2.Contingency in medical moral choices
Chinese Journal of Hospital Administration 2008;24(8):523-527
Because of the uniqueness and complexity of medical facilities that provide medical care,even people who sincerely agree to principles of medical ethics would consciously fall away from certain principle of medical ethics. Although such deviation is mere expedient, enormous impact is imposed on the principles of medical ethics. Contingency in moral choices, being an expedient under specific circumstances, is inherently necessary and justifiable. However, temporary deviation does not negate a principle. When there are conflicts of principles, contingency in medical moral choices requires that the moral values of different medical behaviors be judged and choices be made. Appropriate contingency in medical moral choices depends on the rational beliefs of medical staff and the right judgment about moral values of different medical plans.
3.In commemoration of Wang Baoen.
Chinese Journal of Hepatology 2014;22(12):881-883
4.Treatment of Gastroduodenal Ulcer Perforation of 59 Cases with Acupuncture plus Sanbai Powder
International Journal of Traditional Chinese Medicine 2008;30(5):348-349
Objective To investigate an effective method to treat gastric ulcer perforation with integrated traditional Chinese and western medicine. Methods 117 patients were randomly divided into a treatment group and a control group.The treatment group was treated with acupuncture plus Sanbal Powder, and the control group was treated with conventional western medicine exclusively. Results The two groups showed significant difference in the cure rate, the total efficiency, the average inpatient free, and the relapse rate in three years with P<0.01. Conclusion The therapy of integrated traditional Chinese and western medicine will shorten inpatient time, alleviate pain and increase recovery rate when treating gastroduodenal ulcer perforation.
5.Therapeutic effect of topiramate on infantile spasms
Chinese Journal of Primary Medicine and Pharmacy 2011;18(2):155-156
Objective To observe the clinical effects of topiramate together with low-dose ACTH and prednisone、vitamine B6、gamma globulin on infantile spasms. Methods 134 infantile spasms patients were selected and randomly divided into control group and treatment group, each group 67 patients. The control group was treated with sodium valproate. The treatment group received low-dose ACTH and prednisone、topiramate、vitamine B6 、gamma globulin. The two groups all completed a therapeutic period of 3 months. Results The effect of the treatment group compared with the control group has significantly statistical difference (P < 0.05) ;the result of the treatment group'electroencephalogran compared with that of the control group also has significants difference (P < 0.05). Conclusion The therapeutic effect of low-dose ACTH and prednisone、 topiramate、 vitamine B6、 gamma globulin together on infantile spasms was much better than just taking sodium valproate only.
6.Application of waist pillow in defecation of bedridden patients in emergency department
Chinese Journal of Practical Nursing 2015;31(11):822-824
Objective To explore the efficacy of self-designed waist pillow combined with plastic toilet in bedridden patients in emergency department.Methods From August 2013 to February 2014,90 bedridden patients in emergency department were divided into the observation group 1,the observation group 2 and the control group by random digits table with 30 cases in each group.Patients in the observation group 1 lied in the suprine position,and elevating head of bed 15 to 30 degrees,with pillow under the waist,and plastic toilet under the buttocks.Patients in the observation group 2 used the same method as that of the observation group 1,except that they did not use waist pillow.The control group lied in the suprine position,only used plastic toilet.The defecation and other related items were compared between the three groups.Results The observation group 1 was better than those of the observation group 2 and the control group in preventing pressure ulcers,urine leakage and backflow,comfort degree,worrying degree,defecation difficulty degree.Conclusions Application of waist pillow and plastic toilet in bedridden patients in emergency department could reduce the skin damage,and let patients defecate smoothly,which was in accordance with the connotation of comfort nursing.
7.The curative effect of Suhuangzhike capsules and Desloratadine Citrate Disodium chronicity allergic pharyn-gits
Chinese Journal of Primary Medicine and Pharmacy 2014;(14):2157-2158
Objective To investigate the curative effect of Suhuangzhike capsules and Desloratadine Citrate Disodium used in chronicity allergic pharyngits .Methods Branched 147 patients into two sets ,the observation group with 85 patients treated with Suhuangzhike capsules and Desloratadine Citrate Disodium ,the control group with 62 pa-tients treated with Desloratadine Citrate Disodium only .Results The total effective rate of the observation group was 97.6%.The total effective rate of the control group was 75.8%,with statistical significance(χ2 =14.25,P<0.05). Follow up in 6 ~8 weeks,relapse rate of the observation group was 14.1%,relapse rate of the control group was 37.1%,with statistical significance(χ2 =10.53,P<0.05).Conclusion Suhuangzhike capsules and Desloratadine Citrate Disodium has good curative effect used in chronicity allergic pharyngits ,which can be decreased relapse .
8.Ethics-Community: the New Basis of Medical Humanism
Chinese Medical Ethics 1994;0(05):-
As the main ethical principle that guides medical practice,medical humanism is showing a vacant manifestation,which is due to the current generalization of economic rational impulse.This paper points out that new basis of medical humanism lies in regaining the lofty of medical humanism,recognizing and constructing ethics-community.
9.Vascular white matter lesions and its impact on cognitive function
International Journal of Cerebrovascular Diseases 2009;17(10):769-773
White matter lesions on neuroimaging are common in the normal aged and in patients with several cognitive disorders. Its pathological features include demyelination, axonal loss and lacunar infarction, and the pathophysiological mechanisms may be chronic cerebral ischemia caused by hypoperfusion and disturbance of cerebral blood flow disorders. Vascular white matter lesiom may cause different degrees of cogntive disorders, but the exact the pathological subtype of dementia associated with white matter lesions remains uncertain.
10.Medical equipment risk management comprehensive analysis of quality and safety
China Medical Equipment 2014;(10):101-103,104
Objective: The medical equipment safety risks were avoided and reduce in clinical use. Methods: The security issues to may occur in the process of clinical diagnosis and treatment must be recognized on the multiple links of the medical equipment design, manufacture, management, and the user from the perspective of system security. From the causes of the formation of risk classification, risk assessment, and risk several aspects were analyzed, and work out preventive measures. Results:through the medical equipment quality and safety risk management, take appropriate measures to prevent the happening of the security risks, the influence of the safety risk factors is avoided and reduced. Conclusion:the medical equipment quality and safety risk problem involves many complicated factors, It must be strengthened the quality safety risk of the medical equipment comprehensive analysis, evaluation, management and control.