剖宫产同时行子宫肌瘤剔除术58例临床分析

目的：探讨剖宫产同时行子宫肌瘤剔除术的可行性和安全性。方法回顾性分析剖宫产同时行子宫肌瘤剔除术58例患者(研究组)及同期116例单纯剖宫产手术患者(对照组)的临床资料。结果研究组手术时间与对照组手术时间，差异有显著性(P<0.05)，研究组手术时间长于对照组；术中平均出血量、术后排气时间、产褥病率、住院天数差异无显著性( P>0.05)。结论剖宫产同时行子宫肌瘤剔除术是一种安全的手术方式，但对于多发性子宫肌瘤、特殊部位肌瘤需充分评估，以保证手术的安全。     

剖宫产同时剔除子宫肌瘤36例临床分析

目的 探讨妊娠合并子宫肌瘤在剖宫产术同时行肌瘤剔除的安全性及可行性.方法 回顾性分析我院36例剖宫产同时行子宫肌瘤剥除患者(观察组)与同期36例单纯行剖宫产术患者(对照组)的临床资料.结果 观察组与对照组相比,术中出血量、术后患病率、住院时间等各方面比较差异无统计学意义(P>0.05);手术时间比较差异有统计学意义(P<0.05).结论 剖宫产术同时行子宫肌瘤剔除术是安全,可行的.     

剖宫产同时行子宫肌瘤剔除术患者的临床疗效

目的通过探讨剖宫产同时进行子宫肌瘤剔除术患者的临床疗效,旨在为提高妊娠合并子宫肌瘤患者临床治疗提供理论依据.方法：选择妊娠合并子宫肌瘤患者82 例,平均分成研究组和对照组两组,每组41 例患者,对照组患者给予单纯剖宫产,研究组患者在对照组剖宫产的基础上同时进行子宫肌瘤剔除术,对比两组患者的手术时间、术中出血量、术后排气时间、住院时间和术后感染率.结果：研究组患者在手术时间、术中出血量显著高于对照组（P〈0.05）,差异有统计学意义,但在术后排气时间、术后感染率和住院时间上差异不显著（P〉0.05）.结论：剖宫产在控制手术时间和出血量的基础上同时行子宫肌瘤剔除术是安全有效的,能避免二次手术,提高患者生活质量.     

妊娠合并子宫肌瘤剖宫产术中行子宫肌瘤剔除术的可行性分析

目的:研究分析妊娠合并子宫肌瘤剖宫产术中行子宫肌瘤剔除术的可行性。方法:选取收治的妊娠合并子宫肌瘤剖宫产术患者108例,随机分为两组,各54例。对照组单纯行剖宫产术,观察组行剖宫产术中同时行子宫肌瘤剔除术,对比两组手术时间、术中出血量、术后宫缩素用量、产后恶露干净时间、住院时间以及术后并发症发生情况。结果:观察组手术时间长于对照组,差异具有统计学意义(P<0.05);观察组术中出血量、术后宫缩素用量、产后恶露干净时间、住院时间与对照组相比,差异无统计学意义(P>0.05);观察组术后并发症情况与对照组相比,差异无统计学意义(P>0.05)。结论:妊娠合并子宫肌瘤剖宫产术中行子宫肌瘤剔除术完全可行,术前做好充分准备和急救措施,不会增加术中出血量和宫缩素用量,还可有效避免二次手术造成的创伤,值得推广。     

96例剖宫产术合并子宫肌瘤剔除术疗效观察

目的 探讨剖宫产术合并子宫肌瘤剔除术的临床疗效及可行性.方法 选择妊娠合并子宫肌瘤患者192例,随机均分为观察组和对照组,观察组行剖宫产术及子宫肌瘤剔除术,对照组仅行剖宫产术.对比分析两组的手术时间、术中出血量、恶露持续时间、产褥病率及住院天数等参数.结果 两组仅在手术时间上差异显著(P<0.05);术中出血量、恶露持续时间、产褥病率及住院天数差异不显著,无统计学意义(P>0.05).结论 剖宫产术合并子宫肌瘤剔除术是安全可行的.     

剖宫产术同时行子宫肌瘤剔除术的临床分析

目的:探讨妊娠合并子宫肌瘤剖宫产术同时行肌瘤剔除的安全性和可行性。方法:回顾性分析我院86例剖宫产同时行子宫肌瘤剥除术,与同期80例单纯行剖宫产术的产妇对照。结果:术中出血量、术后24h出血量、术后病率、住院时间肌瘤剔除组与单纯剖宫产组比较差异无显著意义(P>0.05);手术时间肌瘤剔除组与单纯剖宫产组比较差异有显著意义(P<0.05)。结论:剖宫产术同时应尽量行子宫肌瘤剔除术。     

剖宫产术同时行子宫肌瘤剔除术的临床分析

目的探讨妊娠合并子宫肌瘤剖宫产术同时行肌瘤剔除对产后出血、术后并发症发生率、术后住院天数的影响。方法妊娠合并子宫肌瘤产妇98例在剖宫产术中同时行肌瘤剔除,与100例单纯行剖宫产术的产妇对照。结果术后24小时出血量、术后并发症发生率、术后住院天数,肌瘤剔除组与单纯剖宫产组比较差异无显著意义(均P>0.05);手术时间肌瘤剔除组与单纯剖宫产组比较差异有显著意义(均P<0.05);术中出血量肌瘤剔除组与单纯剖宫产组差异无显著意义(均P>0.05),但肌瘤直径≥5cm者术中出血量多于直径<5cm者(P<0.05)。结论剖宫产术同时应尽量行子宫肌瘤剔除术,但对于肌瘤直径≥5cm,体质较差的产妇,不主张行肌瘤剔除术。     

在剖宫产手术中行子宫肌瘤剔除术的临床体会

目的：探讨妊娠合并子宫肌瘤患者在剖宫产术中进行肌瘤剔除术的安全性和可行性。方法：对2008年1月～2012年1月我院产科收治的妊娠合并子宫肌瘤的88例患者在剖宫产手术的同时子宫肌瘤剔除术，并与同期36例单纯行剖宫产术的产妇进行对照分析。结果：两组患者的产后出血量、住院天数、恶露干净时间无显著意义(P>0.05)；两组手术时间比较差异有显著意义(P<0.05)。结论：在剖宫产术同时行子宫肌瘤剔除术是安全可行的。     

妊娠合并子宫肌瘤行剖宫产术中肌瘤剔除的临床疗效观察

目的:分析妊娠合并子宫肌瘤行剖宫产术中肌瘤剔除的临床疗效。方法:选择我院2013年6月-2015年5月之间收治的103例妊娠合并子宫肌瘤患者作为观察对象,其中55例患者行剖宫产联合子宫肌瘤剔除治疗(研究组);另外48例患者仅行剖宫产术(对照组)。对两组患者的手术疗效进行对比。结果:研究组和对照组产妇的术中出血量、平均住院时间差异小,无统计学意义(P0.05);研究中患者的手术时间、并发症发生率高于对照组,差异结果具有统计学意义(P0.05)。结论:妊娠合并子宫肌瘤行剖宫产术中肌瘤剔除具有较好的临床效果,且对患者造成的损伤相对较小,可结合患者的实际病情选择是否应用。     

剖宫产同时行子宫肌瘤剔除术80例

目的 探讨剖宫产同时行子宫肌瘤剔除术的安全性和可行性.方法 回顾分析我院80例妊娠合并子宫肌瘤剖宫产术中同时行子宫肌瘤剔除术及80例单纯剖宫产术患者的临床资料.结果 剖宫产同时行子宫肌瘤剔除术其手术时间较单纯剖宫产长,差异有统计学意义(P<0.05).而术中出血量、术后排气时间、术后病率及住院时间比较差异无统计学意义(P>0.05).结论 剖宫产术中同时行子宫肌瘤剔除术是安全可行的.     

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…     

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.     

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     

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.