三种碳纤维增强复合材料的体外力学性能

目的：研究碳纤维增强（ＣＦＲ）的聚酯（ＰＥ）、聚砜（ＰＳＦ）和聚醚醚酮（ＰＥＥＫ）等复合材料在模拟生理环境中的力学性能变化。方法：将试样分别浸泡于３７℃,６５℃和９５℃林格液中,并在０～２５６ ｄ 的时间段内分别测量材料的抗压强度和弹性模量,干燥试样作为对照。计算材料强度和模量降低的百分比。结果：在给定时间和温度的条件下,ＣＦＲ／ＰＥＥＫ 在林格液环境中的抗压强度和弹性模量均无明显改变。而ＣＦＲ／ＰＥ和ＣＦＲ／ＰＳＦ则随浸泡时间的延长,抗压强度和弹性模量明显降低。其降低值与时间和温度均相关。结论：ＣＦＲ／ＰＥＥＫ 在模拟生理环境中具有良好的生物力学稳定性,而ＣＦＲ／ＰＥ和ＣＦＲ／ＰＳＦ在应用于体内时则必须考虑材料力学性能的改变。     

流行性出血热早期病人尿液6—酮—PGF1a的检测及临床意义

采用放射免疫的方法检测了６０例流行性出血热（ＥＨＦ）病人尿液样本９４份。结果显示早期病人（１￣４病日组）尿液６－酮－ＰＧＦ１ａ开始下降，低下正常人水平（Ｐ〈０．０１），这一改变与病情严重程度高度相平行。结果提示ＥＨＦ早期病人肾内ＰＧＩ２代谢就存在改变，这种变化可能与ＥＨＦ病情加重有关。     

流行性出血热早期病人尿液6－酮－PGF_（1α）的检测及临床意义

采用放射免疫的方法检测了６０例流行性出血热（ＥＨＦ）病人尿液样本９４份。结果显示早期病人（１～４病日组）尿液６－酮－ＰＧＦ_（１α）开始下降，低于正常人水平（Ｐ＜０．０１），这一改变与病情严重程度高度相平行。结果提示ＥＨＦ早期病人肾内ＰＧＩ_２代谢就存在改变，这种变化可能与ＥＨＦ病情加重有关。     

实验性梗阻性黄疸血浆内皮素1含量及与肝血流动力学改变？…

目的 对实验性梗阻性黄疸时血浆内皮素１（ＥＴ－１）的变化及其与梗阻性黄疸时血流动力学改变的关系进行研究。方法 用胆总管结扎法建立梗阻性黄疸大鼠模型，特异性放射免疫分析法测定血浆ＥＴ－１，生理记录仪和电磁血流计测定肝动脉血流量（ＨＡＢＦ）、门静脉血流量（ＰＶＢＦ）、门静脉压力（ＰＶＰ）。结果 梗阻性黄疸时血浆ＥＴ－１低于正常对照组。其血浆ＥＦ－１含量与ＨＡＢＦ、ＰＶＢＦ呈正相关。结论 梗阻性黄疸时血     

慢性低氧性肺动脉高压大鼠肺内血管内皮生长因子表达的变化

为了解低氧对肺内血管内皮生长因子（ＶＥＧＦ）基因表达的影响及ＶＥＧＦ在肺动脉闹压发生中的作用，以常压低氧建立大鼠肺动脉高压模型，采用Ｅｌｉｓａ检测大鼠肺动脉血血清ＶＥＧＦ的含量改变，以体外转录并用ＤＩＧ－ＵＴＰ标记的ＶＥＧＦ ｃＲＮＡ探针进行肺组织原位杂交，检测大鼠肺内ＶＥＧＦ ｍＲＮＡ表达的变化。结果发现：低氧３周后，大鼠形成明显的肺动脉高压；大鼠肺动脉血血清中ＶＥＧＦ含量在低氧３周组为４２０．     

医用直线加速器楔形因子与深度依赖性研究

目的：确定楔形因子（ＷｅｄｇｅＦａｃｔｏｒＷＦ）随射野大小变化对于放射治疗中吸收剂量的影响。材料与方法：笔者在ＳＩＥＭＥＮＳＭＥＶＡＴＲＯＮ１２（以下简称ＳＩＥＭＥＮＳ）直线加速器上对ＷＦ随水体模中测量深度变化关系进行了测量研究，使用配有０．６ｃｃ电离室的３５７０剂量仪作为剂量测量仪。结果与结论：通过测量发现在体模内最大剂量点到体模内２０ｃｍ范围内ＷＦ随测量深度变化最大有６％的改变。而ＷＦ与体模表面下１０ｃｍ处测得的ＷＦ相比最大有３％的偏差。     

肺癌术前预计术后肺功能的评估标准

目的 探讨肺癌术前计算预计术后１ｓ用力呼气容积（ＰＰＯ－ＦＥＶ１）预测手术风险的标准。方法 应用Ｊｕｈｌ公式计算３８３例患者的ＰＰＯ－ＦＥＶ１，按手术方式将全部患者分为肺叶切除组（肺叶组）和全肺切除组（全肺组），研究ＰＰＯ－ＦＥＶ１与并发症的关系。     

L－精氨酸和N~G－甲基－L－精氨酸对血管内皮细胞释放EDRF的影响

通过培养的大鼠胸主动脉内皮细胞（ＣＥＣ）及胸主动脉环，利用生物分析法，探讨ＣＥＣ释放内皮源性舒张因子（ＥＤＲＦ／ＮＯ）的检测方法，影响ＥＤＲＦ／ＮＯ分泌的因素。发现单纯ＣＥＣ或经乙酰胆碱（Ａｃｈ）预处理的ＣＥＣ对去内皮血管环张力无明显影响；而经Ｌ－精氨酸（Ｌ－Ａｒｇ）或Ｌ－Ａｒｇ和Ａｃｈ预处理的ＣＥＣ可引起去内皮血管环产生明显舒张；ＮＧ－甲基－Ｌ－精氨酸和Ａｃｈ预处理的ＣＥＣ则引起去内皮血管环明显收缩。提示ＣＥＣ在基础状态和经Ａｃｈ预处理后，其合成和分泌ＥＤＲＦ／ＮＯ的能力很低或丧失，可能存在内源性ＥＤＲＦ／ＮＯ前体Ｌ－Ａｒｇ不足，供给外源性Ｌ－Ａｒｇ有增强ＣＥＣ合成和释放ＥＤＲＦ／ＮＯ的作用。在Ｌ－Ａｒｇ供给充足情况下，Ａｃｈ可进一步刺激ＣＥＣ释放ＥＤＲＦ／ＮＯ。     

糖尿病患者EGF与糖尿病肾病关系的研究

为研究２型糖尿病患者尿ＥＧＦ水平的变化,用放免法测定了１０７例２型糖尿病患者和５１名健康自愿者尿ＥＧＦ、ＡＥＲ及β２──ＭＧ水平。结果显示１０７例患者尿ＥＧＦ较对照组显著降低,但当患者ＡＥＲ及β２－ＭＧ尚正常时,尿ＥＧＦ较对照组显著增高,ＡＥＲ、β２－ＭＧ增高时,尿ＥＧＦ则显著降低,且尿ＥＧＦ降低与β２－ＭＧ增高关系更密切。提示尿ＥＧＦ变化与ＤＮ关系密切,当２型糖尿病患者肾脏功能受损时,尿ＥＧＦ水平降低可能反映了肾脏功能障碍。     

卵巢癌患者血清及瘤液中肿瘤坏死因子的研究

应用ＥＬＩＳＡ方法检测妇科肿瘤患者血清肿瘤坏死因子（ＴＮＦ），与健康供血者作对照。结果表明：子宫颈癌、子宫内膜癌、子宫肉瘤及良性卵巢囊肿血清ＴＮＦ－α无明显改变；卵巢癌患者血清ＴＮＦ－α明显升高，与卵巢癌临床分期无关，卵巢癌瘤内液ＴＮＦ－α高于血清水平。     

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.