一味茯芩饮结合梅花针扣刺治疗斑秃1例

李某,男,26岁.2011年6月自觉脱发明显,轻抓头发就有七八根头发脱落,未在意,2011年7月15日理发时被告知头部枕骨粗隆偏右上有直径1 cm大小头发脱落,遂在脱发部位擦鲜姜汁进行治疗1月,未见生出新发,并且头皮其他毛发易被拔掉.为求中医治疗于2011年8月17日在笔者导师门诊求治.     

护肾Ⅱ号对慢性肾脏病1~4期患者头发生长特性及生物力学的影响

【目的】观察慢性肾脏病(CKD)1~4期患者头发生长特性及生物力学改变及护肾Ⅱ号的干预作用,以期丰富和发展"肾其华在发"理论。【方法】将100例CKD 1~4期患者按数字表法随机分为对照组和治疗组,每组各50例。对照组给予西医常规治疗,治疗组在对照组治疗的基础上加用护肾Ⅱ号。另招募健康志愿者20例作为健康对照组。采用CBS-1800皮肤检测分析系统检测3组治疗前后枕部头发密度、头发直径、白发率的变化,微力材料试验机(Instron 5848 Micro Tester)检测3组治疗前后头发抗拉强度、拉伸应变的变化。【结果】治疗前,对照组、治疗组头发密度、白发率、抗拉强度、拉伸应变值均低于健康组(P0.05);3组头发直径比较,差异无统计学意义(P0.05)。治疗后,对照组、治疗组头发密度大于治疗前(P0.05),且治疗组优于对照组(P0.05);对照组白发率与治疗前比较,差异无统计学意义(P0.05),但治疗组白发率低于治疗前(P0.05);对照组抗拉强度、拉伸应变与治疗前比较,差异无统计学意义(P0.05),但治疗组抗拉强度、拉伸应变高于治疗前(P0.05)。【结论】CKD 1~4期患者头发密度降低、白发率升高,头发的脆性增加、韧性降低,护肾Ⅱ号能显著增加CKD 1~4期患者的头发密度、韧性,降低患者白发率和头发脆性。其丰富和发展了"肾其华在发"理论。     

人乳头瘤病毒感染

HPV是人乳头瘤病毒的缩写.它非常微小,直径50纳米左右,一根头发的直径是病毒颗粒的1000倍.它广泛存在于自然界中,比如电梯按键、门把手等地方,都发现有HPV的存在.大家都知道, HPV感染是宫颈癌发生的主要原因.很多患者谈HPV色变,一旦发现HPV感染,便吃不好饭睡不好觉,整天忧心忡忡,感觉自己得了宫颈癌.     

头发微量元素含量测定的应用价值评价

目的：探讨儿童头发和全血铅、锌、铁、钙测定的应用价值。方法：用电感耦合高频等离子体发射光谱法,对128例2～5岁儿童进行头发和全血铅、锌、铁、钙测定,以全血铅、锌、铁、钙含量为标准。结果：头发铅测定的灵敏度可达88．1％,应用串联试验,头发铅测定的特异度可提高至81．3％;头发锌测定的灵敏度可达86．0％,特异度为52．3％;头发钙测定的灵敏度为78％,特异度为69％;头发铁测定的灵敏度为71％,特异度为77％。结论：头发微量元素测定可作为微量元素缺乏和超量的筛查和诊断的一种方法,头发样品容易采集、运输和保存,因此头发微量元素含量测定适合在中小城镇及农村使用。     

广东正常人头发中微量元素含量

近年来,人们发现微量元素与人体健康有着密切关系。头发中微量元素含量可反映相当长时间内元素的积累状况,也可反映头发生长期间元素的摄入量和代谢情况,间接地反映机体内的含量。检测头发中的微量元素含量,可以作为衡量元素的环境污染程度,营养情况及对机体危害程度。但是,必需有个正常值才可以衡量元素含量的多寡或正常。为此,本研究测定广东地区正常人头发中12种微量元素的含量,提出了正常人头发中微量元素的正常值。一、材料与方法(一)头发的收集:头发采自广东中部的中山县、西部的四会县及东部的五华县,分别为平原、丘陵及半山区。采集对象为长期生活     

头发“经理人”的护发之道

据统计，只有8％的女性认为自己不会为头发而烦恼。我们特请了一些头发“经理人”贡献出她们自己的护发之道。希望通过这些经验的分享能让你对自己的头发不再烦恼。[编者按]     

醋酸泼尼松龙注射液＋盐酸利多卡因注射液治疗斑秃32例临床观察

斑秃是秃发(脱发)的一种，俗称“鬼剃头”，往往于精神过度紧张引起。其症状表现为：脱发区边界清楚．头皮正常，无炎性损害，多为圆形或椭圆形，直径1-2cm或更大，严重者头发可全部脱落．我们自1998年5月．2003年9月用醋酸泼尼松龙注射液 盐酸利多卡因注射液治疗斑秃32例，效果较好，现报道如下：     

人老了头发为何会变白

问：人老了头发为何会变白？ 答：一般说来，年轻人的头发乌黑油亮，而老年人往往白发苍苍。头发乌黑是因为头发里含有一种黑色素，黑色素含量越多，头发的颜色就越黑；反之，黑色素含量越少，头发的颜色就越淡。随着人体的衰老，毛囊中的色素细胞将停止产生黑色素，头发也就开始变白。     

以黍提取物为活性成分的健康食品用于促进头发生长

JP2004346031-A以六碳以上的脂族烃提取黍中的脂溶性成分,经离子交换树脂,以低级脂族醇溶液洗脱,用色谱法收集具头发生长活性的部位,作为健康食品。本品可修复头发,并对头发生长有促进作用,且安全有效。以黍提取物为活性成分的健康食品用于促进头发生长@张兴福     

新药研究与开发

赛诺菲巴斯德公司向欧盟申报其首个皮内注射流感疫苗 赛诺菲巴斯德公司的季节性流感皮内微量注射疫苗,采用BD Soluvia 预装微量注射递药系统,注射针长仅1.5cm,直径只相当于一根头发粗,插进富含免疫细胞的真皮内,使免疫细胞激活又迅速运向淋巴结,再激活T细胞引起免疫反应,预期可提高老年人的免疫力.     

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.