精神康复会所模式对精神分裂症患者的康复作用

The Effect of Fennel Tea Drinking on Postoperative Gut Recovery after Gynecological Malignancies Operation

中文关键词:  离子缔合反应 溶剂去乳化 分散液相微萃取 铊 水样

中文摘要:

      目的 探讨精神康复会所模式对精神分裂症患者的康复作用。方法 采用成组配对研究方法纳入92例精神分裂症患者，其中试验组36例，参与社区精神康复会所模式计划，对照组56例，未参与会所。两组患者在性别、年龄、病程、受教育程度、病情严重程度、经济收入等均相互匹配。研究为期3月，通过自身前后对照及组间对照的方法，比较基线及3月后两组阳性与阴性症状（PANSS）量表、个人和社会功能（PSP）量表、家庭负担、生活满意度分值。结果 经过精神康复会所模式的功能训练，试验组PSP增加（t=-3.172， P=0.003），家庭负担减轻（t=2.427， P=0.019），生活满意度提高（t=0.858， P=0.395），对照组3月后和基线相比，差异无统计学意义（ P>0.05），3月后试验组与对照组相比，PSP高于对照组（t=2.78， P=0.007），家庭负担低于对照组（t=-3.29， P=0.002），生活满意度高于对照组（t=0.441， P=0.661）。结论 社区精神康复会所模式有助于提高患者自知力，减轻疾病家庭负担，个人生活满意度有所提高。会所模式能够提高患者社会功能水平，有利于患者回归社会。

英文摘要:

      Objective To investigate the clinicopathological characteristics, prognosis and the pregnancy condition after preserving fertility function surgery of borderline ovarian tumors with intraepithelial carcinoma (OIC). Methods Clinical data of 29 patients with OIC at Department of Gynecology, West China Second University Hospital, Sichuan University, between January 2005 and March 2014, were collected for retrospectively analysis with 6-93 months follow-up. The recurrence rate and pregnancy rate after preserving fertility function surgery were compared. Results OIC patients accounts for 4.0% (29/719) in borderline tumors patients, including fertility preserving function requirement 51.7% (15/29). All patients underwent surgery treatment, including conservative surgery 51.7% (15/29), radical surgery 48.3% (14/29). Adjuvant chemotherapy 27.6% (8/29). Pathological types: mucinous 69.0% (20/29), serous 13.8% (4/29), endometrioid 6.9% (2/29) and mixed 10.3% (3/29). FIGO stage: Ⅰa 75.9%(22/29), Ⅰb 17.2%(5/29), Ⅰc 6.9%(2/29). The average follow-up time was 49.6 months, the recurrence rate was 10.3% (3/29), the pregnancy rate was 66.7% (10/15). The recurrence rate of higher stage and intraoperative retaining ovaries was higher ( P=0.005, P=0.005); the pregnancy rate of younger patients was higher ( P=0.017). Conclusion OIC patients are young, diagnosed at an early stage. Pathological types are mainly mucinous. For patients with fertility requirements, the recurrence rate of ovarian tumor excision surgery is very high.