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团体社会技能康复训练对慢性精神分裂症长期住院患者疗效 被引量:2
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作者 朱峰莉 毛锶佳 +3 位作者 杨巧菲 吴琴芳 冯敏 潘鑫 《临床精神医学杂志》 CAS 2024年第1期35-38,共4页
目的:探讨基于本地文化的团体社会技能康复训练对慢性精神分裂症长期住院患者疗效。方法:选取海宁市第四人民医院精神科2020年1月至2022年2月收治的80例慢性精神分裂症长期住院患者,按随机数字表法分为研究组40例和对照组40例,研究组常... 目的:探讨基于本地文化的团体社会技能康复训练对慢性精神分裂症长期住院患者疗效。方法:选取海宁市第四人民医院精神科2020年1月至2022年2月收治的80例慢性精神分裂症长期住院患者,按随机数字表法分为研究组40例和对照组40例,研究组常规治疗基础上加上基于本地文化的团体社会技能康复训练,对照组给予常规治疗;治疗前和治疗3个月后应用阴性症状评定量表(SANS)、阳性症状评定量表(SAPS)评定疗效,并检测血清白介素-6(IL-6)水平。结果:研究组和对照组干预前SANS、SAPS评分比较,差异均无统计学意义(P均>0.05);研究组干预前后SANS评分的差值比对照组更大,两组差异有统计学意义(P<0.01),团体社会技能康复训练对阴性症状有中等度效应;研究组干预前后IL-6水平差值和SANS差值、IL-6水平差值和SAPS差值均存在显著相关性,而对照组无相关性。结论:慢性精神分裂症长期住院患者采用团体社会技能康复训练可改善阴性症状,精神分裂症患者可能存在血清白介素-6水平异常。 展开更多
关键词 团体社会技能 康复训练 慢性精神分裂症 长期住院患者 疗效 白介素-6
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Inpatient capsule endoscopy leads to frequent incomplete small bowel examinations 被引量:7
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作者 Cemal Yazici John Losurdo +5 位作者 Michael D Brown Scott Oosterveen Robert Rahimi Ali Keshavarzian Leila Bozorgnia Ece Mutlu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第36期5051-5057,共7页
AIM: To examine the predictive factors of capsule en- doscopy (CE) completion rate (CECR) including the ef- fect of inpatient and outpatient status.METHODS: We identified 355 consecutive patients who completed C... AIM: To examine the predictive factors of capsule en- doscopy (CE) completion rate (CECR) including the ef- fect of inpatient and outpatient status.METHODS: We identified 355 consecutive patients who completed CE at Rush University Medical Center between March 2003 and October 2005. Subjects for CE had either nothing by mouth or clear liquids for the afternoon and evening of the day before the pro- cedure. CE exams were reviewed by two physicians who were unaware of the study hypotheses. After retrospective analysis, 21 cases were excluded due to capsule malfunction, prior gastric surgery, endoscopic capsule placement or insufficient data. Of the remain- ing 334 exams [264 out-patient (OP), 70 in-patient (IP)], CE indications, findings, location of the patients [IP vs OP and intensive care unit (ICU) vs general medical floor (GMF)] and gastrointestinal transit times were analyzed. Statistical analysis was completed us- ing SPSS version 17 (Chicago, IL). Chi-square, t test or fisher exact-tests were used as appropriate. Multivari- ate logistic regression analysis was used to identify variables associated with incomplete CE exams. RESULTS: The mean age for the entire study popula- tion was 54.7 years. Sixty-one percent of the study population was female, and gender was not different between IPs vs OPs (P = 0.07). The overall incomplete CECR was 14% in our study. Overt obscure gastroin- testinal bleeding (OGB) was significantly more com- mon for the IP CE (P = 0.0001), while abdominal pain and assessment of IBD were more frequent indications for the OP CE exams (P = 0.002 and P = 0.01, respec- tively). Occult OGB was the most common indication and arteriovenous malformations were the most com- mon finding both in the IPs and OPs. The capsule did not enter the small bowel (SB) in 6/70 IPs and 8/264 OPs (P = 0.04). The capsule never reached the cecum in 31.4% (22/70) of IP vs 9.5% (25/ 264) of OP ex- aminations (P 〈 0.001). The mean gastric transit time (GTT) was delayed in IPs compared to OPs, 98.5 ± 139.5 min vs 60.4 ± 92.6 min (P = 0.008). Minimal SB transit time was significantly prolonged in the IP com- pared to the OP setting [IP = 275.1±111.6 min vs OP = 244.0 ± 104.3 min (P = 0.037)]. CECR was also sig- nificantly higher in the subgroup of patients with OGB who had OP vs IP exams (95% vs 80% respectively, P = 0.001). The proportion of patients with incomplete exams was higher in the ICU (n = 7/13, 54%) as com- pared to the GMF (n = 15/57, 26%) (P = 0.05). There was only a single permanent SB retention case which was secondary to a previously unknown SB stricture, and the remaining incomplete SB exams were due to slow transit. Medications which affect gastrointesti- nal system motility were tested both individually and also in aggregate in univariate analysis in hospitalized patients (ICU and GMF) and were not predictive of incomplete capsule passage (P 〉 0.05). Patient loca- tion (IP vs OP) and GTT were independent predictors of incomplete CE exams (P 〈 0.001 and P = 0.008, respectively). CONCLUSION: Incomplete CE is a multifactorial prob- lem. Patient location and related factors such as sever- ity of illness and sedentary status may contribute to incomplete exams. 展开更多
关键词 Capsule endoscopy Completion rate inpa-tient OUTPATIENT HOSPITALIZATION
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