a behavioral marital therapy (BMT) alcoholism treatment program. The present study examined verbal aggression in this same sample. In the year before BMT, verbal aggression was significantly greater—being five to seven times more prevalent for clinically elevated aggression and substantially more frequent—for the alcoholic husbands and their wives than for a demographically matched, nonalcoholic comparison sample. In the two years after BMT, both alcoholic men and their wives showed significant and substantial reductions in verbal aggression as compared with the year before BMT. Despite these significant reductions from the year before BMT, verbal aggression in the two years after BMT remained significantly elevated relative to demographically similar nonalcoholic controls. As predicted, relapsed alcoholics and their wives showed more verbal aggression in the 2 years after BMT than both couples with a remitted alcoholic husband and demographically similar nonalcoholic controls, whereas remitted alcoholics and their wives had similar levels of verbal aggression to the nonalcoholic controls. Further, frequency of drinking was positively correlated with verbal aggression in the 2 years after BMT; verbal aggression was greater when the alcoholic husband drank more frequently.     

关系的探究与调整：西方家庭治疗的新视角

传统心理疗法一直注重对个体的考察和干预,这种抽象化的治疗方式在二战后受到以一般系统论代表的新思维模式的冲击,家庭治疗在这种背景下应运而生.家庭治疗强调人际关系,特别是家庭关系,认为个体不是孤立的,只有当其处于一定关系中才能得到说明和理解,个体的心理问题实际上是关系的问题,所以它的解决有赖于关系的调整和变化.在这样的前提下,家庭治疗家们从不同的侧面进行了深入的探讨,提出了一些颇具启发意义的理论观点和应对技术.家庭治疗是对传统心理疗法的重要补充和扩展,当有很大的发展空间.     

大接经法治疗脑梗死临床研究

目的:观察大接经法治疗脑梗死瘫痪的临床疗效.方法:在药物结合康复治疗基础上,对30例脑梗死患者行大接经法治疗,运用 Brunnstrom六阶段评估法,与30例单纯药物、康复治疗患者作疗效对比观察.结果:治疗组瘫痪上肢功能达到Ⅵ阶段的由16.7%上升到70.0%,对照组由16.7%上升到43.4%;治疗组瘫痪下肢功能达到Ⅵ阶段的由20.0%上升到73.3%,对照组由23.3%上升到46.7%.组间比较,差异有显著性(P<0.05).结论:大接经法对脑梗死瘫痪肢体功能的改善具有显著作用.     

仙灵骨葆配合推拿手法治疗神经根型颈椎病38例

目的:观察仙灵骨葆配合推拿手法对神经根型颈椎病的治疗效果.方法:随机将108例神经根型颈椎病患者分为3组.仙灵骨葆 手法组38例用仙灵骨葆加手法治疗,并与单纯仙灵骨葆治疗36例、单纯手法治疗34例作对照观察,治疗30 d后根据症状、体征进行疗效评定.结果:仙灵骨葆 手法组与仙灵骨葆组、手法组治疗后临床症状、体征积分比较,差异有显著性(P＜0.05),治疗前后积分差值也有明显改善(P＜0.01);仙灵骨葆 手法组与手法组、仙灵骨葆组疗效比较,差异有显著性(P＜0.05),仙灵骨葆 手法组的疗效优于对照组.结论:仙灵骨葆配合推拿手法治疗神经根型颈椎病具有较好的治疗作用.     

中西医结合治疗重型颅脑损伤疗效观察

目的:观察高压氧加针灸推拿疗法对重型颅脑损伤的恢复作用.方法:将患者分为常规药物治疗组(Ⅰ组)、常规药物+针灸推拿治疗(Ⅱ组)及常规药物+针灸推拿+高压氧治疗(Ⅲ组).Ⅰ组、Ⅱ组和Ⅲ组病例数分别为58,65,76例.入院时与出院时分别对各组患者进行格拉斯哥昏迷评分(Glasgow coma scales, GCS)及功能综合评定量表(functional comprehensive assessment,FCA)评分.结果:与入院时比较,出院时3组GCS和FCA评分均显著增加(P<0.05).出院时Ⅱ组和Ⅲ组GCS和FCA评分显著高于Ⅰ组(P<0.05),Ⅲ组GCS评分显著高于Ⅱ组(P<0.05).结论:高压氧配合针灸推拿治疗能显著提高颅脑损伤患者的治疗效果.