大型医院医用物资保障管理体系结构探析

目的:建立医用物资保障管理体系,对医用物资采购、使用、供应、维护、质量控制等环节实施监管,提高物资使用效率,确保医疗工作的安全有效进行。方法:建立和完善各项规章制度,加强管理,规范操作;开发管理软件,搭建信息平台,实现科学化、系统化的管理模式。结果:实现了对医疗设备、器械和消耗材料从购置论证、采供到报废销毁的全程系统化管理。结论:通过构建合理的体系结构,严格进行规范操作来加强物资管理,才能适应大型医院的快速发展,为医、教、研工作保驾护航。     

平肝熄风汤治疗脑溢血患者的生活质量观察

４０例急性脑溢血患者采用平肝熄风汤或西药治疗，对其生活质量进行了观察。结果表明：经平肝熄风汤治疗后，患者的ＱＬＩ，认识功能，ＡＤＬ均较治前明显提高；治后１月，３月，６月和１２月，上述各指标较西药组明显提高（Ｐ＜０．０１）。提示平肝熄风汤治疗脑溢血患者，对其ＱＬＩ，认知功能和ＡＤＬ的恢复速度快，疗效明显优于西药组。     

唯尔本注射液对哮喘病人T淋巴细胞亚群的影响

对40例接受唯尔本注射液治疗的哮喘病人治疗前后的T淋巴细胞亚群进行了检测,并设对照组20例进行了比较。结果证实唯尔本注射液可以提高哮喘患者外周血T抑制细胞的数目,提示唯尔本是一种可以提高细胞免疫功能的防治哮喘药物。     

息肿胶囊治疗心性水肿50例疗效报告

将92例心性水肿患者随机分为两组．其中50例用息肿胶囊治疗，42例以双氢克尿塞对照．结果：两组患者治疗后尿量均显著增加．而息肿胶囊的作用更持久，对水肿的总有效率治疗组92％、对照组85．7％，两组无显著性差异。改善心功能的总有效率治疗组90％,对照组73.8％（P＜0.05）,同时息肿胶囊基本不引起血液电解质紊乱。表明息肿胶囊疗效可靠．不良反应轻微。     

The aberrant cervical thymus: Embryology,pathology, and clinical implications

Cervical thymic anomalies are not as rare as previously suggested. Six cases were encountered over a relatively short period of time, prompting us to report them and emphasize the importance of this entity. Five of the six patients were children, two of them infants less than one year old. The occurrence of thymic remnants in the neck of young children is not surprising, considering the nature and behavior of the thymus at different stages of life.After a brief embryologic survey, the various types of cervical thymus (solitary ectopic, cystic, or partially arrested descent) and their pathogenesis are discussed. The rare occurrence of thyroid and parathyroid tissue within the mass of a large cervical thymic cyst is reported and evaluated. Cervical thymic lesions can either be symptomless or cause severe dyspnea and dysphagia, especially in the young infant. Accurate diagnosis and an intelligent surgical approach in the child with a cervical mass can avoid the obvious parental apprehension and lead to the correct treatment. Symptoms due to pressure on neighboring structures are promptly eliminated after excision, and prognosis is excellent.     

喘息灵糖浆对发作期支气管哮喘临床疗效和对T细胞亚群、细胞及体液免疫影响的研究

本文报告运用喘息灵糖浆治疗急发期支气管哮喘98例的临床实验研究,并以组合西药治疗作为对照(98例)。结果:观察组控显率为69.3％,总有效率为89.7％,两组疗效无显著差异(P>0.05),但观察组毒副作用明显低于西药组(P<0.01)。研究结果提示,喘息灵具有调节T淋巴细胞亚群,提高细胞免疫机能及降低血清IgE水平的功效,7项免疫指标治疗前后差异显著(P<0.05),西药组治前后无显著差异(P>0.05)。喘息灵糖浆可作为治疗急发期支气管哮喘的有效制剂。     

洗泻停治疗小儿腹泻临床研究

本研究遵循清热利湿、消炎止泻、分利小便、调理脾胃气机的治则,采用"洗泻停"洗浴患儿小腿及双足治疗病毒性腹泻和饮食性腹泻。结果表明,平均止泻天数与对照组比较有显著性差异(P<0.01)。具有缩短疗程、减少腹泻次数和排便量以及改善大便性状的良好作用。本文并就其治病机理进行了探讨。     

Nocturnal enuresis: Current perspectives

This paper presents a comprehensive overview of current perspectives on the etiology and treatment of nocturnal enuresis. A diverse array of theories on the etiology of bedwetting, including psychoanalytic, developmental, physiological, and behavioral approaches are discussed and evaluated. The various treatment approaches are likewise reviewed and evaluated. Researchers and clinicians are urged to view nocturnal enuresis as multifactorial in origin, particularly when formulating a treatment plan.     

健胃喜食宝片促进消化功能动物试验研究

目的研究健胃喜食宝片促进动物消化功能的效果。方法将昆明种雄性小鼠随机分为空白组、模型对照组和3个剂量(0.53、1.06、1.60g/kgBW)的给药组。各剂量组分别连续经口给予受试样品15d,空白组和模型对照组给予实验用水。用复方地芬诺酯制造小鼠便秘模型,进行小鼠小肠运动试验,测定小鼠的墨汁推进率。将SD雄性大鼠随机分为空白组和3个剂量(0.265、0.53、1.06g/kgBW)的给药组。各剂量组分别连续经口给药30d,观察大鼠体重、体重增重、摄食量和食物利用率,测定大鼠的胃蛋白酶活性和排出量。结果健胃喜食宝片(1.06、1.60g/kgBW)能显著增加小鼠小肠墨汁推进率(P<0.01),能显著增加大鼠体重增重和摄食量,对食物利用率增加不明显。健胃喜食宝片(0.53、1.06g/kgBW)能显著增加大鼠胃蛋白酶活性和胃蛋白酶排出量(P<0.01)。结论健胃喜食宝片具有促进消化功能,即能增进动物食欲和进食量,增加胃液和胃酶分泌量,增加动物体重,增进小肠蠕动;此外还具有润肠通便的功能。     

胸痹证治

胸痹证治以整体观念为基础,从五脏、络病、营卫、毒邪等方面论治,根本病位在心,"不通则痛、不荣则痛",临证论治应强调整体观念,追究本源,分辨脏腑,审其虚实,知常达变。