中药药浴配合刺络拔罐治疗湿疹的疗效观察

目的观察中药药浴配合刺络拔罐治疗湿疹的临床疗效。方法选择120例湿疹患者随机分为治疗组与对照组,对照组口服盐酸左西替利嗪片,外用中药药浴等;治疗组在对照组治疗基础上加用刺络拔罐。两组均以10 d为疗程。结果经过2疗程治疗结束后,治疗组总有效率明显高于对照组(P<0.01),且未发现严重不良反应。结论盐酸左西替利嗪片加中药药浴再配合刺络拔罐治疗湿疹疗效明显,且安全性好。     

丰宁县城洗浴场所公共用品卫生状况调查

为了解丰宁县洗浴场所公共用品卫生状况,为卫生监督重点工作提供理论依据。依照《公共场所卫生监测规范与检验方法手册》微生物部分。洗浴场所公共用品卫生指标合格率非常低,完全合格的浴室占18.8%。丰宁县洗浴场所存在传染病安全隐患,特别是拖鞋近一半不合格,极易造成脚气病的传播,应加大监管力度。     

微型轴流风扇间隙流动分析

以某微型轴流风扇为研究对象,测量了其在5 600 r/min转速下的气动特性曲线,同时采用商用软件NUMECA模拟了在4种流量下该风扇叶轮内的三维流场,详细研究了泄漏涡和分离涡的结构、泄漏流速度的分布、叶片两侧的压差分布以及泄漏流对叶顶载荷的影响。研究结果显示：由于叶顶间隙的存在,气流在叶顶形成了分离涡;而泄漏流进入相邻通道后卷起形成泄漏涡。叶顶分离涡和泄漏涡的起始位置都随着流量的增加而向下游移动。从叶顶到外端壁方向,泄漏流速度的大小及其与叶片型线的夹角(θ)均呈现先增大后减小的趋势。间隙区域叶片两侧的压差(Δp)随着流量的增加而变小,泄漏流速度、泄漏流量也随之变小。叶顶卸载是顶端间隙流动的主要特征,随着流量系数的增加,叶顶卸载变大。     

308nm准分子激光联合中药浸泡治疗掌跖部角化性湿疹临床疗效观察

目的观察308nm准分子激光联合中药浸泡治疗掌跖部角化性湿疹的有效性及安全性。方法将入选的87例掌跖部角化性湿疹患者随机分为两组,对照组42例采用中药浸泡治疗,2次／d;治疗组45例在对照组治疗的基础上予308nm准分子激光照射治疗,20：／周。两组患者均外用复方氟米松软膏封包治疗,2次／d,疗程均为2周,观察两组患者的治疗效果和不良反应。结果治疗组有效率93．3％,对照组78．5％,治疗组明显高于对照组,差异有统计学意义（P〈0．05）。结论308nm准分子激光联合中药浸泡治疗掌跖部角化性湿疹临床疗效显著,安全性和依从性高,不良反应少。     

促进胃肠道术后病人肠蠕动早期恢复的研究

目的探讨促进胃肠道病人术后肠蠕动早期恢复的方法。方法将2010年在胃肠外科住院行胃肠道手术的390例病人随机分为两组,实验组196人,术后6小时行足三里、合谷、上臣虚、内关等穴位交替按摩,每次5min,每天3～4次。温水足浴,每天睡前1h进行,每次30min。腹部桥式运动,每日上下午各1次,也可酌情增加。对照组194人,按胃肠道疾病术后外科护理常规护理。结果实验组病人肠蠕动恢复明显缩短于对照组,肛门排气,排便时间明显少于对照组,术后出现并发症明显少于对照组,P值<0.01。结论足三里、合谷、上臣虚、内关等穴位交替按摩,温水足浴,腹部桥式运动对促进胃肠道术后病人肠蠕动早期恢复,减少术后并发症有明显效果,值得临床推广。     

针、灸、敷、浴联合应用在肿瘤治疗中的优势

目的:论述针、灸、敷、浴联合应用在肿瘤治疗中的优势.方法:通过总结、归纳相关文献将中医外治疗法归类为针、灸、敷、浴4大类,从传统中医理论及现代医学机理研究加以分析和论述.结果:中医外治疗法在肿瘤的治疗尤其是终末期肿瘤的治疗中疗效显著,且无不良反应.结论:中医外治疗法针、灸、敷、浴在肿瘤防治中发挥了重要作用,其疗效显著,操作简单,成本低廉.     

Sporotrichoid dermatosis caused by Mycobacterium abscessus from a public bath

Infections caused by nontuberculous mycobacteria (NTM) are usually associated with immunocompromised states. More recently, however, NTM infections are being diagnosed with greater frequency in patients lacking traditional risk factors. However, cutaneous infection with rapidly growing mycobacteria is uncommon, and diagnosis may be difficult. Herein we present a case of sporotrichoid dermatosis on both forearms caused by Mycobacterium abscessus in a 34-year-old female (case 1). Mycobacterium abscesus was identified by culture as a colorless colony with rapid growth and by comparative sequence analysis of the rpoB gene. The patient was suspected to have been infected in a public bath in which she worked, it was located in a famous hot spring area in Korea. The condition was first noticed after she had been working in the bath for two years and after another employee (case 2) suffered similar lesions which had responded to treatment. The patient's skin lesions were successfully treated with anti-tuberculous drugs for six months.     

Familial cluster of cutaneous Mycobacterium avium infection resulting from use of a circulating, constantly heated bath water system

We describe familial cases of cutaneous infection caused by Mycobacterium avium. A 45-year-old father, his 14-year-old son and 11-year-old daughter, among five persons in a family, presented with a 2-month history of inflammatory subcutaneous nodules and ulcerations. Histology of skin biopsy specimens showed granulomatous inflammation, and mycobacterial colonies isolated from the skin of each patient were identified as M. avium by DNA hybridization analysis. The patients were all treated successfully with combined drug therapy consisting of rifampicin, isoniazid and clarithromycin. Their lesions were purely cutaneous M. avium infection, without any visceral involvement. Neither systemic disease nor immunological impairment was detected in the family. However, they all used a circulating, constantly heated bath water system. The bath water was continuously heated to about 40 degrees C without changing the water for a few months, and M. avium was isolated from the filter of the bath tub heating unit. It is considered that this unusual familial cluster of cutaneous M. avium infection in healthy persons may have resulted from the use of contaminated bath water.     

脑瘫患儿332例临床资料与疗效分析

目的：探讨脑瘫患儿的致病因素及治疗效果,降低脑瘫患儿发生率和残疾发病程度。方法：将332例脑瘫患儿分为观察组（246例）和对照组（86例）,两组患儿均给予运动功能训练法、针灸、按摩及西药治疗,治疗组在此基础上加用中药药浴,治疗3个月,采用修订的Asworth痉挛量表对治疗前后的痉挛程度进行评价。结果：在肌张力的缓解上,观察组总有效率为86.2%,对照组总有效率为48.8%,两组总有效率比较差异有高度统计学意义（χ2=49.44,P〈0.01）。结论：做好围生期保健是降低脑瘫发病率的关键,中药药浴治疗小儿脑瘫可以明显降低患儿肌张力,增加关节活动度,矫正异常姿势,改善患儿的运动功能。     

水浴消解-原子荧光法测定尿中汞

目的:为开展职业病体检、人群本底水平调查等大批量尿样中汞的检测提供简单、省时、可靠的检验方法。方法:采用原子荧光法对经过水浴消解的尿样进行汞含量的检测。结果:本法最低检出限0.0016μg/L,测定范围在0~100μg/L有良好的线性关系,r=0.9994;精密度试验2份不同尿样的RSD分别为2.31%和1.12%。回收率试验2份尿样分别加入低、高两种不同浓度的标准其回收率分别为97.0%、98.2%、98.6%、98.9%。结论:水浴消解-原子荧光光谱法是快速、简便、可靠的测定尿汞的检测方法。