联合用药治疗儿童溃疡性口腔炎效果分析

目的:比较康复新液联合开喉剑喷雾剂与生理盐水联合碘甘油治疗儿童溃疡性口腔炎的疗效。方法:选取2011年3月-2014年2月在湖南省株洲市妇幼保健院就诊符合条件的患儿120例,按随机数字表法分为试验组60例和对照组60例。试验组用康复新液联合开喉剑喷雾剂治疗,对照组用生理盐水联合碘甘油治疗,分别观察用药第3、5、7天的疗效并进行比较分析。结果:试验组总有效率为93.33%,明显高于对照组的61.67%;试验组治愈时间为(2.33±1.55)d,显著短于对照组的(4.28±1.75)d,差异均具有统计学意义(P0.05)。结论:康复新液联合开喉剑喷雾剂能快速促进儿童溃疡性口腔炎的愈合,缩短病程,安全有效,值得临床推广使用。     

康复新液治疗口腔溃疡30例疗效观察

目的探讨康复新液在口腔溃疡中的应用。方法将60例门诊口腔溃疡患者随机分为康复新液治疗组和口腔炎喷雾刺治疗组两组,观察并比较两组治疗后患处局部充血、水肿、疼痛及溃疡愈合情况。结果康复新液治疗组显效22例,有效8例,总有效率为100％;口腔炎喷雾剂治疗组显效17例,有效7例,无效6例,总有效率为80％。康复新液治疗组总有效率明显高于口腔炎喷雾剂治疗组（P〈0．01）。结论康复新液的疗效明显优于口腔炎喷雾剂,有利于口腔溃疡的愈合,安全、有效,值得临床推广。     

穴位敷贴联合穴位按摩治疗创伤性头痛78例疗效观察

目的探讨穴位敷贴联合穴位按摩治疗创伤性头痛的效果。方法将150例患者随机分为2组,治疗组78例,在西药对症治疗基础上加用双侧太阳、合谷穴位敷贴联合穴位按摩治疗;常规组72例,予西药对症治疗。2组均以7 d为1个疗程,2个疗程后统计疗效。结果治疗组痊愈率为32.05%,显效率为44.87%,有效率为19.23%,无效率为3.85%,总有效率为96.15%;常规组痊愈率为15.23%,显效率为33.33%,有效率为23.61%,无效率为27.78%,总有效率为72.22%,2组比较有显著差异(P<0.01)。结论颅脑创伤性头痛患者应用穴位敷贴联合穴位按摩治疗,能有效缓解头痛。     

单磷酸阿糖腺苷与康复新液联合应用治疗疱疹性口腔炎的临床疗效分析

目的:分析单磷酸阿糖腺苷与康复新液联合治疗疱疹性口腔炎的效果。方法:选取疱疹性口腔炎患者68例,随机分为两组各34例,在常规处理上对照组给予利巴韦林治疗,观察组给予单磷酸阿糖腺苷联合康复新液治疗,比较两组疗效。结果:观察组治疗总有效率94.1%明显高于对照组的76.5%(P0.05),口腔疱疹消退时间、口腔疼痛消退时间、体温恢复正常时间均明显短于对照组(P0.05)。结论:单磷酸阿糖腺苷联合康复新液能促使疱疹性口腔炎患者临床症状尽早缓解,减轻患者痛苦,疗效显著,值得推广。     

语言训练联合深刺舌三针治疗脑外伤失语症临床研究

目的 :观察语言训练联合深刺舌三针治疗脑外伤后失语症的临床疗效。方法 :将收集到的病例随机分为治疗组和对照组,治疗组采用语言训练联合深刺舌三针,对照组采用语言训练联合常规针刺法,两组均治疗3个疗程,疗程结束后对两组疗效及显效时间统计分析。结果:治疗组痊愈率35.71%,总有效率92.86%,显效时间(5.0±2.0)d;对照组痊愈率23.08%,总有效率84.62%,显效时间(8.5±1.5)d。两组疗效、显效时间比较,均P0.05,治疗组优于对照组。结论:语言训练联合深刺舌三针治疗脑外伤后失语症疗效显著,且显效快。     

强力霉素联用碘甘油治疗重度慢性龈缘炎疗效观察

目的:观察强力霉素联用碘甘油治疗重度慢性龈缘炎的疗效.方法:将80例重度慢性龈缘炎患者随机分为两组,均经过龈上洁治术和龈下刮治术后,A组单用碘甘油,B组强力霉素联用碘甘油作局部治疗,并进行比较.结果:治疗4天后A、B两组痊愈率、总显效率均有显著差异;总有效率分别为92.5% 和100%,无显著差异.治疗1周后A、B两组痊愈率有显著差异.其总显效率和总有效率均≥95%,两组间无显著差异.结论:单用碘甘油和强力霉素联用碘甘油治疗重度慢性龈缘炎都有效,但两药联用时可明显增加疗效,缩短疗程.     

碘甘油联合利多卡因治疗小儿疱疹性口腔炎疗效观察

目的探讨应用碘甘油联合利多卡因涂抹口腔辅助治疗小儿疱疹性口腔炎的临床效果。方法选取我院收治的疱疹性口腔炎患儿160例作为研究对象,随机分为对照组与观察组,各80例。所有患儿根据病情给予抗病毒、补液退热等对症治疗,合并细菌感染的患儿给予抗感染治疗,观察组在此基础上使用碘甘油联合2%利多卡因涂抹口腔,比较两组患儿疗效。结果治疗后,两组患儿病情有所改善,观察组总有效率为97.5%,对照组总有效率为88.8%,观察组治疗率优于对照组,差异有统计学意义(P0.05);观察组患儿平均发热消退时间、疱疹消退时间、平均住院治疗时间均显著低于对照组(P0.05)。结论疱疹性口腔炎患儿使用碘甘油联合利多卡因涂抹口腔局部用药辅助治疗,达到减轻全身用药的副作用,局部用药药物浓度的升高可以明显控制患儿口腔炎症的进展,缓解患儿口腔疼痛,加快病情好转,改善预后,简单易行,价格低廉,效果显著,依从性高,值得临床推广应用。     

碘甘油与二丁胶囊联合治疗复发性口腔溃疡的临床观察

目的观察碘甘油与二丁胶囊联合治疗复发性口腔溃疡的临床疗效。方法采用碘甘油与二丁胶囊联合治疗复发性口腔溃疡选择59例观察其疗效。结果痊愈21例（70%）,显效3例（10%）,无效6例（35%）,总有效率（80%）。结论碘甘油与二丁胶囊联合治疗复发性口腔溃疡临床效果明显。     

比较研究口腔炎喷雾剂与康复新口服液治疗口腔溃疡的效果

目的比较研究口腔炎喷雾剂与康复新口服液治疗口腔溃疡的效果。方法选取我院110例(2015年4月17日到2017年4月17日)口腔溃疡患者为本次的研究对象,采用随机分组原则将其分为对照组和观察组,每组55例,对照组采用口腔炎喷雾剂进行治疗、观察组采用康复新口服液进行治疗,比较两组口腔溃疡患者的治疗效果以及溃疡愈合时间。结果观察组口腔溃疡患者的总有效率为92.73%,明显高于对照组的总有效率72.73%,且观察组患者的溃疡愈合时间为(3.24±1.12)d、疼痛缓解时间为(2.84±0.72)d,明显少优于对照组患者,两组相比差异明显。结论针对口腔溃疡患者,使用康复新口服液的治疗效果明显高于口腔炎喷雾剂的治疗效果,快速缓解患者症状,提高愈合速度。     

康复新液联合维生素B_6治疗化疗相关性手足综合征临床观察

目的：观察康复新液治疗化疗相关性手足综合征的临床疗效。方法：将24例患者随机分为联合组和对照组,每组12例,联合组采用康复新液联合维生素B6治疗化疗相关性手足综合征,对照组单用维生素B6。结果：联合组创面愈合时间明显较对照组短;联合组的有效率为83.3%,对照组的有效率为66.7%,两组比较有显著性差异;联合组KPS评分改善率为41.7%,对照组KPS评分改善率为25%,两组比较有显著性差异。结论：康复新液联合维生素B6治疗化疗相关性手足综合征比单独应用维生素B6能取得更好的临床疗效。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.