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1.
洪治平教授治疗不寐经验   总被引:1,自引:0,他引:1  
归纳洪治平教授对不寐病因病机的独到认识:心炎上之虚火不宜用苦寒如黄连之类药品直折其火;肾水不足,不宜单纯使用诸如肉桂等燥热温阳之品;因痰致病,治疗当以直折痰热;因病致痰,治疗当以化痰兼及疏肝等。  相似文献   
2.
Objective To clarify the effect of iodine intake on serum thyroglobulin (Tg). Methods A 5-year prospective study was conducted in the 3 different iodine intake areas in China [Panshan (miht deficiency) ,Zhangwu (more than adequate) and Huanghua (excess)]. A total of 3 099 people with normal serum levels of Tg in 1999 were followed and 2 448 of these participants were feasible to be observed in 2004 and included in the present study. The serum levels of Tg, thyraglobulin antibody(TgAb), thyroid peroxidase antibody(TPOAb) and TSH, thyroid volume, family and personal histories of thyroid diseases were measured and inquried. The general linear model (GLM) was used to explore the determinants of Tg. Results Among the study population at baseline, serum Tg were significantly different in three areas [7.5 (4.4-13. 1) μg/L at Panshan, 6.8 (3.6-11.2)μg/L at Huanghua, 5.9 (3.2-10.7) μg/L at Zhangwu, P<0.01]. They were associated with age, sex and the rate of positive TgAb, abnormal thyroid volume, abnormal TSH and positive personal history of thyroid diseases, in order to control the effects of confounding factors, the data from 1856 subjects with thyroid-related indexes all in normal range and without personal history of thyroid diseases were analyzed to clarify the effect of iodine intake on Tg. The serum Tg among three areas were significantly different in both 1999 and 2004, they were all increased in 5 years with significant augment (△ Tg) among the three areas[3.1 (-0.2-8.0) μg/L at Panshan, 3.5 (0.5-9.0)μg/L at Huanghua vs 2. 5(0.3-6.1) μg/L at Zhangwu,P<0.01]. The GLM analysis revealed that age, Tg and TSH levels at baseline were the determinants of △Tg in addition to iodine intake. Conclusion Iodine intake is a dominant determinant of serum Tg. Age and TSH should also be considered while indicating iodine intake by serum Tg.  相似文献   
3.
目的:确定在Graves病(GD)多发家系成员中,甲状腺自身免疫及甲状腺功能异常的发生情况,并研究碘摄入量对GD发病率的影响。方法:对全部家系成员做甲状腺疾病病史询问,体格检查,甲状腺功能及甲状腺自身抗体测定,并测定空腹尿碘含量。结果:GD患者一级亲属的亚临床甲亢,临床甲状,亚临床甲状的患病率分别为5.2%,1.0%和1.4%,这三种疾病患者的甲状腺自身抗体均为阳性,甲状腺功能正常一级亲属的甲状腺自身抗体阳性率为68.6%,尿碘水平500-599ug/L时,GD的发病率显著增高(P<0.05),。结论:在GD多发家系中,GD患者一级亲属发生甲状腺功能异常的原因均为自身免疫甲状腺病,尿碘水平500-599ug/L是GD发病率增高的危险因素。  相似文献   
4.
碘摄入量不同地区人群甲状腺自身抗体的流行病学研究   总被引:12,自引:0,他引:12  
为了研究不同碘摄入量人群的甲状腺自身抗体的变化以及甲状腺自身抗体阳性人群甲状腺功能的变化 ,我们在三个不同碘摄入量的农村社区盘山、彰武和黄骅进行甲状腺疾病入户问卷调查共 16 2 87人 (≥ 14岁 ) ,对其中的 376 1人进行体格检查并采血、尿标本及甲状腺B超检查。检测全部尿样的尿碘含量 ;所有血清标本均应用固相化学发光酶免疫分析方法测定甲状腺过氧化物酶抗体 (TPOAb )和甲状腺球蛋白抗体 (TGAb )及血清第三代TSH水平。结果显示盘山、彰武和黄骅社区的尿碘中位数分别为 10 3 15 μg/L、 374 76 μg/L和 6 14 6 1μg/L (P <0 0 1)。我们发现盘山、彰武和黄骅社区TPOAb和TGAb阳性率均无显著差异 (P >0 0 5 )。在TPOAb阳性的人群中 ,黄骅和彰武社区出现临床或亚临床甲状腺功能减退的比率明显高于盘山社区 (P <0 0 1)。虽然三社区TPOAb和TGAb阳性率无显著差异 ,但是高碘社区存在甲状腺自身免疫异常者发生甲状腺功能减退的危险性显著增加 ,特别是甲状腺自身抗体呈高水平的患者  相似文献   
5.
目的 确定甲状腺过氧化物酶抗体(TPOAb)和甲状腺球蛋白抗体(TgAb)的阳性临界值,并探讨这两种抗体出现的临床意义。方法 1999至2000年对3个中国农村社区3761名进行甲状腺疾病流行病学调查,采血、尿标本,同时行甲状腺B超检查,2004年对该人群进行随访。所有血清标本均用固相化学发光酶免疫分析法测定TPOAb和TgAb及促甲状腺激素(TSH)水平。结果 甲状腺功能及形态正常人群(2437名)TPOAb和TgAb的95%正常可信区间上限分别为37.8IU/ml和38.6IU/ml。总人群(3761名)中随TPOAb浓度的升高发生TSH升高(〉4.8IU/m1)或降低(〈0.3IU/m1)的比率也呈阶梯式增加,但仅当TPOAb≥50IU/ml时,发生TSH异常率比TPOAb438IU/ml者的差异有统计学意义(P〈0.01)。同样TgAb≥40IU/ml时,发生TSH异常率比TgAb≤39IU/ml者差异也有统计学意义(P〈0.01)。当TPOAb以50IU/ml和TgAb以40IU/ml为阳性临界值时,总人群中TPOAb和TgAb的阳性率女性(11.71%、11.21%)显著高于男性(4.07%、2.68%)。抗体阳性人群的TSH水平显著高于抗体阴性组(P〈0.05)。原TSH正常抗体阳性人群(515名)随访发现甲状腺功能减退症的发生率显著高于抗体阴性人群(P〈0.05)。结论 用高灵敏性化学发光酶免疫分析法在尿碘中位数为100~600μg/L的普通人群中确定TPOAb和强Ab的阳性临界值分别为50IU/ml和40IU/ml。甲状腺自身抗体TPOAb和TgAb阳性是发生甲状腺功能损伤的重要危险因素。  相似文献   
6.
Objective To clarify the effect of iodine intake on serum thyroglobulin (Tg). Methods A 5-year prospective study was conducted in the 3 different iodine intake areas in China [Panshan (miht deficiency) ,Zhangwu (more than adequate) and Huanghua (excess)]. A total of 3 099 people with normal serum levels of Tg in 1999 were followed and 2 448 of these participants were feasible to be observed in 2004 and included in the present study. The serum levels of Tg, thyraglobulin antibody(TgAb), thyroid peroxidase antibody(TPOAb) and TSH, thyroid volume, family and personal histories of thyroid diseases were measured and inquried. The general linear model (GLM) was used to explore the determinants of Tg. Results Among the study population at baseline, serum Tg were significantly different in three areas [7.5 (4.4-13. 1) μg/L at Panshan, 6.8 (3.6-11.2)μg/L at Huanghua, 5.9 (3.2-10.7) μg/L at Zhangwu, P<0.01]. They were associated with age, sex and the rate of positive TgAb, abnormal thyroid volume, abnormal TSH and positive personal history of thyroid diseases, in order to control the effects of confounding factors, the data from 1856 subjects with thyroid-related indexes all in normal range and without personal history of thyroid diseases were analyzed to clarify the effect of iodine intake on Tg. The serum Tg among three areas were significantly different in both 1999 and 2004, they were all increased in 5 years with significant augment (△ Tg) among the three areas[3.1 (-0.2-8.0) μg/L at Panshan, 3.5 (0.5-9.0)μg/L at Huanghua vs 2. 5(0.3-6.1) μg/L at Zhangwu,P<0.01]. The GLM analysis revealed that age, Tg and TSH levels at baseline were the determinants of △Tg in addition to iodine intake. Conclusion Iodine intake is a dominant determinant of serum Tg. Age and TSH should also be considered while indicating iodine intake by serum Tg.  相似文献   
7.
杨润峰  袁毅  金迎 《河北医学》2013,19(2):259-262
目的:通过比较缬沙坦联合氨氯地平和氢氯噻嗪治疗高血压的临床效果,选出最优治疗方案。方法:80例高血压给予4周缬沙坦(80mg/d)单药治疗,56例平均坐位舒张压(SeDBP)仍≥90mraHg(1mrnHg=0.133kPa)的患者随机分为氨氯地平组和氢氯噻嗪组,分别给药缬沙坦(80rag/d)/氨氯地平(5mg,/d)和缬沙坦(80mg/d)/氢氯噻嗪(12.5mg/d),共治疗8周。以诊室SeDBP下降差值作为主要疗效指标。52例患者完成了家庭血压监测(氨氯地平组27例,氢氯噻嗪组25例),并作为降压疗效的评价指标。结果:治疗8周末,氨氯地平组诊室SeDBP下降4/t为(14.8±6.8)mmHg,达目的血压占65.9%,总有效率为89.2%,家庭SeDBP为(81.5±2.9)mmHg。氢氯噻嗪组诊室SeDBP下降值为(15.4±7.9)mmhg、达目的血压占67.8%,总有效率为90.2%,家庭SeDBP为(80.2±3.1)mmHg。治疗后两组患者血压水平优于治疗前,差异具有统计学意义(P〈0.05),但两组组间比较无统计学意义(P〉0.05)。氨氯地平组心血管事件和不良反应发生率均低于氢氯噻嗪组,差异均有统计学意义(P〈0.05)。结论:缬沙坦联合氨氯地平和氢氯噻嗪治疗高血压的疗效相当,但联合氨氯地平能使心血管事件和不良反应晌发生率更低,预后更好。  相似文献   
8.
目的在社区老年轻度认知功能障碍(MCI)人群中应用全面神经心理评估方法,评价两种常见MCI类型的神经心理学特征。方法将入选外滩社区有记忆减退的主诉者分为NMCI组和VMCI组,每组各50名。神经心理评估量表选用简明精神状态量表(MMSE)、听觉词语记忆测验(AVMT)、Rey-Osterrieth复杂图形回忆测验(CFT)、连线测验(TMT)、Stroop色词干扰测验(SCWT)、数字符号转换测验(DST)、言语流畅性测验(VFT)、波士顿命名测验(BNT)和搜钟测验(Bells test,BT)。结果 NMCI和VMCI两组人口学特征相似,简明精神状态量表(MMSE)总分无显著差异。AMTVMCI组较NMCI组得分高,CFT两组差异没有统计学意义。TMT耗时VMCI组较NMCI组显著增加。BT两组在耗时及数量上差异均有统计学意义。SCWT、VFT及命名测验两组无显著差异。结论 NMCI组以情景记忆障碍为最早表现,受损较重,VMCI组亦有一定程度的受损;在执行功能方面,VMCI组受损最广、最严重,NMCI组相对受损较小。  相似文献   
9.
中医用热疗治病历史悠久,热疗应属于中医具有温热性质的外治法的一种。我国在唐代中医有加热治疗肿瘤的记载,根据现代热疗发展的最新动态,结合中医对恶性肿瘤的认识,指出射频消融组织间加热和内热针直刺病灶加热治疗恶性肿瘤的相同相似之处,阐述了内热针直刺病灶治疗恶性肿瘤临床可行性及机理。  相似文献   
10.
目的:观察膈下逐瘀汤联合吉西他滨对胰腺癌患者细胞免疫功能、血清癌胚抗原(CEA)、糖类抗原199(CA199)、自然杀伤T细胞(NKT)水平的影响。方法:将102例胰腺癌患者随机分为对照组和治疗组各51例。两组患者均给予健康教育、饮食、运动等基础干预,在此基础上对照组患者给予吉西他滨治疗,治疗组患者在对照组基础上予膈下逐瘀汤治疗。观察两组患者中医证候积分、免疫功能、临床疗效,检测血清CEA、CA199、NKT水平,统计不良反应发生率。结果:治疗后两组患者中医证候积分均较治疗前低(P0.05),且治疗组患者治疗后中医证候积分低于对照组(P0.05);治疗后对照组患者CD3~+、CD4~+、CD4~+/CD8~+较治疗前降低,CD8~+较治疗前升高,而治疗组患者治疗后CD3~+、CD4~+、CD8~+、CD4~+/CD8~+与治疗前比较,差异均无统计学意义(P0.05),且治疗组患者治疗后CD3~+、CD4~+、CD4~+/CD8~+高于对照组,CD8~+低于对照组(P0.05)。治疗组总有效率(68.63%)明显高于对照组(47.06%),差异有统计学意义(P0.05)。治疗后两组患者CEA、CA199水平较治疗前降低,NKT水平较治疗前升高(P0.05),且治疗组患者治疗后CEA、CA199水平低于对照组,NKT水平高于对照组(P0.05);治疗组患者肝功能异常、骨髓抑制、血小板减少、恶心呕吐、白细胞减少发生率均低于对照组(P0.05)。结论:膈下逐瘀汤联合吉西他滨可有效提高胰腺癌患者免疫功能,改善血清CEA、CA199、NKT水平,提高临床疗效。  相似文献   
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