目的:本文旨在分析病毒感染后引起的葡萄膜炎患者的临床特点及治疗方案。方法:收治1例经房水病原微生物宏基因组检测出病毒的葡萄膜炎患者,结合该患者情况及相关文献进行讨论与治疗。结果:患者经人免疫球蛋白及静脉激素冲击治疗后葡萄膜炎的症状迅速缓解,病情好转后出院。随访2个月,病情稳定,视力恢复良好。结论:葡萄膜炎是眼科常见的致盲性眼病,病毒感染是其重要原因。对于其引起的葡萄膜炎病人要做到早期明确诊断、个性化治疗以提升患者视力,改善疾病预后。Objective: This paper aims to analyze the clinical characteristics and treatment plans of patients with uveitis caused by viral infection. Methods: One patient with uveitis, in whom viruses were detected by metagenomic testing of the aqueous humor for pathogenic microorganisms, was admitted and treated. The patient’s condition was discussed in combination with relevant literature. Results: After treatment with human immunoglobulin and intravenous corticosteroid pulse therapy, the symptoms of uveitis in the patient rapidly relieved, and the patient was discharged after the condition improved. After 2 months of follow-up, the condition was stable, and the visual acuity recovered well. Conclusion: Uveitis is a common blinding eye disease in ophthalmology, and viral infection is an important cause of it. For patients with uveitis caused by viral infection, early and definite diagnosis and personalized treatment should be carried out to improve the visual function of patients and the prognosis of the disease.
目的:探讨医生助理协助的健康管理模式对孕产妇保健的效果。方法:选取2022年1月至2023年12月在暨南大学附属第一医院门诊产检自愿选择医生助理协助通过线上线下健康管理指导至产后42天的全流程服务的健康管理组孕妇1020人,随机配对选取同期规律产检提供常规保健服务的1020名孕妇作为对照组,比较两组孕妇对孕期知识掌握度及就医满意度,对两组孕妇心境情绪进行评估,对妊娠常见合并症和并发症及分娩结局进行比较。结果:通过加强孕期保健管理后,健康管理组的孕产妇孕期知识掌握度及就医满意度明显高于对照组,健康管理组的孕妇心理疾病及妊娠期并发症发病率低,其中妊娠期糖尿病孕妇的孕期血糖控制良好,且巨大儿、新生儿窒息率低,围产期并发症总发生率低,差异有统计学意义(P Objective: To explore the effectiveness of a health management model assisted by physician assistants for maternal and child health care. Methods: A total of 1020 pregnant women who voluntarily chose to receive a full-process health management service (including both online and offline health guidance) from January 2022 to December 2023 at the outpatient obstetrics clinic of the First Affiliated Hospital of Jinan University were selected as the health management group. Another 1020 pregnant women who received routine prenatal care were randomly selected as the control group. The two groups were compared in terms of knowledge acquisition about pregnancy, satisfaction with healthcare services, mood assessments, common pregnancy-related complications, and delivery outcomes. Results: Enhanced antenatal care management significantly improved pregnancy-related knowledge and satisfaction with medical services among the health management group compared to the control group. The incidence of mental health issues and pregnancy complications was lower in the health management group. Specifically, pregnant women with gestational diabetes in the health management group had better blood glucose control, and the rates of macrosomia and neonatal asphyxia were lower. The overall incidence of perinatal complications was also lower, with statistically significant differences (P < 0.05). Conclusion: The health management model for pregnant women assisted by physician assistants, combining both offline and online services, significantly improved maternal and child health care outcomes and better ensured the safety of mothers and infants. This model is worthy of cli
目的探讨关节镜辅助大多角骨部分切除联合襻钢板悬吊治疗EatonⅡ、Ⅲ期第1腕掌关节炎的临床疗效。方法回顾性收集2020年1月至2022年6月于深圳市第二人民医院诊治的EatonⅡ、Ⅲ期第1腕掌关节炎患者15例(16侧),男5例(双侧1例)、女10例,年龄为(56.7±6.4)岁(范围46~75岁)。术前X线片示关节间隙狭窄、周围骨赘形成,并向桡背侧脱位。行关节镜下部分大多角骨切除,采用高强线及指骨钢板自制襻钢板悬吊固定第1掌骨。记录重返工作时间,比较术前和末次随访时第1腕掌关节位置和掌骨下沉情况,疼痛视觉模拟评分(visual analogue scale,VAS)、拇指Kapandji评分、上肢功能评定表评分(disabilies of the arm,shoulder,and hand,DASH)及捏力、握力。结果15例随访时间为(19.6±6.3)个月(范围11~36个月)。术后即刻X线片证实腕掌关节均得到复位,第1掌骨高度维持满意。患者术后恢复日常活动时间为(18.69±3.70)d,恢复正常工作时间为(24.63±4.91)d。VAS由术前(6.56±1.15)分降至末次随访1.00(0.75,1.25)分,Kapandji评分由(8.00±0.82)分提升至8.00(7.25,9.00)分,DASH评分由(24.06±3.19)分降至4.00(3.00,5.00)分,除Kapandji评分外的差异均有统计学意义(Z=-4.905,P<0.001;Z=-0.121,P=0.905;Z=-4.846,P<0.001)。握力由术前16.4(14.13,18.68)kg提升至末次随访的(26.14±3.27)kg,捏力由(1.70±0.35)kg提升至(3.58±0.91)kg,差异有统计学意义(Z=-4.617,P<0.001;t=-7.669,P<0.001)。结论关节镜辅助大多角骨部分切除联合襻钢板悬吊第1掌骨治疗EatonⅡ、Ⅲ期第1腕掌关节炎创伤小、恢复快、并发症少,可保留腕掌关节活动度、维持关节稳定,能够有效缓解疼痛、改善功能。
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