红外热像图在腰椎间盘突出症疗效评定中的应用

目的:探讨红外热像图在治疗腰椎间盘突出症疗效评定中的应用。方法:对60例腰椎间盘突出症的患者,康复治疗前后行红外热像图检查,对治疗前后红外热像图检查结果进行对比分析。结果:腰椎间盘突出症治疗前红外热像图的特点为腰骶部出现异常热区呈菱形或梭形热区范围扩大,异常热区温度多超过34℃,与周边温度差多超过3～4℃,患侧下肢一般表现为低温区;治疗后红外热像图改善的主要表现为腰骶部热区范围缩小以及异常热区中心温度降低,异常热区中心温度低于34℃,与周边温度差未超过3～4℃,患侧下肢低温区缩小,接近或达到健侧下肢温度。结论:红外热像图能直观反应腰椎间盘突出症患者治疗前后腰骶及双下肢异常温度变化,可作为评定腰椎间盘突出症疗效的功能指标。     

红外热像图诊断慢性盆腔炎305例临床分析

目的分析红外热像扫描图对慢性盆腔炎的诊断价值。方法采用红外热像扫描图对305例慢性盆腔炎进行扫描、测量和分析。结果红外热像图与临床及妇检结果符合率为96.72%。热图温度显示患侧附件区、子宫区部位温度与周边比较,大多增高0.6℃或0.6℃以上,占89.84%。结论热图能客观反映慢性盆腔炎的炎症、疼痛相应部位温度变化特征,对慢性盆腔炎的诊断有重要的临床参考价值。     

红外热像图诊断乳腺癌

探讨红外热像图对乳腺癌的诊断价值。方法：阅读分析９２例乳腺疾病患者红外热像图表现,记录双侧乳头、乳晕温差,乳房病变区温度与对侧相应区温差。结果：乳腺癌患者病变化温度明显增高,与对侧相应部位温差〉１．０℃,双侧乳头温差〉０．７℃,乳晕温差〉０．８℃。     

面神经炎急性期患者头面部的远红外热像特征分析

目的：观察面神经炎急性期患者头面部远红外热像图的变化,为面神经炎的临床研究提供客观观察指标。方法：2007年4月至2010年5月纳入解放军总医院针灸科门诊的面神经炎急性期患者23例,并选择21例健康体检者为正常对照。应用平面医用远红外热像仪（热敏度为0．05℃）采集头面部远红外热像图,分析同一受检者左、右两侧面颊、内眦、眶上及额等测温区远红外热像的温度差,并与正常对照组进行比较。结果：面神经炎患者患侧4个测温区的温度明显不同于健侧,温度差值为0．1～2．8℃;正常组4个测温区左、右两侧的温度差值为0．01～0．26。C。面神经炎患者4个测温区的辐射热温差值均高于健康人（P〈0．01）。23例观察组中14例呈充血性改变,7例呈不对称性改变,2例呈缺血性改变。结论：面神经炎急性期患者的头面部远红外热像特征以充血性改变为主,远红外热像图能较客观地反映面神经炎患者头面部供血状态的变化。     

红外热像图诊断乳腺癌

目的：探讨红外热像图对乳腺癌的诊断价值。方法：阅读分析９２例乳腺疾病患者红外热像图表现,记录双侧乳头、乳晕温差,乳房病变区温度与对侧相应区温差。结果：乳腺癌患者病变区温度明显增高,与对侧相应部位温差＞ １０℃,双侧乳头温差＞ ０７℃,乳晕温差＞ ０８℃。与良性病变组对照有显著差异。以一项指标符合者,热像图诊断乳腺癌符合率８８９％ 。结论：红外热像图是诊断乳腺癌准确而又安全简便的检查方法,它不仅能辅助诊断乳腺肿块的良恶性,更适合于普查。     

局部低温深度对大鼠脊髓缺血损伤保护程度的相关性研究

目的：研究局部低温的深度与大鼠脊髓缺血损伤保护程度的相关性。方法：通过向大鼠胸腰椎蛛网膜下腔灌注不同温度的生理盐水，将4组动物脊髓核心分别控制在38℃、34℃、30℃、18℃4个水平。阻断胸主动脉控制脊髓近端动脉压。观察动物截瘫数及截瘫指数并作组织学检查。结果：实验动物的截瘫数及截瘫指数随着低温温度的降低而降低。组织学检查显示随着低温温度降低，脊髓缺血损伤逐渐减轻。结论：与轻、中度低温相比，深度低温对脊髓缺血损伤的保护作用更显著，局部低温的深度与大鼠脊髓缺血损伤保护程度呈正相关。     

红外热图对强直性脊柱炎的诊断价值

目的 探讨红外热图对强直性脊柱炎(AS)的诊断价值。方法 对48例AS患和50例正常人的红外热图表现进行分析，采用国产WP—95型医用红外热像扫描仪，AS诊断标准参照蒋明主编《风湿病学》。结果 AS的脊背4热图自颈胸至腰骶呈温高色红的热区，宽度相当于两侧骶棘肌外缘间，平均1．6℃的连线，温度高于两侧温度1—2．8℃。结论 红外热图对强直性脊柱炎有一定的早期辅助诊断价值。     

红外热像技术在糖尿病方面的应用研究

目的 基于生物传热理论，研究红外热像图在糖尿病研究中的应用。方法 采用温度负荷方法，将人体内代谢系统的功能活动诱发到体表，利用手背面摄取红外热像图，然后通过根据基本原理编写的程序分析，得到红外热像图检测结果，最后将红外热像图的分析结果与临床医生的综合诊断结果相对照。结果 对2042例临床数据进行统计和分析，显示出糖尿病患者和健康人的代谢功能有显著差异。结论 本文所采用的方法对糖尿病的代谢功能测定具有积极意义。     

螺旋CT及重建技术在脊柱损伤中的应用

目的 探讨螺旋CT及重建技术在脊柱损伤中的应用价值。方法 回顾性分析31例脊柱损伤患者的螺旋CT袖位图像(TrCT)、多平面重建图像(MPR)、表面遮盖法重建图像(SSD)，根据对病变的分辨率，将三者对病变的显示能力分为优、良、差3等。结果 脊柱正、侧位CT定位像类似于常规X线摄片。TrCT、MPR对骨折、无旋转脱位、脊髓损伤显示良好。SSD对线性骨折、脊髓损伤显示差。MPR和SSD能清晰显示椎间隙宽窄、椎体滑脱；椎体旋转脱位以SSD显示最好。MPR和SSD立体感强，空间分辨率高。结论 螺旋CT应作为脊柱损伤的首选检查方法。熟悉并灵活应用CT定位像、TrCT、MPR、SSD图像，可对各种脊柱损伤作出及时而准确的诊断。     

尿素联合盐酸四环素局部注射治疗头面部血管瘤

血管瘤是由残余的中胚叶或血管细胞形成的一种良性肿瘤。多见于婴儿及儿童，发病率约为3％～8％，可以出现在人体各部位，约50％发生在头面部，给患儿及家长带来极大的精神和心理负担。大部分血管瘤发生在皮肤及皮下软组织浅层，发展扩大时可侵犯肌肉及骨骼。血管瘤属良性肿瘤，如果处理不当，发展到晚期侵犯和破坏深部重要组织和器官时，往往缺乏有效治疗方法。尤其是头面部血管瘤，使手术治疗受到了极大限制，因此局部注射治疗显示出其明显的优势。现对2003年1月到2004年10月就诊的38例头面部血管瘤患者的治疗效果进行观察，现总结报告如下。     

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.     

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…     

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.