固本清毒汤治疗宫颈高危型人乳头瘤病毒感染临床观察

目的 观察固本清毒汤治疗宫颈高危型人乳头瘤病毒(human papillomavirus,HPV)感染的疗效.方法 将60例宫颈高危型HPV感染患者随机分成治疗组和对照组,每组30例.治疗组予以干扰素片阴道纳药联合固本清毒汤内服,对照组仅予以干扰素片阴道纳药.观察两组患者治疗前后湿热瘀毒证积分变化,检测血清白细胞介素-...     

柴胡疏肝散加减联合手术治疗肝胆管结石35例临床观察

目的 探讨疏肝法联合手术治疗肝胆管结石的临床疗效。方法 将67例胆总管结石患者随机分为对照组（32例）和观察组（35例）,对照组患者行腹腔镜胆总管探查术治疗,观察组患者在对照组治疗的基础上术后口服加减柴胡疏肝散。干预1周后,观察两组患者机体功能恢复情况和炎症指标、肝功能水平,随访12个月后观察结石复发率。结果 与对照组比较,观察组患者肛门排气时间、进食时间、术后住院时间均明显缩短（P＜0.05）;与治疗前比较,两组患者术后7 d血清超敏C-反应蛋白（high-sensitive C-reaction protein, hs-CRP）、丙氨酸氨基转移酶（alanine aminotransferase,ALT）、天冬氨酸氨基转移酶（aspartate aminotransferase,AST）、谷氨酰基转移酶（gamma glutamyltransferase,GGT）、碱性磷酸酶（alkaline phosphatase,ALP）水平均明显降低（P＜0.05）,观察组患者血清hs-CRP、AST、GGT降低程度显著大于对照组（P＜0.05）;观察组结石复发率显著低于对照组（χ2=6.118,P=0.013）。结论 术后应用疏肝中药能够促进机体胃肠功能恢复,缩短住院时间,降低炎症指标,改善肝功能及降低结石再生和复发率。     

个人生活规则的探索与修正——韦斯勒之认知评价疗法的当代解读

认知评价疗法的核心概念是"个人生活规则",它是指个体的一种认知结构,代表个体对心理和社会性事件的法则化的看法和道德伦理的规定性。个体所产生的各种情绪和对自我的看法、评价皆与个人生活规则相关。个体心理问题之所以出现,在于个体所持有的个人生活规则缺乏一定的适应性,故心理治疗就是要对个人生活规则加以调整和修正。认知评价疗法吸收了诸多人文主义的观点,体现了心理疗法间相互融合的趋势。     

A physical therapy environment design concept for children with cerebral palsy in accordance with patient behavior and therapy effectiveness

This research aims to study the effects of interior environmental features on the effectiveness of physical therapy among children with cerebral palsy. The research assumes that interior environment primarily determines the central attention of the patients, which further institutes the level of cooperation and thus the effectiveness of therapy. Distinctive interior settings in three state hospitals are utilized to test the effects of different environmental settings on child patients＇ level of attention. A ＇~structured observation＂ together with an ＂achievement rating＂, measured by the patients＇ cooperative level, are utilized to gauge the success of therapy conducted within the three different environmental settings. Statistical result reveals a pattern of correlative linkages among the interior features, the level of central attention and the effectiveness of therapy. Behavioral responses are found to be positively correlated with the level of patient cooperation. The analysis of behavioral response discloses three types of environmental stimuli--crowding in the treatment rooms, present of particular interior features such as windows, and activities outside the treatment rooms visible to the patients. Desirable response is also found to be increasing along with the number of interior stimulus features. A design guideline for treatment room is finally established. Two groups of interior environmental features could be manipulated to elevate the effectiveness of therapy--the physical environment which includes room size, and the spatial location of therapy activities within the interior environment.     

Effectiveness of Functional Family Therapy for Mandated Versus Non‐Mandated Youth

This study compares the outcomes for youth mandated to participate in Functional Family Therapy (FFT) to those whose participation was referred but voluntary. FFT is a short‐term intervention for delinquents and status offenders, along with their parents. The study sample consists of 120 cases: 70 youth and parents who were mandated by the Family Court to participate in FFT and 50 youth and their parents who were referred to FFT by other agencies. The sample is diverse in terms of gender, race and ethnicity. The outcome variables consist of a set of scales obtained from the Strengths and Needs Assessment (SNA). Changes in life domain functioning, child strengths, acculturation, caregivers' strengths, caregivers' needs, child behavioral emotional needs, and child risk behaviors are assessed. The analysis indicates that both groups improved across all domains. Overall, being mandated to participate in FFT does not predict greater improvements in outcomes. The findings suggest that status offenders and minor delinquents who participated in FFT could be processed less formally without foregoing the therapy outcomes.     

内热针治疗跖筋膜炎临床观察

目的 观察内热针治疗跖筋膜炎的临床疗效。方法 将56例跖筋膜炎患者随机分为两组,每组28例。治疗组采用内热针治疗,对照组采用封闭治疗。治疗前、治疗后2周和治疗后2个月,分别采用视觉模拟量表（visual analogue scale, VAS）评价患足疼痛程度,采用美国足踝外科协会踝-后足量表（American orthopaedic foot and ankle society-ankle hindfoot scale, AOFAS-AHS）评价患足综合功能。结果 与治疗前比较,治疗后2周和治疗后2个月,两组VAS评分均显著降低（P<0.05）,AOFAS-AHS评分均显著升高（P<0.05）;治疗后2周,两组VAS和AOFAS-AHS评分比较,差异均无统计学意义（P>0.05）;治疗后2个月,治疗组VAS评分显著低于对照组（P<0.05）,AOFAS-AHS评分显著高于对照组（P<0.05）。结论 内热针和封闭治疗跖筋膜炎均有较好的近期疗效,内热针的远期疗效优于封闭疗法。     

中医食疗对肿瘤患者生存质量影响的临床研究

中医食疗对肿瘤患者生存质量影响的临床研究     

穴位埋线疗法治疗支气管哮喘的系统评价

目的 评价穴位埋线疗法治疗哮喘的临床疗效。方法 根据Cochrane系统评价方法,全面收集穴位埋线治疗哮喘的随机对照试验,运用RevMan 5.20版进行Meta分析。结果 共纳入15篇研究,纳入病例1 579例。Meta分析显示：穴位埋线与西药、针刺比较在总有效率、第一秒用力呼气量、喘息等方面可能具有优势。结论 现有证据显示穴位埋线治疗哮喘与其他疗法比较在疗效、改善预后方面有一定优势,但还需要高质量的随机对照试验进一步证实。     

火针治疗腰椎间盘突出症后期下肢麻木36例

目的 观察火针疗法对腰椎间盘突出症后期下肢麻木的临床疗效。方法 将68例腰椎间盘突出症后期下肢麻木患者随机分为观察组和对照组,观察组36例,对照组32例。观察组采用电针加火针治疗,对照组采用电针治疗。结果 观察组愈显率显著高于对照组(P<0.01);两组总有效率比较,差异无统计学意义（P＞0.05）。结论 火针疗法治疗腰椎间盘突出症后期下肢麻木的疗效优于单纯电针疗法,能显著提高下肢麻木的治愈率和显效率。     

Chapter 5: Family Preservation in Foster Care:

Treatment foster care is described in repect to the permanency continuum, particularly the importance of family connectedness for children placed out of home. The placement of specialist foster care in the treatment continuum is identified along with the associated advantages and challenges to be met.