电针、敷脐疗法联合 HCG 治疗黄素化未破裂卵泡综合征临床研究

目的:观察电针、敷脐疗法联合人绒毛膜促性腺激素(HCG)治疗对黄素化未破裂卵泡综合征(LUFS)患者血清雌二醇(E2)、黄体生成素(LH)、排卵率及妊娠率的影响。方法:将60例LUFS患者按随机数字表法分为观察组和对照组各30例。对照组单纯给予HCG治疗,观察组给予电针、敷脐疗法联合HCG治疗,2组均连续治疗3个月经周期。观察2组治疗前后血清E2、LH含量的变化及排卵、妊娠情况。结果:治疗后,2组LH、E2水平均较治疗前升高,观察组LH、E2水平均高于对照组,差异均有统计学意义(P<0.05)。观察组排卵率、妊娠率均高于对照组,差异均有统计学意义(P<0.05)。结论:电针、敷脐疗法联合HCG治疗LUFS,可以提升LH、E2水平,促进排卵,提高妊娠率。     

新生儿脐部目标性监测分析

目的研究新生儿脐部细菌定植及感染的危险因素。方法采用目标性监测方法 ,研究新生儿脐部细菌定植及感染情况,并对14项相关危险因素进行单因素和多因素非条件Logistic回归分析。结果 346例新生儿脐部有细菌定植327例,定植率为94.51%,脐部感染39例,感染率11.27%,主要为大肠埃希菌、金黄色葡萄球菌、其他肠道杆菌及耐药菌等,脐带结扎位置、脐带残端长度、脐带直径、脐带贴污染脐部是脐部感染的独立危险因素。结论新生儿脐部易发生细菌定植与感染,控制其危险因素,可预防感染的发生。     

三香散外敷脐部配合改良式肛管排气治疗腹胀30例

临床上引起腹胀的原因很多,常见于消化系统功能障碍,轻者表现为食欲下降,睡眠紊乱,严重的可引起烦躁不安、呼吸困难、呻吟不止,甚至发生腹腔间室综合症,影响呼吸循环功能.临床上常单用三香散外敷脐部或常规的肛管排气,效果并不明显.我科自2008年～2009年对腹胀病人采用了三香散外敷脐部加一次性肛管外接一次性负压引流器进行肛管排气,取得了满意的效果,现报告如下.     

经脐腹腔镜乙状结肠肿瘤切除并脐再造术

目的探讨经脐腹腔镜乙状结肠肿瘤切除并脐再造术的可行性和临床应用前景。方法分析2011年1月～2012年12月成都市第二人民医院普外科同一治疗小组完成20例经脐腹腔镜乙状结肠肿瘤切除并脐再造术患者的手术时间、术中出血量、吻合口漏、切口感染、术后恢复情况及肿瘤根治情况等。结果 20例病人均在腹腔镜下顺利完成手术,手术时间（212.05±13.90）min,术中出血量（125.50±28.92）ml,淋巴结清扫数目（13.70±1.26）个,肠道功能恢复时间（3.10±0.64）d;术后切口脂肪液化1例,吻合口漏1例;术后平均8.7天出院。手术切口瘢痕隐蔽不易察觉,新＂肚脐＂形态良好。结论经脐腹腔镜乙状结肠肿瘤切除并脐再造术创伤小,恢复快,操作不复杂,安全性高,腹部美容效果明显,肿瘤根治性可靠。     

Neoomphaloplasty: An Old and New Technique

The authors review several proposed approaches to neoomphaloplasty, with emphasis on the use of three flaps anchored to the fascia, allowing the exposed central area to heal unaided. The procedure is straightforward and can be performed singly or during abdominoplasty. Results are both cosmetic and natural-looking.     

中药贴敷神阙治疗阿片类药物相关性便秘疗效的系统评价

目的:本研究系统评价了中药贴敷神阙治疗癌症患者阿片类药物相关性便秘的疗效和安全性,以期为临床治疗提供一定参考。方法:计算机检索Pub Med、EMBase、Cochrane Library、CNKI、维普网和万方数据库,收集中药贴敷神阙治疗癌症患者阿片类药物相关性便秘的RCT,按照标准提取资料,根据Cochrane手册5. 1. 0评价文献质量后采用Rev Man 5. 3软件进行Meta分析。结果:纳入22篇文献,包含1 777例患者。Meta分析示,中药贴敷神阙治疗癌症患者阿片类药物相关性便秘疗效明显,差异有统计学意义(RR=1. 15,95%CI[1. 06,1. 26])。亚组分析示:贴敷组较护理组、贴敷联合其他外治组较标准观察组有效率提高{RR=1. 35,95%CI[1. 24,1. 48]; RR=1. 34,95%CI[1. 20,1. 48]}。贴敷+酚酞片VS酚酞片、贴敷+乳果糖VS乳果糖差异无统计学意义,但有提高疗效的可能性{RR=1. 20,95%CI[1. 00,1. 43]; RR=1. 19,95%CI[0. 94,1. 49]},7篇文献报道了不良反应,示不良反应较轻,治疗安全。结论:中药贴敷神阙能有效的治疗恶性肿瘤患者阿片类药物相关性便秘,并能明显提高西药治疗的有效率。受纳入文献质量的限制,本研究尚不能得到较为可靠的结论。     

彩色多普勒血流图监测胎儿脐动脉血流频谱临床价值

目的：探讨彩色多普勒监测胎儿脐动脉血流动力学的临床价值。方法：应用彩色多普勒血流显像技术，对５２例不同孕周的胎儿进行血流动力学检测。结果：发现正常妊娠时胎儿脐动脉的搏动指数、阻力指数、收缩期最高峰值血流速度／舒张末期最低血流速度比值随孕龄的增加而下降；胎儿宫内发育迟缓时，孕２２周即出现搏动指数、阻力指数、收缩期最高峰值血流速度／舒张末期最低血流速度比值异常，与正常组相比均有显著或极显著性差异。结论：彩色多普勒血流显像技术检测脐动脉血流是观察胎儿血循环的敏感指标，是目前最可靠的监测方法     

Modified Mini-Abdominoplasty: Navel Transposition and Horizontal Residual Scar

The classic mini-abdominoplasty is a surgery generally indicated for cases in which cutaneous laxity of the abdomen's inferior region is associated with adiposity. However, in some cases, the characteristics of the abdomen are such that resort to a traditional mini-abdominoplasty would involve an unsatisfactory final result due to the unavoidable caudalization of the navel. In answer to this problem, Pontes developed the type 4 modified mini-abdominoplasty. This procedure adds to the classic technique a complete resection of the navel and its transposition so that it leaves a residual vertical scar. With our version of the technique, the scar is more aesthetic in shape and appearance, horizontal, and parallel to the suprapubic scar.     

Current Research on Reducing Pre‐ and Post‐harvest Aflatoxin Contamination of U.S. Almond,Pistachio, and Walnut

Aflatoxins are considered to be potent carcinogens and teratogens to humans and farm animals. A variety of species of the fungal genus Aspergillus (mainly A. flavus and A. parasiticus) synthesize aflatoxins. Spores of these fungi are common in air and soil of agricultural areas of temperate and tropical environments. Because aflatoxigenic fungi are ubiquitous and opportunistic, aflatoxin contamination has become a food safety concern. The chief U.S. crops affected by the threat of contamination with aflatoxin include corn, peanuts, cottonseed, and certain tree nuts. Additionally, aflatoxin contamination has also become an international trade issue. Major trading partners of U.S. agricultural products have set total aflatoxin action threshold levels at four ng/g (ppb). This action level is far below the 20 ppb level recommended by the U.S. Food and Drug administration for domestic foods. Almonds, pistachios and walnuts are one of the major food commodities affected by food safety and trade issues associated with aflatoxin contamination. Commercial domestic production of these tree nuts in the U.S. is entirely in California. Moreover, 50 to 75% of domestically produced tree nuts are exported, chiefly to countries of the European Union (EU), which adhere to the four ppb action threshold level. Scientists at the USDA's Western Regional Research Center and the University of California, Davis' Department of Pomology and Kearney Agricultural Center have developed products and methods to reduce aflatoxin contamination of tree nuts. Control of insect pests in tree nut orchards is a major strategy to curtail aflatoxin contamination. Insect feeding damage can lead to fungal infection and concomitant aflatoxin contamination. This is especially the case with navel orangeworm on pistachio and almond. A new and potent lure has been developed to control codling moth, a major insect pest of walnuts whose feeding damage potentially leads to fungal infection. Through breeding and genetic engineering, new varieties of almonds and walnuts have been developed which are resistant to insect attack. New orchard management strategies have been prescribed to reduce reservoirs of A. flavus in tree nut orchards. A number of saprophytic yeasts, natural to tree nut orchards, have been discovered which show promise as biological control agents of A. flavus, in vitro, and are awaiting field testing. New and improved risk assessment models have been developed for sampling and measuring aflatoxin contamination through the processing stream and in bulk shipping lots of tree nuts. An automated sorter that detects and removes aflatoxin contaminated nuts from a processing stream in real time was developed. It was also concluded that methods currently used for hand‐cracking of closed shell pistachios result in a higher risk of aflatoxin contamination. Perhaps the foremost breakthrough to date, however, is that constituents of walnut seed coat, especially from the cultivar ‘Tulare’, are potent inhibitors of aflatoxin biosynthesis, capable of rendering aflatoxigenic A. flavus virtually atoxigenic.     

益肾活血法配合敷脐治疗前列腺增生症

目的:观察内服益肾活血中药配合敷脐疗法在治疗前列腺增生中的作用。方法:自2011年11月~2013年5月,对诊断明确,资料完整,观察系统的68例病例治疗结果进行分析。结果:益肾活血法配合敷脐疗法治疗前列腺增生疗效显著,简便易行,患者易于接受。