黄体酮加排石汤治疗肾及输尿管结石——附160例报告

肾、输尿管结石是泌尿外科常见疾病,治疗方法较多。我院从1988年6月～1998年6月采用黄体酮加排石汤疗法治疗肾、输尿管结石160例,取得较好疗效。一、材料与方法 1.资料:肾、输尿管结石患者320例分为两组。A组采用黄体酮加排石汤治疗;B组采用单纯     

利湿通淋法结合URL治疗输尿管中、下段结石的临床观察

目的 观察利湿通淋法结合输尿管镜气压弹道碎石术(URL)治疗输尿管中、下段结石的临床疗效.方法 将140例输尿管中、下段结石患者采用区组随机化方法 分为治疗组和对照组,每组各70例.对照组患者按常规西医方法 治疗,并行URL 术;治疗组患者在对照组治疗的基础上,术后依利湿通淋法服用中药辨证论治.观察两组患者治疗后的临床疗效.结果 治疗组70例中治愈63例.好转5例,未愈2例,总有效率为97.14%;对照组70例中治愈48例,好转14例,未愈8例,总有效率为88.57%.两组患者总有效率比较具有显著性差异(P<0.05),治疗组疗效优于对照组.结论 利湿通淋法结合URL治疗输尿管中、下段结石能加速结石的排出,提高结石的排净率,临床疗效显著.     

探讨用自拟活血利水汤配合静脉输液治疗输尿管结石的临床疗效

目的分析针对输尿管结石患者采用静脉输液与自拟活血利水汤联合治疗的疗效。方法收集本科室2016年1月-2016年12月间接收的患输尿管结石的60例患者,随机分成两组:参考组共30例,常规给予抗炎药物静注用药治疗;研究组共30例,采用抗炎药静脉输液与自拟活血利水汤联合治疗。治疗完毕后评估及对比2组患者的治疗效果。结果研究组患者治疗后的总有效率较参考组患者显著更高(P0.05)。结论针对输尿管结石患者采用静脉输液与自拟活血利水汤联合治疗疗效显著,值得借鉴。     

输尿管结石的中西医结合排石治疗

我院自2006年6月~2007年4月间采用中西医结合方法有选择地对直径<10mm的输尿管结石患者84例进行排石治疗,取得满意疗效,现报道如下。1临床资料84例中男46例,女38例,年龄16~60岁,平均35岁。左侧40例,右侧44例。输尿管上段结石24例,输尿管中、下段结石60例。阳性结石74例,阴性结石10例。结石直径≤4mm30例,5~7mm45例,8~10mm9例。所有阴性结石均加行螺旋CT扫描。84例均无严重肾积水,心肺肝肾重要脏器功能正常。随机分成对照组40例,治疗组44例。2治疗方法所有病例均在门急诊接受治疗,对照组中肾绞痛程度剧烈者首先使用杜冷丁针50mg肌肉注射,辅…     

通淋排石汤治疗泌尿系结石52例

1995年 1月～ 1999年 12月 ,运用通淋排石汤治疗泌尿系结石 5 2例 ,取得较为满意的疗效 ,现报道如下。1　临床资料5 2例中 ,男 4 2例 ,女 9例 ;年龄最大 5 8岁 ,最小 2 5岁 ,平均 34 2岁 ;发现泌尿系结石最长者3ａ ,最短 2ｈ。 5 2例患者中共有结石 6 8枚 ,纵径最大 1 3ｃｍ ,横径最大 0 8ｃｍ。其中肾结石 9例 (单侧结石 7例 ,双侧结石 2例 ) ,肾合并输尿管结石2例 ,输尿管结石 4 0例 ,膀胱结石 1例。全部病例经Ｂ超检查 ,部分病例经ＣＴ检查确诊。2　治疗方法采用自拟通淋排石汤治疗。基本方 :海金砂6 0 ｇ (包 ) ,金钱草 6 0 ｇ (包 ) ,…     

肾石通冲剂心痛定联合治疗肾输尿管结石临床观察

我们自 1 997年以来 ,分别用中成药肾石通冲剂及联合应用肾石通冲剂 ,心痛定治疗肾输尿管结石 1 0 0例 ,对其疗效进行临床观察对比 ,现报道如下 :1　临床资料中西医联合组 5 3例 ,男 32例 ,女 2 1例 ,年龄 1 6～5 6岁 ,平均 31 .5岁 ,左肾结石 1 1例 ,右肾结石 1 8例 ,左输尿管结石 1 1例 ,右输尿管结石 1 3例 ,结石横径 3.0～ 9.3mm ,平均 6 .2± 2 .2mm ,中成药组 4 7例 ,男 2 9例 ,女 1 8例 ,年龄 1 8～ 5 7岁 ,平均 32 .5岁 ,左肾结石 9例 ,右肾结石 1 1例 ,左输尿管结石 1 2例 ,右输尿管结石 1 8例 ,结石横径 4 .0～ 9.1mm ,平均 6 .0…     

输尿管镜下气压弹道碎石术的护理

输尿管镜下气压弹道碎石术是治疗输尿管中下段结石的首选方法。我科2006年7月至2007年4月采用该手术治疗输尿管结石92例,取得了良好的疗效,现将护理体会报告如下。1临床资料本组92例,男64例,女28例,年龄16~62岁,平均41岁。输尿管上段结石3例,中段29例,下段60例。结石直径0.5~2.     

中西医结合治疗肾输尿管结石87例

自 1 995年以来 ,笔者以中药、西药 (黄体酮 )分别单用和联用治疗肾、输尿管结石 (横径 <1 0 mm)87例 ,并对 3种疗法进行了临床观察对比 ,现报道如下。1　资料与方法1 .1　临床资料　中西药组 :2 9例 ,男 1 9例 ,女 1 0例 ;年龄 1 7～ 58岁 ,平均 32 .5岁 ;左肾结石 9例 ,右肾结石 7例 ,左输尿管结石 8例 ,右输尿管结石 5例 ;结石横径 4.2～ 8.2 mm,平均 ( 6.5± 2 .1 ) mm。中药组 :2 7例 ,男 1 6例 ,女 1 1例 ;年龄 2 0～ 60岁 ,平均 35.1岁 ;左、右肾结石各 8例 ,左输尿管结石 6例 ,右输尿管结石 5例 ;结石横径为 4.0～ 9.0 mm,平均为 ( …     

活血通淋汤治疗肾、输尿管结石60例疗效观察

肾、输尿管结石是最常见的疾病之一，其形成机理未完全阐明。笔者2001年8月～2004年9月运用自拟活血通淋汤治疗肾、输尿管道结石，取得满意疗效．现报告如下。     

中医三步论治法治疗泌尿系结石62例疗效观察

泌尿系结石包括肾、输尿管、膀胱及尿道结石等,简称"尿石症",为泌尿系常见病、多发病之一.泌尿系结石属于中医"石淋"范畴,治疗多以利尿通淋为主,随症加减.本文根据中医理论,在临床中运用辨证论治方法将排石过程分为三步:相应采用活血祛瘀;利尿通淋;补气养阴、活血利尿三步治法,探讨泌尿系结石治疗的临床新思路.     

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.