新疆阿勒泰地区五灵脂质量鉴定

五灵脂ＦａｅｃｅｓＴｒｏｇｏｐｔｅｒｏｒｉ,始载于《开宝本草》《本草纲目》,出北地,寒号虫粪也。其原动物的形态以及药材性状完全与鼯鼠类动物吻合。五灵脂分为灵脂米、灵脂块（血灵脂、糖灵脂）两种,灵脂米即寒号虫的干燥粪便,灵脂块是粪便与尿的混合物夹以少量...     

抗栓药物联合治疗急性脑梗死

目的探讨抗栓药物联合应用对失去溶栓机会的急性脑梗死患者的疗效及安全性。方法起病6～12h的急性脑梗死患者约83例,随机分为治疗组和对照组。治疗组（n=46）给与巴曲酶、肠溶阿斯匹林、双嘧达莫等抗拴药物,及其他常规治疗。对照组（n=37）除常规治疗外,尚给与阿斯匹林治疗。观察治疗前及治疗后患者的神经功能缺损评分、Barthel指数,以及治疗组凝血常规等实验指标的变化。结果治疗后14d治疗组神经功能缺损评分（12．7±6．4）显著低于对照组（20．1±7．2）（P〈0．01）。治疗后90天治疗组患者Barthel指数（86．8±12．9）,显著高于对照组（43．4±15．1）（P〈0．01）。治疗组总有效率为93．5％,对照组总有效率为56．8％,两组相比差异显著（P〈0．01）。抗栓药物联合治疗后,除纤维蛋白原明显降低外,其他凝血指标没有明显变化。结论抗栓药物联合治疗对失去溶栓机会的急性脑梗死患者较单用阿司匹林有更好的临床效果,而且出血事件的风险也没有增加。     

抗栓药物联合治疗急性脑梗死

Objective To investigate the efficacy and safety of combinative antithrombotic therapy for patients with acute cerebral infarction who were not eligible for thrombolysis. Methods Eighty-three patients with acute cerebral infarction at six to twelve hours after the onset were randomly allocated into two groups : treat-ment group(n=46) recived batroxobin, aspirin and dipyridamole; control group(n=37) received aspirin. Neuro-logic impairment scole was measured at days 0, and 14. Barthel index of the two groups were observed at days 0 and 90. Blood coagulation action of the treatment group was also measured at days 0,5 and 11. Results In treatment group, the nervous function defect integral examined 14 d after trearment (12.7±6.4 )was markedly decreased than that of control group (20.1±7.2). A remarkable difference (P<0.01 ) was noticed between them. The Barthel index of the treatment group at 90 d after trearment (86.8±12.9 )was markedly increased than that of control group(43.4±15.1 ) (P<0.01 ). The total effective rate of treatment group and control group were 93.5% and 56.8% respectively( P<0.01). Conclusion The efficacy of combinative antithrombotic therapy for patients with acute cerebral infarction who were not eligible for thrombolysis is better than aspirin a-lone. Further more, the risk of bleeding may not increase in combinative antithrombotic therapy.     

中西医结合治疗复发性尖锐湿疣86例疗效观察

尖锐湿疣是由人乳头瘤病毒引起的性传播疾病，常发生在肛门及外生殖器，主要通过性接触传染，也可以垂直传播。尖锐湿疣具有潜伏期长、传染性强、复发率高的特点。目前，尖锐湿疣在我国的发病率仅次于淋病，在陛传播疾病中占第2位。因为本病的上述特点，且其发生与生殖器癌有一定的关系，故及时、彻底治疗尖锐湿疣越来越受到临床重视。     

从经络循行论肩周炎的针刺治疗

肩周炎是临床常见病、多发病，又称“漏肩风“‘五十肩”“冻结肩”等。现代医学认为，本病是由肩周围软组织损伤、外伤、受寒、内分泌失调等不同原因引起，导致局部韧带、肌腱、关节囊的慢性无菌性炎症。久之可发生粘连及腱鞘钙化，不同程度影响肩关节活动。本文结合病例阐述从经络循行针刺治疗肩周炎的方法和原则如下。     

良性阵发性位置性眩晕病因学研究

目的 研究良性阵发性位置性眩晕病的可能病因,并分析其临床特点.方法 收集2014年3月至2017年3月我院收治的256例BPPV患者的临床资料.采用多因素Logistic回归分析BPPV发生与各临床参数之间的相关性.结果 BPPV患者多见于50岁以上的女性,以后半规管BPPV为主.约1/3的患者存在耳科疾病史,常合并高血压、糖尿病、骨质疏松、动脉粥样硬化及血脂异常等代谢性疾病;约50％的患者存在负性的心理状态,多吸烟、饮酒.多因素Logistic回归分析显示,头外伤、耳科疾病、高血压、糖尿病、血脂异常、动脉粥样硬化、骨质疏松、吸烟及焦虑是BPPV患病的危险因素(P＜ 0.05或P＜0.01).结论 BPPV以≥50岁的女性患者居多,以后半规管BPPV为主,约1/3的患者有耳科疾病史,半数患者存在负性的心理状态,头外伤、耳科疾病、高血压、糖尿病、血脂异常、动脉粥样硬化、骨质疏松、吸烟及焦虑可能是BPPV患病的危险因素.     

抗栓药物联合治疗急性脑梗死

Objective To investigate the efficacy and safety of combinative antithrombotic therapy for patients with acute cerebral infarction who were not eligible for thrombolysis. Methods Eighty-three patients with acute cerebral infarction at six to twelve hours after the onset were randomly allocated into two groups : treat-ment group(n=46) recived batroxobin, aspirin and dipyridamole; control group(n=37) received aspirin. Neuro-logic impairment scole was measured at days 0, and 14. Barthel index of the two groups were observed at days 0 and 90. Blood coagulation action of the treatment group was also measured at days 0,5 and 11. Results In treatment group, the nervous function defect integral examined 14 d after trearment (12.7±6.4 )was markedly decreased than that of control group (20.1±7.2). A remarkable difference (P<0.01 ) was noticed between them. The Barthel index of the treatment group at 90 d after trearment (86.8±12.9 )was markedly increased than that of control group(43.4±15.1 ) (P<0.01 ). The total effective rate of treatment group and control group were 93.5% and 56.8% respectively( P<0.01). Conclusion The efficacy of combinative antithrombotic therapy for patients with acute cerebral infarction who were not eligible for thrombolysis is better than aspirin a-lone. Further more, the risk of bleeding may not increase in combinative antithrombotic therapy.     

The clinical manifestations and pathophysiology of cerebral small vessel disease

Small vessel disease (SVD) is responsible for brain chronic circular disorder, and accounts for 20%–30% cases of ischemic stroke as well as cerebral hemorrhage, and to a great extent, encephalopathy. Binswanger’s disease and multiple small strokes, which are common in older people, are also closely associated with SVD. These disorders often cause decline in cognition, vascular dementia, impairment in gait and balance, mood depression, and urinary incontinence, and often brings great social and economic burdens. SVD-related encephalopathy increases the incidences of fall, disability and death in elderly people. With the aging of the society, more attention should be paid to the importance of early diagnosis and prophylactic treatment of SVD. Here the clinical manifestations and pathophysiology of SVD are reviewed.