1.Retrospective analysis of 185 cases of skin ulcers
Xiangqin HUANG ; Jia CHEN ; Shaohua WANG ; Cheng PENG ; Ping LI ; Chaofei HAN ; Jianfei ZHANG ; Chaoqi YIN ; Jianda ZHOU
Journal of Chinese Physician 2017;19(5):659-663
Objective To explore the clinical features and treatment of skin ulcers.Methods A total of 185 skin ulcer patients with clinical data was analyzed retrospectively in our hospital from October 2014-October 2016.Results Of the 185 patients with skin ulcers,84(45.4%) were 51-70 years old,diabetic ulcers were most common,and most occurred in ankle (44.3%) and limbs (35.7%).After further statistical analysis,the healing rate of patients treated by surgery was significantly higher than non-surgical patients.Surgical procedures of local flap transfer after ulcer resection were most commonly used and of the highest healing rate.The number of ulcers,the largest diameter of ulcers,scar ulcers and blood barrier ulcers were four factors that were independent of the outcome of skin ulcers.Conclusions Skin ulcers hospitalized patients are more common in patients over 50 years of age,occur most in the lower limbs.Surgical therapy is the preferred treatment for most ulcers,of which local flap transfer after ulcer resection has the best effect.Ulcer patients should actively treat the primary disease,strengthen the care,early diagnosis,and early treatment.
2.Current situations, problems and countermeasures of medical students' autonomous learning
Li LI ; Runming ZHOU ; Yujing NIU ; Chaofei DING ; Yaoxuan HAN
Chinese Journal of Medical Education Research 2018;17(5):438-442
This paper aims to define the concept of autonomous learning and explore the purpose and significance of medical students' autonomous learning by combing the literature review at home and abroad in this field.Through analyzing the research progress and research methods of autonomous learning,this paper attempts to raise problems and provide countermeasures accordingly.In the current research of autonomous learning,researchers' perception of this study is insufficient.The scope of the current research is too limited and the research fields need to be further widened.In addition,the classification of disciplines in this subject is unbalanced and the coverage also needs to be further expanded.There are many theoretical studies but few empirical studies so far,and thus empirical research should be strengthened.