分析运动陈旧性医学损伤复发严重程度同运动强度的关系。方法:对某学院体育系310名大学生的运动情况进行研究,其中男生170人,女生140人,采用AIS评分规则分析学生运动陈旧医学损伤复发率和伤情程度,获取上述分析对象的损伤复发率,通过损伤复发率指标对正常复发率阀值进行测试,对损伤复发率和运动强度的关系进行分析。结果:分析不同人群的运动情况,在运动中主要运动损伤类型是陈旧性损伤复发,占据总病例数的37.5%,并且陈旧性损伤复发主要集中在膝、腰部位,分别是膝损伤(30.7%),腰部损伤(29%),肩损伤(15.2%)。随着运动强度的增加,损伤复发率也不断增加,正常损伤复发率阀值强度同运动强度相关,随着运动强度递增,运动陈旧性医学损伤复发率也不断增加。结论:运动陈旧性医学损伤复发严重程度同运动强度具有较高的关联性,ISS评分在运动陈旧性医学损伤复发程度分析中具有重要应用意义。

Objective: to analyse movement old medical trauma severity recurrence relations with the strength of the shipment. Methods:on the the athletics fasten to 310 college students in shenyang normal university, including 170 men, women, 140 people, the AIS scoring rule analysis student movement old medical injury recurrence rate and degree of injury, the above analysis object injury recurrence, through injury recurrence rate index of normal recurrence rate threshold test, analysis on the relationship between the injury recurrence rate and intensity. Results:the analysis of different population movement in the process, the main kinds of sports injury was pulmonary injury has a relapse, occupying 37.5%of the total number of cases, and recurrence of chronic injuries mainly concentrated in the knee, waist and knee injury (30.7%), the waist injury (29%), shoulder injury (15.2%). Recurrence rate with the increase of exercise intensity, damage is also increasing, recurrence normal damage threshold

目的 探讨无张力疝修补术对复发性腹股沟疝的治疗效果.方法 选取21例复发性腹股沟疝患者分为治疗组和对照组,治疗组11例进行无张力疝修补术,对照组10例行传统疝修补术,比较两组的复发情况.结果 随访2年,治疗组复发率为0.0％,对照组复发3例,复发率为30.0％,两组复发率差异有统计学意义(x2 =43.8,P＜0.05).结论 无张力疝修补术复发率低、操作简单,明显优于传统疝修补术,为复发性腹股沟疝首选的治疗方式.

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目的探讨高频超声介导下空气加压灌肠整复婴幼儿复发性肠套叠的临床价值。方法回顾性分析43例婴幼儿复发性肠套叠的临床诊治资料,总结可能引起婴幼儿复发性肠套叠的相关致病因素,鉴别特发性肠套叠与继发性肠套叠,分析高频超声介导下空气加压灌肠整复复发性肠套叠的优缺点。结果 43例复发性肠套叠患儿共复发96次,全部病例均在高频超声介导下经空气加压灌肠整复成功,整复成功后复查时发现4例存在病理诱发点,诊断为继发性肠套叠。43例复发性肠套叠患儿中,25例可探及肿大的肠系膜淋巴结。结论高频彩超介导下空气加压灌肠整复婴幼儿复发性肠套叠既能发现一些引起复发性肠套叠的病理诱发点等重要相关致病因素,又能使婴幼儿避免在传统的X线电视监视下短时间内多次遭受大剂量X线照射所造成的辐射伤害。

Objective To explore the clinical merit of air enema reduction of infantile recurrent intussusception by high frenquency ultrasound. Methods The clinical diagnosis and treatment data of 43 cases of infantile recurrent intussusception were reviewed retrospectively. And the pathogenic factors related to infantile recurrent intussusception were summarized;a differentiation between idiopathic intussusception and secondary intussusception was conducted; the advantages and disadvantages of air enema reduction of recurrent intussusception by high frenquency ultrasound were analyzed. Results 43 cases of infantile recurrent intussusception recurred 96 times, and the air enema reduction of all the cases of infantile recurrent intussusception by high frequency ultrasound was successful. Pathologic lead point was found in 4 cases during the return visit and the patients were diagnosed with secondary intussusception; and tumescent mesenteric lymph nodes were found in 25 cases. Conclusion Air enema

目的探讨精神分裂症复发再入院的影响因素,研究重性精神疾病管理治疗对精神分裂症复发再入院的干预效果。方法以2007年首次发病在本院住院治疗的368例精神分裂症患者为研究对象,使用生活事件量表(LES)、社会支持评定量表(SSRS)、自编调查表等对复发因素进行Logistic回归分析。在此基础上分为抗精神病药物开放治疗对照组(对照组,n=184)和重性精神疾病管理治疗干预组(干预组,n=184),观察5年来重性精神疾病管理治疗对精神分裂症复发再入院的影响。结果单因素回归分析显示,年龄、婚姻、家族史与精神分裂症复发再入院不相关(P0.05)。性别、未治疗的精神病期(DUP)、负性生活事件是复发再入院的危险性因素(P0.05);受教育程度、服药依从性、社会支持是精神分裂症复发再入院的保护性因素(P0.05)。多因素回归分析显示,服药依从性、社会支持、负性生活事件是复发再入院的主要影响因素(P0.05)。5年来干预组的复发再入院率较对照组下降(P0.05)。结论服药依从性、社会支持、负性生活事件是精神分裂症复发再入院的主要影响因素,重性精神疾病管理治疗干预是降低复发再入院率的重要措施。

Objective To explore the factors related with relapse of patients with schizophrenia, and to assess the effect of management on this population. Methods 368 patients who were first episode and hospitalization in 2007 were recruited, and investigated with the Live Events Scale (LES), Social Support Rating Scale (SSRS). They were divided into control group (only antipsychotic treatment, n=184) and management group (severe mental illness management, n=184) and accepted the management for 5 years. Results The single factor regres-sion showed that age, marriage and family history were not related with schizophrenia relapse (P>0.05). Gender, duration of untreated psy-chosis (DUP) and negative life events were risk factors of relapse (P<0.05);Education, medication adherence and social support were protec-tive factors of relapse (P<0.05). Multivariate regression analysis showed that medication adherence, social support and negative life events were the main factors related with relapse (P<0.05

目的：分析胃癌复发患者的临床病理学资料，探讨胃癌患者术后复发情况及影响复发及预后的相关因素。方法回顾性分析本院2001年6月至2010年6月收治的158例胃癌根治术后复发患者的临床资料，并对其复发后生存情况进行随访调查，分析影响早期复发及晚期复发患者的临床病理学因素。结果胃癌根治术后复发率达30.2%，以早期复发为主，占65.8%；复发种类以单一类型复发为主，占89.2%；复发类型以腹膜复发为主，占57.3%；其次为血源性转移复发；晚期复发患者的生存率及中位生存期均明显高于早期复发患者。年龄、原发肿瘤部位、原发肿瘤直径、原发肿瘤Borrmann分型、原发肿瘤TNM分期、原发肿瘤淋巴结清扫范围、原发肿瘤淋巴结转移率、原发肿瘤术后化疗在早期复发和晚期复发患者间存在显著差异（P＜0.05）。结论对老年、原发肿瘤部位为胃体或贲门部、原发肿瘤直径＞6 cm、原发肿瘤TNM分期较晚，原发肿瘤淋巴结转移率较高的患者，需高度警惕术后早期复发的风险，推荐对原发胃癌患者行标准D2淋巴结清扫术及术后化疗术，以降低术后早期复发率。

Objective To analyse the clinical pathology data and the clinicopathologic factors and prognosis of recurrence in gastric cancer following curative resection. Method Retrospectively analyzed the clinical data of 158 patients with recurrence of gastric cancer after total gastrectomy in our hospital from June 2001 to June 2010. Followed up the patients'' survival time and compared the clinicopathologic factors of the early recurrence and late recurrence patients. Result The recurrence rate of patients with gastric cancer following curative resection was 30.2%, the early recurrence was accounted for 65.8%, the single type recurrence was accounted for 89.2%, and the peritoneal recurrence was accounted for 57.3%. The survival rate and the median survival period of the late recurrence patients were higher than the early recurrence patients. Age, primary tumor location, primary tumor diameter, primary tumor Borrmann type, the primary TNM staging, primary lymph node cleaning scope, p