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由于急性泪囊炎的一期处理过程中经泪小管引流脓液与经皮肤切开排脓对治疗效果的影响不同,将我院2007年以来接诊的急性泪囊炎患者随机分为观察组与对照组:患者抗感染治疗后经泪小管引流脓液,成人行经鼻内镜泪囊开窗引流术,先天性泪囊炎患儿行泪道探通;对照组患者急性期经皮肤切开排脓、放置引流条和消炎处理后再行泪囊鼻腔吻合术.观察组患者治疗成功率98.46%,外观满意率98.25%;对照组患者治疗成功率89.11%,外观满意率54.35%.观察组患者较对照组患者疗程缩短约7天~10天.急性泪囊炎经全身抗感染治疗后行泪小管引流脓液能更有效地控制炎症,不给患者带来新的创伤,值得临床推广应用. 相似文献
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《Cognitive behaviour therapy》2013,42(4):189-197
Anxiety sensitivity (AS) has been linked to a variety of disabling chronic health conditions, including pain‐related conditions. A recent study has found that healthy women with high AS reported significantly higher levels of sensory and affective pain on an experimental cold pressor task compared to women with low AS. However, this study found no differences between AS groups for pain tolerance or pain threshold. In the present study, which was designed to replicate and extend these findings, 90 undergraduate university women were selected for inclusion in 1 of 2 AS groups (high or low) based on their screening scores on a 16‐item measure of AS. Participants were tested individually on a lab‐based cold pressor task using a variety of self‐report and observer‐measured variables. Data analyses revealed that, as expected, the high AS participants reported significantly more fear in response to the cold pressor on a relevant item of the McGill Pain Questionnaire – Short Form (SF‐MPQ) than did the low AS participants. Also as expected, the high AS participants reported more pain in response to the cold pressor on the Present Pain Index (PPI) of the SF‐MPQ than did the low AS participants. High AS participants did not differ from low AS participants on other aspects of the cold pressor response (e.g. pain threshold, pain tolerance, pain recovery). These results support the role of pain‐related fear as a mediating variable between AS and increased perceived pain intensity. 相似文献
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Eti Boehm-Tabib 《Anxiety, stress, and coping》2016,29(3):318-333
Background and Objectives: Various studies suggest a link between stress response to a traumatic event and post-traumatic growth (PTG), but little is known about their long-term relationship. In this study, the relationship between acute stress disorder (ASD) among civilians during a war on the home front and PTG six years later was examined for the first time. Based on the conservation of resources (COR) theory, the role of personal and social resource loss and gain as moderating factors was investigated. Design and Methods: At Time 1 of the research (the Second Lebanon War in 2006), a structured questionnaire was administered to 370 civilians living within rocket range. At Time 2, 6 years later, 301 participants from Time 1 were again examined. The data analysis refers to the 301 respondents who participated at Time 2. Results: The findings indicate a significant relationship between ASD and PTG. Examination of the interaction revealed that resource gain (but not resource loss) moderates (strengthens) the relationship between the two. Conclusions: These findings are not consistent with the COR view that resource loss has a greater effect on stress responses than resource gain. 相似文献
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Roosevelt M.S. Cassorla 《The International journal of psycho-analysis》2017,98(2):371-391
This paper has the objective of broadening the understanding of technical aspects in working with adolescents who defend themselves against detachment from infantile aspects through defensive organizations. These organizations numb the adolescent toward both triangular reality and narcissistic defenses. The families of such young people may be part of the organization and the analyst can also be recruited to participate in it. But the analyst's perception can become blurry and this fact makes him appear stupid. Aspects of the myths of Narcissus and Oedipus are used here as models for studying stupidity. The analysis of a psychotic teenage girl who is symbiotic in relation to her family shows how the analytical field can be invaded by defensive configurations. Collusions of idealization and domination/submission involve the young person, her family and the analyst but the defensive organizations are only identified after their traumatic breakdown. The expansion of the symbolic network allows symbiotic transgenerational organizations to be identified, while models related to enactments prove helpful for understanding technical ups and downs. The paper ends with imaginative conjectures where Oedipus, as ‘patient’, is compared to the patient discussed here. These conjectures lead to reinterpretations of aspects of the Oedipus myth. The reinterpretations, together with the theoretical and clinical study, may serve as models for understanding the technical ups and downs in working with troubled teens. 相似文献
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Flexible coping responses to severe acute respiratory syndrome-related and daily life stressful events 总被引:2,自引:0,他引:2
Based on the theoretical framework of coping flexibility, the present study examined the coping flexibility of university students in response to severe acute respiratory syndrome (SARS)-related and daily life stressful events. The Coping Flexibility Questionnaire was used to investigate 93 university students' coping responses toward 10 SARS-related stressful events and 10 daily life stressful events that generally occur among university students. Results showed that the patterns of coping flexibility were different for the two types of stressful events. The flexible and the active-inflexible patterns were most commonly found in coping with daily life stressful events. By contrast, the passive-inconsistent pattern was dominant when coping with daily life stressful events. Moreover, participants showed lower discriminating ability to situation controllability, and displayed poorer strategy-situation fit to cope with SARS-related events than with daily life stressful events. The theoretical and practical implications of this study are discussed. 相似文献
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研究经皮冠状动脉内介入治疗(percutaneous coronary intervention,PCI)对急性心肌梗死(acute myocardial infarction,AMI)患者外周血单个核CD34+细胞(Peripheral Blood CD34-positive mononuclear cells,MN... 相似文献
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生物钟是生物为了适应其生存环境周而复始的变化(如昼夜变化、四季变化等)在长期进化过程中形成的机体固有节律。研究表明生物钟节律的异常参与了心血管疾病的发生、发展。因此通过研究血管疾病的发生与生物钟的关系,建立新的治疗方法,即时间治疗学,来治疗和预防心血管痰病。 相似文献
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为了了解急性冠脉综合征(ACS)患者合并抑郁障碍的现状及其对生存质量(QOL)的影响,对104名ACS患者应用一般情况调查表、HAD(d)、SF-36进行调查。结果显示31.73%的ACS患者合并抑郁障碍;ACS伴抑郁障碍SF-36各因子分均低于不伴抑郁障碍;HAD(d)总分与SF-36各因子分均呈负相关。因此ACS患者是抑郁障碍的易感人群,且抑郁障碍可降低ACS患者的QOL。 相似文献