分子量不同的右旋糖酐对红细胞悬浮液触变特性的影响

本文研究右旋糖酐-70(DX-70)和右旋糖酐-40(DX-40)分别对红细胞悬浮液的 6个触变参数的影响。结果表明随着DX-70浓度增加,屈服应力、粘度的非牛顿分量和结构参数平衡值明显升高,提示DX-70能加速红细胞叠连的形成。而DX-40浓度增高时,这些参数变化不大,说明DX-40对叠连的形成影响不大。应用DX-40作为血浆扩容剂,在流变学上更具有优越性。同时,本文也证明结构参数平衡值是叠连形成的相对数量和程度的良好指标。而叠连解体的表观速率常数是叠连解体难易的指标,这为血液流变学今后的研究提供了重要参数。     

短暂性脑缺血发作患者血液流变学变化的研究

目的研究短暂性脑缺血发作患者血液流变学改变及其临床意义。方法将50例短暂性脑缺血发作患者的血液流变学指标与正常对照组进行比较分析。结果短暂性脑缺血发作组的各项血液流变学指标高于对照组(P<0.05),红细胞压积和纤维蛋白原明显高于对照组(P<0.01)。结论红细胞压积和纤维蛋白原含量增高是造成血液粘度增高的重要因素。     

椎基底动脉系统TIA患者的血液流变学改变

目的　探讨椎基底动脉系统短暂性脑缺血发作 (TIA)患者的血液流变学改变及其临床意义。方法对 2 60例椎基底动脉系统TIA患者在末次发作后 3 6小时内进行血液流变学检查。结果TIA组与对照组比较 ,全血粘度、红细胞压积、红细胞聚集性及纤维蛋白原等各项指标均无明显增高 (P >0 .0 5 )。结论椎基底动脉系统TIA的发病因素可能与其血液流变学异常意义不大。     

藻酸双酯钠对脑血栓形成患者血液触变特性的影响

利用Low shear-30流变测定仪测定了30例男性脑血栓形成(CTh)患者的全血触变参数,结果显示血浆粘度(η_p)、屈服应力(τ_0)及粘度的非牛顿分量(η_s-μ)明显高于30例男性健康对照组。将患者随机分为二组(各15例),用双盲法分别以藻酸双酯钠(PSS)和低分子右旋糖酐(DX_(40))静脉滴注治疗两周,结果PSS组τ_0、(η_S-μ)和结构参数平衡值(A)明显下降,DX_(40)组的血液触变参数无明显改变,PSS组的临床疗效明显优于DX_(40)组,上述结果表明CTh患者的红细胞聚集明显增多,PSS对红细胞叠连的解聚作用DX_(40)的作用更明显。作者认为这是PSS治疗CTh的临床疗效优于DX_(40)的原因之一;作者提出血液触变参数可作为评定药物疗效的客观指标。     

颈动脉系统TIA病人血液流变学和脑血流速度的改变

目的　探讨颈内动脉系统短暂性脑缺血发作 (TIA)病人的血液流变学和脑血流速度的改变及其临床意义。方法　 6 0例颈内动脉系统 TIA病人均在末次发作后 2 4h内进行血液流变学和脑血流速度测定。结果　 1病人组的全血粘度、血浆粘度、红细胞压积及红细胞聚集性各指标均明显增高 ,与正常对照组比较有显著性差异 ;2绝大多数患者脑动脉有严重狭窄或痉挛存在 ,从而引起脑血流速度的改变。结论　血液粘度增高、颅内动脉的狭窄或痉挛引起的血流动力学障碍是导致颈内动脉系统短暂性脑缺血发作的两种机理     

颈动脉系统TIA病人血液流变学和脑血流速度的改变

目的探讨颈内动脉系统短暂性脑缺血发作(TIA)病人的血液流变学和脑血流速度的改变及其临床意义.方法 60例颈内动脉系统TIA病人均在末次发作后24h内进行血液流变学和脑血流速度测定.结果①病人组的全血粘度、血浆粘度、红细胞压积及红细胞聚集性各指标均明显增高,与正常对照组比较有显著性差异;②绝大多数患者脑动脉有严重狭窄或痉挛存在,从而引起脑血流速度的改变.结论血液粘度增高、颅内动脉的狭窄或痉挛引起的血流动力学障碍是导致颈内动脉系统短暂性脑缺血发作的两种机理.     

脑血管病血液流变学观察

测定了１７４例脑血管病（包括脑栓塞、脑血栓、脑出血、脑动脉硬化）患者血液流变学的１１项指标。结果表明，脑血管病患者有１０项指标发生程度不同的变化，其中全血粘度和血浆粘度增高最明显。     

脑血管病血液流变学观察

测定了１７４例脑血管病（包括脑栓塞，脑血栓，脑出血，脑动脉硬化）患者血液流变学的１１项指标，结果表明，脑血管病患者的１０项指标发生程度不同的变化，其中全血粘度和血浆粘度增高最明显。     

人血触变特性的研究及其临床意义

血液触变性是指血液粘度依赖于切变率和剪切持续时间的特性。触变参数的测定能全面、动态、定量地反映血液的流变特性。本研究创造了双阶跃剪切测定法,简化了测定手段,提高了准确度。系统测定了314名中国成年人全血触变参数,分析性别和年龄对此参数的影响。首先澄清了国际上认为血液流变参数与性别年龄无关的误解。阐明脑血管病和肺心病患者血液触变参数比健康人有明显的变化,这些参数可作为诊断此疾病的定量指标。用4种药物在体外、2种药物在脑血栓患者体内进行实验,结果不同药物影     

颈动脉系统TIA脑血液动力学的研究

目的：探讨短暂性脑缺血发作（ＴＩＡ）的发病机制。方法：对３０例劲动脉系统ＴＩＡ进行三维经颅多普勒超声（３Ｄ－ＴＣＤ）、脑血管血液动力学参数（ＣＶＤＩ）及血液流变学检查分析。结果：绝大我数患者存在严重脑动脉硬化、脑动脉狭窄、脑内循环障碍;病灶侧平均脑血流量下降,血管自身调节功能减退;全血粘度、血浆粘度及血小板聚集率明显增高。结论：脑血液动力学障碍是ＴＩＡ发病机制之一。     

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.     

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.