• 主题
高级搜索  >
历史搜索 清空历史
您现在的位置：首页> 中文期刊>医药卫生总论>医药卫生>中国继续医学教育

中国继续医学教育

中国继续医学教育

China Continuing Medical Education
《中国继续医学教育》杂志是综合类医药卫生专业学术期刊。
  • 发文量：31072
  • 被引量：20955
  • H指数：0
  • 开始收录时间：
  • CNKI综合因子：
  • 维普期刊影响因子：
  • 万方期刊影响因子：
  • 创刊时间：
  • 国内刊号/CN：11-5709/R
    国际刊号/ISSN：1674-9308
  • 发行周期：旬刊
    邮发代号：80-311
  • 主管单位：国家卫生和计划生育委员会
    主办单位：护理 疗效 临床疗效 医学论文 护理干预 疗效观察 教学 腹腔镜 满意度 撰写论文
中国继续医学教育-联系信息
  • 主编：吕春雷
  • 电话：010-64476883
  • 邮箱：ccme@vip.163.com;cpd@vip.163.com
  • 地址：北京市西城区红莲南路30号4层
  • 邮编：100055
中国继续医学教育-获奖情况
  • 暂无获奖信息
  • 收录汇总
  • 刊内文献检索
  • 投稿信息

刊期浏览

相关中文期刊

相关中文会议

相关外文期刊

相关外文会议

最新期刊

热门期刊

中国继续医学教育 >2021年第014期

学科

年度

全选（0）
排序：
共4384条结果
  • 摘要：目的：探讨分析阿奇霉素在急性肠炎治疗中的应用价值。方法本研究选取2014年10月～2016年2月我院收治的120例急性肠炎患者作为研究对象，随机分为观察组和对照组，各60例，所有患者均给予解除胃肠痉挛、止吐、维持水电解质平衡等基础治疗；在此基础上，对照组给予左氧氟沙星治疗；观察组给予阿奇霉素治疗；均连续治疗3 d，对比分析两组疗效。结果经治疗后观察组患者退烧时间及止泻时间均低于对照组（P均＜0.05）；观察组患者治疗总有效率高于对照组（93.3%vs.78.3%，P＜0.05）；治疗过程中两组均未出现严重并发症，观察组出现2例恶心，1例呕吐，不良反应发生率为5%；对照组出现2例恶心，不良反应发生率为3.3%；两组比较差异无统计学意义（P＞0.05）。结论阿奇霉素用于治疗急性肠炎的治疗，可显著缩短止泻退烧时间并提高治疗疗效，同时不会增加不良反应的发生。%Objective To explore the application value of azithromycin in the treatment of acute enteritis.Methods120 cases of acute enteritis from October 2014 to February 2016 were selected and divided into observation group and control group, 60 cases in each group. All the cases were accepted basic treatment as alleviated stomach bowel, antiemetic, kept water electrolyte balance. And on this basis, the cases in control group were taken levofloxacin and observation group were taken azithromycin for 3 days. The clinical effect was compared.Results After treatment, the body temperature recovery time and diarrhea relieving time in observation group was lower than control group, the difference was statistically significant (P<0.05). The effective rate in observation group was higher than control group, the difference was statistically significant (93.3%vs. 78.3%, P<0.05). There was no serious complications occurred in the two groups. In observation group, there was 2 cases occurred nausea and 1 case of emesis. The incidence of adverse reactions was 5%. In control group, there was 2 cases occurred nausea. The incidence of adverse reactions was 3.3%. It had no differences between the two groups (P>0.05).Conclusion Azithromycin in the treatment of acute enteritis can shorten the body temperature recovery time and diarrhea relieving time without an incremental advance. It should be extended in clinic.
  • 摘要：A 81 years old female patient with type 2 diabetes mellitus, diabetic peripheral neuropathy, hypertension 2 grade (very high risk), liver function not all income. Admission of insulin hypoglycemic therapy for treatment of liver, fasudil mesylate for injection. Potassium before use: 4.1 mmol/L. 10 days potassium: 2.9 mmol/L. Medication for 13 days potassium: 2.4 mmol/L (critical value). To exclude the possibility that other drugs may lead to a low potassium level, the consideration is given to magnesium and insulin, out of fasudil mesylate for injection, and the potassium supplement treatment, the next day the blood potassium was normal. After that, the blood potassium also was normal.%患者81岁女性，因2型糖尿病、糖尿病性周围神经病；高血压病2级（很高危）；肝功能不全收入院。入院进行胰岛素进行降血糖治疗，异甘草酸镁注射液进行保肝治疗。用药前钾：4.1 mmol/L。用药第10 d，血钾值：2.9 mmol/L。用药第13 d血钾值：2.4 mmol/L（危急值）。排除其他用药导致低钾血症的可能后，考虑是异甘草酸镁和胰岛素所致，于是停用异甘草酸镁注射液，并进行补钾治疗，次日血钾恢复正常。此后多次复查，血钾均正常。
  • 摘要：Objective To observe the effect of motor imagery therapy on upper limb function recovery of stroke patients with hemiplegia.Methods 80 patients were divided into two groups, the two groups were given routine rehabilitation training, the experimental group and the exercise of imagination.Results With the prolongation of treatment time, the upper limb FMA score and MAS score of the experimental group were all better than those of the control group (P<0.05).Conclusion Exercise therapy can effectively improve the upper limb function of patients.%目的：观察运动想象疗法对脑卒中偏瘫患者上肢功能恢复的影响。方法80例患者分成两组，两组均给予常规康复训练，实验组又进行了运动想象治疗。结果随着治疗时间的延长，实验组的上肢FMA评分和MAS评分均好于对照组（P＜0.05）。结论运动想象疗法可以有效改善患者的上肢功能。
  • 摘要：目的：探讨肝细胞肝癌中极性蛋白AF-6mRNA的表达及其对侵袭的影响。方法采用实时定量PCR检测的方法，对28对癌细胞、ANLT及不同细胞系中的AF-6mRNA表达水平进行检测，分析AF-6mRNA对侵袭的影响。结果26例肝细胞肝癌中AF-6mRNA呈现低表达，发生率为92.9%；肝癌细胞株中AF-6mRNA表达低于正常杆细胞株（P＜0.05）；低侵袭转移能力细胞系中AF-6mRNA表达高于高侵袭转移能力细胞系（P＜0.05）。结论肝细胞肝癌中AF-6mRNA低表达可能与高侵袭能力有关。%Objective To investigate the expression of AF-6mRNA protein and its effect on the invasion of hepatocellular carcinoma.Methods Using real-time quantitative PCR detection method, the expression levels of AF-6mRNA in 28 pairs of cancer cells, ANLT and cell lines were detected, and the inlfuence of AF-6mRNA on the invasion was analyzed.Results 26 cases of AF-6mRNA showed low expression in hepatocellular carcinoma, the incidence rate was 92.9%, the rod was signiifcantly lower than the normal cell line AF-6mRNA expression in hepatocellular carcinoma cell line (P<0.05), was obviously higher than that of invasion and metastasis of AF-6mRNA cells expressing ability in cell lines with low metastasis (P<0.05). ConclusionLow expression of AF-6mRNA in hepatocellular carcinoma may be related to high invasive ability.
  • 摘要：目的：观察并分析布地奈德联合复方异丙托溴铵雾化吸入治疗喘息性支气管炎的效果。方法按照随机编号法将我院收治的46例喘息性支气管炎患者分为对照组和观察组，各23例，其中对照组单用布地奈德雾化吸入治疗，持续治疗1周，观察组采用布地奈德联合复方异丙托溴铵雾化吸入治疗，持续治疗1周。结果观察组疗效优于对照组，差异有统计学意义（P＜0.05）。结论使用布地奈德联合复方异丙托溴铵雾化吸入治疗喘息性支气管炎的疗效优于单独使用布地奈德雾化吸入治疗喘息性支气管炎。%Objective To analyze the budesonide combined with ipratropium bromide inhalation in the treatment of asthmatic bronchitis effect.Methods 46 cases of asthmatic bronchitis patients were selected in our hospital, divided into control group and observation group, 23 cases in each group, the control group with budesonide inhalation therapy, treatment lasted for 1 weeks. The observation group was treated with budesonide combined with ipratropium bromide inhalation therapy, the therapy lasted for 1 weeks. Results The observation group was better than the control group, the difference was statistically signiifcant (P<0.05). Conclusion The use of budesonide combined with ipratropium bromide inhalation in the treatment of asthmatic bronchitis curative effect is better than the single use of budesonide inhalation in treatment of asthmatic bronchitis.
  • 摘要：Objective To study the application value of molecular diagnostic techniques in individual treatment of malignant tumor.Methods Molecular diagnostic techniques were used to detect the genetic variation and molecular typing of 60 patients.Results 58 cases of malignant tumor cells had genetic variation, the diagnostic accuracy rate was 96.67% (58/60), compared with the confirmed results, the difference was not statistically significant (P>0.05). In the patient's molecular typing, 57 patients had successful molecular typing, and the success rate was 95.00% (57/60). Conclusion The information of abnormal chromosome, protein and telomerase in patients with malignant tumor can be identiifed by molecular diagnosis techniques, and the molecular diagnostic techniques has important signiifcance in the treatment of malignant tumor.%目的：研究分子诊断技术在恶性肿瘤个体化治疗中的应用价值。方法采用分子诊断技术，对60例患者基因变异与分子分型进行检测。结果58例患者的恶性肿瘤细胞发生了基因变异，诊断正确率为96.67%（58/60），与确诊结果相比，差异不具有统计学意义（P＞0.05）；而在患者的分子分型实验中，有57例患者的分子分型实验成功，成功率为95.00%（57/60）。结论恶性肿瘤患者的染色体异常、蛋白、端粒酶异常等信息均可以利用分子诊断技术进行识别，分子诊断技术在恶性肿瘤治疗上具有重要的意义。
  • 摘要：目的：分析不同双源CT头颈部扫描模式对影像质量及辐射剂量的影响。方法分别采用6种双源CT头颈部扫描模式，对仿真模体头颈部进行扫描，评价不同扫描模式对头颈部影像质量和辐射剂量的影响。结果（1）20 kV+200 mAs、120 kV+200 mAs+X-Care以及CareDose4D+120 kV 3种扫描模式下的头颅CNR基本相同。其余3种扫描模式，以CareDose4D+CarekV扫描模式的影像质量为最高。（2）与自动mAs和固定kV组合相比，使用自动kV可使CTDIvol、表浅辐射敏感器官剂量减小，但影像质量也有一定程度降低。扫描的影像质量与辐射剂量CTDIvol、晶体辐射剂量、甲状腺辐射剂量的变化规律呈正相关。结论头颈部双源CT扫描在临床实践中，应选择适当的扫描模式以降低辐射剂量。%Objective To analyze the effects of different dual-source CT scans on image quality and radiation dose. Methods By using 6 kinds of dual source CT in head and neck scanning mode to scan the simulation model of head and neck, head and neck effect evaluation of different scanning modes of image quality and radiation dose.Results(1) The head CNR in the three scan modes of 20 kV+200 mAs, 120 kV+200 mAs+X-Care and CareDose4D+120 kV are basically the same. The remaining three scan modes are the highest image quality in the CareDose4D + CarekV scan mode. (2) Compared with the combination of automatic mAs and ifxed kV, automatic kV can reduce CTDIvol and superifcial radiation-sensitive organ dose, but the image quality is also reduced to a certain extent. The image quality was positively correlated with the dose of CTDIvol, crystal radiation dose and thyroid radiation dose.Conclusion In the clinical practice, dual-source CT scan of head and neck should be selected to reduce the radiation dose.
  • 摘要：目的：探讨在胎儿心脏畸形检查中彩色超声检查的作用及价值。方法本研究对象选择来我院进行胎儿心脏畸形检查的孕妇1800例，所有孕妇均采用彩色超声进行检查，比较超声检查及随访结果，总结彩色超声检查胎儿心脏畸形的影像学表现。结果1800例孕妇中经彩色超声检查胎儿心脏畸形的例数为25例，孕妇分娩后，行心脏超声检查于新生儿，漏诊1例。彩色超声检查应用于产前，胎儿心脏畸形有较高的检查率。结论在胎儿心脏畸形检查中将彩色超声检查应用于产前，可将检出率提升，尽早对其进行临床干预。%Objective To study the color ultrasound in fetal cardiac malformation check function and value.Methods The object of this study selected 1 800 cases of pregnant women in our hospital for examination of fetal cardiac malformations, all pregnant women were examined by color ultrasound, ultrasound examination and follow-up results, summarize the ultrasound examination of fetal cardiac malformation imaging. Results In 1 800 cases of pregnant women, color ultrasound examination of fetal cardiac malformation cases for 25 cases, pregnant women after childbirth, done heart ultrasound in neonatal, misdiagnosis and 1 case. Color ultrasound applied in prenatal fetal cardiac malformation has higher inspection rate.ConclusionIn the heart of the fetal cardiac malformation check color ultrasound applied in prenatal detection rate can be promoted, carries on the clinical intervention as soon as possible, thus worthy of application and popularization in clinical diagnosis.
  • 摘要：目的：研究异位妊娠诊治中应用经阴道超声联合经腹部超声检查的临床价值。方法我院选择2015年2月～2016年2月诊治的180例异位妊娠患者，年龄17～48岁，平均为（25.8±2.3）岁；病程1～13 h，平均为（3.6±0.6）h，将其均分为两组，对照组90例患者实施经腹部超声检查，观察组90例患者在腹部超声检查基础上实施经阴道超声检查，比较两组患者诊断准确率。结果通过比较，两组患者附件区包块检出率方面差异无统计学意义（P＞0.05）；但观察组患者宫内假孕囊、异位妊娠包块组成以及盆腔积液诊断阳性率高于对照组，两组差异有统计学意义（P＜0.05）。结论异位妊娠虽然通过腹部超声也能做出诊断，但依然具有一定的局限性，若条件允许，应联合阴道超声检查，有助于提升临床诊断率，以免出现漏诊及误诊情况。%Objective To study the clinical value of transvaginal ultrasound combined with abdominal ultrasonography in the diagnosis and treatment of ectopic pregnancy.Methods In our hospital from February 2015 to February 2016 in the diagnosis and treatment of 180 cases of patients with ectopic pregnancy, aged between 17~48 years old, the average (25.8±2.3) years old, in the course of 1~13 h, the average (3.6±0.6), which were divided into two groups, the control group of 90 patients with abdominal ultrasonography. The observation group of 90 patients in abdominal ultrasound based on transvaginal ultrasound, the accuracy rate of diagnosis were compared between the two groups.Results By comparison, two groups of patients with adnexal masses detection rate showed no significant difference, no statistical signiifcance (P>0.05), but the patients in the observation group were intrauterine gestational sac, ectopic pregnancy mass and pelvic effusion diagnosis positive rate was higher than the control group, there was signiifcant difference between two groups (P<0.05). Conclusion Although ectopic pregnancy by abdominal ultrasound can make the diagnosis, but still has some limitations, if conditions permit, should be combined with vaginal ultrasound examination, help to improve the accuracy of clinical diagnosis, to avoid misdiagnosis and misdiagnosis.
  • 摘要：Objective To explore the application value of CBL guided teaching mode in the teaching of head and neck surgery in the ear, nose and throat.Methods 63 cases of head and neck surgery in our hospital from February 2014 to March 2016, were randomly divided into the observation group (n=32) and the control group (n=31). The control group used the traditional teaching mode, the observation group using CBL combined with the guiding mode of teaching. The indexes of the two groups were analyzed and compared.Results The observation group students' skills scores and objective theoretical knowledge score, subjective knowledge score and comprehensive score and ability scores, learning efficiency scores were higher than the control group (P<0.05).Conclusion Compared with the traditional teaching mode, the teaching mode of CBL combined with guided mode was better than the traditional teaching mode.%目的：分析探讨CBL结合引导式教学模式在耳鼻咽喉头颈外科学教学中的应用价值。方法选取2014年2月～2016年3月于我院耳鼻咽喉头颈外科见习的63名见习生，采用随机数字表法分为观察组（n=32）和对照组（n=31）。对照组采用传统教学模式，观察组采用CBL结合引导式教学模式。分析比较两组见习生的各项指标。结果观察组见习生的操作技能考核成绩、客观理论知识考核成绩、主观知识考核成绩、综合成绩、学习能力评分、学习效率评分均大于对照组，差异有统计学意义（P＜0.05）。结论 CBL结合引导式教学模式相对于传统教学模式教学质量更优。
  • 摘要：目的：探究渐进式教学法应用于在泌尿外科研究生教学实践效果。方法选择2014年2月～2016年2月在我院实习的72名硕士研究生作为研究对象，将其分为两组，每组36名。传统组实施传统带教学习，实验组实施渐进式教学法，比较两组学生学习积极性，实习后病历书写和病例分析、考试成绩以及教学满意度情况。结果实习之前，两组学生的学习积极性无显著差异，实习后，和对照组相比，实验组学生学习积极性显著较好， P＜0.05。另外实验组在学习满意度与对病例书写分析方面，考试成绩也好于对照组。结论对于泌尿外科研究生在带教过程中实施渐进式教学法，可全面提升其学习积极性，激发学习欲望，提升实际操作水平。%Objective To explore the progressive teaching method applied in the urology graduate students teaching practice effect. Methods From February 2014 to February 2016 in our hospital, 72 graduate student as the research object, it can be divided into two groups, 36 cases in each group. Traditional study group of the implementation of traditional teaching, the experimental group implement progressive teaching method, comparing two groups of students' learning enthusiasm and practice after the medical record writing and case analysis, the exam achievement and teaching satisfaction. Results Before internship, two groups of students' learning enthusiasm, there was no signiifcant difference after the internship, compared with control group, experimental group students' learning motivation significantly,P<0.05. In addition the experimental group in learning satisfaction and on the analysis of case writing, exam achievement is better than that in control group.Conclusion For urology graduate implement progressive teaching method in the teaching process, to improve their learning enthusiasm and stimulate the learning desires, enhance the level of practical and worthy of further promotion.
  • 摘要：目的：观察全内窥镜下侧后路精准减压治疗腰椎间孔狭窄症减压效果及疗效。方法对27例腰椎间孔狭窄症患者行侧后路精准减压，术后随访，记录术前1 d、术后3月、术后6月、术后1年ODI评分、下肢痛VAS评分。结果27例患者均在局麻下顺利完成手术。椎间孔面积由手术前的（46.89±5.89）mm2扩大到（112.52±26.13）mm2（P＜0.01）。患者腰痛及下肢痛症状较术前明显改善，VAS下肢痛评分由术前（6.71±0.72），改善到术后3月（2.85±0.77），术后6月（2.81±0.41），术后1年（2.71±0.47）（P＜0.05）。ODI评分由术前（71.11±6.08），改善到术后3月（27.26±5.18），术后6月（2.59±1.81），术后1年（12.74±1.59）（P＜0.05）。结论全内窥镜下侧后路精准减压治疗腰椎间孔狭窄症可以充分减压神经根，快速缓解患者下肢疼痛症状，改善患者生活质量，是一项安全有效的脊柱微创手术技术。%Objective To describe the details of the full-endoscopic targetal lumbar foraminal decompression technique for lumbar foraminal stenosis and to demonstrate the clinical outcomes.Methods27 patients with lumbar foraminal stenosis who underwent endoscopic forminotomy were included in this study. The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Visual Analog Scale (VAS) at pre-operation, 1, 3, 6 months and 1 year post-operation.Results 27 patients endurance the operation under local anesthesia. The area of intervertebral foramen increased from (46.89 ± 5.89) mm2 pre-operation to (112.52 ± 26.13) mm2 post-operation (P<0.01). The mean VAS for leg pain improved from (6.71±0.72) pre-operation to (2.85±0.77) at 3 months, (2.81±0.41) at 6 months, and (2.71±0.47) at 12 months post-operation (P<0.05). The mean ODI improved from (71.11±6.08) pre-operation to (27.26±5.18) at 3 months, (12.59±1.81) at 6 months, and (12.59±1.81) at 1 year post-operation (P<0.05).Conclusion The full-endoscopic targetal lumbar foraminal decompression procedure may relieve clinical symptoms and increase life quality for patients with lumbar foraminal stenosis. It is a safe and effcacious minimal invasive spinal surgical technique.
  • 摘要：目的：评估基于PACS/RIS系统建立的“典型征象”比较影像数据库在实习教学中的效果。方法建立并完善基于PACS/RIS系统的“典型征象”比较影像数据库并用于实习教学中，通过比较理论考核、应用考核和量表评分等，评估其在实习教学的优势。结果“典型征象”比较影像学数据库教学效果优于常规实习教学法，在提高学生对影像征象细节把握、对疾病病理生理知识的理解以及对疾病影像检查的优化选择方面效果突出（P＜0.05）。结论该数据库的建立和使用，有助于学生加深对知识的记忆和理解，提高学习主动性；方便教师对影像大课的备课；有助于建立网络课程平台，实现资源共享。%Objective To evaluate based on PACS/RIS system to create the image comparing the typical signs of database in the practice teaching effect.Methods Establish and perfect the "typical signs" based on PACS/RIS system comparison image database and used in practice teaching, by comparing the theoretical examination, application, assessment and rating scale, and so on, to assess their advantage in practice teaching.Results "A typical signs" comparative imaging database teaching effect is better than that of conventional practice teaching method, to raise the students to grasp the sign image details, the understanding of disease pathology physiology knowledge as well as the optimal selection of disease imaging effect is prominent (P<0.05).Conclusion The establishment of the database and use to help students deepen memory of knowledge and understanding, improve learning initiative, convenient for video lectures preparing teachers, help build the network course platform, realizes the resource sharing.
  • 摘要：Objective To investigate the clinical effect and safety of threatened abortion by dydrogesterone and progesterone treatment. MethodsAccording to the random number table method, 78 cases of threatened abortion patients were divided into study group (dydrogesterone) and control group (progesterone). Comparison of two groups of treatment effect.ResultsThe study group and the control group the success rate were 94.9% and 92.3% (P>0.05), there was no significant difference of serum progesterone levels in the two groups at different time (P>0.05), two groups of waist pain relief time, abdominal pain relief time, hemostasis time difference was statistically signiifcant (P<0.05).Conclusion The effect of progesterone in the treatment of threatened abortion was signiifcant.%目的：探讨先兆流产采用地屈孕酮与黄体酮治疗的临床效果及安全性。方法按照随机数字表法，将78例先兆流产患者分为研究组（地屈孕酮）与对照组（黄体酮）。对比两组治疗效果。结果研究组、对照组保胎成功率分别为94.9%、92.3%（P＞0.05）；两组不同时间段血清孕酮水平差异无统计学意义（P＞0.05）；两组腰部酸痛缓解时间、腹痛缓解时间、止血时间差异有统计学意义（P＜0.05）。结论地屈孕酮治疗先兆流产效果显著。
  • 摘要：5 years undergraduate and 3 years postgraduate education in the training mode of "5+3" is the main mode of medical postgraduate training. With the development of the society. The disadvantages of this kind of cultivation mode graduate students clinical skills is more and more apparent, and seriously affect the quality of medical graduate student's cultivation. Analysis its reason mainly includes the following several aspects: undergraduate enrollment expansion, master, doctor of medicine and highly educated education to such factors as the target unit employment pressure is directly related to the prominent contradiction between. In addition, the students subjective attaches great importance to the basic knowledge of foreign languages and professional learning, but Ignore the clinical skills .the mentor for the cultivation of the students, the lack of strict regulation also has a certain relationship. "Exam-oriented education" model transformation, clinical skills training and assessment standard gradually set up is also a practical problem to be solved.%5年本科加3年研究生教育的“5+3”培养模式是我国医学硕士研究生培养的主要模式。随着社会的发展，此种培养模式下研究生临床技能培养的弊端却越来越多的显现出来，并严重的影响医学研究生的培养质量。分析其原因主要包括：本科扩招，医学硕、博高学历教育与目标单位就业压力增大等因素之间的突出矛盾直接相关。此外，学生主观上重视外语及专业基础知识的学习，对临床技能培养不够重视，导师对学生的培养、监管不够严格也具有一定的关系。“应试教育”模式的转变，临床技能培养和考核标准的逐步建立也是亟待解决的实际问题。
  • 摘要：Objective To study the influence of nursing intervention on the neonatal jaundice treatment and jaundice index.Methods 80 cases of neonatal jaundice in our hospital from August 2014 to August 2015 were selected as research object and divided into observation group and control group by random number table method, 40 cases in each group. The patients in the control group were treated with clinical routine symptomatic nursing, and the patients in the observation group were given comprehensive nursing intervention for clinical nursing. The effect of jaundice treatment and jaundice index were compared between two groups.Results The total effective rate in control group was 70.00%, the total effective rate in observation group was 95.00%, there was statistically signiifcant difference (P<0.05). The jaundice index diversification in day 1, day 3, day 6 in observation group were lower than the control group, there was statistically signiifcant difference (P<0.05).Conclusion For neonatal jaundice patients, comprehensive care interventions could effectively improve the clinical treatment effciency, improve jaundice symptoms.%目的：研究护理干预对新生儿黄疸治疗效果及黄疸指数的影响。方法选择我院2014年8月～2015年8月所收治的80例新生儿黄疸患儿作为本文研究对象，按随机数字表法分成观察组与对照组，两组各40例。其中，对照组患儿采用临床常规对症护理法进行护理，观察组患儿采用综合护理干预给予临床护理，对两组患儿的黄疸治疗效果及黄疸指数变化展开统计与对比。结果经临床观察结果得出，对照组患儿黄疸的治疗总有效率为70.00%，观察组患儿黄疸的治疗总有效率为95.00%，差异有统计学意义（P＜0.05）；在黄疸指数变化上，观察组患儿第1 d、第3 d、第6 d的黄疸指数变化低于对照组患儿，差异有统计学意义（P＜0.05）。结论针对新生儿黄疸患儿给予综合护理干预措施能有效提高患儿临床治疗效率，改善黄疸症状。
  • 摘要：目的：分析探讨磷酸肌酸钠治疗小儿心肌炎疾病的临床疗效。方法选取我院儿科近期收治并确诊的小儿心肌炎患儿46例，随机分为两组，其中对照组23例（男12例，女11例），观察组23例（男11例，女12例）。在治疗过程中两组均进行卧床休息，对照组例行常规方法高浓度大剂量维生素C，加用能量合剂治疗；观察组在对照组基础上给予磷酸肌酸钠治疗。结果观察组的临床症状和体征好转效果（95.65%）优于对照组（73.91%），差异有统计学意义，P＜0.05。结论磷酸肌酸钠治疗小儿心肌炎疗效显著。%Objective To observe the clinical curative effect analysis of creatine phosphate sodium in the treatment of pediatric myocarditis disease. Methods 46 cases of children with myocarditis in our hospital recently admitted and diagnosed, were randomly divided into two groups, including 23 cases in the control group (male 12 cases, female 11 cases), 23 cases in the observation group (male 11 cases, female 11 cases). In the course of treatment in the two groups were in bed, the control group routine method of high concentration and large doses of vitamin C treated with energy mixture, the observation group in the control group were given sodium phosphocreatine treatment.Results Observation group of clinical symptoms and signs of improvement (95.65%) was better than the control group (73.91%), the difference was statistically signiifcant,P<0.05.Conclusion Effect of creatine phosphate sodium in the treatment of children with myocarditis is signiifcant.
  • 摘要：Along with the constant improvement of the informatization level in education, applying information technology to education teaching has become an inevitable trend. The MOOCs (massive open online courses) have the characteristics of large-scale, autonomy, open, on-line and sharing and so on, which have triggered a revolution in education. The paper introduces the deifnition and characteristics of MOOCs, and analyzes the characteristics of the education in medical science and the gynaecology and obstetrics firstly. Then it discusses the advantages, limitations and prospects of MOOCs in the education of the gynaecology and obstetrics, as well as the demands of the education in the gynaecology and obstetrics for MOOCs. Finally, it dicusses the feasibility of MOOCs which is applied to the education in the gynaecology and obstetrics.%随着我国教育信息化水平的不断提高，将信息技术应用于教育教学工作已成为必然趋势。“慕课”具有大规模、自主性、开放性、在线及共享性等特点，已经成为教育改革的一个新方向。本文通过介绍慕课的定义及特点，同时分析医学教育及妇产科教学的特点，论述了慕课在妇产科教育中的优势、局限性及发展前景，以及妇产科教学对慕课的需求，及其在妇产科教育中应用可行性。
  • 摘要：目的：探究玻璃体切除治疗增殖型糖尿病视网膜病变的围术期护理。方法选取本院2013年1月～2015年12收治的97例增殖型糖尿病视网膜病变患者，全部患者均行玻璃体切除治疗，同步实施围术期护理干预，观察术后恢复情况及并发症。结果34例视力≤0.05，比例35.1%，50例患者视力0.05～0.10，比例51.6%，13例视力≥0.10，比例为13.4%。13例患者术后眼内压高，应用眼压药物治疗后恢复。空腹血糖控制在8.3 mmol/L以下92例，比例为94.8%，术后复诊均未出现严重并发症。结论应用玻璃体切除术治疗增殖型糖尿病视网膜病变实施术前术后的护理干预，改善了患者的视力，有效控制了血糖与并发症，提高了治疗效果。%Objective To explore the effect of perioperative care for vitrectomy in the treatment of proliferative diabetic retinopathy.Methods 97 cases of proliferative diabetic retinopathy in our hospital from January 2013 to December 2015 were given vitrectomy treatment and synchronous implementation of perioperative nursing intervention, the postoperative recovery and complications were observed.Results34 cases got visual acuities≤0.05 (35.1%), 50 cases (51.6%) got 0.05~0.10, 13 cases (13.4%) got≥0.10. 13 patients got a high postoperative intraocular pressure, but recovered after the application of medical treatment. 92 cases (94.8%)got fasting blood glucose control under 8.3 mmol/L, no serious complications occurred during postoperative follow-up.Conclusion The application of preoperative nursing intervention in vitrectomy for proliferative diabetic retinopathy can improved visual acuities and control of blood sugar and complications.
  • 摘要：Objective To investigate the clinical effect of OPT-EASE type recoverable filter in the treatment of lower extremity deep venous thrombosis (DVT).Methods The clinical data of 18 patients with DVT admitted to our hospital from January 2013 to August 2016 were retrospectively analyzed. The treatment effect and the recovery of the iflter were observed in the treatment of lower extremity deep venous thrombosis with OPT-EASE.Results16 cases of patients after the treatment of vena cava angiography showed that the lower limb veins basically no thrombosis, unobstructed blood lfow. Among them, 13 cases with iflter recovery after the successful removal of the iflter, 3 cases of high age at the request of the family members of patients with permanent indwelling iflter, the treatment effective rate of 88.9%.ConclusionThe application of OPT-EASE filter in the clinical treatment of lower extremity deep vein has the advantages of strong ability of capture, success rate of recovery and so on, which can effectively prevent pulmonary embolism.%目的：探讨下肢深静脉血栓（DVT）治疗中应用OPT-EASE 可回收滤器的临床疗效。方法回顾性分析2013年1月～2016年8月我院收治的18例DVT患者的临床资料，观察OPT-EASE可回收滤器下下肢深静脉血栓的治疗效果和滤器回收情况。结果16例患者治疗后腔静脉造影显示下肢静脉基本无血栓，血流通畅。其中13例具备滤器回收指征后成功将滤器取出，3例因年龄高在患者家属要求下滤器永久留置，治疗有效率88.9%。结论 OPT-EASE 可回收滤器在下肢深静脉临床治疗中的应用具有捕获能力强、回收成功率等优势，可有效预防肺栓塞。
  • 摘要：目的：在治疗复治菌阳肺结核患者的过程中应用左旋氧氟沙星，并对其临床效果进行评价。方法采取自愿原则在我院所收治的复治菌阳肺结核患者中选取66例，并依据计算机表法将所有患者均分为观察组与对照组，每组33例患者。对比两组患者行不同疗法后的痰菌阴转率和空洞变化情况。结果经对应疗法治疗后，观察组患者的痰菌阴转率和空洞变化均明显优于对照组，差异有统计学意义，P＜0.05。结论在治疗复治菌阳肺结核患者的过程中应用左旋氧氟沙星的临床效果较为显著。%Objective In the treatment of recurrent bacterial Yang olfoxacin tuberculosis patients in the process of application, and to evaluate its clinical effect.Methods Take the voluntary principle in our hospital treated 66 cases of tuberculosis patients, and according to the computer table method, all patients were divided into observation group and control group, 33 cases in each group. The changes of sputum negative conversion rate and cavity of two groups of patients after different treatments were compared. Results After treatment, the sputum negative conversion rate and empty changes in the observation group were signiifcantly better than those in the control group, the difference was statistically signiifcant,P<0.05. ConclusionThe clinical effect of levofloxacin in the treatment of pulmonary tuberculosis patients in the course of treatment is more signiifcant.
  • 摘要：Objective To investigate the effect of entecavir in treatment of patients with decompensated hepatitis B cirrhosis.Methods 82 cases of patients with decompensated liver cirrhosis were treated with conventional therapy (control group 41 cases) and added entecavir treatment (observation group, 41 cases) were observed the treatment effect and the incidence of the statistics adverse reactions.Results The patients in the observation group after treatment TBil, ALT, Alb and other indexes of liver function compared with the control group there were significant differences and were better than the control group (P<0.05). Patients in the observation group after treatment of liver function and the integral control group were compared and there was a significant difference than the control group (P<0.05).Conclusion The addition of grace in the routine diuretic therapy of entecavir in treatment of decompensated liver cirrhosis patients with obvious effect, to improve liver function index of patients, improve the liver function of patients with optimal degree had a good effect.%目的：探讨恩替卡韦治疗失代偿期乙肝后肝硬化患者的效果。方法将82例失代偿期乙肝后肝硬化患者分别给予常规治疗（对照组41例）+恩替卡韦治疗（观察组41例），观察患者治疗效果。结果观察组患者治疗后总胆红素（TBil）、丙氨酸氨基转移酶（ALT）、血清白蛋白（Alb）等肝功能指标与对照组患者相比，均优于对照组，差异有统计学意义（P＜0.05）。观察组患者治疗后肝功能积分与对照组患者相比，优于对照组，差异有统计学意义（P＜0.05）。结论在常规保肝利尿治疗基础上添加恩替卡韦治疗失代偿期乙肝后肝硬化患者效果显著，对改善患者肝功能指标、提高患者肝功能优化程度等均有良好效果。
  • 摘要：Objective To study the effect of neoadjuvant chemotherapy in the treatment of advanced ovarian cancer.Methods 126 cases of patients with advanced ovarian cancer were randomly selected from February 2010 to July 2016 in our department, according to admission order were randomly divided into research group and the control group, 63 cases each. Group patients received neoadjuvant chemotherapy combined treatment of tumor remove, control group patients received tumor combined postoperative routine chemotherapy to destroy loss, compared two groups of patients with therapeutic effect.ResultsThe effective rate was 73.02%in patients with study group, SD rate was 23.81%, the PD rate was 3.17%, control group patients with effective rate of 66.67%, SD rate was 22.22%, the PD rate was 11.11%, there was no statistically significant difference effect in both groups (P>0.05). Team with the average operation time was (185.35±27.56) min, signiifcantly less than the control group (236.55±64.31) min, statistically signiifcant difference (t=42.338,P<0.05). Team average intraoperative blood loss in patients with for ml (467.33±77.41) ml, signiifcantly lower than the control group (556.34±82.28) ml, statistically significant difference (t=53.461,P<0.05). Team in patients with residual tumor diameter 1 cm or less 38 cases (60.32%), 20 cases (31.75%), 1 ~ 2 cm, 2 cm or more in 5 cases (7.94%), control group patients with residual tumor diameter 1 cm or less 20 cases (31.75%), 1 ~ 2 cm 21 cases (33.33%), 2 cm or higher 22 cases (34.92%). The team tumor remove rate (< 1 cm) are signiifcantly higher than 60.32% 31.75% in the control group (P<0.05). ConclusionNeoadjuvant chemotherapy can shrink the tumor volume, significantly increase the rate of advanced ovarian cancer tumor remove, reduce intraoperative bleeding.%目的：探讨新辅助化疗对晚期卵巢癌的治疗效果。方法随机选择2010年2月～2016年7月我院妇科收治的126例晚期卵巢癌患者，按照入院先后顺序随机分为研究组和对照组，各63例。研究组患者接受新辅助化疗联合肿瘤减灭术治疗，对照组患者接受肿瘤减灭术联合术后常规化疗，比较两组患者治疗效果。结果研究组患者有效率为73.02%， SD率为23.81%，PD率为3.17%，对照组患者有效率为66.67%，SD率为22.22%，PD率为11.11%，两组患者疗效比较，差异无统计学意义（P＞0.05）。研究组患者平均手术时间为（185.35±27.56）min，少于对照组的（236.55±64.31）min，差异具有统计学意义（t=42.338，P＜0.05）；研究组患者术中平均出血量为（467.33±77.41）ml，低于对照组的（556.34±82.28）ml，差异具有统计学意义（t=53.461，P＜0.05）。研究组患者残留肿瘤直径≤1 cm者38例（60.32%），1～2 cm者20例（31.75%），≥2 cm者5例（7.94%），对照组患者残留肿瘤直径≤1 cm者20例（31.75%），1～2 cm者21例（33.33%），≥2 cm者22例（34.92%）。研究组肿瘤减灭率（＜1 cm）60.32%高于对照组的31.75%（P＜0.05）。结论新辅助化疗可缩小肿瘤体积，明显提高晚期卵巢癌肿瘤减灭率，减少术中出血。
  • 摘要：Objective To explore external piles on the tangent bundle auxiliary hemorrhoids mucosa ring cut nails close operation (PPH) clinical curative effect for the treatment of circumferential mixed hemorrhoid. MethodsNumbers of random selection method, from February 2012 to February 2016 to receive treatment in patients with circumferential mixed hemorrhoid, to extract 70 cases as the research object, according to the different operation methods, its average can be divided into A, B two groups, each group has 35 patients with. Among them, A group of patients within the application of mixed hemorrhoid external strip technique treatment, B group of patients on the implementation of external piles plunge into auxiliary cutting hemorrhoid mucosa circumcision nailing treatment, compared two groups of patients with the clinical therapeutic effect. Results Two groups of patients after surgical treatment of different clinical treatment, the total effective rate of group A was 82.85%, the incidence of complications was 45.71%, recurrence rate was 22.85%, B treatment group total effective rate was 97.14%, the incidence of complications was 11.42%, recurrence rate was 5.7%, the clinical therapeutic effect of patients in group B than group A, with signiifcant difference between the two groups (P<0.05).ConclusionConventional surgery and PPH combined treatment of circumferential mixed hemorrhoid, the effect is remarkable.%目的：探析外痔切剥辅助痔上黏膜环切钉合术（PPH）治疗环状混合痔的临床疗效。方法应用数字随机选择的方法，从我院2012年2月～2016年2月接受治疗的环状混合痔患者中，抽取70例作为研究对象，根据不同的手术方法，将其平均分为A、B两组，每组各有患者35例。其中，A组患者应用混合痔外剥内扎术进行治疗，B组患者实施外痔切剥辅助痔上黏膜环切钉合术进行治疗，比较两组患者的临床治疗效果。结果两组患者均经过不同的手术治疗之后，A组临床治疗总有效率为82.85%、并发症的发生率45.71%、复发率为22.85%；B组临床治疗总有效率为97.14%、并发症的发生率11.42%、复发率为5.7%， B组患者的临床治疗效果优于A组，两组对比差异具有统计学意义（P＜0.05）。结论传统术式与PPH联合治疗环状混合痔，效果显著。
  • 摘要：Objective To study with obturator nerve reflex TUR-BT joint application "coagulation method" and "suitable cutting method". MethodsThe TUR-BT of 68 cases of non invasive bladder cancer were retrospectively analyzed, and two groups were divided into groups: the study group (37 cases), the method of combining the "condensation method" and "parallel cut method"; the control group (31 cases). The difference between the two groups was compared.ResultsIn the study group, the rate of bladder perforation and the rate of muscle pathology were lower than that of the control group (P<0.05). There was no significant difference in the recurrence rate of bladder cancer after 1 years.Conclusion With surgical method combined with "coagulation method" and "smooth cut method" the obturator nerve relfex in TUR-BT can reduce the rate of bladder perforation; although the bladder muscle pathological acquisition rate is low, but does not affect the tumor recurrence rate is still an option.%目的：探讨伴发闭孔神经反射TUR-BT中联合应用“凝推法”和“顺切法”的疗效。方法回顾性分析68例肌层非浸润性膀胱癌的TUR-BT，分两组：研究组（37例）：采用联合“凝推法”和“顺切法”方法；对照组（31例）：采用“顺切法”组。比较两组结果的差别。结果研究组膀胱穿孔率、肌层病理获取率低于对照组（P＜0.05）；膀胱术后1年的肿瘤复发率无明显差别。结论伴发闭孔神经反射的TUR-BT中联合“凝推法”和“顺切法”的手术方法可降低膀胱穿孔率；尽管膀胱肌层病理获取率低，但并不影响肿瘤复发率，仍是一种可供选择的方法。
  • 摘要：Objective To investigate the effect of serum C reactive protein test in the acute stage of bronchial asthma. Methods 42 patients with bronchial asthma in our hospital from January to September 2016 were chosen as the study group, the control group was treated with 42 healthy persons as the study group. In the two groups, the serum C reactive protein test was carried out, and the changes of serum C reactive protein level were analyzed.Results The levels of C reactive protein in the study group and the control group were (46.4±11.2) mg/L,(3.4±1.2) mg/L, and the difference was signiifcant (P<0.05). In mild group, moderate group and severe group, the serum levels of C reactive protein were signiifcantly different (P<0.05) before and after treatment. Conclusion The test of serum C reaction protein can be used as an important indicator to determine the acute stage of bronchial asthma.%目的：探讨血清C反应蛋白检验在支气管哮喘急性发作期的应用效果。方法以2016年1～9月本院收治的42例支气管哮喘急性发作期患者为研究组，以同期到本院体检的42例健康人为对照组。两组患者均实施血清C反应蛋白检验，分析其血清C反应蛋白水平变化。结果研究组、对照组血清C反应蛋白水平分别为（46.4±11.2）mg/L、（3.4±1.2）mg/L，差异有统计学意义（P＜0.05）；轻度组、中度组、重度组治疗前后血清C反应蛋白水平均差异有统计学意义（P＜0.05）。结论血清C反应蛋白检验可作为判断支气管哮喘急性发作期的重要指标应用于临床。
  • 摘要：Objective To analyse the treatment of acute angle-closure glaucoma trabeculectomy combined mitomycin the curative effect. Methods According to the principle of random, in our hospital from February 2015 to February 2016, 31 cases of acute angle closure glaucoma patients were divided into two groups, 15 patients in control group only with trabeculectomy, 16 cases of the observation group were treated by trabeculectomy combined with mitomycin treatment.Results Observation group effect of surgery and postoperative intraocular pressure to improve the effect was better than the control group, comparing the two groups was statistically significant difference (P<0.05).ConclusionTrabeculectomy combined mitomycin method applied in treatment of acute angle-closure glaucoma, had a higher success rate of surgery.%目的：分析小梁切除术联合丝裂霉素治疗急性闭角型青光眼的疗效。方法按照随机原则，将我院2015年2月～2016年2月收治的31例急性闭角型青光眼患者分为两组，15例对照组患者单独采用小梁切除术，16例观察组患者采用小梁切除术联合丝裂霉素进行治疗。结果观察组的手术效果及术后眼压改善效果均优于对照组，两组比较差异有统计学意义（P＜0.05）。结论使用小梁切除术联合丝裂霉素的方法应用治疗急性闭角型青光眼，手术成功率较高。
  • 摘要：Objective To analyze the clinical effect of different kinds of antibiotics in the treatment of respiratory tract infection.MethodsA total of 300 patients with respiratory tract infection from January 2014 to January 2015 were randomly divided into three groups of 100 patients, which were ceftizoxime group, levofloxacin group and azithromycin group. The total effective rate of three kinds of antibiotics after the application, the incidence of adverse drug reactions.Results The total effective rate of antibiotics was 92%, 94% and 95%, respectively. There was no signiifcant difference between the three groups (P>0.05). In addition, three groups of patients did not show signiifcant adverse reactions.Conclusion In the clinical treatment of respiratory tract infection, a variety of antibiotics can be used, including ceftizoxime, levofloxacin and azithromycin have good clinical effect and safety, according to the patient's individual circumstances for scientific selection.%目的：分析不同种类抗生素治疗呼吸道感染的临床治疗效果。方法选取本院2014年1月～2015年1月接收的呼吸道感染疾病患者300例作为研究对象，随机分为三组各100例，分别为头孢唑肟组、左氧氟沙星组以及阿奇霉素组，对比3种抗生素药物应用后的治疗总有效率、药物不良反应发生率。结果三组抗生素的治疗总有效率分别为92%、94%、95%，三组相比，组间差异无统计学意义（P＞0.05）。此外三组患者均未出现明显的不良反应。结论在呼吸道感染的临床治疗中，可以采用多种抗生素，其中头孢唑肟、左氧氟沙星以及阿奇霉素均具有良好的临床效果和安全性，可根据患者的个体情况进行科学选择。

    中国继续医学教育的期刊信息

    • 曾用名：
    • 创刊时间：
    • 地区：
    • 语言：中文
    • 热门主题：中国水利电力医学科学技术学会
    • 学科分类：

    中国继续医学教育的获奖情况

    中国继续医学教育的收录情况

    中国继续医学教育的投稿信息

    • 投稿方式：
    • 投稿须知：点击查看
    • 期刊官方网站：点击前往
    • 版面费：
    • 审稿费：元
    • 通讯地址：北京市西城区红莲南路30号4层
    • 邮编：100055
    • 联系电话：010-64476883
    • 邮箱：ccme@vip.163.com;cpd@vip.163.com
    • 期刊栏目：

    联系方式：18141920177 (微信同号)

    客服邮箱：kefu@zhangqiaokeyan.com

    京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

    • 客服微信

    • 服务号