目的 探讨应用家庭访视护理与中医体质辨识相结合的方式提高居民健康管理能力,改善居民体质。方法 随机抽取广州市越秀区某社区的128例居民为研究对象,通过体检和中医体质辨识了解居民健康状况,责任护士开展家庭访视护理和具有中医特色的干预措施,通过干预前、后研究对象的中医体质量化计分、生存质量变化和健康知识共3个方面评价项目效果。结果 中医体质平和质得分显著升高,气虚质、痰湿质、湿热质、血瘀质、气郁质共5种偏颇体质的得分均降低(P<0.05),阳虚质、阴虚质、特禀质3种体质的得分差异无统计学差异(P>0.05)。简明健康状况调查问卷评分(MOS SF-36)在PCS领域和MCS领域的生命质量得分比干预前增高(P<0. 05)。健康教育知识在中医保健养生、慢性疾病防治、药物使用规范以及家庭护理知识评分有提高(P<0. 05)。结论 家庭访视护理结合中医体质调理措施可以拉近居民与医护人员距离,增强居民健康管理观念和能力,促进居民关注自身体质状况,达到“未病先防”的效果。

目的 探讨在待产孕妇中应用中医药辨证护理对促进气血虚弱型足月妊娠孕妇宫颈成熟的临产前护理策略及临床效果。方法 选取中医辨证为气血虚弱型的足月妊娠单胎头位初产妇180例,随机分为对照组即催产素组及常规护理组60例,中医药辨证护理组即在对照组的基础上入院后即给予中药口服加辨证护理60例,空白组即期待观察组及常规护理组60例。观察三组治疗前后宫颈Bishop评分,阴道及宫颈分泌物FFN(胎儿纤连蛋白)定性测定,分娩结局及对母胎的影响。结果 中医药辨证护理组在临产率、阴道分娩率及宫颈评分、FFN测定等方面较对照组及空白组均有差异,P<0.05。结论 对于气血虚弱型足月妊娠在入院后开展中医药辨证护理对临产前宫颈成熟有辅助作用,对于提高顺产率,降低高危分娩促进母儿健康有积极作用,值得推广。

Objective To explore the prenatal care strategy of applying Chinese medicine dialectical care to promoting cervical ripening of full-term pregnant women with qi-blood deficiency and its clinical effect. Methods We chose 180 first-time, full-term pregnant women with single fetus cephalic presentation who were diagnosed as with qi-blood deficiency and then randomly divided them into three groups, 60 in control group with oxytocin and usual care; 60 in group of Chinese medicine dialectical care, which provided oral use of Chinese medicine and dialectical care after those women being admitted to hospital; 60 in blank group with usual observation and care. We did Bishop assessment of neck of uterus before and after treatment in these three groups, conducted qualitative test in FFN (Fetal Fibronectin), the secreta from vagina and neck of uterus, and observed delivery outcome as well as the influence to mother and child. Results Compared with control group and blank group, the group ofChinese medicine dialectical care was outstanding in terms of labor rate, vaginal delivery rate, and FFN test(P<0.05). Conclusion Chinese medicine dialectical care boosts cervical ripening of full-term pregnant women with qi-blood deficiency. It is helpful to increase natural labor rate, reduce high-risk delivery, and promote health of mother and child. Therefore it is worth to be popularized.

目的 探讨综合中医护理措施在无痛人工流产术后调复中的效果。方法 将100例无痛人流病人随机分为观察组和对照组各50例,对照组手术前后予常规护理。观察组在对照组的基础上,采取综合中医护理措施。结果 观察组术后阴道出血量、出血时间、腹痛持续时间等少于对照组,月经按时复潮率高于对照组(P<0.05)。结论 综合中医护理干预对无痛人工流产病人具有良好的调复作用,可以有效地提高患者术后舒适度,促进患者早日康复,值得临床推广应用。

目的 根据产后不同时期的乳房的生理特点,采用中医综合疗法及护理进行回乳,观察其疗效。方法 选取哺乳期断乳的妇女57例,随机分为治疗组30例及对照组27例,治疗组采用中医综合疗法回乳,对照组口服溴隐亭回乳。结果 治疗组回乳效果优于对照组,出现乳房胀痛及乳腺炎的发生率低于对照组,且无不良反应。结论 中医综合疗法回乳安全,效果显著,对回乳时出现的乳房胀痛等兼证有很好的改善,对乳腺炎的发生起了更好的预防作用。

Objective According to the physiological characteristics of postpartum breast, through the combined treatment of traditional Chinese medicine and nursing for delactation,and to observe the effects. Methods A total of 57 women who wanted for delactation, were selected and randomly divided into two groups, there are 30 cases in the treatment group and 27 cases in the control group, the treatment group were treated with traditional Chinese medicine and nursing, while the control group used oral bromocriptine for delactation. Results The treatment group is better than the control group, the incidence of mastitis and breast swelling in treatment group is lower than the control group, and there was no adverse reaction. Conclusion The treatment of delactation with combined treatment of traditional chinese medicine and nursing is safe and effective, it can reduce suffering of women and prevent the occurrence of mastitis.

目的 随着人们生活水平的提高,中医药在养生保健上的作用日益为人们所接受。由于人们对中医药养生保健知识和理论了解较少,本次调查为了解江苏地区居民对中医药保健知识的普及现状。方法 通过派发调查问卷,用随机抽样的方式了解中医药保健知识普及的现状。结果 了解了江苏地区人们对中医药保健知识普及的现状。结论 通过调查,团队得出中医药保健事业的弘扬与发展非一日之功,需要大家共同的努力,政府应当提高中医药保健人员的资格认定标准,各类医院也当负起宣传中医药保健知识的责任,媒体和出版机构宣传正规中医药养生保健知识。

Objective As people's living standards improved, traditional Chinese herbal medicine used in health care becomes well accepted by some fake Chinese herbal medicine doctors. So that, the knowledge of traditional medicine still needs to be popularized. The research is about how well the public know about traditional Chinese herbal medicine in Jiangsu area. Methods We random selected certain amount of citizens to be the informed of the cognition degree of traditional Chinese medicine in public by letting the finish questionnaire. Results We get to know about the current situation of Chinese medicine health care knowledge in Jiangsu area. Conclusion Through the investigation, we need common efforts, carrying and inheriting traditional Chinese medicine. The government should improve the personnel qualification standard of Chinese medicine health care. Hospital will also promote Chinese medicine health care knowledge, and the media and publishing agencies has responsibility to advocate correct Chinese medicine health care knowledge.

       目的   探讨中医药治疗小儿腺样体肥大（AH）的研究现状、研究热点及趋势，为本领域研究者提供借鉴。方法   检索中国知网（CNKI）数据库从2005年1月1日至2024年1月31日中医药治疗小儿腺样体肥大的相关文献。运用Excel 2019分析其发文量，运用CiteSpace 6.2.R6软件分析其作者、机构、关键词。结果   共纳入文献395篇，年发文量整体呈现波动上升的趋势；发文量最多的作者为姜之炎；发文量最多的研究机构为山东中医药大学。初步形成了以姜之炎、俞景茂、阎兆君为核心的研究团队；研究机构以中医类院校及其附属医院为主。高频关键词提示当前研究热点前三位为中医药治疗方法、临床疗效。结论  AH领域研究内容主要以内治法、外治法、作用机制为主；研究热点逐渐从临床研究转向作用机制等实验研究；应用“数据挖掘”“网络药理学”等计算机技术研究AH会成为趋势。

       Objective  To explore the research status，research hotspots，and trends of traditional Chinese medicine in the treatment of adenoid hypertrophy in children，to provide a reference for researchers in this field．Methods  The relevant literature on the treatment of adenoid hypertrophy in children with traditional Chinese medicine was searched in the CNKI database from January 1，2005，to January 31，2024．Excel 2019 was applied to analyze the number of published papers，and CiteSpace 6.2.R6 software was applied to analyze its authors，institutions，and keywords．Results  A total of 395 papers were included，and the annual number of papers showed a fluctuating upward trend．The author with the largest number of papers was JIANG Zhiyan．Shandong University of Traditional Chinese Medicine was the research institution with the largest number of papers．The core  research teams including JIANG Zhiyan，YU Jingmao，and YAN Zhaojun were initially formed．The  research institutions were mainly Chinese medicine colleges and their affiliated hospitals．High-frequency keywords suggest that the current top three research hotspots were traditional Chinese medicine treatment methods，clinical efficacy．Conclusions  The research content in this field is mainly based on internal treatment，external treatment，and mechanism．The focus has gradually shifted from clinical research to experimental research such as mechanism．The application of computer technologies such as “data mining” and “network pharmacology” for this disease will become a trend．

       目的   分析广州市中医优势病种按病种分值付费政策实施效果，以期为完善广州市中医病种付费方式改革提供参考思路。方法   以广州市某三甲中医医院住院患者在政策实施前（n=6 057）及实施后（n=7 208）住院病历为研究样本，对医院次均住院医疗费用、中医综合治疗费占比、平均住院日进行两独立样本非参数检验等描述性统计分析。结果  政策实施后，住院人次增长19%，患者次均住院医疗费用下降7.02%（P＜0.001），中医综合治疗费用占比提升0.8%（P＞0.05），医疗机构平均住院日缩短0.63 d（P＜0.001），入组中医优势病种患者自费率较非入组的低，医疗机构总体病例组合指数下降，中医优势病种结算有盈余。结论  中医优势病种按病种分值付费政策有利于医保-患者-医院三方共赢；但中医优势病种入组率有待提高，建议加大对中医医疗机构的支持与助力；中医综合治疗费用占比提升不显著，建议完善中医治疗项目医疗服务价格动态调整机制；中医优势病种仅局限在住院，建议实现诊疗单元全覆盖。

       Objective  To discuss the correlation analysis of the hospitalization expenses of TCM dominant diseases under the DIP payment mode，and provide a reference for further promoting the reform of the payment mode of TCM dominant diseases in Guangzhou．Methods  The nonparametric test was used to analyze the number of inpatients，the average hospitalization cost，and the proportion of TCM comprehensive treatment on the data of inpatient records before and after the implementation of the TCM dominant diseases policy，the sample sizes were 6 057 and 7 028 respectively．Results  After the implementation of the TCM dominant diseases policy，there was a slight fluctuation in the number of inpatients from 6 057 to 7 208，the average hospitalization cost was decreased by 7.02%（P＜0.001），the proportion of TCM comprehensive treatment costs had an increase of 0.8%（P＞0.05），the average length of hospital stay was shorten by 0.63 days（P＜0.001），the self-expense  rate of the patients with the TCM dominant diseases of in the group was lower than that of the patients without the group，the total case mix index value of the hospital decreased，but there was a surplus on the group of TCM dominant diseases settlement．Conclusios  The policy is conducive to the tripartite win-win of medical insurance，patients and hospitals．However，the enrollment rate of TCM dominant diseases need to be improved，which is suggested to increase the support for TCM hospitals．The proportion of TCM comprehensive treatment has not increased significantly，so it is suggested to improve the dynamic adjustment mechanism of medical service price of TCM treatment items．The TCM dominant diseases are only limited to hospitalization，and it is recommended to achieve full coverage of diagnosis and treatment units．

      目的   旨在通过实证了解广东省青年中医人才岗位胜任力现状，探讨青年中医人才岗位胜任力素质特征，为青年中医人才培养提供策略。方法   通过专家咨询制定《青年中医人才岗位胜任力评价框架》并开展问卷调查，采用SPSS 26.0进行数据分析。结果   构建了包含8个一级指标、76个二级指标的《青年中医人才岗位胜任力评价框架》；广东省青年中医人才岗位胜任力自评总分整体处于及格以上水平。女性在职业价值和职业素养、临床技能、交流与沟通技能、管理能力和团队合作、批判性思维与学术科研能力的评分高于男性；不同职称在其他附加维度的评分比较具有统计学差异（P＜0.05）。结论   构建的评价框架能够有效评估青年中医人才岗位胜任力；广东省青年中医人才岗位胜任力整体处于及格水平，需重视补强短板；女性青年中医人才岗位胜任力多个维度的得分优于男性，着重提升各人群的弱项维度岗位胜任力；进一步建立健全职称评聘制度，以破五唯为导向构建符合不同级别职称的青年中医人才评价机制。

      Objective  To understand the current job competence status of young TCM talents in Guangdong Province through empirical research，to explore the characteristics of job competence and quality of young TCM talents，providing strategy for cultivating young talents in TCM．Methods The “Competency Evaluation Framework for Young TCM Talents” was developed through expert consultation and a questionnaire survey was conducted．SPSS 26.0 was used for data analysis．Results  “Job Competency Evaluation Framework for Young TCM Talents” was constructed，which included 8 primary indicator items and 76 secondary indicator items．The overall self-evaluation score of the overall job competence of young TCM talents in this study was above the passing level．Female score was higher than male in terms of professional value and professional ethics，clinical skills，communication and interpersonal skills，management ability and teamwork，critical thinking and academic research ability．There were statistically significant differences in the scores of different job titles in other additional dimensions（P＜0.05）．Conclusions  The constructed evaluation framework can effectively assess the job competence of young TCM talents．The overall competence of young TCM talents in Guangdong Province is at a passing level，and attention  should paid to  strengthening their weaknesses．Female young TCM talents have better multidimensional scores in job competence than males，and efforts should be made to focus on improving the weak dimensional job competence of various groups of people．The professional title evaluation and appointment system needs to be established and improved．A talent evaluation mechanism should be built for young TCM talents that meets different levels of professional titles，guided by the principle of breaking the five criteria．