通讯
通讯
论著

爱先蓝和细胞角蛋白双重染色技术在泪腺腺样囊性癌 诊断中的应用

Application of Alcian Blue and cytokeratin double staining technique in adenoid cystic carcinoma

:64-67
 
目的:探讨爱先蓝(Alcian Blue,AB)和细胞角蛋白(cytokeratin,CK)双重染色技术在泪腺腺样囊性癌组织中的应用, 提高泪腺腺样囊性癌染色效率。方法:选取中山大学中山眼科中心临床病理科2015年1月至2017年1月期间诊断为泪腺腺样囊性癌病例标本23例,在同一张切片上先进行AB染色,再进行CK染色,观察染色效果。结果:23例泪腺腺样囊性癌标本组织中黏液物质全部呈蓝色;癌细胞胞质CK阳性,呈棕黄色。结论:AB和CK双重染色方法稳定,颜色对比鲜明,能够良好显示癌细胞及黏液的关系,并且比分开的两次单种染色省时、经济。
Objective: To investigate the application of Alcian Blue (AB) and cytokeratin (CK) double staining technique in adenoid cystic carcinoma to improve the staining efficiency. Methods: Twenty-three specimens of adenoid cystic carcinoma from January 2015 to January 2017 in the Clinical Pathology Department of Zhongshan Ophthalmic Center, Sun Yat-sen University were stained with AB first and CK then on the same slide. Results: Mucinous substance showed blue. And the cytoplasm of the cancer cells presented with brown yellow in all the specimens.Conclusion: The method of double staining with AB and CK is stable and displays bright color contrast. It can effectively reveal the relationship between the mucus and cancer cells. It proves to be more time-saving and economical than the individual staining of AB and CK respectively.
论著

泪道成形+义管植入日间手术患者的延续性护理

Continuous care of the patients with day surgery of lacrimal duct formed combined tube implantation

:84-87
 
目的:探讨完善泪道成形+义管植入日间手术患者的延续性护理对预防义管意外脱管的重要作用。方法:收集我科2016年1月至12月实施了标准延续性护理的泪道成形+义管植入日间手术患者的意外脱管情况。结果:泪道成形+义管植入日间手术患者随访期间没有发生医源性脱管,有9例9眼带管期间在院外发生脱管,意外脱管率为2.6%。结论:做好泪道成形+义管植入日间手术患者的延续性护理,有效降低义管意外脱出率,有利于患者康复。
Objective: To explore the important role of continuous nursing of the patients with day surgery of lacrimal duct forming combined tube implantation in the aspect of accident prevention to take off the tube. Methods: The information of the patients from Jan. to Dec. 2016 with accident the tube’s takeoff after carrying out the standard continuity of care were collected. Results: There was no iatrogenic but 9 eyes of 9 patients accidentally take off the tube during follow-up period. Accidental decannulation rate was 2.6%. Conclusion: Continuous care of the patients with day surgery of lacrimal duct forming combined tube implantation can effectively reduce the tube accidentally removal rate and be beneficial to patients’ recovery.
论著

甲状腺相关眼病患者的生活质量调查及护理对策

Investigation of quality of life and nursing of patients with thyroid associated ophthalmopathy

:80-83
 
目的:探讨与甲状腺相关眼病患者的生活质量,为做好个体化的护理提供理论依据。方法:采用甲状腺相关眼病的生活质量调查问卷进行调查,用R语言进行数据分析。结果:年龄与视功能评分成负相关(P<0.001,r=–0.504),与社会心理评分成正相关(P=0.002,r=0.327)。文化程度与视功能评分成正相关(P<0.001,r=0.391),与社会心理评分无相关关系(P=0.749)。不同症状的视功能评分之间差异有统计学意义(P<0.001)。结论:通过甲状腺相关眼病的生活质量调查问卷可知,年龄越大,视功能越差,不同症状的患者视功能情况不同,要关注年龄大、复视、视力差患者的安全;在护理上,要做好患者及其有甲状腺功能亢进史家属的健康宣教,尤其关注女性患者的社会心理状况。
Objective: To explore the factors related to the quality of life of patients with thyroid associated ophthalmopathy, and to provide theoretical basis for individual nursing. Methods: The quality of life questionnaire of thyroid associated ophthalmopathy was used to investigate, and the data were analyzed by R language. Results: There was a negative correlation between age and visual function score (P<0.001, r=-0.504), and positively correlated with social psychological score (P=0.002, r=0.327). There was a positive correlation between educational level and visual function score (P<0.001, r=0.391), and had no correlation with social psychological score (P=0.749). There were statistically significant differences in visual function scores among different symptoms (P<0.001).Conclusion: The quality of life of thyroid-related eye disease questionnaire showed that the older, the worse the visual function. Different symptoms of patients had different visual function. We should pay attention to the patients with older, diplopia and poor vision, do health education with the patients and family members with the history of hyperthyroidism as well, especially concern with the social and psychological status of female patients.
综述

人文素养在眼科住院医师规范化培训中的重要性

Role of humanistic accomplishment in the standardized training of ophthalmology residents

:105-109
 
本文简要探讨了眼科青年医师在住院医师规范化培训过程中,应该重视人文素养的培养。眼科住院医师必须三基扎实,具备敏锐的临床科研嗅觉、优秀的现代医学人文素养。在科技高速发展与医疗环境日趋复杂的今天,培养具备精湛的专业技能与高尚的医学人文精神的眼科学领袖,对于眼科的发展显得尤为重要。
This article briefly discusses that in the process of standardized training of ophthalmology residents, the young physicians should focus on the training of humanistic accomplishment. Ophthalmology residents should master solid basic theory and skills, have keen sense of the clinical issue, and possess excellent modern medical humanities. Nowadays, it is particularly important to cultivate the ophthalmology leaders who hold superb professional skills and noble humanistic spirit because of the high-speed development of science and technology and the increasingly complex medical environment. 
论著

联合教学模式在留学生眼科临床教学的应用

Application of combined teaching mode in the ophthalmology clinical teaching of foreign students

:91-94
 
目的:探讨基于问题式教学法(problem-based learning,PBL)联合基于案例教学法(case-based learning,CBL)的模式在留学生眼科学教学中的效果。方法:将教学对象分为两组,其中传统教学组30人,联合教学组35人。传统教学组采用传统授课方法,联合教学组采用PBL联合CBL的教学方法。对其效果进行评估,评估指标包括发言次数、临床思维能力、学习兴趣、教学质量评分、教学满意度、理论分数、病例分析分数等。结果:与传统教学组相比,联合教学组学生在各项评估 指标上均明显优于传统教学组,且各项指标之间的差异均具有统计学意义。结论:PBL与CBL相结合的教学模式能有效提高眼科学教学质量,值得在临床教学中进一步推广应用。
Objective: To investigate the effect of problem-based learning (PBL) and case-based learning teaching (CBL) teaching approaches in the ophthalmology teaching of foreign students. Methods: The subjects were divided into a control group (30 students) and an experimental group (35 students). In the control group, the students were taught via traditional teaching methods. The PBL and CBL teaching approaches were applied in the experimental group. Then, the number of statements, clinical thinking ability, learning interest, teaching quality scores, teaching satisfaction, theoretical scores, and case analysis scores were assessed in these two groups. Results: Compared with the control group, the assessments in the experimental group were significantly better (P<0.05). Conclusion: The PBL and CBL teaching approaches can effectively improve the teaching quality of ophthalmology of foreign students. It is worth to popularize this method in clinical teaching.
论著

眼外伤门诊急诊与住院病房一体化管理的实践与探讨

Discussion of integrated management of emergency department and wards for patients of ocular trauma

:143-147
 
目的:探讨眼外伤门诊急诊与住院病房一体化管理模式。方法:中山大学中山眼科中心于2015年4月成立眼外伤急诊部,组建眼外伤急诊队伍,实现眼外伤门诊急诊与住院病房一体化管理,即眼外伤患者从门诊到病房的接诊、治疗、随访进行一体化管理,简化急诊诊疗流程,最大限度保证医疗护理质量。结果:眼外伤门诊急诊与住院病房一体化管理模式是一种以患者为中心的新型管理模式。该模式能保障急诊患者诊治的及时性、连贯性;缩短急诊患者就诊到等候手术的时间,提高患者就诊满意度;在保证医疗质量的同时,医护人力资源得到合理高效使用;并取得较好的社会效益与经济效益。结论:眼外伤门诊急诊与住院病房一体化管理模式具备长远发展及推广的价值。
Objective: To discuss the integrated management in emergency department and wards for patients of ocular trauma. Methods: The emergency department and the team were organized in April 2015 to simplify the process of treatment for patients of ocular trauma, and to improve the benefit and outcome for those patients. Results: The integrated management of emergency department and wards for patients of ocular trauma was a new management model focusing upon the benefit of patients. This model could guarantee the timeliness and continuity by reducing waiting time for diagnosis or operations. The integrated model had obvious economic and social benefits by improving quality of care and reasonably using human resource. Conclusion: TTe integrated management model in emergency department and wards for patients of ocular trauma is worthy of further application. 
综述

叶黄素类物质对视觉功能的保护作用及其在青少年视力维护中的应用

Protective effect of xanthophylls on visual function and its application in adolescent vision maintenance

:171-175
 
      叶黄素类物质为膳食类胡萝卜素,主要存在于视网膜组织中,为黄斑色素发挥抗氧化活性和蓝光滤过作用。近年来,有研究证实,叶黄素类物质可降低色差,提高视力及对比敏感度等功能,并对于年龄相关性黄斑变性、视网膜光损伤等疾病具有防治作用。
Xanthophylls is a kind of dietary carotenoid, which is mainly located in retina, and plays an important role in antioxidant and blue light ffltration. Lutein, zeaxanthin and meso-zeaxanthin can enhance visual performance by decreasing chromatic aberration and enhancing contrast sensitivity, and they can also prevent age-related macular degeneration and retinal light-induced injury. 
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
推荐阅读