影响飞行员睡眠质量的心理社会因素分析

①目的探讨影响飞行员睡眠质量的心理社会因素。②方法采用临床症状自评量表、卡特尔１６种个性因素问卷、紧张性生活事件量表、Ｚｉｍｅｔ领悟社会支持量表进行集体测评。③结果睡眠状况与个性中的聪慧性、稳定性、兴奋性、有恒性、敢为性、自律性呈负相关（ｒ＝－０．２９～－０．１３，Ｐ＜０．０５或０．０１）；与忧虑性、怀疑性、紧张性呈正相关（ｒ＝０．１４～０．３７，Ｐ＜０．０５或０．０１）；与紧张性生活事件中的婚姻恋爱、健康、家庭、环境因素呈正相关（ｒ＝０．１９～０．３２，Ｐ＜０．０１）；与反映心理健康水平的ＳＣＬ－９０量表中的９个因子以及家庭支持和朋友支持也具有相关性。同时也证实飞行员睡眠状况与飞行时间呈正相关（ｒ＝０．１５，Ｐ＜０．０５）。④结论飞行员睡眠质量与心理社会因素有相关性。     

青少年自我报告的行为,情绪问题15个月随访研究

探讨青少年自我报告的行为、情绪问题的稳定性和变化趋势。方法应用Ａｃｈｅｎｂａｃｈ青少年行为自评量表（ＹＳＲ）对２６６名１２～１７岁的青少年１５个月前后进行了两次评定。结果青少年自我报告的行为、情绪问题总分１５个月内有高度稳定性（ｒ＝０．６０１２），尤以攻击行为和抑郁情绪两个因子为著。１５个月后行为、情绪问题分有升高的趋势。５０％符合行为问题标准的青少年１５个月后仍偏离正常，４．６％的正常青少年达到了行为问题标准。结论青少年行为、情绪问题具有较高的稳定性，提示对这些问题进行早期干预是必要的。     

营养性贫血病儿血清微量元素的变化

①目的　探讨儿童营养性贫血与血清微量元素铁、钴、锌、铅水平的关系。②方法　测定８０ 例营养性贫血病儿血清铁、钴、锌、铅、血红蛋白含量及红细胞计数，并与３３ 例健康儿童进行了比较。③结果　贫血组儿童血清铁、锌水平较对照组明显降低，铅明显增高，差异均有极显著性（ｔ＝ ３．０１４～８．３５３， Ｐ 均＜ ０．０１）； 钴含量差异无显著性（ｔ＝ １．９３３， Ｐ＞ ０．０５）。血清铁含量与轻、中度贫血呈正相关（ｒ＝ ０．５０７，０．９１２， Ｐ＜ ０．０１）；钴、锌含量与中度贫血呈正相关（ｒ＝ ０．８９１，０．８５６， Ｐ＜ ０．０１），与轻度贫血无相关性（ｒ＝ ０．０５２，０．１１６， Ｐ＞ ０．０５）；铅与中度贫血呈负相关（ｒ＝ － ０．６２５， Ｐ＜ ０．０１），与轻度贫血无相关性（ｒ＝ ０．０６０， Ｐ＞ ０．０５）。④结论　治疗营养性贫血病儿应注意相关微量元素水平的合理调整。     

非胰岛素依赖型糖尿病患者运动前后血脂和白蛋白变化对胰岛素受体的影响

为广解急性运动前后血脂和白蛋白水平对胰岛素受体结合的影响．对３８例非肥胖非胰岛素依赖型糖尿病（ＮＩＤＤＭ）患者和３７名正常人进行了３０分钟中等强度运动前后红细胞膜胰岛素受体的测定，并对受体参数与血脂、白蛋白之间进行了相关分析。结果显示急性运动前ＮＩＤＤＭ组高亲和力亲和常数（Ｋ＿１）与总胆固醇和白蛋白水平呈显著负相关（ｒ＝－０．４７３，Ｐ＝０．０１；ｒ＝－０．４８３，Ｐ＝０．０１）。低亲和力亲和常数（Ｋ＿２）与甘油三酯呈显著正相关（ｒ＝０．５０３，Ｐ＝０．０１）．与高密度脂蛋白胆固醇呈显著负相关（ｒ＝－０．４８０；Ｐ＝０．０１），急性运动后血脂和白蛋白浓度的变化与受体参数之间未发现有意义的相关关系。提示ＮＩＤＤＭ病人基础血脂和白蛋白水平是影响胰岛素受体亲和力的重要因素。     

三维超声心动图评价左室容量和心功能的探讨

目的评价三维超声心动图测量左室容量和射血分数的准确性。方法应用ＥｃｈｏＰＡＣ计算机三维重建系统，通过３个互成６０°的左室心尖长轴切面对２０例健康体检者（正常组）和１６例冠心病人（冠心病组）进行左室心内膜三维重建，计算其舒张末期容量（ＬＶＶｄ）和射血分数（ＥＦ），并与Ｍ型法、二维法（双平面法）及核素心血池造影对照，分析不同方法ＬＶＶｄ、ＥＦ测值间的相关性。结果（１）双平面法、三维法同核素心血池造影法的ＥＦ测值间的相关性好（ｒ分别为０．８０和０．８７），（２）在正常组，Ｍ型超声的ＬＶＶｄ、ＥＦ测值同双平面法、三维法结果呈中度相关（ｒ值０．５８～０．６６），双平面法与三维法间高度相关（ｒ＝０．９０和０．８７）；（３）在冠心病组，上述相应的相关系数降低，但双平面法同三维法间依然高度相关（ｒ＝０．８７和０．８４）。结论（１）对于冠心病心脏（心腔形态异常）的容量指标估测，三维超声心动图方法准确性高，优于其他超声方法；（２）本文的三维重建方法简单易行，在容量指标估计方面不亚于其他多平面重建法。     

免疫抑制法直接测定血清高密度脂蛋白胆固醇试剂盒？…

目的：评价免疫抑制法直接测定高密度脂蛋白胆固醇（ＨＤＬ－Ｃ）试剂盒是否符合临床应用要求。方法：将免疫抑制法与磷钨酸－－镁法（ＰＴＡ）和选择性抑制法进行比较,并分析其线性范围、精密度、准确度和干扰因素,结果：免疫抑制法（Ｙ）与ＰＴＡ法（Ｘ１）的回归方程为Ｙ＝０．９９３Ｘ１＋０．２１３,ｒ＝０．９８１;与选择性抑制法（Ｘ２）的回归方程为Ｙ＝１．０１Ｘ２＋０．１７７）,ｒ＝０．９７１;Ｙ与Ｘ１、Ｘ２所测     

住院精神分裂症79例自知力评定及其影响因素探讨

本文采用“自知力与治疗态度问卷（ＩＴＡＱ）”对７９例住院精神分裂症病人进行评定，结果完全无自知力（０分）７例，占８．８６％；有部分自知力（１～２１分）６１例，占７７；２２％；完整自知力（２２分）１１例，占１３．９２％；平均得分１３．４８±７．５５。相关因素分析显示自知力水平与精神症状呈显著负相关（ｒ＝－０．４０，Ｐ＜０．０１），与智能百分比呈显著正相关（ｒ＝０．３３，Ｐ＜０．０１），而与患者年龄，首次发病年龄，病程及受教育年限无显著相关。     

反相高压液相色谱法测定植酸研究

本文建立了反相高压液相色谱测定植酸的方法。采用ＺｏｒｂｏｘＣ８色谱柱和０．０２５ｍｏｌ／Ｌ磷酸二氢钾为流动相，流速为０．５ｍｌ／ｍｉｎ，用５％三氯乙酸抽提样品，抽提液过滤后直接注入色谱柱测定，用紫外检测器检测植酸，检测波长为２５４ｎｍ，在１０～８０μｇ范围内，线性回归方程为Ｙ＝０．０３１７＋０．００９６２８Ｘ（ｒ＝０．９９９５）。本方法应用于食品中植酸测定，与分光光度法所测结果进行比较，差异无显著性（Ｐ＞０．０５）。     

精神分裂症患者血清LPO、GPX和VE测定

对５６例精神分裂症患者和４２例正常对照组的血清过氧化脂质（ＬＰＯ）、谷胱甘肽过氧化物酶（ＧＰＸ）和维生素Ｅ（ＶＥ）水平进行了测定，结果表明：ＬＰＯ含量明显高于对照组（Ｐ＜０．０５），ＧＰＸ活性和ＶＥ含量明显低于对照组（Ｐ＜０．０１）；ＬＰＯ与病程呈正相关（ｒ＝０．３６１，Ｐ＜０．０１），ＧＰＸ和ＶＥ与病程呈负相关（ｒ＝一０．３８３，ｒ＝０．４０３，Ｐ＜０．０１）：ＬＰＯ与ＨＰＸ和ＶＥ呈负相关（ｒ＝一０．３７８，ｒ＝０．４１１，Ｐ＜０．０１）．结合文献，认为自由基代谢异常在本质的发病机制中具有一定作用。     

成都地区437例健康男性中老年人血清载脂蛋白CⅡ、CⅢ及E水平分析

为探讨我国健康男性中老年人血清载脂蛋白（ａｐｏ）ＣⅡ、ＣⅢ及Ｅ的正常参考值，采用单向免疫扩散测定法对成都地区４３７例４０～７０岁健康男性空腹血清ａｐｏＣⅡ、ＣⅢ及Ｅ的含量进行了分析。结果显示：成都地区健康男性中老年人空腹血清ａｐｏＣⅡ、ＣⅢ及Ｅ的含量分别为４１．６±１３．１、１１２．８±３１．０和３８．７±８．２ｍｇ／Ｌ，而且不同年龄组间无显著性差异（Ｐ＞０．０５）。血清ａｐｏＣⅡ、ＣⅢ及Ｅ的水平与ＴＧ、ＴＣ及ＬＤＬ－Ｃ水平呈正相关（ｒ＝０．１２９５～０．５５５４，Ｐ＜０．０１），血清ａｐｏＣⅡ及ＣⅢ水平与体重指数呈正相关（ｒ＝０．１２４８～０．２０７９，Ｐ＜０．０１），ａｐｏＥ水平与年龄呈正相关（ｒ＝０．１４４８，Ｐ＜０．０１）。     

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.