深圳市观澜街道从业人员乙肝病毒感染情况调查

目的了解深圳市从业人群乙型肝炎病毒感染状况. 方法采用酶联免疫吸附实验（ELISA）对100 262例体检者检验HBsAg,并对其中5 486例HBsAg阳性者的乙型肝炎标志物（HBVM）作了同步检验,对各种组合模式进行了统计和分析. 结果从业人群乙肝感染率为8.05%,其中男性为10.15%,女性为6.40%,男性明显高于女性（P＜0.01）,不同行业间感染率差异无显著性（P＞0.05）. 结论在乙肝感染者中存在十种不同情况的组合,其中26.08%的感染者传染性较强,约1%的感染者存在不同亚型的二次感染或自身病毒变异的可能.     

性病门诊性传播疾病病原体感染情况调查

目的:了解性病门诊性传播疾病(STD)病原体感染的流行情况.方法:对1124例就诊者分别检测沙眼衣原体、解脲支原体、梅毒螺旋体、人乳头瘤病毒、白色念珠菌、淋病奈瑟菌和人类免疫缺陷病毒7种病原体.结果:STD感染率为59.0%,其中36.0%为混合感染;沙眼衣原体感染率最高,为40.1%;女性人乳头瘤病毒感染率高于男性(P=0.005);STD患者主要集中在21～30岁、高中及以下学历、工人和干部职业;STD病原体感染者与未感染者相比,二者在性别、年龄和婚姻情况的差异均无统计学意义(P＞0.05);STD病原体感染者平均性伴数高于非感染者(P=0.005).结论:性病门诊就诊者STD感染率较高,其中沙眼衣原体所占比率最高;女性人乳头瘤病毒感染率高于男性;21～30岁、低学历者、工人和干部为STD的主要感染群体;多性伴数者更易感染STD;STD的混合感染不容忽视.     

健康体检者HBV血清标志物组合分析

目的了解人群中HBsAg携带、感染现状及HBV血清标志物组合。方法采用ELISA法对1257名体检者进行HBV血清五项标志物检测。结果乙肝病毒携带率27.29%,感染率38.50%,HBsAg携带率男性16.55%,女性10.74%,男性高于女性。而抗-HBs阳性率男性显著低于女性343例HBsAg阳性者中“大三阳”11.77%,“小三阳”10.34%。结论对无临床症状的携带感染者要重点进行乙肝防治,进行必要的体检,有利于乙肝病人的早发现、早诊断、早隔离、早治疗及易感人群的保护。     

夫妻配偶双方生殖器人乳头瘤病毒感染情况分析

目的 探讨女性宫颈人乳头瘤病毒(HPV)感染者其男性配偶外生殖器HPV感染情况以及男女双方HPV亚型吻合情况。 方法 收集2017年11月—2019年4月在温州医科大学附属第一医院就诊的443对女性宫颈HPV阳性者及其男性配偶的临床资料,采集男性的外生殖器上皮细胞和女性的宫颈脱落细胞,检测其HPV感染情况,总共包含27种高危和低危亚型,并对结果进行分析。 结果 在443例男性中检测出HPV阳性216例,感染率为48.76%,检出率前3位HPV亚型为HPV53、52、16,均为高危亚型,其妻子HPV感染率前3位同样为:HPV53、16、52。男女双方在低危亚型的检出率不一致,男性前2名分别是HPV43、61,而女性是HPV81、6。将216对性伴侣双方HPV阳性的基因亚型配对,结果显示HPV完全吻合率为26.39%(57/216),部分吻合率为36.11%(78/216),总体吻合率为62.50%(135/216),以1种HPV吻合为主,其中高危亚型占多数。 结论 女性宫颈HPV感染者其男性配偶外生殖器HPV感染率偏高。配偶双方均感染HPV者其HPV亚型吻合度高,尤其在高危亚型上。建议常规对女性宫颈HPV阳性者的男性配偶进行HPV筛查和治疗,从而提高双方HPV的清除率。      

乙肝病毒感染者能结婚生育吗？

据不完全统计,我国慢性乙肝病毒感染者达1．2亿,其中半数以上的感染途径是由母亲或父亲传染给孩子的。因此,许多乙肝病毒感染者都很担心自己能否正常结婚和生育。     

西宁地区精神病患者HBV病毒感染情况调查

目的:调查精神病患者乙肝病毒(HBV)感染情况,以便采取合理有效的防治措施.方法:采用酶联免疫吸附试验(ELISA)法,对336例的初诊精神分裂症病人进行HBV标志物的检测和分析.结果:精神病人HBV感染率为41.37 %,感染率男性显著高于女性(P<0.05);随着病种、职业、居住地、年龄不同,HBV感染率亦不相同,但差别无显著性(P均>0.05).结论:精神病患者乙肝病毒感染率高于人群,对这类患者应采取监测、隔离、治疗等措施防止HBV的传播感染,也利于减少医院内感染.     

乙型肝炎病毒家庭内传播的社区调查分析

检测 2 6 0例乙型肝炎病毒 (HBV)感染者家庭成员的乙肝五项指标 (HBV M )和HBV DNA。对 96例HBV感染者的配偶婚前注射乙肝疫苗 (HBVV)和 /或高效价乙肝免疫球蛋白(HBIG) ;对 4 6例HBV感染的孕妇及其新生儿采用HBVV和HBIG行母婴阻断 ;2年后检测所有被观察者的血清HBV M。结果示男性HBV感染者的配偶HBV感染率较高 (19 9% ) ,而女性感染者的子女HBV感染率较高 (36 4 % ) ;婚前注射HBVV可使HBV感染率明显降低 ;采用HBIG加HBVV母婴阻断可显著降低新生儿的HBV感染率。     

203例慢性乙肝病患者夫妻传染情况的临床分析

目的 探讨慢性乙肝患者通过夫妻关系,偶被传染慢性乙肝病的比率.方法 随机抽查203例慢性HBV感染者,患者的配偶进行乙肝五项定性(HBsAg、HBsAb、HBeAg、HBeAb、HBcAb)检查,中HBV感染者必须检查肝功能及肝胆脾B超,要时检查HBV-DNA或上腹CT.结果 检查证明患者配偶患有慢性乙肝病(慢性乙型肝炎、乙肝肝硬化、HBV携带者)以及婚后有急性乙肝病史的共23人,被抽查总数的11.3%.结论 夫妻接触感染慢性乙肝病的比率与其他社会人群慢性HBV的感染率大致相同.     

贵州省黔西县彝族健康人群HBV感染血清流行病学调查

目的 :了解贵州省黔西县彝族乙型肝炎病毒 (HBV)感染状况。方法 :采用酶联免疫吸附试验 (ELISA)进行HBV标志物的检测和分析。结果 :10 6例彝族人标本中 ,检出HBV感染 6 2人 ,感染率高达 5 8 5 % ,其中男性感染率为 70 2 % ,女性感染率为 4 9 15 % ,男性显著高于女性 (P <0 0 5 ) ,HBV各项阳性率男性均稍高于女性 ,但经 χ2 检验 (P >0 .0 5 )无统计学意义。结论 :彝族人群中HBV感染率高于全国 5省平均水平 (42 2 6 % ) ,亦高于我省罗甸县农村健康人群HBV感染率 (5 4 4 4 % )。     

南通市开发区普通工人乙肝病毒HBsAg感染情况调查

为了解南通市开发区普通工人乙肝病毒感染情况,采用酶联免疫法对我市开发区普通工人17447例乙肝表面抗原(HBsAg)进行检测。结果17447例中男性感染303例(2.67%),女性149例(2.45%),男女感染率差异无统计学意义(P>0.05);外来务工人员HBsAg阳性392例(3.05%),本地务工人员阳性60例(1.30%),外来务工人员乙肝病毒HBsAg感染率明显较本地务工人员高(P<0.01)。所在工厂规模>200人组HBsAg阳性294例(2.07%),≤200人组HB-sAg阳性158例(4.84%),大规模工厂普通工人乙肝病毒HBsAg感染率较低(P<0.01)。因此要加强对小规模工厂乙肝防治知识宣传力度、对健康人群的疫苗接种和对乙肝病毒感染者的管理和治疗。     

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…     

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.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

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.