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目的 探讨 PBL 教学法结合3D 打印技术在泌尿外科实习教学中的应用效果. 方法 选取 2021年9月至2022年6月该院泌尿外科实习的临床医学专业本科生72名, 按随机数字表法将其分为研究组 和对照组, 每组36名. 对照组采用传统教学方式, 研究组采用 PBL教学法结合3D 打印技术, 比较2组理论与 技能考试成绩, 并采用问卷调查学生的教学满意度. 结果 研究组理论考试及技能考试成绩高于对照组, 差异 有统计学意义(P<0.05). 研究组教学总满意度优于对照组, 差异有统计学意义(P<0.05). 结论 在泌尿外 科实习教学中应用 PBL教学法结合3D打印技术, 可提高学生理论水平、操作技能及教学满意度. [ABSTRACT FROM AUTHOR]

目的 探讨听乐治疗在早产儿早期干预中的应用效果。方法 选取2019年11月至2020年 10月就诊于南通大学附属妇幼保健院高危儿门诊的108例早产儿, 随机分为对照组和干预组, 各54例。对照 组采用常规的体格检查、早期干预和定期随访, 干预组在对照组基础上采用听乐治疗, 比较2组干预前后婴儿 运动表现测试(TIMP)和Gesell发育量表(GDS)评分等指标。结果 干预前, 2组GDS评分、纠正年龄、TIMP 评分及百分位比较, 差异无统计学意义(P >0.05)。干预后, 干预组粗大运动、个人社交、适应性评分高于对照 组, 而TIMP评分及百分位低于对照组, 差异有统计学意义(P <0.05)。结论 听乐治疗能有效改善早产儿运 动功能, 提高早产儿个人社交和适应能力。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

妇科是理论和实践互相渗透且紧密联系的一门临床学科。由于卵巢癌这一章节知识点相对复 杂且抽象,在实习中属于重点及难点内容,传统的教学方法有很多弊端。该文尝试性提出了参照2021年美国 国立综合癌症网络(NCCN)指南设计的卵巢癌的临床带教的综合性教学法。基于病例的教学法(CBL),综合运 用标本及多媒体技术,开展基于问题的教学法(PBL)。这种综合的教学模式的临床运用,使得实习生能在妇产 科的临床实习中熟练掌握卵巢癌的各种知识。 [ABSTRACT FROM AUTHOR]

Objective To investigate the clinical value of combined detection of carcinoembryonic antigen (CEA), cytokeratin 19 fragment 21-1 (CYFRA21-1), neuron specific enolase (NSE), squamous cell carcinoma antigen (SCCA) and gastrin releasing peptide precursor (PROGRP) in the diagnosis and pathology of lung cancer. Methods A total of 120 cases of lung cancer patients admitted to the hospital from January 2015 to June 20 18 were selected as the lung cancer group. A total of 90 patients with benign lung disease admitted to our hospital during the same period were as the control group. Serum CEA, CYFRA21-1, NSE, SCCA and PROGRP levels of the two groups were measured. The levels of five tumor markers in different pathological types of lung cancer were compared, and the tumor markers were compared. The difference of diagnostic efficacy between single and combined biopsy in lung cancer. Results There were significant differences in t he five tumor markers between lung cancer group and control group (P <0. 05 ), which was significantly higher than that of control group. CEA was higher in lung adenocarcinoma group,CYFRA21-1 and SCCA were higher in lung squamous cell carcinoma, NSE and PROGRP were higher in lung small cell lung cancer. The sensitivity, specificity and accuracy of combined detection of serum tumor markers were higher than those of single detection. Conclusion There are some limitations in the detection of single tumor markers. The sensitivity and specificity of different types of lung cane er are quite different. Combined detection can effectively improve the sensitivity,specificity and accuracy of lung cancer detection. It has important reference value for the diagnosis of lung cancer. [ABSTRACT FROM AUTHOR]

Objective To explore to establish a stable and feasible rabbit cerebral vascular bypass（CVB）model to provide an experimental tool for studying the ischemic cerebrovascular disease（ICD） and selecting the operation mode. Methods Thirty-two New Zealand rabbits were randomized into the group A，B，C and D，8 cases in each group. The 4 groups were given only anesthesia and anatomy without conducting vascular bypass，facial artery internal carotid artery bypass at 4，8 12 weeks after autologous facial arteriovenous anastomosis respectively. The animal mobility capacity was evaluated by 2 experimental technicians before model construction and at 1，2，3 months after successfully constructing the model. The vascular situation was assessed through cerebral angiography. Results Each group was succeeded in constructing the model. The rabbits all survived. Compared with the group A，the mobility capacity in the group B，C and D was significantly decreased，the difference was statistically significant（P<0.05），but which was recovered along with the time prolonging. The animal mobility capacity at postoperative 3 months had no statistical difference between the group A and D（P>0.05）；after conducting the facial artery internal carotid artery bypass，the angiography re-examination at each observation point showed that the group B，C and D had different degrees of arterial dilation compared with the group A，while which in the group D was most obvious，the difference was statistically significant（P<0.05）；the cerebral blood vessels were unobstructed in all groups. Conclusion Adopting animal facial artery internal carotid artery bypass has the advantages of high success rate，stability and feasibility，which is a more ideal model for conducting the study and intervention on ICD. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的：探讨腹腔镜胆囊切除术的疗效。方法 选取2013年3月至2014年8月在该院普外科行胆囊切除术的住院患者90例, 按照手术方式不同分为传统开腹胆囊切除术组（对照组, n=40）和腹腔镜胆囊切除术组（观察组, n=50）, 对两组患者的手术情况及生活质量等进行对比分析。结果观察组患者手术时间、术中出血量、术后肠鸣音恢复时间、肛门排气时间、排便时间、住院时间、术后24 h疼痛评分、胆总管损伤率、感染率、术后肠粘连率均优于对照组, 差异均有统计学意义（P<0.05）。两组患者手术成功率与手术治愈率比较, 差异无统计学意义（P>0.05）。观察组患者在术后生活质量各个方面上的评分均高于对照组, 差异均有统计学意义（P<0.05）。结论腹腔镜胆囊切除术对患者的微创性较小, 具备微创手术的优越性, 术后患者康复快、并发症少、生活质量高, 优于传统开腹手术, 值得推广。 [ABSTRACT FROM AUTHOR]