不同省籍与民族25363人非亚型ABO血型调查

用非亚型单克隆抗体ＡＢＯ血型试剂与标准血清同时对比测定了２５３６３人的非亚型ＡＢＯ血型，并按不同省籍和不同民族进行了统计。     

广西巴马地区瑶、壮、汉民族ABO血型分布

调查广西巴马地区４７１８名瑶、壮、汉民族ＡＢＯ血型分布，其特点为：瑶族及壮族Ｏ＞Ｂ＞Ａ，属华南型，民族指数分别为０．９０和０．６９；汉族Ｏ＞Ａ＞Ｂ，属华东型，民族指数１．００。此结果基本符合我国省区血型频数分布规律。     

齐齐哈尔地区ABO血型系统中A亚型与B亚型分布调查报告

齐齐哈尔地区ＡＢＯ血型系统中Ａ亚型与Ｂ亚型分布调查报告齐齐哈尔市红十字中心血站李淑莉，王可鹏，胡太灵，陈月ＡＢＯ血型系统中Ａ亚型与Ｂ亚型是有临床意义的血型现象。如果一个亚型人多次输入非亚型血液，很可能产生溶血反应，严重时会危及患者生命，我地区亚型分布...     

畲族ABO血型基因频率调查

从江西，浙江和福建三省中随机抽取三代均为畲族的１２０例无关个体测定其ＡＢＯ血型，结果为Ａ型２４人，Ｂ型３８人，Ｏ型５１人，ＡＢ型７人；基因频率为：ｐ＝０．１３８８，ｑ＝０．２０９４，ｒ＝０．６５１８。本文较全面了反映了畲族ＡＢＯ血型的分布特点，为研究畲族的起源与变迁提供了有价值的资料。     

内蒙古少数民族ABO血型基因频率分布

本文报告了９个民族ＡＢＯ血型基因频率分布。出现３种特征：汉、回族为Ｂ＞Ｏ＞Ａ＞ＡＢ；蒙、鄂温克、鄂伦春、朝鲜、俄罗斯、满族为Ｏ＞Ｂ＞Ａ＞ＡＢ；达斡尔族为Ｂ＞Ａ＞Ｏ＞ＡＢ。基因频率ｒ（Ｏ）：鄂温克族较高（０．７５４９），达斡尔族（０．５２３４）、回族（０．５１７１）较低。Ｐ（Ａ）：鄂温克族偏低（０．１１３８），朝鲜族（０．２２７７）和达斡尔族（０．２２５３）偏高。ｑ（Ｂ）：回族略高（０．２８１８），鄂温克族（０．１３１３）和朝鲜族（０．１７５３）略低。与国内同民族相比，除鄂温克、鄂伦春同民族间有显著性差异（Ｐ＜０．０１）外，其他同民族间均无显著性差异（Ｐ＞０．０５）。     

Ⅱ型糖尿病与ABO血型关系的探讨

为了解Ⅱ型糖尿病与ＡＢＯ血型的关系。方法对医院内科１９９３年以来住院的５１２例Ⅱ型糖尿病患者的ＡＢＯ血型分布与正常人群作一对比研究。结果Ⅱ型糖尿病患者男性Ａ血型人群较易患Ⅱ型糖尿病，相对急危险率较其他血型者高１．７８倍（χ２＝５．６１４６，Ｐ＜０．０５）；女性Ｏ血型人群较易患Ⅱ型糖尿病，相对危险率较其他血型者高１．４９倍（χ２＝５．９２１６，Ｐ＜０．０５）。结论Ⅱ型糖尿病与ＡＢＯ血型之间存在着某种内在联系。从而表现出两者即与遗传有关的共性，又表现出不同血型Ⅱ型糖尿病患者的发病率和并发症有差异的个性。     

海南汉族及黎族人群ABO血型基因频率的调查分析

我们以指尖血检查了８３３名海南汉族人和３２８名海南黎族人的ＡＢＯ血型，用Ｂｅｒｎｓｔｅｉｎ方法估计血型基因频率。其结果是：海南汉族人的Ａ基因频率为０．１５７８，Ｂ基因频率为０．１８０９，Ｏ基因频率为０．６６１３。海南黎族人的Ａ基因频率为０．１７８５．Ｂ基因频率为０．２０４７．Ｏ基因频率为０．６１６６。此结果表明海南ＡＢＯ血型分布完全符合中国人ＡＢＯ血型分布特点，并无例外。若以遗传距离ｄ≤２５×１０－４作为无显著差异的标准，则海南汉族可归入中国东南地区组。海南黎族与其他群体比较有一定差异，可自成一类。本结果充实了中国人ＡＢＯ血型分布中海南汉族和黎族人的ＡＢＯ血型资料，对研究各民族的渊源关系有一定的参考意义。     

HBV无症状携带者与ABO血型关系的探讨

目的：探讨ＨＢＶ无症状携带者与ＡＢＯ血型间关系。方法：采用Ｗｏｏｌｆ统计方法与卡方（ｘ＾２）检验方法对１７４例ＨＢＶ无症状携带者的ＡＢＯ血型分布以及男女性别的关系进行系统分析。结果：男性携带者血型呈Ｂ〉Ｏ〉Ａ〉ＡＢ型分布,女性携带者呈Ｂ〉Ａ〉Ｏ〉ＡＢ型分布。Ａ、Ｂ、Ｏ和ＡＢ血型人相对危险率分别是０．４８７０、２．０４１４、０．９６６８和１．７９５０。结论：ＨＢＶ无症状携带者与ＡＢＯ血型间存在一定关     

孕妇血清IgG血型抗体与新生儿溶血病关系探讨

对１１５４例孕妇及丈夫作ＡＢＯ、Ｒｈ（Ｄ）血型检查。有ＡＢＯ血型不合者，测ＩｇＧ抗Ａ（Ｂ）抗体效价；Ｒｈ（Ｄ）阴性者，查ＩｇＧ抗Ｄ抗体。又对其中２０４例产前有新生儿溶血病（ＨＤＮ）危险的孕妇（即产前ＡＢＯ不合，ＩｇＧ抗Ａ（Ｂ）≥６４或有Ｒｈ抗体者），所生新生儿作血型及３项试验，以证实产前ＩｇＧ抗体效价高低与ＨＤＮ发病率的关系。结果：ＡＢＯ系不合者占４２％，妇夫血型不合检出率依次为ＯＡ＞ＯＢ＞ＯＡＢ，效价≤６４占７５５％，≥５１２占１２％；Ｒｈ阴性检出率为１３８％，阴性产生抗Ｄ机率为５２５％，２０４例产前预报有ＨＤＮ可能的孕妇中，有３８例新生儿患有ＨＤＮ，占１８６％。提示：ＩｇＧ血型抗体效价的高低和新生儿ＨＤＮ发病率成正比关系     

喉癌与ABO血型的关系

对４６５例喉癌患者及１４５２名河南籍健康人的ＡＢＯ血型进行了分析比较。结果显示：喉癌患者的血型分布与正常对照组血型分布有显著性差异（Ｐ＜０．０５），患者组中Ａ型和ＡＢ型偏高，而Ｏ型和Ｂ型则偏低，提示：喉癌的血型表现形式有一定的倾向性。     

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.     

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.     

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.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.