关胆囊结石的CT定量诊断

目的 评价第三代CT定量诊断胆囊结石的准确率及敏感性.方法 120例胆囊结石的病人在使用第三代CT检查后7天内施行胆囊切除手术,术后剖开胆囊,进行结石计数和最大结石的最大径线测量.结果 120例胆囊结石患者,其中87例有确切结石计数和测量结果（72.5%）;33例CT检查未发现胆囊结石（27.5%）.CT图像中显示的胆囊结石的数目：均数±标准差＝3±15个;范围为2～82个与手术发现的数目：均数±标准差＝68±316个;范围为2～1326个,两者比较具有显著性差异（P＜0.001）.CT图像发现的胆囊内最大结石的最大径线值：均数±标准差＝1.08±1.06cm,范围为0～2.4cm;与手术测量值均数±标准=1.68±0.14cm范围为0.67～3.1cm,两者比较有显著性差异（P＜0.001）.结论 用第三代CT进行胆囊结石的定量诊断不够准确,敏感性也有不足.     

灸法治疗青少年痉挛性斜颈30例疗效观察

痉孪性斜颈是以颈部肌肉不随意收缩为特点，患者不自主的一阵阵的斜着头的颈部颤动性疾病。笔者在临床工作中，应用灸法治疗本病，取得明显效果，现报道如下。     

几种谷物,鱼肉及贝肉中DNA含量测定

核酸是遗传的物质基础。近年来的某些研究表明，外源核酸在促进和改善大脑，骨髓，肠粘膜及血细胞等组织器官的代及功能活动上具有重要作用。本文采用经典的紫外分光光度法对几种谷物和几种鱼肉及贝肉中的ＤＮＡ含量进行了测定，为外源核酸的材料选择提供了参考。     

传统中医艾灸疗法的热辐射光谱特性的研究

采用间接测量方法研究传统中医艾灸热辐射光谱的特性，即采用光电色度计测量自燃状态下艾条的三刺激值，并在计算出色度坐标基础上，使用内插法得到艾条的色温，最后由plank公式计算得到艾条热辐射光谱特性。由测量结果得知自燃状态下艾条的热辐射光谱主要是以靠近近红外的远红外为主的光谱，其中包含可见光成份，其谱峰大约在2、8μm。     

药品数量管理与医保系统的关系

原因信息系统与医保系统实现有效接口,促进了药品的数量管理和医生工作站的推广,降低了错误处方的发生率,使医院服务更加顺畅。     

腹部推拿联合艾灸治疗脾虚型功能性便秘的临床疗效

目的：分析腹部推拿联合艾灸治疗脾虚型功能性便秘的临床疗效。方法：选取郑州人民医院2021年11月至2023年1月期间收治的78例脾虚型功能性便秘患者,其中艾灸治疗的39例患者纳入对照组,在艾灸治疗基础上联合腹部推拿治疗的39例患者纳入观察组。治疗后,比较两组患者临床疗效与相关临床指标。结果：观察组患者总有效率高于对照组,差异具有统计学意义（P <0.05）;治疗后,观察组患者排便次数、大便性状、盆底松弛程度、阻塞感、排便不尽感积分均低于对照组,差异具有统计学意义（P <0.05）;治疗后,观察组患者直肠肛管压差、力排时肛管残余压均低于对照组,差异具有统计学意义（P <0.05）;治疗后,观察组患者血清胃动素（MTL）、P物质（SP）水平均高于对照组,生长抑素（SS）水平低于对照组,差异具有统计学意义（P <0.05）。结论：腹部推拿联合艾灸治疗脾虚型功能性便秘可进一步改善患者相关临床指标。     

The effects of feeding an Asian or Western diet on sperm numbers, sperm quality and serum hormone levels in cynomolgus monkeys (Macaca fascicularis) injected with testosterone enanthate (TE) plus depot medroxyprogesterone acetate (DMPA)

The aim of this study was to elucidate the effects of an Asian diet compared to a Western diet on sperm numbers and quality, and serum hormones in cynomolgus monkeys (Macaca fascicularis) injected with testosterone enanthate (TE) plus depot medroxyprogesterone acetate (DMPA). Thirty male monkeys were divided into three groups of ten animals each. The first group (control) was fed with standard diet 'monkey chow' (9% fat, 13% protein, 78% carbohydrate); the second group was fed an 'asian' diet (15% fat, 15% protein, 70% carbohydrate); the third group was fed a 'Western' diet (35% fat, 25% protein, 40% carbohydrate). These diets were administered from the beginning (adaptation) until the experiment was terminated. Three months after the adaptation period, all groups were injected with 20 mg TE (once per week) and 25 mg DMPA (once every 6 weeks) for 18 weeks, while TE injections were continued for another 6 weeks. There were no differences in sperm numbers and quality, or in hormone levels between the first and second groups. In both of these groups azoospermia was achieved in 100% of animals, while in the third group only 70% achieved azoospermia. In all 3 groups, spermatozoa were once again detectable by week 33. However, by the end of the study at week 39, sperm numbers in the first and second groups reached only severe oligozoospermia (two animals remained azoospermic in the first group) while in the third group, numbers had returned to normozoospermia. The quality of spermatozoa during and after the treatment in the third group was better than in the first and second groups. Hormone concentrations decreased more rapidly in both the first and second groups, compared to the third group, while the recovery period was slower in the first and second groups, compared to the third group. It is concluded that different formula diets result in differential decreases in sperm numbers and quality, and in hormone concentrations in M. fascicularis injected with TE in combination with DMPA. Animals fed with either monkey chow or an Asian diet exhibited more severe and prolonged decreases in these parameters than did animals fed with a Western diet.     

穴位注射灯芯灸联合干扰素治疗慢性乙型肝炎疗效观察

目的 :寻求提高干扰素 (IFN)治疗慢性乙型肝炎 (CHB)疗效的有效方法。方法 :95例CHB随机分为两组 ,均采用同剂量IFN肌注。疗程前 3个月治疗组同时另予胸腺肽注射液穴位注射、灯芯灸 ,对照组仅同时另予胸腺肽肌肉注射。观察比较两组患者肝功能、HBeAg、HBV DNA变化情况及整体应答率。结果 :治疗组疗效明显优于对照组 (P <0 0 1或P <0 0 2 5)。结论 :联合胸腺肽穴位注射、灯芯灸能显著提高IFN治疗CHB的疗效     

穴位注射加灸治疗小儿腹泻疗效观察

目的　观察穴位注射加灸治疗小儿腹泻的疗效。方法　选用庆大霉素和 6 5 4 - 2肌注、穴注、穴注加灸治疗小儿腹泻 ,每日 1次 ,3次后比较 3组疗效。结果与结论　穴注组治愈率明显高于肌注组 (P<0 .0 5 ) ,穴注加灸组治愈率明显高于穴注组(P<0 .0 0 5 )     

激光多普勒血流成像技术对针灸效果的观察

目的　应用激光多普勒血流成像系统显示艾灸的治疗效果 ,了解这一新的医学影象技术在针灸经络研究中的应用价值。方法　使用激光多普勒血流成像仪 ,对 12例健康人体艾灸前后体表出现的血流变化予以大范围地显像 ,分析体表血流分布与艾灸作用的关系。结果　 (1)艾灸内关穴后 ,手掌部血流的增加以大小鱼际和内关穴区为主。(2 )艾灸外关穴后 ,指根部的血流增加显著。 (3)不艾灸对照组在 30 min内前臂、手掌和手背血流的自然波动较小。结论　艾灸可以引起手部微循环血流量的增加 ,激光多普勒血流成像仪能够以大范围成像方式显示该过程 ;新的血流成像技术将在针灸经络的研究中具有实用价值