论庾信文学作品的创新

庾信是我国南北朝时期文学的集大成者。他的文学地位源于其对于文学作品的不断开拓创新。这些创新包括体制创新、主题创新、意境创新以及语言创新四方面。惟其如此,所以后人称其作品“新奇”、“清新”且有“创见”。影响庾信文学作品推陈出新的主要因素有：南北朝政权更迭和庾信个人家庭变故、庾信在南北朝文学交游甚广、南北方自然地理环境与人文景观迥然不同、南北方民族同化与融合等。     

Long-term survival following aortic valve replacement.

Study was made of 95 survivors of aortic valve replacement during the early years of this procedure (1964 to 1970). The average follow-up time was 50.2 months. Survival was not related to hemodynamic parameters, such as cardiac index or left ventricular pressure, and did not appear to be influenced by the type of preoperative valve lesion. A history of angina pectoris and a New York Heart Association Class IV grouping were associated with shorter survival. Associated coronary artery disease was a leading cause of death in those patients surviving less than 2 years and angina pectoris the leading cause of morbidity in the long-term survivors. Sudden death occurred in five patients. Once a patient survived 36 months after the operation, the prognosis was excellent.     

中药玉女煎治疗急性妊娠期龈炎的疗效分析

目的：总结中药玉女煎治疗急性妊娠期龈炎的临床疗效。方法：用中药玉女煎加减治疗42例急性妊娠期龈炎作为治疗组,与30例单纯局部治疗作为对照组病人进行疗效比较。结果：χ^2=9.404,P〈0.01,治疗组比对照组病例用药后取得的疗效有高度显著性差异。结论：中药玉女煎对治疗急性妊娠期龈炎具有较好疗效,而且安全,无副作用。     

Effect of laser in situ keratomileusis on tear stability

OBJECTIVE: Patients frequently experience dry eye symptoms after laser in situ keratomileusis (LASIK). The mechanisms that lead to these changes are not well understood. The purpose of this study was to investigate the effect of LASIK on tear function. DESIGN: Prospective, comparative, nonrandomized interventional trial. PARTICIPANTS: Fifty-eight consecutive patients (96 eyes) who underwent myopic LASIK treatment. METHODS: The prospective study involved 58 consecutive patients (96 eyes) who underwent sequential or bilateral LASIK for the correction of myopia. Dry eye symptoms, standardized Schirmer test values, basal tear secretion test, and tear break-up time were measured before surgery and 1 day, 1 week, and 1 month after surgery. MAIN OUTCOME MEASURES: Schirmer test value, basal tear secretion value, and tear break-up time. RESULTS: Before surgery, 15.6% of patients (15/96) had dry eye symptoms. After surgery, 94.8% of patients (91/96), 85.4% of patients (82/96), and 59.4% of patients (57/96) experienced dry eye symptoms at 1 day, 1 week, and 1 month, respectively. Schirmer test value (13.32 +/- 10. 67 mm) increased at 1 day (14.48 +/- 10.57 mm; P = 0.25) and subsequently decreased at 1 week (11.18 +/- 9.81 mm; P = 0.05) and at 1 month (10.83 +/- 10.02 mm; P = 0.03). Basal tear secretion test value (8.49 +/- 8.48 mm) decreased at 1 day (6.80 +/- 6.48 mm; P = 0.05), at 1 week (5.97 +/- 6.88 mm; P = 0.005), and at 1 month (5.89 +/- 6.24 mm; P = 0.007). Tear break-up time (5.32 +/- 2.35 seconds) decreased 1 day (4.14 +/- 1.90 seconds; P < 0.001) and 1 week (4.49 +/- 1.70 seconds; P = 0.004) after surgery and recovered by 1 month after surgery (5.09 +/- 3.03 seconds; P = 0.52). Poor preoperative tear functions with a Schirmer test value less than 10 mm was a significant risk factor (72% vs. 46%; relative risk, 1.58 [1.10-2.26]) for experiencing dry eye symptoms at 1 month after surgery. CONCLUSIONS: Dry eye symptoms are common after myopic LASIK surgery. Laser in situ keratomileusis significantly altered the tear break-up time, Schirmer test values, and basal tear secretion. Patients with preexisting tear flow abnormality as demonstrated by Schirmer test values less than 10 mm are especially at risk of experiencing dry eye symptoms.     

余师愚《疫疹一得》论疫特色

从运气学说、疫疹的病因、病机、与伤寒的鉴别、治疗及谴方用药等方面对疫疹进行了探讨,剖析了余师愚温疫理论、学术思想及其治方用药的规律和特点。     

瘀血痹胶囊治疗类风湿关节炎临床研究

目的：观察瘀血痹胶囊治疗类风湿关节炎（瘀血痹阻型）的疗效和安全性。方法：治疗组40例，对照组（正清风痛宁组）30例。治疗组服瘀血痹胶囊6片，3次／d；对照组服正清风痛宁片3片，3次/d，观察治疗前后临床症状、体征及血沉、类风湿因子的变化，疗程2个月。结果：瘀血痹胶囊改善中医证候疗效为82．5％，明显优于对照组的66．67％（P＜0．05），总有效率为75％，不良反应少。结论：瘀血痹胶囊是一种治疗类风湿关节炎（瘀血痹阻型）安全有效的药物。     

黄芪在玉屏风散中的免疫调节作用及量效关系

本文观察了合不同剂量黄芪的玉屏风散对小鼠红细胞Ｃ３ｂ受体、粘附免疫复合物能力和血清中红细胞免疫调节因子的影响，结果表明黄芪以传统原方剂量配伍的玉屏风散能显著提高红细胞免疫功能，减少黄芪剂量作用降低，增加黄芪剂量也并不增强免疫功能，表明玉屏风散原方中黄芪剂量的合理性。     

强脾补精化瘀益智胶囊治疗多发梗塞性痴呆的疗效及对自由基代谢的影响

观察以强脾补精化瘀益智法组成的强脾补精化瘀益智胶囊对多发梗塞性痴呆的临床疗效。将符合中西医诊断标准及中医辨证属脾肾两虚兼气滞血瘀者 1 1 0例 ,随机分为试验组 5 6例 ,治以强脾补精化瘀益智胶囊 ,对照组 5 4例 ,治以脑复康。治疗 3个月后 ,进行疗效评估 ,同时检测患者 LPO、SOD的变化。结果 :试验组总有效率达 76.79%,而对照组总有效率 5 0 %;试验组 MID患者治疗后的 SOD活性明显高于对照组 ,血清 LPO明显低于对照组 ,2组比较 ,差异有非常显著性意义。结论 :强脾补精化瘀益智胶囊对 MID有很好的防治作用 ,其清除自由基、减轻缺血性脑损伤的作用是防治 MID的作用机理之一。     

鄂北贝母二萜成分鄂贝醇的结构解析

在鄂北贝母Ｆｒｉｔｉｌｌａｒｉａ ｅｂｅｉｅｎｓｉｓ鳞茎非生物碱的继续研究中,又分得６种对映－贝壳杉烷型二萜,经理化常数及波谱解析,并与标准品对照,证实晶Ⅰ￣Ⅲ的结构分别为ｅｎｔ－ｋａｕ－１５－ｅｎ－１７－ｏｌ,ｅｎｔ－ｋａｕｒａｎ－１６β,１７－ｄｉｏｌ,ｅｎｔ－ｋａｕｒａｎ－１６α,１７－ｄｉｏｌ。晶ⅣＣ２２Ｈ３６Ｏ４,ｍｐ１６３℃￣１６４℃,经波谱分析及降解反应,鉴定其结构为ｅｎｔ－３β－ａ     

明代六部综合性医书的传日及其影响

明代传日医书众多,以《医书大全》、《南北经验医方大成》、《玉机微义》、《医学正传》、《医学入门》、《万病回春》等综合性医书,传播最快,影响最大。它们促进了16世纪以降日本开始对中国医籍的大量翻刻;为日本当时医师培养提供了便捷教本;丰富了道三学派的理论与实践,从而为日本医学中兴增添了砖瓦。