“新概念”聚焦超声治疗慢性宫颈炎临床分析

目的探讨聚焦超声治疗慢性宫颈炎的临床疗效．方法门诊治疗130例慢性宫颈炎，随机分成超声治疗组（70例）和微波治疗组（60例），观察其临床疗效及并发症？结果一次性治愈率超声组明显高于微波组，治疗后宫颈修复过程、时间，阴道排液、阴道出血等并发症的发生率，超声组明显低于微波组。结论聚焦超声治疗慢性宫颈炎疗效确切、并发症少，是目前治疗慢性宫颈炎的最佳方法。     

聚焦超声治疗慢性宫颈炎86例临床观察

目的:探究慢性宫颈炎采取聚焦超声治疗的临床效果。方法:将86例确诊的慢性宫颈炎患者,随机分成实验组和对照组,实验组43例给予聚焦超声治疗,对照组43例给予微波治疗,比较两组疗效与并发症的情况。结果:实验组的治愈率明显优于对照组,实验组病人阴道出血、阴道排液等治疗后并发症明显少于对照组。结论:慢性宫颈炎采取聚焦超声治疗,具有安全性高、疗效理想、并发症少等优点,值得临床推广应用。     

消糜栓联合聚焦超声治疗慢性宫颈炎疗效观察

目的探讨消糜栓联合聚焦超声治疗慢性宫颈炎的临床疗效。方法将我院门诊200例慢性宫颈炎患者,随机分成消糜栓联合聚焦超声治疗组（A组）100例和微波治疗组（B组）100例。观察两组治疗后的疗效及并发症发生情况。结果一次痊愈率A组明显高于B组;治疗后阴道排液、阴道出血等并发症的发生率A组明显低于B组。结论消糜栓联合聚焦超声安全有效,副作用小,术后并发症少。     

高强度聚焦超声治疗慢性子宫颈炎分析

目的探讨聚焦超声治疗慢性宫颈炎的有效性及安全性。方法将634例慢性宫颈炎患者随机分成超声治疗组和微波治疗组,观察两组患者的临床疗效、副反应、并发症。结果两组治疗宫颈炎的总有效率差异无统计学意义;两种方法治疗后宫颈修复过程中阴道排液、出血等并发症的发生率,超声治疗组明显低于对照组（P〈0．01）。结论聚焦超声能有效地治疗慢性宫颈炎,且副反应少、并发症发生率低。     

聚焦超声治疗慢性宫颈炎250例临床分析

目的:探讨超声治疗宫颈炎的临床效果。方法:收治慢性宫颈炎250例,分为超声治疗组150例,微波组100例,观察其临床症状、体征及疗效。结果:超声治疗重度宫颈炎的疗效明显优于微波组,差异有显著性(P<0.05);治疗后,宫颈修复过程中阴道排液、出血等并发症的发生率,超声组低于微波组(P<0.01)。结论:超声治疗宫颈炎疗效确切,无并发症,是目前治疗宫颈炎的最佳方法。     

聚焦超声治疗慢性宫颈炎158例

目的探讨聚焦超声治疗慢性宫颈炎的临床疗效。方法将门诊330例慢性宫颈炎患者随机分成聚焦超声治疗（HIFU）158例（超声组）,电热圈环切术（LEEP）治疗172例（LEEP组）。观察两组临床疗效及并发症。结果聚焦超声组治疗宫颈轻、中度糜烂有效率高于LEEP组,但重度宫颈糜烂方面,两组治疗效果差异无显著性。治疗后阴道排液、阴道出血等并发症的发生率,聚焦超声组明显低于LEEP组。结论聚焦超声治疗慢性宫颈炎疗效确切、并发症少,是目前治疗慢性宫颈炎的最佳方法。     

超声聚焦治疗慢性宫颈炎临床分析

目的 探讨超声聚焦治疗慢性宫颈炎的疗效.方法 对笔者所在医院门诊收治的慢性宫颈炎患者,经排除禁忌,随机分为两组,各55例,用超声聚焦、微波两种方法 治疗,观察并比较其治疗后,阴道排液、流血及愈合时间.结果 超声聚焦组仅重度糜烂患者有少量阴道排液,轻、中度糜烂患者均无明显阴道排液、流血.结论 超声聚焦不失为目前治疗慢性宫颈炎的最佳方法 .     

聚焦超声治疗慢性宫颈炎的临床研究

目的:探讨聚焦超声治疗慢性宫颈炎的有效性及安全性。方法:将287例慢性宫颈炎患者随机分成超声治疗组和微波治疗组,观察两组病人的临床疗效、不良反应、并发症。结果:慢性宫颈炎超声治疗后,病人的的症状、体征可以缓解甚至消失,恢复时间短,不良反应低,并发症少,复发率低,病理学上有明显改变。结论:聚焦超声能有效地治疗慢性宫颈炎,且安全性高。     

聚焦超声治疗慢性宫颈炎102例临床观察

目的探讨海极星聚焦超声治疗慢性宫颈炎的临床疗效。方法采用海极星聚焦超声治疗仪对102例慢性宫颈炎按宫颈质地软硬分成两组进行治疗,术后1、2、3个月复查,对两组的治疗时间、恢复时间、阴道流血、阴道流液、有无增生等指标进行评价。结果海极星治疗后症状基本缓解,总有效率为100%。宫颈质软组患者治疗时间短、恢复时间快,且术后出现阴道流血及阴道流液等并发症少。结论海极星聚焦超声治疗慢性宫颈炎治愈率高、效果好、并发症少。尤其质地较软的宫颈采用海极星治疗时间更短,恢复更快,并发症更少,疗效更确切。     

聚焦超声治疗未生育慢性宫颈炎的临床研究

目的探讨聚焦超声治疗未生育慢性宫颈炎的有效性和安全性。方法选择柳州市妇幼保健院2004年3月至2007年2月未生育慢性宫颈炎患者100例为研究组,随机选择同期无生育要求慢性宫颈炎患者60例为对照组。研究组采用聚焦超声治疗,对照组采用高频电波刀射频治疗,观察两组疗效,副反应及并发症。结果两组均有较高的治愈率和总有效率,差异无显著性意义(P>0.05);治疗后研究组阴道流液大于1周、阴道出血及宫颈结痂等副反应发生率均明显低于对照组(P<0.001),无宫颈狭窄等并发症发生。结论聚焦超声治疗未生育慢性宫颈炎安全有效,副反应小,为未生育妇女提供了一种新的无创治疗手段。     

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.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

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…     

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.     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.