1.The therapeutic effect of sertraline combined with brain function treatment for depressive episodes
Xinzi GUO ; Gaifen ZHANG ; Qianqian WU ; Mo SUN ; Zhenguo WU
Chinese Journal of Behavioral Medicine and Brain Science 2014;23(8):698-700
Objective To observe the therapeutic effect of sertraline combined with brain function treatment instrument for depressive episodes.Methods According to sequence of hospitalization,80 patients with depression without severe physical disease randomly divided into sertraline with brain function treatment group (40 cases,group A) and only take sertraline group (40 cases,group B),and two groups were given Sertraline 100 mg/day for 8 weeks.24 Hamilton Depression Scale (HAMD-24) and 20 Self-rating Depression Scale (SDS-20) were assessed before and after 1,2,4,6,8 weekend treatment.Results The scores of HAMD-24 and SDS-20 were not significant difference between the two groups before treatment(P>0.05),but there were statistically significant after treatment (P<0.05).They were significantly decreased after 8 weeks treatment in group A and were decreased slightly in group B with HAMD-24 and SDS-20.Clinical efficiencies of HAMD of the two groups were 87.2 %,76.3 %,respectively,and those of SDS were 89.7 %,78.9 %,respectively.Clinical efficacy in group A was significantly better than that in group B (P<0.05).Conclusion Sertraline with brain function treatment instrument can shorten the onset time and improve its effect.
3.Dilemma and outlet of the development of secondary hospitals in China
Chinese Journal of Hospital Administration 2021;37(10):864-867
Secondary hospitals play a pivotal role and serve as a link in the medical service system in China. However, at present, large general hospitals are still siphoning down resources, primary medical institutions are developing rapidly, and private medical institutions join the medical market competition. In this case, to survive and develop, the secondary hospitals should choose corresponding policies and measures according to the characteristics of each region, such as, the secondary hospitals in remote and backward county should reduce medical expenses, increase reimbursement ratio and strengthen financial compensation, urban secondary hospitals with mature conditions should strengthen the function of medical and nursing care or transform and upgrade to tertiary hospitals or integrate into the medical consortiums.