复合树脂与银汞合金充填老年人楔状缺损的临床效果

目的 比较光固化复合树脂与银汞合金充填老年人前磨牙楔状缺损的初期临床效果.方法 临床选择65岁以上老年患者72例共190颗楔状缺损患牙,随机分为2组,分别采用光固化复合树脂充填、预备Ⅴ类洞银汞合金充填.充填修复后6个月、12个月评价其临床疗效.用χ2检验对临床评价结果 进行统计学分析.结果 36例患者共98颗楔状缺损患牙采用光固化复合树脂充填者有8颗患牙修复失败,82颗楔状缺损患牙采用银汞合金充填者有6颗患牙修复失败.结论 对于老年人的前磨牙楔状缺损,光固化复合树脂充填与银汞合金充填均能获得良好的临床效果.     

3种不同材料修复牙体楔状缺损的临床分析

为观察比较玻璃离子、光固化复合树脂及银汞合金 3种材料修复牙体楔状缺损的治疗效果 ,对 16 6名患者共 312颗牙分别用玻璃离子、光固化复合树脂及银汞合金充填修复 ,随访观察 1.5～ 2年。结果 :采用玻璃离子黏固剂修复 10 8颗 ,成功率 82 .4 % ;光固化复合树脂修复 10 4颗 ,成功率 76 .0 % ;银汞合金修复 10 0颗 ,成功率 6 6 .0 %。 3种材料之间比较均有显著性差异 (P <0 .0 5)。比较分析认为 ,3种修复材料各有其优缺点 ,都不是最理想的修复材料 ,需要进一步研究优质开发材料 ,目前从物美价廉角度上说 ,玻璃离子较为理想     

两种材料修复楔状缺损临床效果报告

目的:比较玻璃离子水门汀和Dyract AP复合树脂两种材料修复牙体楔状缺损的临床效果.方法:选择在阿克苏地区医院口腔科门诊就诊的患者50例,共331颗中等以上深度楔状缺损牙,随机分为A、B两组,A组采用玻璃离子水门汀充填修复;B组采用Dyract AP复合树脂充填修复,随访1年,评定成功率.结果:A组回访167颗患牙(23人),成功124颗,成功率74.25%;B组回访:129颗患牙(21人),成功112颗,成功率86.87%.结论:Dyract AP复合树脂修复楔状缺损优于玻璃离子水门汀.     

修复楔状缺损牙的三种方法疗效比较观察

目的比较三种材料(方法)修复楔状缺损牙的疗效。方法56例288颗楔状缺损牙随机分成A、B、C3组,A组用玻璃离子水门汀,B组用光固化复合树脂,C组用玻璃离子水门汀与光固化复合树脂联合充填修复;并在1年后随访。结果A组96颗牙中有85颗成功,成功率88．5％;B组96颗牙中有77颗牙成功,成功率80．2%;C组86颗牙中有81颗成功,成功率94．8%。结论用玻璃离子水门汀与光固化复合树脂联合充填组修复成功率高于其他两种用法。     

三种材料修复楔状缺损的疗效观察

目的比较三种材料修复楔状缺损的临床疗效。方法127例638颗楔状缺损的患牙。分GIC,光固化复合树脂与ChenFilSuperior三组充填,随访观察1年。结果三组修复的成功率分别为67.76%、81.07%、97.59%。结论ChemFilSuptrior是修复楔状缺损较理想的材料。     

光固化复合树脂与Dyract光固化复合体修复楔状缺损的疗效观察

目的 对比光固化复合树脂与Dyract光固化复合体充填楔状缺损的疗效.方法 收集62例患者202颗楔状缺损患牙,分别采用光固化复合树脂与Dyract复合体充填,经12～18个月复查.结果 光固化复合树脂与Dyract复合体充填楔状缺损成功率分别为82.08%、93.75%.两者临床疗效有统计学差异.结论 Dyract复合体修复楔状缺损的近期疗效较好,优于光固化复合树脂.     

三种充填材料修复楔状缺损的疗效对比

目的 比较三种充填楔状缺损材料的临床疗效.方法 56例187颗楔状缺损的患牙,分别用富士玻璃离子黏固剂、光固化复合树脂、光固化玻璃离子水门汀夹层技术修复楔状缺损,随访观察1年.结果 三组修复的成功率分别为75.00%、81.25%、94.37%.富士玻璃离子黏固剂和光固化复合树脂修复的成功率差异无统计学意义(P>0.05);而光固化玻璃离子水门汀夹层技术成功率高于前两者,同时具有前两者的优点.结论 光固化玻璃离子水门汀夹层技术是修复楔状缺损较理想的方法.     

两种材料修复牙体楔状缺损临床疗效观察

目的比较玻璃离子和光固化树脂两种材料修复牙体楔状缺损的临床效果。方法129例患者共528楔状缺损患牙，随机分为A、B两组，A组用玻璃离子充填修复，B组用光固化树脂修复，观察1年，比较效果。结果A组修复267颗患牙，成功234颗，成功率87．6％。B组充填修复261颗患牙，成功197颗，成功率75．5％。结论玻璃离子修复牙体楔状缺损效果优于光固化树脂，差异有显著性（P〈0．05）。     

光固化复合树脂修复楔状缺损

楔状缺损为口腔科常见疾病，是牙齿唇、须面颈部硬组织发生缓慢消耗所致的缺损。我科1994年8～10月用可见光固化复合树脂为95例患者的498颗楔状缺损的患牙进行了修复，经过1～3年的随访观察，收到满意的效果。现报道如下。1对象和方法1．1病例选择及充填材料将近年来我科门诊收治的楔状缺损的患牙随机分为治疗组，采用光固化复合树脂修复楔状缺损，共498颗患牙；另采用玻璃离子为修复材料作为对照组，共463颗患牙。光固化复合树脂的充填材料为德国古莎公司可见光复合树脂、酸蚀剂、粘结剂、氢氧化钙糊剂。1．2修复方法患有牙龈炎，牙周炎者…     

三种不同材料修复楔状缺损的远期疗效观察

目的 比较探讨修复楔状缺损较好的材料。方法 在同一个体选择条件基本相同的楔状缺损患牙分别采用日本松风公司生产的FX玻璃离子、光固化复合树脂,国产玻璃离子充填修复,共300颗,随访观察0．5－3a。结果 FX玻璃离子组的成功率明显高于国产玻璃离子组（P＜0．05）,而与光固化复合树脂组接近。结论 FX玻璃离子是修复楔状缺损一种较好的材料,其疗效优于国产玻璃离子。     

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.     

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.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.