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1.
Objective To review the presentation, diagnosis and recent developments in the pharmacological and invasive treatmentof ST elevation myocardial infarction (STEMI) with a special focus on health-care organization in order to increaseaccessibility of primary percutaneous coronary intervention (PCI).  相似文献   

2.
Due to its own internal laws of development,Chinese medicine(CM)seems more inclined to empirical medicine in a relatively long historical period.It is considered to be lacking objective and unified clinical practice guidelines(CPGs),and the difficulties in diagnosis and therapeutic effect evaluation comes with it,have restricted its further inheritance,development and international communication.Over the years,our research group has been committed to improving the standardization theory and methodology of CM,also perfecting relative techniques for further application,which are all based on the stratified evidence scoring method.We have already applied this method to 45 issued guidelines,including 5 national guidelines,3 industrial guidelines,and 37 formulation/revision social organization guidelines.The stratified evidence scoring method has been recognized and used widely.It helps scholars and applicators to study,formulate,publish and popularize the acupuncture therapy clinical practice guidelines better,thus further promotes the development of acupuncture therapy.  相似文献   

3.
杨辉 《中国全科医学》2008,11(9):796-797
1病例简介患儿,男,7岁,突发高热,精神萎靡,嗜睡。发病12h后厌食,呕吐3次后就诊。患儿自诉头痛,在胸部和背部发现细小皮疹。体检结果提示,患儿明显地表现为麻木状态,面色潮红,病态显著。躯干上发现一些细小的斑点状皮疹。四肢末端温度较低,而且毛细血管回流低于正常。生命体征为  相似文献   

4.
《中国乡村医生》2008,24(12):18
传染性软疣 由传染性软疣病毒引起,一般可通过直接接触传染,也可自体接种,儿童常见.皮损为有圆形或半圆形丘疹,呈肉色或粉红色,有蜡样光泽,中心呈脐凹状,含有干酪样物,数目较多,多发于前胸后背,可挤压出.治疗可用小镊子夹住疣体,将之挤出或挑出干酪样物,外涂2%碘酒.  相似文献   

5.
《中国乡村医生》2008,24(11):59
由上海强生制药有限公司与<中国社区医师>杂志社联合开展的"强生泰诺杯--社区爱心天使大奖赛"已启动,请根据相关文章将第3期、7期、11期、15期的参赛答题卡连续4次正确填写并按要求回寄给我们,您可获国家一类学分4分并有资格参加"强生泰诺怀-社区爱心天使大奖赛".  相似文献   

6.
《安徽医学》2015,(12):1529-1529
本刊已建立数字化期刊,本刊及本刊合作机构通过光盘、网络、手机等载体传播本刊论文,论文著作权使用费及相关稿酬,本刊均用作为作者文章发表、出版、推广交流(含信息网络)以及赠送样刊之用途,即不再另行向作者支付。  相似文献   

7.
针灸大椎穴对慢性应激失调大鼠行为学及下丘脑AVP的影响   总被引:2,自引:0,他引:2  
目的观察针灸大椎穴对慢性应激失调大鼠行为学及下丘脑室旁核精氨酸加压素(AVP)阳性神经元数量的影响.方法按随机数字表随机将SD雄性大鼠分为正常组、模型组、艾灸组、针刺组.应用分养和长期不可预见性的中等强度刺激造成慢性应激失调模型,观察各组大鼠精神状态、体重、蔗糖偏嗜度、旷场实验等行为学的不同;用免疫组织化学和图像分析法比较各组动物下丘脑室旁核精氨酸加压素阳性神经元的数量.结果慢性应激可致大鼠活动明显减少、食欲不振、精神萎靡,并且体重增加数、蔗糖偏嗜度、旷场实验中活动次数显著减少;下丘脑室旁核AVP阳性神经元的数量明显高于正常组.艾灸或针刺大椎穴均可明显改善上述情形、下调AVP阳性神经元的数量(P<0.05~P<0.01).艾灸与针刺比较无明显差异.结论艾灸与针刺大椎均可明显改善抑郁大鼠的行为异常,其作用可能是通过对应激中枢下丘脑AVP的调节实现的,二者无明显差异.  相似文献   

8.
目的 比较创伤刺激和使用肾上腺素、地塞米松或两药合用对小鼠应激能力的影响.方法 分别采用剪尾法及游泳法结合血糖水平测定观察小鼠应激状态的变化;进一步在给予地塞米松、不同浓度肾上腺素及两药合用条件下,测定血糖水平和游泳力竭时间,观察药物对小鼠应激能力的影响.结果 剪尾组血糖水平与生理盐水对照组间比较,差异无统计学意义(P>0.05);给予一定剂量肾上腺素的小鼠,其血糖水平明显高于创伤刺激组和对照组小鼠,差异有统计学意义(P<0.05);在各种药物使用的比较中,较高浓度肾上腺素组游泳力竭时间明显短于地塞米松组和对照组,差异有统计学意义(P<0.05);较高浓度肾上腺素组、两药合用组游泳后血糖水平均明显高于地塞米松组和对照组,差异有统计学意义(P<0.05);低浓度肾上腺素组游泳后血糖水平也明显高于对照组,差异有统计学意义(P<0.05).结论 与对照组相比,剪尾创伤并不足以引起显著的以血糖升高为特点的应激反应;给予肾上腺素及肾上腺素与地塞米松合用虽均显著升高血糖水平但会降低小鼠的运动应激能力.  相似文献   

9.
目的 探讨劳务女工孕期血铅水平与其血压的关系,为改善围生期工作,促进孕妇健康提供参考.方法 对2008年3月至2009年11月在深圳市宝安区妇幼保健院产前门诊建卡的劳务女工孕妇进行问卷调查、血压及血微量元素浓度测定.随机选取其中897例资料完整并在深圳居住满2年者作为研究对象,采用简相关和回归方法评价血铅与血压的关系.结果 孕妇血铅均值为(45±23)μg/L;家族史、体质量指数(BMI)、血铅浓度对血压升高有预测作用;在血铅56 μg/L分界点时,两组舒张压比较差异有统计学意义(P<0.05);高铅组(血铅浓度≥100 μg/L)收缩压、舒张压均显著高于低铅组(P<0.05).结论 低铅暴露是致孕妇血压升高的危险因素之一,铅对血压的影响以舒张压更为敏感. Abstract: Objective To observe the degree of blood lead in pregant women and the influence of different levels of blood lead on blood pressure under environmental lead exposure, in order to previde basic evidences for taking the further measures. Methods A quesionnaire survey was administed, blood pressure and the serum of microelements were tested for the pregnant women who took the prenatal examinationin the Maternal and Child Care Service Centre of Baoan between March 2008 and November 2009, gathered 897 pregnant women whose materials were complete and stayed in Shenzhen more than one year as the study objects. Compare the differences between groups distributed by quartileand carried out the pair matching study. Correlation, stepwise regression analysis and T test were usedto statistic. Results The average of blood lead was (45±23)μg/L;The Bivriate correlations showed the association between blood lead and blood pressure was positive. Stepwise regression analysis indicated family history, BMI,blood lead were predictors of increasing blood pressure. After excluding the confounding factors, on the 56 μg/L the diastolic pressure(DBP) with statistical significance (P<0.05);Blood pressure of case group was higher than that of control group with significant difference (P<0.05). Blood calcium of case group was lower than that of control group without statistical significance (P>0.05). Conclusions The results indicate the degree of blood lead of pregnant women in Shenzhen is low. Environmental lead exposure is one of the dangerous factors of increasing blood pressure .DBP is more sensitive to lead.  相似文献   

10.
Autisticdisorder[OMIM209850],alsoknowasautism,isaneurodevelopmentaldisordercharacterizedbyimpairmentsinthreeaspects:(1)socialinteraction;(2)language,communi cation,andimaginativeplay;(3)rangeofinterestsandactivi ties[1].Autisticdisorderbelongstoagroupofseveralcloselyre latedpervasivedevelopmentaldisorders(PDD).The5Diagnos ticandStatisticalManualofMentalDisorders(DSMⅣ)PDDsubtypesare(1)autisticdisorder(classicautism),(2)As pergerdisorder(languagedevelopmentattheexpectedage,no mentalretar…  相似文献   

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