川芎提取物穴位敷贴辅助治疗中风后遗症40例

脑血管疾病属于中医"中风"范畴,其具有发病率高、病死率高、致残率高、复发率高等特点,其发生率还有逐年增高的趋势.     

Quantification of glutamate and glutamine using constant‐time point‐resolved spectroscopy at 3 T

Separate quantification of glutamate (Glu) and glutamine (Gln) using conventional MRS on clinical scanners is challenging. In previous work, constant‐time point‐resolved spectroscopy (CT‐PRESS) was optimized at 3 T to detect Glu, but did not resolve Gln. To quantify Glu and Gln, a time‐domain basis set was constructed taking into account metabolite T₂ relaxation times and dephasing from B₀ inhomogeneity. Metabolite concentrations were estimated by fitting the basis one‐dimensional CT‐PRESS diagonal magnitude spectra to the measured spectrum. This method was first validated using seven custom‐built phantoms containing variable metabolite concentrations, and then applied to in vivo data acquired in rats exposed to vaporized ethanol and controls. Separate metabolite quantification revealed increased Gln after 16 weeks and increased Glu after 24 weeks of vaporized ethanol exposure in ethanol‐treated compared with control rats. Without separate quantification, the signal from the combined resonances of Glu and Gln (Glx) showed an increase at both 16 and 24 weeks in ethanol‐exposed rats, precluding the determination of the independent and differential contribution of each metabolite at each time. Copyright © 2012 John Wiley & Sons, Ltd.     

耳穴贴压治疗溃疡性结肠炎精神心理症状疗效观察

目的：耳穴贴压治疗溃疡性结肠炎精神心理症状的疗效观察。方法：将50例病例随机分为两组,分别采用常规治疗护理措施、耳穴贴压配合常规治疗护理措施的方法。结果 ：经治疗1个疗程后,常规治疗组（对照组）总有效率为68%;耳穴贴压组（干预组）总有效率为84%。结论：干扰组的疗效优于对照组,且具有统计学意义（P〈0.05）。     

穴位按压在减轻刮宫术后不适反应中的应用

目的探讨按压内关穴对减轻刮宫术后不适反应的效果。方法将2010年1月~2013年1月在我科门诊手术室行刮宫术后发生不适反应的患者200例,随机分为对照组和观察组,各100例。观察组除常规护理外应用穴位按压。对照组按常规方法护理。并比较两组治疗效果。结果观察组治疗有效率为98%,高于对照组90%,两组比较有显著性差异(P0.05)。结论穴位按压应用于刮宫术后不适反应,具有方法简便、起效快,患者舒适等优点。     

腹外斜肌的神经入肌点定位与肌内神经分布研究

目的　对人腹外斜肌的神经入肌点定位和肌内神经染色观察，为其临床应用提供形态学资料。 方法　成尸11具定位神经入肌点和5具行Sihler’s 肌内神经染色。 结果　腹外斜肌受下8对肋间神经外侧肌支支配，各个肌齿的神经入肌点距离相应肌齿起端中点(1.54±0.33)cm，位于锁骨中线与第5肋下缘的交界处至腋后线与第11肋下缘交界处的连线上。Sihler’s染色显示支配腹外斜肌的肋间神经外侧肌支入肌后分出小分支分布到各肌齿的起端1/3，然后约在各肌齿的近、中1/3交界处分出2支二级神经分支，即上支与下支，它们分出小分支分布到各肌齿的中间1/3，相邻两个肌齿的上支与下支在各肌齿中远部形成“U”形吻合，从“U”形吻合弓上分出小分支分布到各肌齿的止端1/3。在腹外斜肌上半部，各肌齿的神经分支分布到相应的肌齿，但在腹外斜肌下半部，上一肌齿的远侧下份是由下一肌齿的神经分支(上支)分布。 结论　①为临床上腹壁局部麻醉和术后切口疼痛的神经阻滞提供指导意义；②腹外斜肌中远部从上至下形成“波浪形”的神经分支密集区；③腹部手术切口建议不要超过四个肌齿。     

医保目录与医疗服务的错位

"脊柱内固定钢板"按医保目录可以报销,而固定钢板的钉子却由患者全额自付;五六年前制定的目录中仅有黑白超床旁检查项目,而未设床旁彩超项目,目前二级以上医院几乎全部淘汰黑白超,改用彩超,可彩超没有收费标准……诸如此类的问题让人难以理解。建议相关部门建立互通机制。     

水化疗法预防造影剂肾病的效果研究

目的研究水化疗法预防造影剂肾病的效果。方法随机选取2016年6月～2018年6月我院收治的造影剂肾病高危患者60例,依据预防方法分为两组,即氯化钠水化疗法组和复方氯化钠水化疗法组,每组30例,统计分析两组患者的Cr、pH、GFR、HCO3~-、K~+水平、造影剂肾病、二级终点事件发生情况。结果复方氯化钠水化疗法组患者的Cr水平显著低于氯化钠水化疗法组(P0.05),pH、GFR水平均显著高于氯化钠水化疗法组(P0.05),造影剂肾病、二级终点事件发生率为3.3%(1/30)、0,均显著低于氯化钠水化疗法组的13.3%(4/30)、10.0%(3/30)(P0.05)。结论复方氯化钠水化疗法预防造影剂肾病的效果较氯化钠水化疗法好,值得在临床推广。     

A novel compound heterozygosity in Southern China: IVS-II-5 (G > C) and IVS-II-672 (A > C)

β-Thalassemia (β-thal) is a common hereditary anemia due to decreased or absent synthesis of the β-globin chains. Here, we report a patient found to be a novel compound heterozygote for the rare IVS-II-5 (G?>?C) (NG_000007.3: g.71044G?>?C) and IVS-II-672 (A?>?C) (NG_000007.3: g.71711A?>?C) mutations, which may be silent mutations that are associated with consistent residual output of β chains, normal red blood cell (RBC) indices and normal or borderline Hb A₂ levels.