中西医结合治疗慢性肺心病急性发作60例临床观察

采用中西医结合疗法治疗慢性肺心病急性发作期60例,并与单纯西药组进行比较。结果：治疗组总有效率92．7％,对照组为73．3％,治疗组疗效明显优于对照组（P＜0．01）。且治疗组治疗后全血粘度、血浆粘度、红细胞压积较对照组改善明显（P＜0．01或P＜0．001）。提示：中西医结合疗法治疗慢性肺心病急性发作有较好的疗效。     

阿司匹林联合华法林治疗冠心病合并心房纤颤的临床疗效观察

目的：探究阿司匹林联合华法林治疗冠心病（ CHD）合并心房纤颤（ AF）的临床疗效。方法：资料随机选取2012年7月～2013年7月本院收治的95例CHD合并AF患者,随机分为研究组48例,对照组47例。对照组予以华法林治疗,研究组予以阿司匹林联合华法林治疗,分析2组治疗效果。结果：研究组血栓栓塞事件发生率4．17％低于对照组25．53％,比较差异具统计学意义（P＜0．05）;研究组血栓栓塞事件、出血事件发生率均低于对照组,治疗后3m研究组Ccr水平（67．53±15．67）ml／min高于对照组,比较差异具统计学意义（P＜0．05）。结论：阿司匹林联合华法林可显著减少CHD合并AF患者血栓栓塞和出血事件的发生,且对肾功能损伤小。     

中西医结合治疗慢性盆腔炎的临床效果分析

目的：分析中西医结合治疗慢性盆腔炎的临床效果。方法选取慢性盆腔炎患者140例为研究对象,随机分为两组,各70例。对照组患者给予西医治疗,观察组患者在此基础上加用中药灌肠治疗。两组均治疗10 d,观察其临床治疗效果。结果观察组总有效率为95．7％,对照组总有效率为84．3％,观察组总有效率高于对照组的84．3％（ P ＜0．05）。结论中西医结合治疗慢性盆腔炎可有效减轻患者的临床症状,获得满意的临床效果。     

中西医结合治疗异位妊娠60例的临床疗效观察

目的：探究与分析中西医结合治疗异位妊娠的临床疗效。方法：选取我院自2011年01月至2013年12月收治的异位妊娠患者60例，采取随机数字表进行分组，每组各30例。对照组给予米非司酮治疗，试验组给予米非司酮配伍中药宫外孕Ⅱ号方加减治疗，对比两组患者的临床疗效。结果：对照组有效率为63．33％，试验组有效率为80．00％，试验组有效率明显高于对照组（P＜0．05）。对照组总并发症发生率为40．00％，试验组总并发症发生率为20．00％，试验组总并发症发生率明显小于对照组（P＜0．05）。结论：采用中西医结合的方法治疗异位妊娠可提高临床疗效，减少手术率，药物副作用不增加，值得临床推广。     

中西医结合治疗小儿慢性鼻-鼻窦炎30例效果分析

目的：中西医结合治疗小儿慢性鼻-鼻窦炎的临床效果观察。方法选取2012年9月～2013年9月广东省揭阳市普宁市中医医院收治的慢性鼻-鼻窦炎患儿57例,其中有30例给予中西医结合治疗（试验组）,另27例给予单纯西医常规治疗（对照组）,治疗28 d后对2组疗效进行综合比较。结果试验组治疗愈显效率达到90.0%,对比对照组（66.67%）有显著性差异（P＜0.05）;试验组无1例患儿治疗无效,对照组有3例（11.11%）患儿治疗无效,2组治疗无效率比较差异无统计学意义。结论中西医结合治疗小儿慢性鼻-鼻窦炎效果显著,值得临床推广应用。     

中西医结合对维持性血透患者合并抑郁的疗效观察

目的：观察中西医结合治疗维持性血透患者（MHD患者）合并抑郁障碍的临床疗效。方法：80例MHD合并抑郁障碍忠者纳入本研究，随机分为对照组及试验组，对照组采用常规心理干预治疗，试验组采用心理干预＋逍遥解郁膏治疗，参照Zung抑郁自评量表（SDS）测量评分，比较中西医结合治疗与常规心理干预治疗的效果。结果：对照组总有效率为72．7％，试验组总有效率为90％，两组疗效相比，统计学处理均有显著性差异（P〈0．05）。结论：中西医结合治疗可显著改善MHD患者的抑郁障碍。     

中西医结合三联疗法治疗输尿管结石疗效分析

目的：探讨中西医结合三联疗法治疗输尿管结石的临床疗效。方法：随机选取我院2010年9月～2013年11月期间收治的输尿管结石患者60例,将其随机平均分配为试验组和对照组,其中试验组患者采用中西医结合三联疗法进行治疗,对照组患者实施常规对症治疗,对比2组患者的临床治疗效果。结果：试验组患者的治愈率（90．0％）和总治疗有效率（96．7％）均明显高于对照组患者（60．0％、83．3％）,差异具有显著性（P＜0．05）。结论：采用中西医结合三联疗法对输尿管结石进行治疗,疗效显著,安全可靠,建议在临床上进一步推广。     

肺心病合并慢性呼吸衰竭30例临床护理

目的：对肺心病合并慢性呼吸衰竭患者的临床护理方案进行探讨、分析。方法：在2015年1～12月间收治的肺心病合并慢性呼吸衰竭患者中抽取30例,3～7月份15例患者治疗过程中接受常规护理,定为对照组;总结护理经验,8～12月15例患者治疗过程中接受优质护理,定为实验组,对比两组患者的临床护理效果。结果：实验组护理满意度为93．3％,明显高于对照组的（80．0％,P ＜0．05）;实验组症状缓解时间、平均住院时间均短于对照组（P ＜0．05）;实验组不良反应发生率为6．7％,明显低于对照组的（20．0％,P ＜0．05）。结论：总结常规护理经验,为肺心病合并慢性呼吸衰竭患者提供优质的临床护理,对促进患者康复具有重要意义。     

低分子肝素钠治疗重症肺心病合并心力衰竭的疗效观察

目的：观察低分子肝素钠治疗重症肺心病合并心力衰竭的临床疗效。方法回顾性分析该院自2012年1月－2013年12月收治的88例重症肺心病合并心力衰竭患者的临床资料，随机分为对照组（44例）和观察组（44例），对照组给予常规治疗，观察组在对照组的基础上给予低分子肝素钠治疗，比较2组患者疗效。结果经过治疗，观察组患者总有效率（90．91％）高于对照组总有效率（72．73％），差异有统计学意义（P＜0．05）。结论低分子肝素钠治疗重症肺心病合并心力衰竭疗效显著，比较安全，值得临床推广应用。     

加味丹参白茅根大黄治疗早期慢性肾功能衰竭的疗效观察

目的：探讨加味丹参白茅根大黄治疗早期慢性肾功能衰竭的临床疗效。方法：选取在我院接诊的36例早期慢性肾功能衰竭患者作为主要研究对象，采用随机性的方法，将本组试验患者分为观察组和对照组，每组18例，对照组患者接受西医治疗，观察组患者接受中西医结合治疗，对两组患者的临床效果进行观察和比较。结果：两组患者通过治疗，观察组患者临床治疗总有效率（100％）优于对照组（61.1％），组间比较差异具有统计学意义（x2＝10.263，P ＜0.05）。结论：在早期慢性肾功能衰竭的临床治疗过程中，中西医结合治疗的效果显著，其中加味、丹参、白茅根、大黄起着较为重要的作用，值得临床推广和使用。     

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.