急性胰腺炎(acute pancreatitis, AP)是一种临床上常见的急腹症，其发病机制尚未完全阐明。目前关于AP发病机制的研究学说主要包括胰腺自身消化学说、炎症介质学说、肠道细菌易位学说、细胞凋亡学说、胰腺腺泡内钙超载学说等。本文就AP发病机制的最新研究进展予以综述。

Depression as mental problems of the global， serious harm to human physical and mental health， but often cause Depression doesn’t make a directly harm to be ignored. In recent years， research on depression has made great progress， the disease is genetic， neurochemistry， neuroendocrine changes， proinflammatory cytokine a variety factors combined result， the course of disease is hard to be cured， requires the use of the comprehensive treatment of the medication and psychosocial treatment， thereby enhancing efficacy. This article reviews the etiology of Depression， pathogenesis and treatment， aimed at raising awareness of Depression and attention， strengthen the prevention and treatment of Depression， for ideas and approaches and in-depth study of depression.

目的 探析微创腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床效果。方法 以我院2012年1月-2014年3月收治的108例子宫肌瘤患者为研究对象，采取双盲法均分两组（54例/组）。对照组和观察组分别给予传统开腹手术、微创腹腔镜子宫肌瘤剔除术治疗，对比分析临床治疗效果。结果 观察组在手术情况、首次排气时间以及住院时间方面优于对照组（P＜0.05）；观察组的术后并发症发生率为7.41%，优于对照组的27.78%（P＜0.05）；两组近期症状缓解、子宫肌瘤复发率及子宫异常出血情况无显著差异（P＞0.05）。结论 在子宫肌瘤的临床治疗中，微创腹腔镜子宫肌瘤剔除术的治疗效果及应用价值高于传统开腹手术，且手术安全性高，可推广应用。

现阶段，优质护理服务仅仅局限在病人住院期间，在院时病人可以接受到护士专业的护理，通过丰富多彩的健康教育方法让病人学习和自身疾病有关的各种护理常识，增强病人的自我照顾能力，但由于社会保险及商业保险的特点，决定了病人住院时间的有限性，在短期的住院阶段，病人无法准确掌握自我照顾的技巧，出院后的疾病康复谁来保驾护航？为了帮助病人实现自我护理，部分社区及医疗机构已建立了较完善的“病人随访制度”，通过随访搭建平台，为出院后的病人继续实施护理，即延伸护理，延伸护理突破了传统护理模式，让病人足不出户就可以享受到专业的护理服务，让病人真正能够感受到护理在疾病康复过程中的重要作用。本文对延伸护理在护理工作领域的具体应用进行如下综述，以探索在我国现行医疗体制下的延伸护理模式。

【摘要】目的：观察腹腔镜左肝切除联合胆道镜治疗CID的效果。方法：回顾性分析我院2014年2月-2015年2月收治的48例CID患者临床资料，根据不同治疗方案分为两组（各24例），对照组予左腹腔镜左肝切除术治疗，研究组联合胆道镜治疗，比较两组结石残留率、术中情况及并发症。结果：研究组结石残留率8.33%比对照组20.83%低，且术中出血量与手术时间显著低于对照组（P＜0.05）；研究组并发症总发生率29.17%显著低于对照组70.83%（P＜0.05）。结论：腹腔镜左肝切除联合胆道镜治疗CID安全、可行，可达到良好的治疗效果。

【Abstract】 Objective Anning City civil servants, workers on two groups of occupation health examination results were analyzed in different occupation, hypertension, diabetes, hyperlipidemia incidence. Methods Compared to the same region of the two groups of different occupation groups of physical examination findings, hypertension, diabetes, hyperlipidemia, 3 diseases were analyzed. Results Civil servant group had a significantly higher incidence of workers group. Conclusions Different occupation groups, the incidence of different, should adopt different intervention measures.

[Abstract] Objective To investigate the effect of community-based rehabilitation nursing intervention on life quality and mental status of patients with stroke sequela period. Methods A total of 86 patients in our hospital from Jan. 2007 to Dec. 2010 were collected to prospective analyses and divided into two groups, randomizedly, control group and research group. The conventional therapy was given to the patients of control group and research group, and a series of community-based rehabilitation nursing intervention was given to research group, additionally. Each group had 43 patients. All patients were evaluated with health state survey questionnaire (SF-36), modified Barthel index(MBI), quality of life index scale(QLI) and Hamilton depression scale(HAMD) before and after therapy. Results The scale of SF-36, MBI, QLI and HAMD were no difference between two groups(P>0.05). Compared to control group, the scale of SF-36, MBI, QLI and HAMD in research group were better(P<0.01). Conclusion The community-based rehabilitation nursing intervention could be help to progress the life quality and release depression degree of patients with stroke sequela period, and could be expanded.

Chinese Medicine Emotional Nursing (CMEN) i.e. Chinese Medicine psychological nursing contains the words, expression, gesture, attitude, behaviour, and quality of nursing practitioners, which can release the anxiety of patients, enhance encourage and confidence overcoming diseases, reduce various negative emotion, behaviors and symptoms. CMEN is aimed to optimize the patient’s psychological condition and promote earlier recovery. Literatures from Zhou Dynasty and Qing dynasty reveal fundamental role of CMEN in traditional Chinese Medicine (TCM). Basic research of CMEN as been initiated for now. Zhang et al reported that “fetus education” could significantly improve the growth and development of offsprings and certain genetic mechanism was involved, which has laid sound foundation for the deep research of CMEN. In clinic, CMEN mainly contains Yin-Yang-Happy-Anger-Regulation, and Emotional Inter-control, which could also be used to prevent the onset of emotional disorders. In a word, CMEN is the psychological nursing under the guidance of TCM, with distinct TCM and local features. It shows the combination of medicine and nursing, regulation of body and mind, treating and nursing, and full range of health promotion. CMEN has rich and sound theoretical foundation, popular in patients. Meanwhile the clinical and basic evidence needs to be further studied.

Objective Understanding women in the healthy check-up of vaginal secretions urinalysis affect the result。Methods Analysis of the 1058 cases of female the healthy check-up to enrol your biometrics urine specimen, do after gynaecology, and gynaecology first, then enrol your biometrics urine specimen, before and after the same people to two of the routine urine the analysis. The results For the woman before urine sample results enrol your biometrics positive rate was 26.75%; For the woman after urine sample results enrol your biometrics positive rate was 61.53%; Routine urine results of white blood cells, the red blood cells, epithelial cells, urine protein were significantly higher. Conclusion Vaginal affect urine testing results, this requires DaoYi personnel and the nurse should be known as routine urine report of the principle and clinical significance, the healthy check-up preaching to the female urine sample enrol your biometrics and the importance of the correct urine sample collection methods.

目的 探讨应用临床护理路径对疗养院老年高血压患者实施健康教育的应用效果。方法 将108例患高血压病的疗养员随机分为对照组与观察组各54例，两组均以整体护理为基础，对照组接受传统方法进行健康教育；观察组应用临床护理路径进行健康教育；观察分析两组疗养员健康知识掌握情况和对护理满意度的差异。结果 观察组疗养员健康知识优良率、疾病预防知识掌握率、运动与饮食、压力缓解及血压达标率均高于对照组。结论 应用临床护理路径对患高血压病的疗养员实施整体护理的效果显著，使护理工作更加科学化、具体化，可明显提高护理质量及疗养员的满意度。

中药离子导入疗法是以中医药基础理论为指导，通过直流电将中药离子经皮肤或黏膜引入病变部从而发挥作用的治疗方法，该方法既能发挥中药多成分、多靶点、多效应之祛除病邪，恢复抗病能力的双向调节作用，也能最大限度的提高患处的药物浓度，有利于促进药物经皮吸收，临床应用前景广阔。

目的：探讨心理护理在糖尿病肾病护理工作中的应用效果。方法：将我院300例糖尿病肾病患者按照随机数字分组法均分为实验组(n=150)和对照组(n=150)，两组患者均采取针对性治疗措施，包括血液透析、胰岛素注射等常规治疗手段，辅助精细护理，其中对照组患者未进行心理护理，实验组患者治疗前后均进行心理护理，比较两组患者治疗及恢复效果；结果：经过积极治疗和精细护理，实验组患者治疗效果显著患者及总有效率均高于对照组，无效和死亡患者例数均少于对照组，差异具有显著性(P＜0.05)，两组患者死亡原因均为尿毒症；结论：实施心理护理能够有效提高糖尿病肾病患者治疗效果，降低死亡率。

老年痴呆症是以高级认知功能障碍为特征的神经系统变性疾病，目前防治老年痴呆已成为普遍关注的社会问题。本文综述了中西医治疗方法的研究进展，为临床应用提供可靠依据。

目的 探讨2型糖尿病合并高血压和单纯2型糖尿病对脂代谢、血尿酸和肝肾功的影响。 方法 将355例2型糖尿病患者分成合并高血压组(179例)和血压正常组(175例)，对两组的体重指数、腰臀比、血压、脂代谢、肝肾功和血尿酸进行比较分析。结果 糖尿病合并高血压组的体重指数、腰臀比、血压、甘油三酯和总胆固醇均高于单纯糖尿病组，有显著性差异(P<0．05)。结论 2型糖尿病合并高血压病时，出现肥胖和血脂代谢异常的风险性高于单纯性糖尿病。

Objective: To compare and analyze the set-up errors of the chest and abdomen cancer patients treated with different immobilization treatment technology, to explore their significance in radiotherapy. Methods: we selected 480 cases of thoracic and abdominal cancer patients admitted in our hospital from January to December in 2014 for the study, these patients were randomly divided into four groups ,each group were treating with different immobilization techniques, mearsured and calculated the three directions ‘(about, post and cephalopodium) set-up errors of the patients by electronic portal imaging deviceafter treatment. Results: Among the four immobilization technology: drawing line on body surface, making tattoos on body surface,thermoplast and vacuum mat,in addition to the simply drawing a line group, all the other groups can reduced setup errors to some extent. Among them, the setup errors of the thermoplastic sheet group is minimized, and whether the effect of respiratory motion is big or small, the setup errors were significantly reduced. Conclusion: In the process of the radiation therapy, we can use the immobilization technique of thermoplastic sheet to reduce setup errors significantly ,to improve fixed accuracy, and to ensure the patients radiotherapy effect.

Objective: To investigate the effects of cognitive training on the mobility ,cognitive capability and ADL ability of TBI patients Metnods: 72 TBI patients were randomly divided into the experiement group (n=36) and the contrast group (n=36). Both of them received the composite rehabilitation training (PT, OT, Acupuncture, High-bressure oxygen treatmens), while the experiement group recieved the extra cognitive training. After training of two months, cognitive capability, mobility and ADL abilities of all patients were evaluated using the Mini-mental state examination ,the Fugl-Megery and the Modified Barthel index. Results: All evaluated index of the two groups had no significant difference (p＞0.05), while 2 month later, the MMSE FMA and Barthel index were significantly improved in the experiment group (p＜0.01).Counclusion: The early stage cognitive training will significantly improve the mobility, cognitive capability and ADL abilities of TBI patients.

【摘要】：目的：对糖尿病疗养员进行有计划的健康教育并评价其效果。方法：对128例糖尿病疗养员进行多角度和形式的健康教育，并综合效果进行评估，比较干预前后的血糖值。结果：综合干预后糖尿病疗养员对血糖的控制效果显著改善。结论：健康教育对糖尿病疗养员合理控制血糖有着有效和长期的优势，对其提高生活质量，预防病情的发展有着显著改善。

目的：对二氧化锆全瓷冠与金属烤瓷在前牙修复中的临床疗效予以探究并分析。方法：随机选取我院自2013年2月~2014年3月期间收治的前牙修复患者共80例，需要修复的牙共有124例，按照患者挂号的先后顺序，将其随机均分成两组，观察组和对照组各自40例患者，其中对照组40例患者中采用金属烤瓷冠进行修复；观察组40例患者采用二氧化锆全瓷冠进行修复，经1年修复后，对比分析两组患者前牙修复的综合疗效。结果：对所有患者采用不同方式修复前牙1年后，观察组患者的牙龈色泽变化总发生率0.0%显著低于对照组患者的30.8%，P<0.05，有统计学研究意义,观察组患者的牙龈炎发生率显著低于对照组患者，修复效果具有明显差异，P<0.05，有统计学研究意义。结论：为牙体畸形或需烤瓷患者进行牙齿修复时，选择二氧化锆全瓷修复材料，能够有效减少对患者牙龈组织的影响，且修复效果和美观效果都比较显著，是修复前牙或烤瓷患者的一种值得推广的修复材料。