荆州市不同人群妇女病患病情况调查结果分析

目的了解不同人群妇女病患病情况，制定相应干预措施。方法组织市直事业单位女职工、城区下岗女职工、农村妇女三组人群共计4197人进行妇女病普查，对妇女病患病情况进行分析。结果慢性宫颈炎患病率为多种妇女病之首，共计3110例，占74．10％。妇女病发生前六位顺序为：慢性宫颈炎、阴道炎、盆腔炎、乳腺包块、附件包块、子宫肌瘤。各组人群中，以农村妇女患病率最高，达81．20％；其次为下岗女职工，占71．23％。结论妇女病的发生与定期的普查落实、健康教育、妇女各期保健的落实、生活习惯、经济环境等因素有关。因此，要及时掌握妇女病发病趋势，制定相应的干预措施，提高广大妇女生殖健康水平。     

46546例农村妇女妇女病普查结果分析

目的了解农村妇女患妇女病情况,探索对其的防治措施。方法对浙江省建德市2004—2007年参加妇女病普查的农村育龄妇女46546例的普查资料进行回顾性分析。结果妇女病总患病率为38．50％;各种妇女常见病中,生殖道感染的患病率最高为28．61％;其次为乳腺增生患病率13．11％;子宫肌瘤、卵巢囊肿、外阴病变的患病率分别为2．04％、1．59％、1．10％。结论加强健康教育,积极开展以生殖道感染为主的妇女病普查普治工作,是当前开展妇女生殖健康工作的重点。     

已婚妇女2230例生殖健康状况调查分析

目的:了解本地区已婚妇女生殖健康状况,为开展妇女保健,制定干预措施提供依据.方法:回顾性分析2007～2010年的妇女病普查资料,并进行显著性检验.结果:妇科患病率68.6%,疾病顺位为慢性宫颈炎、阴道炎、附件炎、子宫肌瘤、卵巢囊肿.30岁组患病率最高,随着年龄的增长患病率逐渐降低.结论:生殖道感染是危害妇女生殖健康的首要问题,政府参与,多部门协作,加强健康教育,常规开展妇女病普查普治,是促进妇女生殖健康的重要手段.     

中山市民众镇2008-2012年妇女病普查情况分析

目的调查中山市民众镇妇女的病的发病趋势,为制定针对性的措施提供数据支持。方法对民众镇2008-2012年妇女病普查情况进行分析。结果①5年共计普查妇女人数为31298例,其中患病人数14710例,占47.0%;②2008-2012年,民众镇的妇女病总患病率逐年减少,慢性宫颈炎、阴道炎、子宫肌瘤、乳腺疾病是病例人数最多的妇女病;③各种妇女病的发病率与发病趋势存在显著性差异（P〈0.05）,阴道炎、宫颈炎的发病率呈下降趋势,而子宫肌瘤与乳腺疾病的发病率则呈上升趋势。结论仍有必要继续宣传妇女健康知识,重视环境污染与食品安全等问题,采取各种措施降低妇女病患病率,提高广大妇女的健康水平与生活质量。     

大兴区礼贤镇2006～2010年妇女病普查结果分析

目的为了解大兴区礼贤镇农村妇女生殖健康状况,以便针对性制定妇女病防治措施。方法对2006～2010年8682例已婚妇女普查情况进行体检的结果分析。结果 5年间共计妇女病普查人数为8682例,其中患病人数4744例,平均患病率为54.64%,包括宫颈炎,宫颈糜烂、宫颈上皮内瘤样病变、乳腺疾病、子宫肌瘤、阴道炎、卵巢囊肿。结论加强宣教,增强认识,提高妇女病普查率;采取各种干预措施降低妇女病患病率,进一步提高大兴区礼贤镇适龄妇女的生活质量和健康水平。     

2009年宝鸡市陈仓区已婚育龄妇女生殖健康情况分析

目的:了解我区目前育龄妇女的生殖健康现状,为制定妇女保健政策提供科学依据。方法:对陈仓区所有已婚育龄妇女进行妇女病普查。结果:全区共有已婚育龄妇女95436名,实际调查82559名,普查率为86.5%。影响妇女生殖健康的主要疾病中,宫颈炎发病率为19.66%,慢性盆腔炎的发病率为2.5%,阴道炎的发病率为13%,乳腺小叶增生患病率为3.93%,所普查的妇女病还有卵巢肿瘤、子宫肌瘤、宫颈癌、乳腺癌共8种,总患病率为48.98%,山区乡镇高达54.19%。结论:加强宣传教育,提高育龄妇女生殖保健的意识和能力,加强普查普治,尤其要大力提高边远、贫困山区农村妇女的生殖健康水平。     

广西罗城仫佬族自治县已婚妇女疾病普查分析

目的 探讨罗城县已婚妇女妇科常见病、多发病的主要病种、顺位、发病情况及相关因素。方法按照中国初保基金会统一制定的妇女病普查方案对罗城县11个乡镇农村、镇直和县直单位的已婚妇女进行普查并对普查结果进行分析。结果全县应检人数28800例,实际检查14857例,普查率为51．59％,检出疾病7767人,患病率为52．28％。妇女常见病患病率前五位分别是慢性宫颈炎（36．18％）、阴道炎（15．75％）、乳腺增生（4．75％）、子宫肌瘤（4．24％）和卵巢肿瘤（3．63％）。确诊宫颈癌前病变9例,宫颈癌1例。主要妇女病高发年龄：慢性宫颈炎为30～50岁,阴道炎为20～60岁,乳腺增生为20—30岁,子宫肌瘤为40～60岁,卵巢肿瘤为20～60岁。结论妇女病普查普治有利于早发现、早诊断、早治疗妇女病,对降低妇女病特别是恶性肿瘤患病率,保障妇女的生命健康有着重要意义。     

荣成地区2004～2009年妇女普查健康状况分析

目的：了解荣成地区6年来妇女病状况及存在问题。为制定干预措施提供科学依据。方法：采用纵向比较方法,回顾荣成地区2004～2009年全市企事业单位健康体检反馈表,进行整理分析。结果：妇女普查中患病率最高的为慢性宫颈炎,患病率28．19％,其次为乳腺疾病患病率28．16％,乳腺疾病、子宫肌瘤的患病率6年来逐年上升,盆腔附件炎患病率逐年下降,慢性宫颈炎低年龄组患病率明显高于高年龄组;子宫肌瘤高年龄组患病率明显高于低年龄组。结论：对全市企事业妇女病普查是对妇科疾病的早发现、早诊断、早治疗,降低妇女常见病、多发病的患病率,提高妇女生活质量的有效措施之一。     

1426例已婚女性妇女病普查研究与分析

目的：了解已婚女性妇女病患病情况及影响发病的相关因素,提出防治疾病的干预措施。方法：采取本省统一的妇女病普查登记表,对每一位被查者进行编号,依次按编号进行妇女病常规检查,及有关病原体实验室检测,对盆腔包块或可疑子宫肌瘤者做B超检查。结果：已婚妇女患病率59．11％：经普查共检出10种妇女病,其中宫颈炎468人,占普查总人数的32．82％。将各年龄组间患妇女病的百分比对比有显著差异（X^2=15．09,P=0．01）,慢性宫颈炎的患病率各年龄组间差异显著（X^2=14．54,P〈0．05）,宫颈糜烂的发生率各年龄组差异非常显著（X^2=18．66,P〈0．01）;慢性盆腔炎与子宫肌瘤的患病率各年龄组内差异显著（X^2=14．15,P〈0．05,X^2=5．99,P〈0．05）。已婚妇女人工流产率63．95％。结论：已婚女性妇女病患病率高达59．15％,涉及病种十余种,改善妇女健康刻不容缓。患病与年龄、人工流产次数等因素有关。     

1335例妇女病普查情况分析与干预措施

目的 了解我钦南区妇科疾病患病情况,采取干预措施,提高妇女生殖健康水平.方法 对2006年8～10月妇科病普查情况进行回顾性分析.结果 妇女病患病率为72.13%,慢性宫颈炎患病率47.94%,乳腺疾病患病率32.13%,阴道炎患病率 16.78%,子宫肌瘤4.64%,盆腔炎3.82%,卵巢囊肿占1.57%.结论 妇女病普查是对妇科常见疾病的早发现、早诊断、早治疗,是提高妇女生殖健康水平的有效措施之一.     

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…