问题 问答题 论述题

临床上如何掌握治标、治本的原则?

答案

参考答案:

治标治本的临床应用,一般是。治病必求于本”。但为了适合病情的需要,又有“急则治其标”、“缓则治其本”、“标本兼治”的原则。“急则治其标”,即当标病甚急,成为疾病矛盾的主要方面时.若不及时解决就可危及患者的生命.或影响“本”病的治疗,故必须采取紧急措施,先治其“标”,此即“急则治其标”。可见“急则拾其标”只是在应急情况下的权宜之计,为治本创造有利条件,最终目的仍是为了更好的治本。“缓则治其本”,对慢性病或急性病恢复期有重要指导意义。“标本兼治’侧是指标病本病并重,则应标本并治。以上可知,标本的治疗法则,既有灵活性,临床应用或先治本,或先治标,或标本兼治,应视病情变化适当掌握,但是,最终目的在于抓住疾病的主要矛盾,做到“治病必求于本”。

单项选择题 A1/A2型题
问答题

Going to the ballpark, visiting friends and playing bingo are simple diversions for many of us. But for the elderly, these social pastimes may play a critical role in preserving their physical and mental health.

(46) In fact, a new study suggests that the less time older people spend engaged in social activity, the faster their motor function tends to decline. "Everybody in their 60s, 70s and 80s is walking more slowly than they did when they were 25," says Dr. Aron Buchman, a neurologist at the Rush University Medical Center in Chicago and leading author of the study, which was published in the June 22nd issue of the Archives of Internal Medicine. (47) "Our study shows the connection between social activity and motor function--and opens up a whole new universe of how we might intervene. "

(48) An increasing body of evidence has suggested that participating in mentally stimulating activity, socializing frequently and exercising may help protect against age-related decline-at least cognitive decline. As early as 1995, neuroscientist Carl Cotman, who studies aging and dementia at the University of California at Irvine, published a paper in Nature showing that physical exercise produces a protein that helps keep neurons from dying and spurs the formation of new neural connections in the brain. (49) More recently, Cotman demonstrated in studies of elderly dogs and mice that enriching their social environment is associated with improvement in brain function.

Researchers are also finding that social activity may be linked to the same protective effect in people. A recent study of 2 500 adults ages 70 to 79, published in the journal Neurology, found that those who were able to stay mentally sharp were also those who exercised once a week or more, had at least a ninth grade literacy level and were socially active.

While further research needs to be done to establish the exact impact of social activity and exercise on specific age-related declines (50) it’s likely that a reduction in social activity may simply be a symptom of physical decline, since people may naturally withdraw from social engagement as they lose motor skills-most researchers would agree that it is not unreasonable to encourage seniors to get out there more. Only 10% of people over 65 get the recommended amount of exercise (at least 2. 5 to 5 hours a week), and given that seniors already tend to be more socially isolated than younger adults, it’s difficult to motivate them to become more active. "If you are alone, you are less likely to follow recommendations," notes Verghese. It might help, though, if you visit Grandma more often and let her know that a regular pastime may just help her stay fitter and sharper longer.

(46) In fact, a new study suggests that the less time older people spend engaged in social activity, the faster their motor function tends to decline.