颈椎病X线检查结果分析

目的：探讨颈椎病类型与患者职业的联系。方法：通过X线检查结合临床诊断,对确诊的颈椎病患者进行综合分析。结果：各种类型颈椎病所占比例分别为颈型颈椎病61.7%、神经根型颈椎病22.9%、脊髓型颈椎病11.8%、椎动脉型颈椎病3.6%。以颈型颈椎病最为常见,患病率最高。结论：颈椎的X线检查对临床辅助诊断颈椎病临床分型具有重要价值。     

颈椎病的临床分型与X线诊断

颈椎病是中、老年人常见病、多发病之一。其发生与颈椎特有的解剖学基础是分不开的，是颈椎各部分退行性变引起相应神经系统和（或）椎动脉以及交感神经损伤所致，其主要与钩椎关节、椎间盘、关节突关节及椎体韧带的的退变等因素有关。当前临床多数主张分为颈型颈椎病、神经根型颈椎病、脊髓型颈椎病、椎动脉型颈椎病、交感型颈椎病，其他型包括混合型、食管型颈椎病。现根据笔者个人体会结合有关资料就临床分型及其与X线诊断之间对比分析如下。     

神经根型颈椎病X线和CT检查结果分析

<正>颈椎病的影像学检查方法很多,如何正确选择检查方法对颈椎退行性病变的正确诊断起至关重要的作用。根据临床症状和影像学表现,颈椎病可分为神经根型、脊髓型、椎动脉型、交感型和食管型。本文仅讨论对神经根型颈椎病进行X线片及CT检查时,确诊颈椎间盘突出情况的必要性和方法。1资料与方法选择只有颈肩痛和上肢麻痛等颈丛和臂丛神经根复合症状的患者100例,随机分为A、B两组。A     

中药导入综合治疗颈椎病的体会

颈椎病是颈椎间盘退行性变和其继发性骨质增生、韧带钙化等改变压迫脊髓、神经根以及邻近的椎动脉等组织而引起临床症状和体征的常见病。根据临床症状和综合特点，一般分为颈型、神经根型、脊髓型、椎动脉型及混合型。临床最常见神经根型和脊髓型。     

颈椎病的临床分型与X线诊断

颈椎病是中、老年人常见病、多发病之一。其发生与颈椎特有的解剖学基础是分不开的,是颈椎各部分退行性变引起相应神经系统和(或)椎动脉以及交感神经损伤所致,其主要与钩椎关节、椎间盘、关节突关节及椎体韧带的的退变等因素有关。当前临床多数主张分为颈型颈椎病、神经根型颈椎病、脊髓型颈椎病、椎动脉型颈椎病、交感型颈椎病,其他型包括混合型、食管型颈椎病。现根据笔者个人体会结合有关资料就临床分型及其与X线诊断之间对比分析如下。     

中药内外合治颈椎病60例临床观察

“颈椎病”又称“颈椎综合征”,摄片多有颈椎退行性改变,是中老年人的常见病、多发病之一。中医称之为“颈部骨痹”或“颈部筋痹”。笔者近年来,用中药内服、外治相结合的方法治疗本病60例,临床效果显著,现报道如下。1 临床资料1.1 诊断标准 中医科病房所见颈椎病,以神经根型和椎动脉型为多见,交感神经型极少,脊椎型更为少见。综合神经根型和椎动脉型,诊断指标为:①临床表现症状与X线片所见均符合颈椎病者。单侧或双侧颈、肩臂酸痛,或颈项强,手指麻而无     

神经阻滞治疗颈椎病疗效观察

颈椎病又称颈椎综合征,是颈椎骨关节炎、增生性颈椎炎、颈神经根综合征、颈椎间盘脱出症的总称.是一种以退行性病理改变为基础的疾患,主要由于颈椎长期劳损、骨质增生,或椎间盘脱出、韧带增厚,致使颈椎脊髓、神经根或椎动脉受压,出现一系列功能障碍的临床综合征.临床一般将颈椎病分为颈型、神经根型、脊髓型、椎动脉型、交感神经型等几类.一般颈型颈椎病采用局部痛点阻滞,辅以理疗牵引等治疗疗效肯定,不用住院治疗,脊髓型少见.     

356例颈椎病临床与X线对照分析

目的　探讨颈椎病临床表现与X线征象间的联系。方法　对 35 6例有详细病历资料的颈椎病患者 ,按颈神经根型、椎动脉型、脊髓型和食管型分为 4组。摄取正位、侧位和双斜位X线片。对 4组病人临床和X线进行对照统计。结果　颈椎间孔变形或 (和 )颈椎间隙变窄是神经根型患者具有的重要X线征象 ,二者对产生本组症状和体征无显著差异性 (P >0 .0 5 )。颈椎不稳或 (和 )颈椎钩突增生是椎动脉型患者所具有的X线征象 ,二者对产生本组症状和体征亦无显著差异性 (P >0 .0 5 )。 2 0例脊髓颈椎病患者均具有明显的椎间隙狭窄。 6例咽物不适患者均具有明显的椎体前缘增生。结论　颈椎病X线与临床表现有良好的对照关系 ,能够为各型颈椎病的临床诊断提供有力的形态学依据。     

不同诊断方法对颈椎病诊断结果的影响

目的:探讨颈椎病病人的影像学资料,指导临床诊断。方法:回顾性分析病人的影响学资料和病历材料,比较不同检测手段对结果的影响。结果:有16例CT显示为椎动脉型颈椎病而X线平片显示为交感神经型颈椎;有19例CT显示为椎管狭窄、椎间盘突出或硬膜囊、脊髓受压、变形、移位而X线显示为脊髓型颈椎病;有13例CT显示为神经根受压、移位而X线显示为神经根型颈椎病;有13例CT显示为椎动脉型颈椎病而X线显示为钩突肥大和钩椎关节骨质增生,横突孔变小,分隔;混合型颈椎病57例。结论:CT检查颈椎病高于普通X线平片。     

颈椎病的X线平片诊断与临床价值

目的:探讨X线平片在诊断颈椎病中的价值.方法:对300例经临床和X线检查证实的颈椎病的X线平片进行回顾性总结分析.结果:300例颈椎病主要X线表现为颈椎椎间隙狭窄、椎体前后缘骨刺、颈椎生理弧度改变及颈椎不称、钧突增生、钧椎关节增生变窄与韧带钙化、椎管狭窄.临床分型为:颈型、神经根型、脊髓型、椎动脉型、交感神经型共五型.结论:X线平片的特征性征象对正确诊断颈椎病具有重要的价值,是目前既经济又简便的首选检查方法;在基层医院,更具有十分重要的价值.     

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.     

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.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.