疏肝活血法治疗慢粒脾大

石某某，男，12岁。初诊1993年7月2日，患儿2个月前曾无明显诱因出现双下肢疼痛，约持续1周后疼痛缓解。继之食欲不佳，精神萎靡不振，常感疲乏无力，自汗。就诊前其母在患儿睡觉时摸其腹部发现左肋下硬而右肋下软，急来医院就诊。查体：慢性贫血面容，颜面、粘膜、双手指甲均苍白，头发黄红无光泽，双下肢可见散在瘀斑，肝脏在右助缘下Zcm处可触及，脾脏增大在肋缘下12cm处，质硬，表面光滑，无明显压痛。舌质淡，脉沉弦细。经检查，血常规Hb113g／L，RBC4．34×1012／L，WBC331．3×10'／L，Pt460×108／L，PO．33，LO．02，St0．…     

桂枝汤的临床运用

桂枝汤的临床运用寇琼,王真(内蒙古自治区医院呼和浩特010017)桂枝汤为《伤寒论》中群方之首,历代医家对其推崇备至。该方由桂枝、白芍、炙甘草、生姜、大枣5味药组成。其中桂枝具有解肌和营、温经散寒、温助心阳、温化水气、补中和里、平冲降逆、活血化瘀等功能;白芍具有养阴益血,敛阴敛汗、柔肝安脾、缓急止痛之功。两药配伍相辅相成,加之生姜温胃佐桂技以通阳,大枣、炙甘草益气调中助白芍以和营。五药合用相得益彰,共奏调和?...     

一次性使用无菌医疗用品管理

加强一次性使用无菌医疗用品的采购、验收、贮存、发放、使用、回收处理等各环节的管理，可有效预防医院感染的发生，确保医疗和护理安全。     

中医药治疗幽门螺杆菌感染性胃病的研究进展

通过对近年来相关文献分析、总结,本文对幽门螺杆菌感染性胃病的病因病机、辨证分型、舌像及治疗进行综述,以指导临床运用。     

下生殖道感染与子宫颈细胞学异常的相关性研究

Objective?To study the association between abnormal cervical cytology and bacterial vaginosis (BV), vulvovaginal candidiasis(VVC), trichomonas vaginitis(TV), high-risk human papillomavirus(HR-HPV) infection in women attending cervical cancer screening. Methods?The study recruited 3 300 women aged 21 to 64 years of age who participated in cervical cancer screening. Demographic information was collected. Cervical exfoliated cell specimens were collected for liquid-based cytological diagnosis and HR-HPV detection. Reproductive tract secretions specimens were collected for molecular vaginitis diagnostics from women who were diagnosed with negative for intraepithelial lesion or malignancy(NILM) and all HR-HPV positive or ≥atypical squamous cells of undetermined significance(ASC-US). The Logistic multivariate model was used to analyze the risk factors of abnormal cervical cytology. Results?645 women were included in the study, including 408 NILM, 182 ASC-US, 23 low-grade squamous intraepithelial lesion (LSIL), and 32 high-grade squamous intraepithelial lesions (HSIL). The positive rate of HR-HPV (14.7%, 39.0%, 78.3% and 87.5%) increased with the severity of cytology (P<0.001). The prevalence of BV in different cytological diagnosis (34.1%, 49.5%, 60.9% and 43.8%) were significantly different (P<0.001), and the prevalence of BV in ASC-US were significantly higher than that in women with NILM (P<0.05). The prevalence of VVC in different cytological diagnosis (14.2%, 4.9%, 8.7% and 3.1%) was significantly different (P<0.01), and the ASC-US group was significantly lower than the NILM group (P<0.001). There was also a significant difference in the distribution of the prevalence of TV (2.5%, 9.3%, 4.3%, and 6.3%, P<0.01). The prevalence of TV in women with abnormal cytology was higher than that in women with normal cytology(P<0.05). The Logistic analysis showed that HR-HPV infection, BV, TV, VVC, lower level of education, and postmenopause were related to abnormal cervical cytology. Conclusion?HR-HPV infection is the determinant of abnormal cervical cytology. BV, TV, VVC, lower level of education, postmenopause, etc. may associate with abnormal cervical cytology.     

阴道镜用于筛查宫颈癌前病变的价值

目的：探讨阴道镜用于筛查宫颈癌前病变的临床价值.方法：回顾性分析2009 年10 月～2011 年10 月在我院妇检中疑有宫颈病变386 例患者的临床资料.结果：阴道镜检查诊断慢性宫颈炎310 例,宫颈湿疣21 例,CIN 1 级～2 级42 例,CIN 3 级7 例,宫颈癌3 例.病理诊断慢性宫颈炎316 例,宫颈湿疣19 例,CIN 1 级～ 2 级40 例,CIN 3 级6 例,宫颈癌5 例.阴道镜下诊断与病理诊断符合率92.1%,无明显统计学差异（ P＞0.05）.宫颈癌变阳性检出率100%.结论：阴道镜用于筛查宫颈癌前病变能及早发现,与病理诊断比较无差异性,值得推广应用.     

加温湿化高流量鼻导管吸氧在32周以下早产儿撤机中的效果研究

目的分析加温湿化高流量鼻导管吸氧在32周以下早产儿撤机中的应用效果。方法选取2020年1月~2021年1月四川省广元市第一人民医院新生儿重症监护病房收治的80例呼吸窘迫综合征(RDS)早产儿作为研究对象,采用随机数表法分为对照组和研究组,每组40例。对照组予以鼻塞持续气道正压治疗,研究组采用加温湿化高流量鼻导管吸氧治疗,比较两组治疗效果及预后情况。结果两组患儿再次插管率比较,差异无统计学意义(P>0.05)。研究组治疗总失败率和26~28周早产儿治疗失败率均高于对照组,差异有统计学意义(P<0.05)。两组26~28周、29~31周早产儿再插管率及治疗失败率比较,差异无统计学意义(P>0.05)。两组并发症发生率及存活率比较,差异无统计学意义(P>0.05)。结论加温湿化高流量鼻导管吸氧在早产儿撤机时疗效与常规方法相当,但在29周以下早产儿中应综合考虑多方面因素,谨慎选择该方法。     

吴茱萸汤验案三则

吴茱萸汤出于《伤寒论》,方由吴茱萸、生姜、人参、大枣组成。论中该方涉及阳明、少阴、厥阴三经病。其条文有三,即245条:“食谷欲呕,属阳明也,吴茱萸汤主之,得汤反剧者,属上焦也”;309条:“少阴病,吐利,手足逆冷,烦躁欲死者,吴茱萸汤主之”;377条:“干呕,吐涎沫,     

益肺汤治疗肺气虚证30例疗效观察

益肺汤是根据临床经验及现代药理研究而组成的以预防为主旨的方剂，我们用于治疗肺气虚患者30例，并且用玉屏风散30例作对照，获满意疗效，现总结报导如下：