经颈B型超声对主动脉弓粥样硬化斑块的诊断

目的探讨一种简便易行的观察主动脉弓粥样硬化的方法。方法对46例脑卒中病人应用超声诊断仪3.5MHz扇形探头于胸骨上窝和锁骨上窝处探查主动脉弓。结果46例病人中有44例能采集到较好的主动脉弓影像,可清晰观察主动脉弓管腔内情况,测量内-中膜厚度,检测到粥样硬化斑块大小、形态及其内部情况,发现硬化斑块形成者9例。结论经颈部检查主动脉弓既简便、易行,病人无痛苦,又有较高诊断率,可作为常规检查方法使用。     

经颈B型超声对主动脉弓粥样硬化斑块的诊断

目的探讨一种简便易行的观察主动脉弓粥样硬化的方法。方法对46例脑卒中病人应用超声诊断仪3.5MHz扇形探头于胸骨上窝和锁骨上窝处探查主动脉弓。结果46例病人中有44例能采集到较好的主动脉弓影像，可清晰观察主动脉弓管腔内情况，测量内-中膜厚度，检测到粥样硬化斑块大小、形态及其内部情况，发现硬化斑块形成者9例。结论经颈部检查主动脉弓既简便、易行，病人无痛苦，又有较高诊断率，可作为常规检查方法使用。     

彩色多普勒超声在诊断颈动脉粥样硬化斑块的价值

目的：讨论二维图像及彩色多普勒血流成像（CDFI）诊断颈动脉粥样硬化斑块中的应用价值。方法：通过2D对120例颈动脉粥样硬化斑块形成的患者进行分析和探讨。结果：颈动脉分叉处粥样硬化斑块,50例占41．7％;颈内动脉粥样硬化斑块45例占37．5％;颈外动脉粥样硬化斑块15例占12．5％;颈总动脉主干粥样硬化斑块10例占8．3％;65例内中膜增厚。结论：2D及CDFI诊断颈动脉粥样硬化斑块是一种无创伤、可重复、有价值的实用检查方法,并且对了解用药后观察疗效有重要价值。     

老年脑梗死患者颈动脉粥样硬化斑块与血脂、血糖的关系

目的探讨老年脑梗死患者颈动脉粥样硬化斑块的发生与血脂、血糖的关系。方法应用德国西门子G60s彩色多普勒超声仪，分别对150例老年啮梗死患者（脑梗死组）和50例非脑梗死患者（对照组）的颈动脉进行检测，观察颈动脉粥样硬化斑块的发生与血糖、血脂的关系。结果脑梗死组患者颈动脉粥样硬化斑块的发生率为84％，对照组为24％，两组差异有统计学意义。脑梗死组颈动脉粥样硬化斑块好发于颈总动脉分叉处。高血压、血脂异常、糖尿病、低密度脂蛋白胆固醇升高是老年颈动脉粥样硬化斑块形成的危险因素。结论对老年脑梗死患者进行颈动脉超声检查，及早发现颈动脉粥样硬化斑块并积极控制危险因素有重要意义。     

彩色多普勒超声分析颈动脉粥样硬化斑块与脑梗死的相关性

目的：利用彩色多普勒超声对颈动脉粥样硬化斑块和脑梗死间的相关性进行分析。方法选取我院2011年7月-2013年9月收治的脑梗死患者54例作为观察组,选取同期健康体检者52例做作为对照组,利用彩色多普勒超声对2组粥样硬化动脉斑块形成情况进行检查,并对结果进行分析。结果观察组粥样硬化斑块检出率显著高于对照组,随着脑梗死程度加重,患者颈动脉粥样硬化斑块形成率逐渐升高。结论颈动脉粥样硬化斑块和脑梗死间具有明显的相关性,且患者病情轻重与斑块性质有关。彩色多普勒超声可对颈动脉粥样硬化斑块予以早期发现,有效判断狭窄程度,实现对斑块的准确分析,在脑梗死预防中具有重要的应用价值。     

主动脉弓粥样硬化和缺血性脑卒中的关系

主动脉弓粥样斑块与缺血性脑卒中密切相关,主动脉粥样硬化是缺血性脑血管病的重要栓塞源。,经食道超声技术是检测活体胸主动脉脉粥样硬化病变的重要方法。     

颈动脉粥样硬化与脑梗塞的关系探讨

目的探讨颈部大动脉粥样硬化斑块形成与脑梗塞的相关性。方法对我院2006年3月至2007年9月利用彩色多普勒超声检测颈部大动脉粥样硬化斑块形成情况的临床资料进行回顾性分析。结果与对照组相比,观察组颈部大动脉粥样硬化斑块阳性率明显升高（P〈0.05）。结论脑梗塞的发生与颈动脉粥样斑块密切相关,颈动脉粥样斑块可作为预测及评价脑梗塞的重要指标。     

脑梗死与颈动脉粥样硬化斑块的相关性分析

目的 探讨脑梗死与颈动脉粥样硬化斑块的相关性.方法 采用彩色多普勒血流成像技术对434例脑梗死患者进行检测,观察其梗死侧和非梗死侧颈动脉内中膜厚度、斑块的部位、大小及其数目、动脉狭窄程度以及血流动力学改变等,并与248例对照组颈动脉粥样硬化斑块检出情况进行比较.结果 脑梗死组患者的颈动脉粥样硬化斑块检出率为72.8％,显著高于对照组(25.0％,P＜0.01).颈动脉粥样硬化斑块多发生在脑梗死病灶的同侧,占85.0％,非梗死侧为12.6％;以颈总动脉分叉处居多,占58.4％.多因素Logistic回归分析显示斑块大小及其数量、峰值流速、搏动指数与脑梗死有明显的相关性(P＜0.05),而两侧颈动脉内中膜厚度、狭窄程度无明显差异(P＞0.05).结论 脑梗死的发生与颈动脉粥样硬化斑块密切相关,防止斑块的形成对防治脑梗死的发生有非常重要的意义.     

彩色多普勒血流显像对脑梗死颈动脉的检测

目的:探讨脑梗死患者颈动脉在彩色多普勒血流显像(CDFI)的表现。方法:利用彩超对50例脑梗死患者的颈部动脉血管做横向、纵向扫查,测量血管的内径、观察内壁光滑程度和有无动脉粥样硬化斑块,并设立对照组30例非脑梗死病人,二者相比较。结果:50例脑梗死组颈动脉粥样硬化斑块形成39例,发生率为78.00％,对照组30例有14例发现颈动脉粥样硬化斑块形成,发生率为46.67％,二者差异有显著性(P<0.05)。结论:彩超检查能早期发现颈动脉粥样硬化斑块,对有效预防脑梗死的发生有重要意义。     

207例原发性高血压患者颈动脉硬化斑块形成发生率的临床观察

目的：观察原发性高血压患者颈动脉硬化斑块形成的发生率，了解原发性高血压患者超声检测颈动脉硬化斑块的临床意义。方法：使用美国GE公司Logic-9型彩色多普勒显像仪对2007年4月～2008年2月我病房收治的207例原发性高血压患者进行颈动脉检查，记录斑块部位、范围、数量及回声特点等，估测斑块处的管腔内径有否狭窄及狭窄程度。结果：207例高血压患者中有134例发现有颈动脉粥样硬化斑块形成，发生率为64．7％，其中多发斑块形成的患者数为116例．占颈动脉粥样硬化斑块形成的患者总数的86％。结论：对高血压患者进行颈动脉斑块超声检测．对于预防脑血管意外事件发生具有重要意义．可作为高血压患者的常规检查。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.