视网膜前黄斑纤维症

患者祝××男33岁1985年11月12日因右眼视力下降、视物变形1年余。既往健康,无眼外伤病史。全身检查未见异常。视力右眼0.25,左眼1.2。右玻璃体轻度混浊。右眼底黄斑部网膜表面有半透明灰白色纤维膜,黄斑部有放射状皱褶,中心窝反射消失。颞下支血管明显扭曲。纤维膜上方约1PD 远有黄白色一斑点,未见色素紊     

中药敷脐用于慢性结肠炎

慢性结肠炎十分常见 ,治疗效果常不理想。我们对 10 0例患者应用自行研制的复方姜桂散外敷脐部神厥穴 ,取得了满意效果。具体方法为 :取干姜 2 0 0ｇ ,肉桂 10 0ｇ ,白胡椒 10 0ｇ ,丁香 10 0ｇ ,细辛 5 0ｇ ,用 80℃干燥箱烘干 ,粉碎成细粉 ,过 6号筛 ,混合后分装于密封塑料袋中备用。使用时 ,剪二块长宽各 8ｃｍ的胶布 ,在其中一块的中间部分挖成直径为 2～ 3ｃｍ的圆孔 ,把此块胶布贴于脐部 ,神厥穴从孔中露出 ,将配制好的复方姜桂散剂 (2ｇ左右 )敷于神厥穴部位 ,再用直径为 4ｃｍ的塑料薄膜覆盖 ,最后用另一块长宽为 8ｃｍ的胶布重叠贴…     

80例难免流产患者胚胎染色体核型分析

对象 80例患者来自我院2007年8月至2008年9月妇产科门诊及病房就诊者,孕3月内,临床诊断难免流产.B超显示仅见胚囊,无胚芽或有胚芽未见原心搏动等诊断胚胎停止发育.年龄(24～41)岁,平均年龄30岁.     

禹城市一起麻疹暴发的调查分析

20 0 1年 4- 6月 ,禹城市发生了以学龄儿童为主的麻疹暴发 ,共发病 46例 ,发病率 0 92 1 0万 ,无一例死亡 ,暴发点 2个 (廿里堡乡和禹城镇 ) ,其余均为散发病例 ,疫情波及市直和 3个乡镇的 1 4个村庄及 1个学校。1 流行病学特征 :本次麻疹暴发波及市直和与之相邻的 3个乡镇     

高血压患者处理指南[英]／Beckford-Ball J∥Nursing Times．

英国高血压协会(BHS)公布了一项高血压处理新指南，对高血压防治有重大意义。     

以教学秘书为主体对护理人员开展系统化培训的效果

目的探讨以临床护理教学秘书为主体对护理人员开展系统化培训的效果。方法在科室内设立护理教学秘书岗位,经过培训的教学秘书在科室内对规培护士及实习护生进行规范化带教。采用考核及效果评价等方法,评价教学秘书开展培训的效果。结果培训前后实习护生理论及操作成绩比较差异有统计学意义(P 0. 05);培训后规培护士各项理论及操作成绩及格率均在90%以上,平均分在72分以上;护理人员及实习护生对教学秘书开展的教学及培训工作评价较高。结论由教学秘书在病区内开展教学及培训有利于提高护理人员理论及专业技能水平,提高临床护理质量及教学质量。     

门诊药房调剂差错分析

为给患者提供安全、有效的药品,药师在调配药品过程中,必须做到将正确的药品和准确的数量发放到患者手中,同时向患者准确交待服用方法及注意事项。由于儿童医院门诊药房具有处方量大、药品种类较多的特点,如何避免处     

综合物理因子治疗妊娠期周围性面神经炎

面神经炎是临床多发、常见病,经早期积极药物及物理治疗,大部分患者均能痊愈.但是妊娠期出现的面神经炎,因无法使用激素等药物,在治疗上比较棘手,容易遗留不同程度的后遗症.我们采用综合物理因子治疗妊娠期面神经炎,疗效显著,现报道如下.     

Preliminary Comparative Study on the Effect of Different Chinese Drugs for Strengthening Pi(脾)in Antagonizing Diet Induced Obesity

<正>Objective:To observe the difference in fatty degree,glucose-lipid disorder and adipose-hormones between diet induced obesity(DIO) rats and diet induced obesity resistance(DIO-R) rats,and to explore the effect and acting mechanism of Chinese drugs for strengthening Pi(脾,CD-SP) and those for both strengthening Pi and dissolving phlegm(CD-SPDP) in inhibiting obesity.Methods:Excepting eight rats allocated in the blank control group,the other 54 rats were fed with high-lipid forage for 12 weeks to establish models of obesity. Finally,30 DIO rats and 8 DIO-R rats(shown by their body weight) were obtained.The DIO rats were divided into three groups,which were given gastric perfusion,respectively,with normal saline(Group A),CD-SP(Group B),and CD-SPDP(Group C).Fourteen weeks later,the animals' body weight(BW),length(BL),blood levels of fasting insulin(Fln),fasting glucose(FBG),triglyceride(TG),cholesterol(TC),leptin(LP),neuropeptide Y(NPY), C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),adiponectin(AN),and resistin(RS) were measured; insulin resistance index(IRI) was calculated,and the degree of obesity and lipid content in abdominal cavity of rats were estimated.Moreover,the levels of LP,CRP,TNF-α,AN and RS in homogenate of rats' adipose tissues(ATH) were determined.Results:After 12 weeks of high-lipid diet,the BW of DIO rats was higher than that of normal or DIO-R rats.After a 14-week continuous high-lipid diet feeding,in DIO rats,BW,lipid coefficient (LC),and IRI were significantly increased(P0.01);serum levels of TNF-α,LP and AN were lower,NPY was higher,while the ATH levels of LP and AN were lower and TNF-αwas higher in DIO rats than in DIO-R rats (P0.05 or P0.01);blood levels of FBG and lipids in DIO rats showed an increasing trend but was statistically insignificant(P0.05);no significant difference was found in serum levels of CRP and RS due to the overly high data dispersion.Comparisons of the 3 DIO groups showed that BW,body weight index(BWI),LC and IRI were significantly lowered after treatment(P0.01) in Group C,while these indexes were not significantly different between Group A and B;the serum levels of TNF-α,LP,and AN increased,NPY decreased in Group B and C, ATH levels of LP and AN increased,and TNF-αdecreased in the two groups;but NPY,LP,and AN in blood and ATH were higher in Group C than those in Group B(P0.05 or P0.01).Conclusion:CD-SPDP could inhibit DIO and IR,showing that the effect is better than that of CD-SP,and its mechanism is related to promotion of LP and AN secretion and elevation of serum NPY.     

80例难免流产患者胚胎染色体核型分析

对象 80例患者来自我院2007年8月至2008年9月妇产科门诊及病房就诊者,孕3月内,临床诊断难免流产.B超显示仅见胚囊,无胚芽或有胚芽未见原心搏动等诊断胚胎停止发育.年龄(24～41)岁,平均年龄30岁.