小儿热感宁口服液与双黄连口服液治疗小儿上呼吸道感染的疗效比较

目的：评价小儿热感宁口服液（XPK）治疗小儿上呼吸道感染（上感）的疗效和安全性,方法：101例上感患儿随机分成2组,其中观察组60例口服XPK的剂量为：1岁内2．5－5ml,1-3岁5－10ml,3－7岁10-15ml,7-13岁,15－20ml,1日－3－4次,首剂加倍,3日为1疗程,对照组41例口服双黄连口服服液进行治疗,均记录患儿用药前后的体温、临床症状及不良反应,按标准作出疗效评定,并对两组作疗效比较,结果：观察组显效44例（73．3％）,好转8例（13．3％）,无效8例（13．3％）,总有效率为86．6％,未发现与本药治疗有关的不良反应,对照组显效14例（34．2％）,好转19例（46．3％）,无效8例（19．5％）,总有效率为80．5％,两组显效率比较差异有非常显著意义,P＜0．01,结论：小儿热感宁口服液是一种临床治疗小儿上感的安全 的中西复方制剂。     

小儿热感宁口服液治疗小儿上呼吸道感染的临床研究

目的 评价小儿热感宁口服液（XRK）治疗小儿上呼吸道感染（上感）的疗效及安全性。方法 120例上感患儿随机分成观察组（60例）和对照组（60例）,观察组口服XRK的剂量为：1岁以内2．5－5ml,1－3岁5－10ml,3－7岁10－15ml,7－13岁15-20ml,1日3－4次,首剂加倍,3日1疗程。记录患儿药前后的体温、临床症状及不良反应,并按标准作出疗效评定,对照组口服维C银翘冲剂治疗,并对两组进行疗效比较。结果 观察组显效44例（73．3％）,好转8例（13．3％）,效8例（13．3％）,总有效率为86．6％,未发现与本药治疗有关的不良反应。对照组显效26例（43．3％）,好转18例（30％）,无效16例（26．7％）,总有效率为73．3％。两组显效率比较P＜0．01。结论 小儿热感宁口服液是一种临床治疗小儿上感的安全有效的中西药复方制剂。     

薄层扫描法测定小儿解热宁口服液中柴胡皂苷b2的含量

目的：建立小儿解热宁口服液的含量测定方法。方法：采用薄层扫描法对小儿解热宁口服液中柴胡皂苷b2进行定量。结果：柴胡皂苷b2在0．6－2．8μg范围内与峰面积积分值呈良好的线性关系，平均回收率为97．09％，RSD＝1．24％（n=5)。结论：本法简便、快速、准确，可作为小儿解热宁口服液质量控制的方法。     

小儿腹泻宁澄清工艺的研究

目的 探讨小儿腹泻宁口服液澄清工艺。方法 采用不同浓度乙醇沉淀，调整溶液pH值，醇沉后是否再水沉的方法，应用L6（2^3)正交试验优选最佳提取工艺。结果：最佳工艺为水提取液50％乙醇沉淀，醇溶液pH7.0 ,醇沉后再进行水沉。结论 该工艺能提高有效成分葛根素的含量，并能使最大程度提高小儿腹泻宁澄明度。     

心血宁胶囊中葛根素含量测定

目的：建立心血宁胶囊中葛根素的HPLC含量测定方法。方法：色谱柱：以十八烷基硅烷键合硅胶为填充剂,流动相为：甲醇：水：醋酸（25：75：0．2）.流速：1．0mL／min。检测波长：250nm,柱温：40℃。结果：葛根素在O．1674～0．7254μg具良好的线性关系（r=0．9997）;平均回收率为97．7％,RSD=I5％（n=5）.结论：该方法简便,准确,重复性好,可用于心血宁胶囊中葛根素的含量测定。     

眼伤宁口服液质量标准研究

控制眼伤宁口服液产品的内在质量。方法采用薄层鉴别法对眼伤宁口服液中的赤芍、黄芪进行了薄层鉴别研究，并采用ＨＰＬＣ法测定眼伤宁口服液中丹参的有效成分之－原儿茶醛的含量。结果：加样回收率为９８．８８％，ＲＳＤ为０．９２％，结论实验表果良好，重现性良好，可作为眼伤宁口服液质量标准。     

果糖口服液联合中药小儿康颗粒治疗小儿功能性便秘临床疗效观察

目的：观察应用乳果糖口服液联合中药小儿康颗粒治疗小儿功能性便秘的疗效,为临床治疗小儿功能性便秘提供更好的治疗方案。方法：将70例功能性便秘患儿随机分为两组,治疗组予乳果糖口服液加中药小儿康颗粒3周,对照组予乳果糖口服液3周,观察两组疗效,并停药4周后随诊。结果：两组患儿便秘均有明显改善,治疗组和对照组的总有效率为94．3％和77．1％,（ P＜0．05）有显著差异性,停药1月后复发率为6．1％和33．3％,（ P＜0．05）有显著差异性。结论：乳果糖口服液联合中药小儿康颗粒治疗小儿功能性便秘效果满意,复发率低。     

儿感退热宁口服液治疗儿童急性上呼吸道感染疗效观察

目的观察儿感退热宁口服液治疗小儿急性上呼吸道感染的临床疗效。方法236例急性上呼吸道感染患儿，随机分为治疗组和对照组。治疗组118例应用儿感退热宁口服液治疗，对照组118例采用抗病毒颗粒口服治疗，两组治疗时间均为3d。结果儿感退热宁口服液临床疗效（91．53％）较抗病毒颗粒组（81．36％）明显，3d内退热稳定并不回升，且在退热时间、咳嗽、气急、咽部充血、肺部体征等主要症状、体征的改善上明显优于抗病毒颗粒组（P〈0．01）。结论儿感退热宁口服液治疗小儿急性上呼吸道感染临床疗效满意。     

高效液相色谱法测定解肌舒筋口服液中葛根素的含量

目的：测定解肌舒筋口服液中葛根素的含量。方法：采用HPLC法（C18柱）；流动相为甲醇-水（25：75）；流速1．0ml／min；检测波长250nm。结果：葛根素在16．32-204．00μg／ml浓度范围内线性关系良好（r=0．9999）。平均回收率为99．5％，RSD=0．85％。结论：本法简便，准确，重现性好，可作为该产品的质量控制方法。     

中西医结合治疗小儿神经性尿频85例

目的：观察中西医结合治疗小儿神经性尿频的疗效。方法：用中西医结合法（消炎痛与生脉饮口服液）治疗85例诊断为小儿神经性尿频患儿，并进行疗效观察。结果：85例经1个疗程治疗后痊愈73例（85．50％），2个疗程痊愈7例（8．00％）；好转4例（4．70％）；无效1例（1．18％）。有效率为98．80％。85例患儿在治疗过程中均未见明显副作用。结论：中西医结合（消炎痛与生脉饮口服液）治疗小儿神经性尿频具有疗程短、疗效高、价廉、无副作用等优点，值得临床推广。     

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.     

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.     

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…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.