疏血通与依达拉奉联用方案治疗急性脑梗塞的临床疗效评价

目的 探讨疏血通与依达拉奉联用方案治疗急性脑梗塞的临床疗效,为临床合理用药提供参考.方法 选择2014年5月～2016年5月收治的急性脑梗塞患者98例作为此次研究对象,随机把全部患者分成对照组以及治疗组,每组分别有49例患者,对照组在常规对症治疗基础上采用依达拉奉治疗,治疗组在常规对症治疗基础上采用疏血通与依达拉奉联用方案治疗,对两组患者的临床疗效进行比较.结果 治疗组患者治疗后NIHSS评分与ADL评分要显著优于对照组与治疗前(P＜0.05);治疗组临床总有效率是97.96％,对照组临床总有效率是79.59％,治疗组临床疗效要显著优于对照组(P＜0.05);治疗组不良反应发生率是8.16％,对照组不良反应发生率是2.04％,两组患者不良反应发生率对比无统计学差异(P＞0.05).结论 急性脑梗塞患者应用疏血通与依达拉奉联用方案治疗具有显著临床疗效,明显改善患者的神经功能缺损情况,提高日常生活能力,且不良反应少,值得在临床上大力推广应用.     

依达拉奉联合红花注射液治疗急性脑梗死的疗效观察

目的：评价自由基清除剂依达拉奉和红花注射液联合应用治疗急性脑梗死的临床疗效及安全性.方法：选择急性脑梗死患者67例,随机分为治疗组34例,给予依达拉奉联合红花注射液,连用14 d;对照组33例,给予治疗组等量红花注射液.两组均予阿司匹林治疗.比较治疗前后神经功能和日常生活能力评分.结果：治疗组有效率为91.1%,对照组为72.7%,两组总有效率比较有显著性差异（P＜0.05）.结论：联合应用依达拉奉注射液和红花注射液能有效改善急性脑梗死的神经功能缺损和日常生活能力,无明显不良反应.     

依达拉奉与银杏达莫治疗急性脑梗死的疗效观察

目的:观察依达拉奉与银杏达莫治疗急性脑梗死的临床疗效.方法:将120例急性脑梗死患者随机分为2组,依达拉奉与银杏达莫治疗组60例,丹参对照组60例,疗程均为14 d.结果:治疗组总有效率93.3％,对照组总有效率68.3％,治疗组疗效明显优于对照组.结论:依达拉奉与银杏达莫治疗急性脑梗死效果显著,安全性高,可促使神经功能恢复.     

依达拉奉联合低分子肝素治疗脑梗死临床疗效的研究

目的：观察依达拉奉联合低分子肝素治疗脑梗死的临床疗效。方法92例脑梗死患者根据随机数字表法分为观察组与对照组两组各46例,观察组患者采用依达拉奉联合低分子肝素治疗,对照组患者采用辛伐他汀治疗。结果观察组患者总有效率为91．3％,对照组为79．3％,两组相比差异有统计学意义（ P＜0．05）。观察组患者的神经功能缺损评分低于对照组,两组相比差异有统计学意义（ P＜0．05）。结论依达拉奉联合低分子肝素治疗脑梗死疗效显著,能显著的改善患者神经功能缺损情况,具有临床推广应用价值。     

依达拉奉注射液联合巴曲酶治疗急性脑梗死60例临床观察

目的：探讨依达拉奉注射液联合巴曲酶治疗急性脑梗死的临床效果。方法：将我院收治的60例急性脑梗死患者,随机分为对照组和观察组,对照组采用依达拉奉注射液治疗,观察组在对照组的基础上加用巴曲酶治疗,比较两组治疗效果及不良反应发生情况。结果：对照组总有效率66．7％,观察组总有效率93．3％。两组总有效率经统计学分析,差异有统计学意义。两组治疗过程中均未见明显不良反应发生。结论：依达拉奉注射液联合巴曲酶治疗急性脑梗死可保护缺血半暗带去可逆性损伤的神经元,促使其转变为正常灌注区,减轻急性脑梗死病死率,使用方便,值得临床推广应用。     

依达拉奉治疗急性脑出血40例疗效观察

目的:评价依达拉奉注射液治疗急性脑出血的疗效和安全性。方法:对40例符合条件的脑出血患者,随机分为治疗组和对照组,每组20例。两组均常规使用生理盐水250 mL加20 mL复方丹参注射液静脉滴注,qd,治疗组加用依达拉奉注射液30 mg静脉滴注,bid,使用疗程为14 d。结果:14 d后两组分别进行临床疗效与ESS评定,治疗组总有效率达到89.1%,显效率为62.1%,而对照组分别为51.2%和39.4%,两组比较差异有显著性(P<0.01和P<0.05)。14 d后ESS评分治疗组明显优于对照组(P<0.01)。结论:依达拉奉注射液治疗急性脑出血具有疗效确切、安全性高的优点。依达拉奉通过消除自由基而抑制细胞膜脂质的过氧化和脑细胞(血管内皮细胞、神经细胞)氧化产生的障碍。对急性脑出血患者的脑血管起到脑保护的作用。     

川穹嗪注射液与依达拉奉联合治疗急性脑梗死40例效果分析

目的：探讨应用川穹嗪注射液与依达拉奉治疗急性脑梗死（AC I）患者的临床疗效。方法：分别用川穹嗪注射液与依达拉奉（观察组）和维脑路通（对照组）治疗急性脑梗死（AC I）患者,比较其临床疗效及血液流变学参数。结果：观察组总有效率高于对照组（P〈0.05）;两组血液流变学指标均改善,尤以观察组改善明显（P〈0.05）。结论：川穹嗪注射液与依达拉奉治疗AC I疗效优于维脑路通。     

依达拉奉联合东菱克栓酶治疗老年急性脑梗死42例疗效观察

目的：探讨依达拉奉联合东菱克栓酶治疗急性脑梗死的临床疗效。方法：选择急性脑梗死患者82例,随机分为两组,观察组42例和对照组40例,对照组采用常规内科治疗,观察组在对照组治疗基础上给予依达拉奉和东菱克栓酶治疗。对两组患者治疗前、后进行神经功能缺损评分;治疗后对两组患者临床治疗效果进行评定。结果：两组总有效率比较,差异有统计学意义,P〈0.01。结论：依达拉奉联合东菱克栓酶治疗急性脑梗死疗效显著。     

依达拉奉与血塞通联合治疗脑梗塞疗效分析

目的:对依达拉与血塞通联合治疗脑梗塞疗效分析.方法:对脑梗塞100例病人随机分成治疗组和对照组.结果:治疗组治疗效果及愈后明显高于对照组.结论:依达拉奉与血塞通联合治疗脑梗塞临床治疗效果确切,促进患者恢复及愈后值得借鉴.     

依达拉奉联合高压氧治疗DEACMP的疗效分析

目的 观察依达拉奉联合高压氧治疗急性一氧化碳中毒迟发性脑病（DEACMP）的疗效.方法 选择我院2011年1月～2013年1月70例DEACMP的患者,随机分为对照组和治疗组各35例.两组均给予常规治疗和高压氧治疗,治疗组在对照组的基础上,加用依达拉奉治疗,两组疗程均为4 w.分别于治疗前、治疗4 w后,采用神经功能缺损（NIHSS）评分及简易智能精神状态检查量表（MMSE）评分,分析比较两组神经功能缺损程度、精神状态情况改善情况和疗效.结果 治疗组的总有效率比对照组显著提高（P＜0.01）,且在改善患者的神经功能缺损程度和精神状态方面效果更显著（P＜0.01）;两组在治疗过程中均无明显不良反应.结论 依达拉奉联合高压氧治疗DEACMP疗效确切,且药物安全性好,值得临床推广应用.     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.