大学生蠕形螨感染情况调查

目的:了解在校大学生蠕形螨感染情况,探讨蠕形螨感染与面部皮肤疾病的关系.方法:采用透明胶带粘贴法对638名在校大学生进行蠕形螨检查,同时对面部皮肤状况进行调查.结果:在校大学生蠕形螨感染率为17.55%,且男性(22.05%)显著高于女性(14.58%);毛囊蠕形螨面部感染率(65.18%)高于皮脂蠕形螨(24.11%);有面部皮肤疾病者蠕形螨感染率明显高于面部皮肤正常者.结论:本校大学生蠕形螨感染较为普遍,感染多为毛囊蠕形螨;蠕形螨感染是痤疮、酒渣鼻等皮肤疾病的致病因素之一.     

1037名在校大学生蠕形螨感染的调查

目的了解本地大学生蠕形螨感染状况,探讨蠕形螨感染与皮肤疾病的关系。方法采用透明胶带法对1037名在校大学生进行蠕形螨感染检查,同时观察其面部皮肤状况,询问与调查相关情况并记录于调查表内。结果本地大学生蠕形螨感染率为53.81%,其中男生感染率56.50%,女生感染率51.95%,两者之间差异无显著性(P>0.05);二年级、三年级、四年级学生感染率均大于一年级(P<0.01);面部有痤疮者、有脂溢性皮炎者、有毛囊炎或毛囊扩张者感染率均大于面部皮肤正常者(P<0.05);常混用他人日常用品者感染率大于不常混用他人日常用品者(P<0.05)。结论本地大学生蠕形螨感染较为普遍;蠕形螨感染可能是痤疮、脂溢性皮炎、毛囊炎等皮肤疾病的致病因素之一;通过日常用品间接感染可能是蠕形螨感染中一种重要方式。     

新乡医学院在校大学生蠕形螨感染状况调查

目的了解新乡医学院在校大学生蠕形螨的感染情况,研究蠕形螨感染与面部皮肤损害的关系。方法透明胶纸法对部分在校学生进行抽样调查。结果蠕形螨总感染率27.27%,男、女生感染率分别为35.29%和23.68%,二者差别有统计学意义(P<0.05);单纯毛囊蠕形螨构成比64.44%,单纯皮脂蠕形螨构成比20.00%,二者差别有统计学意义(P<0.01);面部有皮肤疾患的学生中蠕形螨感染率为65.22%,皮肤无明显皮损学生中蠕形螨感染率为12.61%,二者差别有统计学意义(P<0.01)。结论新乡医学院在校大学生蠕形螨感染率低,但仍应加强对大学生进行相关预防知识的普及教育,使学生养成良好的生活卫生习惯。     

阜阳市某高职大学生蠕形螨感染情况调查

目的了解安徽省阜阳职业技术学院在校大学生蠕形螨感染情况,分析蠕形螨感染的影响因素。方法以安徽省阜阳职业技术学院大一、大二学生为研究对象,采用随机抽样的方法 ,对442名在校高职大学生通过透明胶纸粘贴法进行蠕形螨检查,同时对调查对象的个人习惯、洁面方式、皮肤类型、面部疾患等方面进行问卷调查。结果以阜阳市某职业技术学院442名在校大学生为调查对象,蠕形螨感染者为86人,总感染率为19.46%(86/442),单纯毛囊蠕形螨感染占82.56%(71/86),高于单纯皮脂蠕形螨感染及混合感染;面颊部位感染率23.26%(20/86)较鼻部感染率高;面部有疾患者如痤疮、皮炎、毛囊炎等感染率25.70%(55/214),高于面部正常者;油性皮肤学生感染率为27.94%(38/136),高于混合性皮肤及干性皮肤学生;在调查季节方面夏季感染率为26.57%(38/143),高于冬季感染率;在感染程度方面,轻度面部蠕形螨感染率高达82.56%,经χ2检验分析,显示季节、皮肤类型、面部疾患为蠕形螨感染的影响因素,多因素非条件logistic回归分析,面部疾患为蠕形螨感染的危险因素。结论安徽省阜阳职业技术学院大学生蠕形螨感染较为普遍,以毛囊蠕形螨感染为主,多为轻度感染,男女生蠕形螨感染率无显著差异,其感染率与皮肤性质、面部疾患、季节温度有关。     

邢台市某医学院校新生干性皮肤者面部蠕形螨感染调查

目的调查该医学院新生干性皮肤者面部人体蠕形螨的感染情况,并分析人体蠕形螨感染的影响因素,为特定人群蠕形螨的防治提供依据。方法对部分新生进行问卷调查,并对干性皮肤者面部蠕形螨的感染进行调查,采用透明胶带粘贴过夜法查螨虫。胶带置于光镜下检查,阳性片计数虫数并进行虫种鉴定。结果共调查804名学生,其中干性皮肤者108名,占13.4%。干性皮肤者面部蠕形螨感染情况如下,感染率为22.2%(24/108),单纯毛囊蠕形螨感染占66.7%(16/24),单纯皮脂蠕形螨感染占16.7%(4/24),二者差异显著有统计学意义(x2=21.0,P0.01),混合感染占16.7%(4/24)。轻度感染占100%。鼻侧感染58.3%(14/24)较额部41.7%(10/24)、鼻尖为0,前二者与鼻尖差异有统计学意义(x2=7.61,P0.01)。结论该校新生干性皮肤者人体蠕形螨普遍,但均为轻度感染,毛囊蠕形螨感染高于皮脂蠕形螨,感染以鼻侧、额部为主,感染与生活习惯有关。     

浙江嵊县新建村人体蠕形螨流行情况调查

在浙江嵊县新建村,对353人(男179人,女174人;年龄3～81岁)作了人体蠕形螨的流行情况调查。检出蠕形螨阳性者144人,感染率约41％。男女感染率无显著差别;但感染率随年龄的增加而上升。在144例阳性者中,单纯感染毛囊蠕形螨或皮脂蠕形螨者分别为84人(约58％)和34人(约24％),混合感染者26人(约18％)。经统计分析,毛囊蠕形螨的感染率和感染严重度均明显高于皮脂蠕形螨。这两种蠕形螨的感染率和感染严重度在男女性别间无明显差别。本文还对蠕形螨的传播途径及致病性进行了讨论。     

1037名医学生蠕形螨感染情况调查

目的：了解本校大学生蠕形螨感染状况，探讨蠕形螨感染与皮肤疾病的关系。方法：采用透明胶带法对1037名在校大学生进行蠕形螨感染检查，同时观察其面部皮肤状况、询问与调查相关情况记录于调查表内。结果：本校大学生蠕形螨感染率为53．81％，其中男生感染率56.50％，女生感染率51．95％，两者之间差异无显著性(P＞0．05)；二年级、三年级、四年级学生感染率均大于一年级(P＜0．01)；面部有痤疮者、有脂溢性皮炎者、有毛囊炎或毛囊扩张者感染率均大于面部皮肤正常者(P＜0．05)；常混用他人日常用品者感染率大于不常混用他人日常用品者(P＜0．05)。结论：本校区大学生蠕形螨感染较为普遍；蠕形螨感染是痤疮、脂溢性皮炎、毛囊炎等皮肤疾病的致病因素之一；通过日常用品间接感染是蠕形螨感染中一种重要的感染方式o     

新疆某部战士人体蠕形螨感染状况调查及相关因素分析

目的调查新疆某部战士人体蠕形螨感染情况并分析相关因素。方法采用透明胶纸粘贴法对335名部队战士开展蠕形螨的感染检查,并对家庭背景、个人卫生习惯及面部皮肤类型、疾患作问卷调查分析。结果蠕形螨总感染率为25.37%,混用日常洗浴用品者、面部清洁次数少且有面部皮肤疾患者及入伍时间长的患者感染率明显高于同类对比组,各组间差异有统计学意义(P<0.05)。感染主要以毛囊蠕形螨为主,毛囊蠕形螨和皮脂蠕形螨的感染率构成比分别是76.47%和15.29%,二者差异有统计学意义(P<0.0 001)。不同年龄段及不同地域、城乡间战士的感染率差异无统计学意义(P>0.05)。结论蠕形螨感染在部队战士群体中较普遍,主要与集体生活环境、入伍时间长短、个人卫生习惯、面部皮肤类型及疾患等因素有密切关系,应加强相关预防知识的宣传教育,培养良好的个人卫生习惯。     

泉州地区高职医学院校大学生蠕形螨感染情况调查

目的了解泉州地区某高职医学院校大学生蠕形螨感染情况,分析与蠕形螨感染相关的影响因素,为预防蠕形螨感染提供重要依据。方法采用透明胶纸法对某高职医学院校2018级医学检验技术、公共卫生管理等不同专业学生进行面部蠕形螨检测,同时对性别、皮肤类型、洁面次数等进行问卷调查,分析感染影响因素。结果大学生受检者271人,蠕形螨阳性107人,总感染率为39.48%(107/271),其中男、女生感染率分别为50.00%(27/54)和36.87%(80/217)。单纯毛囊蠕形螨感染率(57.94%)高于单纯皮脂蠕形螨感染率(30.84%)和混合虫体感染率(11.21%)。阳性感染者轻、中度感染率分别为88.79%、11.21%,重度感染者未见。皮肤类型(χ~2=6.292,P0.05)、皮损情况(χ~2=41.119,P0.05)、洁面次数(χ~2=8.439,P0.05)、宿舍卫生打扫频率(χ~2=26.315,P0.05)、宿舍毛巾摆放情况(χ~2=6.305,P0.05)和宿舍潮湿(χ~2=14.059,P0.05)等影响因素差异均有统计学意义。结论泉州地区某高职医学院校大学生蠕形螨感染情况较为普遍,感染率与皮肤状况、个人卫生习惯和宿舍集体生活有密切关系,需加大对蠕形螨的知识宣传和预防力度。     

广州部分医科大学生蠕形螨感染的调查

目的 :调查近年广州医科大学生人体蠕形螨的感染情况。方法 :采用透明胶纸粘贴法 ,剪取 2cm× 5cm透明胶纸 ,嘱受检者于临睡前紧贴于鼻唇沟皮肤上 ,次晨取下平贴于干净载玻片上 ,由专人光镜检查 ,对阳性片鉴定虫种并计算虫数。结果 :调查 18～ 2 1岁学生 6 0 2人 ,其中男生 331人 ,女生 2 71人。检出人体蠕形螨者 14 4人 ,感染率 2 3.92 %。男学生感染率为 2 4 .4 7% (81/331人 ) ,女学生为 2 3.2 5 % (6 3/2 71人 ) ,两者差异无显著性 (P >0 .0 5 )。从学生来源地看 ,城镇学生感染率为 2 1 31% (78/36 6人 ) ,农村学生为 2 7 97% (6 6 /2 36人 ) ,两者差异无显著性 (P>0 .0 5 )。感染者的感染度以每条透明胶纸 1～ 5条虫为多 ,占 89.5 8% (12 9/14 4人 ) ,检获的螨大多为毛囊蠕形螨占 95 .83% (138/14 4人 ) ,单一感染皮脂蠕形螨仅 0 .6 9% (1/14 4人 ) ,两者混合感染为 3.4 7% (5 /14 4人 )。结论 :广州部分医学生人体蠕形螨感染率较高 ,感染大多为毛囊蠕形螨 ,少数为皮脂蠕形螨及两者混合感染 ,两种蠕形螨的感染度都属轻度     

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.     

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.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…