益气温阳活血利水法治疗慢性心力衰竭疗效观察

目的 观察益气温阳活血利水法治疗慢性心力衰竭的临床疗效。方法 将40例慢性心力衰竭患者,随机分为治疗组和对照组,每组20例。对照组采用常规西医药物治疗,治疗组在对照组治疗的基础上加用益气温阳活血利水方口服。治疗前后分别观察两组患者左室舒张末内径（left ventricular diastolic dimension, LVDd）、左室射血分数（left ventricular ejection fraction, LVEF）、血浆B型脑利钠肽前体（N-terminal pro-B-type natriuretic peptide, NT-proBNP）、外周静脉压（peripheral venous pressure,PVP）、6 min步行距离（6-minute walk test, 6MWT）。结果 与治疗前比较,两组患者治疗后NT-proBNP、PVP、LVDd均显著降低（P＜0.05）,LVEF、6MWT均显著升高（P＜0.05）;治疗组患者治疗后NT-proBNP、PVP降低程度和LVEF、6MWT升高程度均显著大于对照组（P＜0.05）。结论 益气温阳活血利水法能改善慢性心力衰竭患者的心功能指标,改善患者心功能。     

关节腔注射、运动疗法联合中药熏洗治疗粘连期肩周炎的临床观察

目的 探讨关节腔注射、运动疗法联合中药熏洗治疗粘连期肩周炎的临床疗效。方法 将90例粘连期肩周炎患者随机分为对照组和治疗组,每组45例。对照组采取关节腔注射联合运动疗法治疗,治疗组在此基础上加用中药熏洗治疗,疗程为2周。治疗前后采用视觉模拟量表（visual analogue scale,VAS）评价肩关节疼痛程度,采用肩关节功能Melle评分量表及肩关节活动度评价肩关节活动度和功能,并观察两组临床疗效。结果 治疗后两组患者VAS评分、Melle评分均较治疗前降低（P＜0.05）;两组Melle评分差值比较,差异有统计学意义（P＜0.05）。治疗后两组患者的肩关节外展、内旋、外旋活动度均较治疗前增加（P＜0.05）;治疗组患者肩关节外展、内旋、外旋活动度升高值均显著高于对照组（P＜0.05）。两组临床疗效分布比较,差异有统计学意义（P＜0.05）。结论 两种治疗方案均能减轻肩关节疼痛,改善肩关节功能,关节腔注射、运动疗法联合中药熏洗对粘连期肩周炎的疗效优于关节腔注射联合运动疗法,能更好地改善肩关节功能和活动度。     

针刺三重穴加放血疗法治疗后循环缺血性眩晕临床观察

目的 观察针刺三重穴加放血疗法治疗后循环缺血性眩晕的临床疗效。方法 将40例后循环缺血性眩晕患者随机分为治疗组（20例）和对照组（20例）,治疗组采用针刺三重穴加放血疗法治疗,对照组采用颈项针治疗,两组均连续治疗3周,观察眩晕改善情况、眩晕障碍量表评分及椎-基底动脉血流动力学指标的变化情况。结果 治疗组临床疗效有优于对照组的趋势,但疗效分布比较,差异无统计学意义（P>0.05）。两组患者治疗后眩晕障碍量表评分较治疗前均显著降低（P<0.05）,治疗组治疗前后各项评分降低程度较对照组更为明显（P<0.05）。两组患者治疗后椎-基底动脉血流动力学指标与治疗前比较,差异具有统计学意义（P<0.05）,两组患者治疗前后各项指标差值比较,差异均有统计学意义（P<0.05）。结论 针刺三重穴加放血疗法能显著改善后循环缺血性眩晕患者的临床症状,减轻眩晕障碍对日常生活的影响,改善椎-基底动脉血流动力学状态。     

去甲斑蝥素-泊洛沙姆407缓释制剂局部注射治疗原发性肝癌25例

探讨去甲斑蝥素－泊洛沙姆４０７缓释剂局部注射治疗肝癌的疗效。方法：选择２５例原发性肝癌患Ｂ超引导下经皮肝穿刺瘤内注射去甲斑蝥素－泊洛沙姆４０７例释制剂治疗,并与２９例肝动脉化疗栓塞治疗作疗效对照。结果：两组在抑制肿瘤生长,降低ＡＦＰ水平和延生长存在期等方面并无差别（Ｐ〉０．０５）,而去甲斑蝥素－泊洛沙姆４０７缓释制剂局部注     

Preventing relapse versus “stopping” domestic violence: Do we expect too much too soon from battering men?

Given the deeply entrenched habit patterns that characterize domestic violence, the author questions the enormous demands for change that are immediately placed on both abusive men and the clinicians treating them. Battering men are not only required to abruptly and permanently halt overt physical violence, but they are also expected to stop all expressions of dominance and intimidation, and to abandon all their exploitative attitudes and sex-role expectations as well. While it is feasible and necessary to insist upon the cessation of physical violence in order to protect the spouse and family, to what degree can the clinician also demand a total revolution in the abusive male's attitudes, social behavior, and values? To better demonstrate the excessivity of these demands, the author makes a comparison to the treatment of substance abusers, where the features of relapse and enduring cognitive distortions are expected and permitted as part of the normal extended course of recovery. Instead, the author proposes a more realistic and humanitarian set of therapeutic expectations for change, emphasizing relapse prevention and supportive maintenance.     

Parent–Child Interaction Therapy with Domestic Violence Populations

Domestic violence continues to be a significant social problem impacting our society. Battered women and their children experience a myriad of negative consequences as a result of domestic violence. Of the possible negative sequelae that mothers and children experience, the disrupted parent–child relationship has received relatively little attention in the literature. Though psychosocial interventions are available to treat women who experience violence and children who witness violence, few interventions focus on the parent–child relationship. This article describes parent–child interaction therapy (PCIT), a relationship-based intervention. Although not initially developed to treat domestic violence, PCIT has unique characteristics that make it a promising intervention with this population. A rationale for the use of PCIT with battered women and their children is presented.     

职务犯罪心理研究

职务犯罪是在病态心理支配下所进行的行为。通过对职务犯罪的心理病变进行的病理学研究 ,认为职务犯罪心理系二因致病。在内因方面 ,需要偏离导致职务犯罪者对官职、财富与“美色”的病态追求 ,动机偏离导致职务犯罪行为人对“奋斗目标”产生疯狂的“热情” ;在外因方面 ,社会因素是职务犯罪的媒化剂。职务犯罪的主要病态心理类型包括精神压抑症、胜利恐惧症、骄横跋扈症和奢侈症。并就此提出了职务犯罪的心理疗法     

中医药治疗耳鸣的Meta分析及用药规律

目的 评价中医药治疗耳鸣的疗效,分析现代医家治疗耳鸣的用药规律.方法 检索中外文献数据库,筛取设有随机对照(中医药组和西药组)的文献为研究对象,进行中医药治疗耳鸣的Meta分析;用计算机专用软件对用药规律进行描述性分析,对两药组合进行二关联分析.结果 共纳入11篇文献,1 231例耳鸣患者.Meta分析结果显示:中医治...     

辨证治疗化疗相关性腹泻26例

目的 观察化疗相关性腹泻(chemotherapy induced diarrhea,CID)中医辨证论治的疗效.方法 将38例CID患者分为治疗组和对照组,治疗组26例采用中医辨证治疗,对照组12例采用黄连素、思密达或易蒙停治疗.结果 治疗组脾虚型、湿热型、脾肾阳虚型、肝郁脾虚型分别为14、10、1、1例,有效例数分别为11、7、1、1例;治疗组和对照组总有效率分别为76.9%、50.0%,两组总有效率比较,差异无统计学意义(P>0.05).结论 CID的常见证型为脾虚型、脾肾阳虚型,辨证治疗有较好的疗效.     

生脉注射液联合化疗治疗晚期非小细胞肺癌的临床研究

目的:观察生脉注射液联合泰素加卡铂方案治疗晚期非小细胞肺癌的临床效果及其减毒作用。方法:将38例晚期非小细胞肺癌患者随机分为治疗组和对照组各19例。对照组第1天予泰素135 mg/m2,3 h静滴,卡铂AUC 5静滴,21 d为1个周期;治疗组予同一化疗方案并于化疗结束后第2天用生脉注射液60 m l加入50 g/L葡萄糖注射液500 m l静滴,每天1次,连用15 d。两个周期后按照WHO实体瘤近期客观疗效评定标准进行评价。结果:治疗组和对照组近期有效率分别为52.6%和47.4%;治疗组Karnorfsky评分增加6例,对照组增加3例;治疗组体质量明显增加,骨髓抑制发生率明显较对照组低。结论:生脉注射液能提高泰素加卡铂方案化疗患者的生存质量,减轻化疗后骨髓抑制。