参芪扶正注射液治疗不稳定型心绞痛48例

目的观察参芪扶正注射液治疗不稳定型心绞痛病人的临床疗效。方法选择90例不稳定型心绞痛病人,随机分为两组,一组加用参芪扶正注射液,另一组常规治疗作对照,用药14d。结果治疗后治疗组总有效率96%,对照组总有效率80.9%,两组比较,差异有统计学意义(P<0.01);治疗组和对照组治疗后较治疗前硝酸甘油平均日用量都减少,两组比较差异有统计学意义(P<0.05)。结论参芪扶正注射液治疗不稳定型心绞痛疗效肯定。     

参芪扶正注射液治疗老年中晚期胃癌疗效观察

目的：观察参芪扶正注射液对老年中晚期胃癌的疗效。方法：采用参芪扶正注射液治疗老年中晚期胃癌30例,并设立对照组进行对照。结果：治疗组在卡式评分及临床症状改善率方面高于对照组,治疗组的免疫指标也优于对照组（P〈0．05）。结论：参芪扶正注射液能改善老年中晚期胃癌病人的临床症状,提高生存质量,提高病人的免疫水平。     

参芪扶正注射液对糖尿病肾病早期的影响

目的：观察参芪扶正注射液对早期糖尿病肾病患者血浆内皮素及血小板功能的影响，以了解其对糖尿病、肾病的治疗作用，提供早期有效的治疗措施。方法：早期糖尿病肾病患者51例，随机分为常规治疗（A）组21例和参芪扶正注射液治疗（B）组30例，治疗4周，用放射免疫法和酶联免疫吸附方法分别测定糖尿病肾病患者药物治疗前后血浆内皮素-1（ET-1），24h尿白蛋白排泄率（UAER）和血小板颗粒膜蛋白（GMP-140），6-酮-前列腺素F1a（6-keto-PGF1a）及血栓素B2（TXB2）；并选择18名健康人为对照（C）组。结果；糖尿病肾病患者血浆ET-1、GMP-140、TXB2水平显著高于健康人，而6-keto-PGF1a则低于健康人；经参芪扶正注射液治疗后血浆ET-1水平降低，GMP-140、TXB2和UAER显著降低（P〈0．01）。结论：糖尿病肾病的发生及进展可能与血浆内皮素水平改变和血小板功能的活化有关，参芪扶正注射液可改善早期糖尿病肾病患者血小板功能和血浆内皮素水平。     

参芪扶正注射液治疗老年中晚期胃癌

目的：观察参芪扶正注射液对老年中晚期胃癌的疗效。方法：采用参芪扶正注射液治疗老年中晚期胃癌35例,并设立对照组进行对照。结果：治疗组在卡式评分及临床症状改善率方面高于对照组,治疗组的免疫指标也优于对照组（均P〈0.05）。结论：参芪扶正注射液能改善老年中晚期胃癌病人的临床症状,提高生存质量,提高病人的免疫水平。     

参芪扶正注射液治疗脑分水岭梗死66例

目的观察参芪扶正注射液治疗脑分水岭梗死（CWSI）的临床疗效。方法在常规治疗方法的基础上加用参芪扶正注射液250ml静脉滴注,每日1次,21d为1个疗程。结果治疗后患者神经功能缺损评分明显高于治疗前（P〈0.01）;血小板聚集率（PAR）、血浆粘度（PV）、纤维蛋白原（Fg）含量均明显低于治疗前（P〈0.01）。结论参芪扶正注射液在促进神经功能缺损恢复及提高日常生活能力方面有良好作用。     

静脉点滴普鲁卡因治疗儿童过敏性紫癜47例疗效观察

目的:观察静脉点滴普鲁卡因治疗儿童过敏性紫癜的疗效。方法:对94例过敏性紫癜患儿按双盲法随机分为治疗组和对照组各47例。对照组给予抗过敏等综合治疗,治疗组在综合治疗基础上加用普鲁卡因10mg/(kg·d)加入5%葡萄糖注射液配成≤1%浓度静脉点滴8h~10h。比较两组症状缓解时间、住院时间及复发率。结果:治疗组4d~7d症状缓解、对照组8d~11d症状缓解;住院时间两者分别为6d~13d,平均9.5d和12d~17d,平均15d;复发率分别为4%和21%,治疗组疗效明显优于对照组(P<0.05)。结论:静脉点滴普鲁卡因治疗过敏性紫癜效果显著。     

参芪扶正注射液联合654-2治疗糖尿病腹泻

目的 观察参芪扶正注射液联合654-2联合治疗糖尿病腹泻的疗效.方法 84例糖尿病腹泻患者随机分成两组,观察组用参芪扶正注射液联合654-2联合治疗2周;对照组给予易蒙停治疗2周.结果 观察组显效、有效率均高于对照组(P<0.01).结论 参芪扶正注射液联合654-2治疗糖尿病腹泻效果显著.     

成人型肺先天性囊性腺瘤样畸形1例误诊分析

目的 观察参芪扶正注射液联合654-2联合治疗糖尿病腹泻的疗效.方法 84例糖尿病腹泻患者随机分成两组,观察组用参芪扶正注射液联合654-2联合治疗2周;对照组给予易蒙停治疗2周.结果 观察组显效、有效率均高于对照组(P<0.01).结论 参芪扶正注射液联合654-2治疗糖尿病腹泻效果显著.     

同期放化疗配合参芪扶正注射液治疗30例局部晚期鼻咽癌的临床分析

目的 评价参芪扶正注射液联合同期放化疗对局部晚期鼻咽癌患者的疗效、毒性和免疫功能的影响.方法 将60例局部晚期鼻咽癌患者随机分成单纯同期放化疗组(对照组)30例和参芪扶正注射液联合同期放化疗组(治疗组)30例.观察两组治疗前后的疗效、毒性反应、生活质量和免疫功能.结果 治疗组有效率为96.67%,对照组有效率为93.33%,差异无统计学意义(P>0.05);而治疗组患者的生活质量和免疫功能优于对照组,放化疗毒性反应低于对照组,差异有统计学意义(P<0.05).结论 参芪扶正注射液配合同期放化疗治疗局部晚期鼻咽癌患者,可增强同期放化疗晚期局部鼻咽癌患者免疫功能,改善生存质量.     

金纳多注射液与银杏达莫注射液对急性脑梗死患者血液流变学指标和纤维蛋白原的影响

目的:探讨银杏叶提取物金纳多注射液与银杏达莫注射液治疗急性脑梗死的临床疗效及其对血液流变学指标和纤维蛋白原的影响。方法:将75例急性脑梗死患者随机分为两组,金纳多组给予金纳多注射液20ml加入生理盐水500ml静脉点滴,1次/d,共14d;银杏达莫组给予银杏达莫注射液20ml加入生理盐水500ml静脉点滴,1次/d,共14d。于治疗结束后分别进行神经功能缺损评分,评价临床疗效,观察比较两组治疗前后血液流变学指标和纤维蛋白原的变化并与正常对照组比较。结果:急性脑梗死患者的血流变指标和纤维蛋白原高于正常对照组;金纳多组与银杏达莫组的临床疗效、影像学比较无明显差异(P>0.05);两组治疗前后的血液流变学指标和纤维蛋白原均显著下降,但两组间比较无明显差异。结论:金纳多注射液与银杏达莫注射液均是治疗急性脑梗死的有效药物,并能明显改善急性脑梗死患者的血液流变学指标,并使纤维蛋白原下降。     

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…     

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.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.