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睡前头晕肚痛或患“心病” 专家称可适量用安慰剂--亲稳网络舆情监控室
2012-08-09
中新网南京8月9日电(盛捷 李华敏 朱小刚)9日,记者从江苏省人民医院获知,近期,一位正在住院的王奶奶每晚睡觉前都头晕或肚子疼,但她各项检查都正常。之后,经过该院老年心脏科副主任医师周传伟检查后发现其患的是“心病”,并给其服用了安慰剂。但是周传伟表示,安慰剂要针对特定的人群,非人人合适,并且强调要适量服用。
Nanjing local fars news agency reported on August 9 (Reuters)(LiHuaMin ZhuXiaoGang operating)9,The reporter learned from jiangsu province people's hospital,recent,A hospital is the king of the grandma before going to bed every night are dizzy or a pain in my stomach,But she the check is normal。after,After the old heart of doctor of vice director of ZhouChuanWei examination found its are suffering“trial”,And to its taking placebo。But ZhouChuanWei said,The placebo to specific crowd,Not everyone right,And stressed the need to take adequate。
8日晚,王奶奶照常觉得头晕,要求医生过去为她诊治,值班的周传伟与护士便来到她的床边查看病情,过程中护士小刘无意中说到自己这几天牙疼被王奶奶听到了,哪知王奶奶又说自己的牙很疼。这个小小的细节被周传伟注意到了。
8 days late,The king grandma will be felt dizzy,Asked the doctor for her past diagnosis and treatment,On duty of ZhouChuanWei and nurse came to her bedside view of the illness,Process the nurse xiao liu to inadvertently said these days by the king's grandmother heard a toothache,But as king grandma said his teeth hurt。This small detail is ZhouChuanWei noticed。
周传伟通过询问照顾她的阿姨,了解到王奶奶性格比较孤僻,似乎有轻微的精神障碍,因此怀疑王奶奶每晚的头晕、肚子疼并非因为有器质性的病变,而很有可能是自己心理的暗示作用在作祟。于是,周传伟对王奶奶说自己已经找到了病因,等会就为她开药、打针。王奶奶听后连连点头称好。
ZhouChuanWei by asking to take care of her aunt,To understand the king grandma character is withdrawn,There seems to be a mild mental disorders,So the king of dizziness grandma doubt every night、The stomach is not because there are organically lesions,It is likely that his role is the psychological in deeply。so,ZhouChuanWei grandma said to the king, have to the cause,Wait and to prescribe medicine for her、injections。The king nodded to grandma after repeatedly。
回到治疗室,让小刘护士抽一毫升生理盐水为王奶奶肌肉注射。为了给予王奶奶信任感,周传伟特意与护士一起到床旁为奶奶做治疗,并向她强调打完针后就不会疼了。果然,针打完没过一会奶奶就不再喊疼,很快就睡着了。
Back to ward,Let xiao liu the nurse a ml physiological saline injections for king grandma muscle。In order to give the king grandma trust,ZhouChuanWei specially with nurse go to bed for the granny treatment,And she emphasized to play after needle won't hurt。Indeed as expected,Needle after soon grandma will no longer shout hurts,He soon fell asleep。
其实,护士为王奶奶注射的生理盐水属于安慰剂的一种,它并没有起到任何药理作用。所谓安慰剂就是指不含任何药理成分,没有药效也没有毒副作用的制剂或剂型,其外形与真药相像,如葡萄糖、淀粉片或胶囊等。它对于焦虑、紧张、忧郁、精神分裂以及各种疼痛、失眠的病人有很大的帮助。
In fact,The nurse is king of the grandma injection saline belongs to a placebo,It didn't have any pharmacological effects。The so-called placebo is refers to do not contain any pharmacological composition,No efficacy and no side effects or dosage of preparation,The appearance of a real drug alike,Such as glucose、Starch piece or capsule etc。It for anxiety、nervous、melancholy、Schizophrenia and all sorts of pain、Insomnia patients have a lot of help。
周传伟介绍,服用安慰剂后患者期待药物起作用的心理与所处的医疗环境引起了生理上的条件反射,可以稳定病人的情绪,从而起到相应的治疗效果。其效果取决于病人的心理状态和施治者的经验,对于求治愿望强烈、头脑简单或容易神经过敏的人效果尤为明显;施治者经验越丰富和威望越高,效果也越好。
ZhouChuanWei introduced,Taking placebo patients after looking forward to the role the drugs in psychology and the medical environment caused the physiological reflex,Can the patient's emotional stability,And so to the corresponding treatment effect。Its effect depends on the patient's mental state and the minimal of experience,For QiuZhi intense desire、Simple or easily nervous mind to people who are allergic effect is obvious;The experience of making the rich and prestige is higher,Effect are the better。
尽管应用安慰剂有积极作用,但其使用还是存在很大争议的。很多人认为,对于那些严重的器质性疾病,安慰剂几乎不起任何作用,且会产生消极影响。但很多实验证明,安慰剂的确能够极大的改善患者的病情,尤其对有精神抑郁或疼痛的患者效果最为明显,它能给患者带来极大的心理暗示作用。如对于像王奶奶这样本身就是因为精神或心理因素引起的疼痛或不适,安慰剂可以起到很大的缓解作用。
Despite the positive effects application placebo,But its use is still there a controversial。Many people think that,For those who seriously implement qualitative sex disease,The placebo almost no effect,And will produce negative effect。But many experimental proof,The placebo indeed can greatly improved the patient,Especially for mental depression or pain patients with the most obvious effect,It can give patients bring great psychological suggestion function。As for such as wang grandma itself is because a spiritual or psychological factors cause pain or discomfort,The placebo can have a lot of soothing effects。
周传伟提醒,安慰剂的使用应该根据具体情况适时使用,不可滥用。医务人员应该根据不同病因,不同病情,以不同的方式加以恰当使用。同时,医护人员对待患者的态度在一定程度上也会影响到安慰剂的效果。(完)
ZhouChuanWei remind,The use of placebos should timely use according to the specific conditions,Shall not abuse。Medical personnel should according to different causes,Different condition,In a different way to used properly。At the same time,Medical personnel treat patients attitude to a certain extent it would affect the placebo effect。(finish)
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