陈辽学术研究的独特个性——评《陈辽文存》(四卷本)

新近面世的《陈辽文存》显示了南通籍著名文学评论家陈辽先生学术研究的独特个性 ,即研究对象的整体性 ,研究成果的创新性 ,研究方向的前瞻性和研究方法的兼容性。     

洛美沙星片剂随机对照治疗急性细菌性感染的临床评价

 目的：评价国产洛美沙星（lomefloxacin）治疗细菌性感染的有效性和安全性。方法：随机对照开放试验。结果：随机对照组76例，用氧氟沙星（ofloxacin）对照，其中两组痊愈率和有效率分别是66．7％，64．9％和89．7％，89．2％；细菌阳性率是82．1％与86．5％；细菌清除率是90．6％和93．8％；不良反应发生率是5．1％和5．4％。以上结果经统计学处理，无显著差异（P＞0．05）。开放试验组80例，其痊愈率和有效率分别是67．5％与86．3％；细菌阳性率是85％；细菌清除率88．2％。不良反应发生率5．0％。全部临床分离菌株纸片法药敏试验及MIC结果表明两药作用相似，但明显优于氨苄青霉素、头孢拉定和庆大霉素。结论：洛美沙星可作为临床上常见致病菌所致感染的选择用药。     

纵断体层摄影在膝关节前后十字韧带胫骨止点撕脱骨折诊断中的应用

对膝关节前后十字韧带胫骨止点骨折，常因关节周围骨骼影像重叠使其显影不清而影响诊断。通过11例该类损伤患者的X线平片及纵断作层片的分析比较，认为纵断体层摄影可清晰显示关节内骨折的形状、大小、范围，获得完整的骨折分层像，从而有利于临床分型，对骨折的诊断及指导治疗有较大的应用价值。     

环枢关节紊乱症的临床研究

环枢关节紊乱症，从发病机理到临床表现，乃是颈椎病中较复杂的疑难顽症。用常规诊治方法，疗效不佳。本研究提出新的诊断依据与治疗方法，对３２０例病者随机分为治疗组１６６例（采用改进的诊治方法），对照组１５４例（用常规诊治方法）对照进行疗效观察。结果显示：治疗组治愈率与总有效率及康复率均高于对照组。有非常显著差异，Ｐ＜０．０１。而疗程较对照组短。环枢关节紊乱症的临床研究有利于颈椎病诊治水平的提高，运用于临床，疗效好，效益高，具有推广应用价值。     

Teaching medical undergraduates basic clinical skills in hospice—is it practical?

AIM—Basic clinical skills teaching to medical undergraduates was a new departure for the hospice stimulated by the changing philosophies and organisation of students'' training. This study was undertaken to assess the practicalities of the venture.
METHOD—Questionnaires were designed for each of the three major groups of people involved, namely the students, the patients, and the hospice nurses. Involved patients completed theirs after teaching sessions, while the students and nurses were given two different questionnaires each, one at the start and another at the end of the academic year.
RESULTS—All students completed both questionnaires. Overall they had acquired adequate skills to pass their end of year assessments and considered themselves more comfortable with difficult situations than may otherwise have been the case. The majority of patients had enjoyed the experience and found it personally educational and a change to hospice routines. The nurses'' response rates were very poor, limiting any conclusions that could be drawn.
CONCLUSION—The venture was successful, stimulating, and practical for patients and students. Its impact on the nurses remains uncertain but, by their unusual lack of opinion expression, it can be inferred tentatively that this was minimal.


     

益肾生血片为主治疗再生障碍性贫血的临床研究

研究益肾生血片治疗再竽障碍性贫血的临床疗效。方法：治疗组１０６例用益肾生血片治疗，对照组３６例用人参归脾丸治疗，并观察两组治疗前后末梢血象和骨髓象的变化及益肾生血片的毒副作用。结果：治疗组及对照组的基本治愈率，缓解率，总有效率分别为２３．６％，３６．８％，８２．１％及１１．１％，２２．２％，５８．３％，经统计学处理有显著性差异，治疗组的疗效明显优于对照组。     

升降理论在心血管病中的临床应用

本文从升降学说的理论基础来论证升降理论，体现于脏腑的各种机能活动和各种物质代谢运动中，升降功能的失调是心血管疾病发生发展的主要原因，因此，临床心血管病的治疗亦离不开升降理论作指导，遣方用药注重升中有降，降中寓升，升降相宜     

昆山郑氏妇科二十九代世医考

江苏昆山郑氏妇科世医、代代相传二十九世,历经宋,元、明、清、民国、迄今已有近８００年历史,堪与江南何氏二十九代世医媲美,成为中外医学史上罕见的奇迹。整理其家谱、墓志,方志,文稿,医著等传世文献资料,地郑氏二十九代妇科的世系,医家传略,医术,著述等进行了较详细的考证和整理,并编绘了世系图。     

参麦注射液治疗无症状性冠心病的疗效观察

参麦注射液是由人参、麦冬中药复方提取精制而成的注射液。临床观察治疗无症状性冠心病26例，结果表明，参麦注射液能明显改善无症状性冠心病的ST-T改变，其作用优于对照药物消心痛，诊疗期间未见毒副作用。     

青州市小儿格林—巴利综合征流行病学特点与临床分析

目的探讨小儿格林-巴利综合征（GBS）病因、发病机制、防治措施。方法对青州市242例GBS患儿进行回顾性流行病学调查、临床观察、免疫学检测及微量元素检测。结果242例GBS患儿52．81％发病年龄为3～6a，75．61％发病时间在7～9月份，98．7％来自农村，年发病数3～40例，52．17％血清抗神经抗体阳性，平均血清锌含量9．12±0．56μmol／L。补锌治疗可促进康复。结论青州市小儿GBS发病年龄、季节、区域、年发病数有明显差异，患儿存在免疫紊乱及微量元素锌缺乏。