梅花针加走罐法治疗股外侧皮神经炎45例

股外侧皮神经炎又称感觉异常性股痛,是一种多种原因引起的股外侧皮神经损害而产生的大腿前外侧皮肤感觉异常与疼痛综合症。近年来笔者采用梅花针加走罐法治疗45例,效果十分满意,现报道如下:     

弥可保对股外侧皮神经炎治疗的临床研究

目的讨论弥可保(甲基维生素B12)对股外侧皮神经炎的治疗效果.方法肌电图检测确诊为股外侧皮神经炎61 例.随机分为两组:A组弥可保组:使用弥可保口服500μg/次,1日3次,2个月;B组维生素B12组:维生素B12,500μg/次,肌肉注射,隔日1次,1个月后停止,改用口服维生素B1及维生素B6各10mg/次,每日3次.结果两组相比弥可保与维生素B12对股外侧皮神经炎患者均有治疗作用.弥可保较维生素B12 的疗效更佳.结论弥可保对股外侧皮神经损伤有促进其恢复的作用.     

身痛逐瘀汤配合走罐疗法治疗股外侧皮神经炎37例疗效观察

目的 观察身痛逐瘀汤配合走罐疗法治疗股外侧皮神经炎的临床疗效。方法 轻度患者服药10剂，配合走罐治疗4次；中度患者服药15剂，配合走罐治疗6次；重度患者服药30剂．配合走罐治疗6～9次。结果 9例轻度患者全部治愈(100％)；18例中度患者治愈13例(72．2％)，显效3例(16．7％)，有效2例(11．1％)；10例重度患者治愈6例(60．0％)，显效3例(30．0％)，有效1例(10．0％)。结论 身痛逐瘀汤配合走罐疗法治疗股外侧皮神经炎，疗效确切，重复性强，有推广应用价值。     

梅花针叩刺配合火罐治疗股外侧皮神经炎26例

目的探讨梅花针叩刺配合火罐治疗股外侧皮神经炎的疗效。方法将符合标准的46例患者按编码随机抽取方法随机分为两组,治疗组26例采用梅花针叩刺配合火罐治疗,对照组20例用口服甲钴胺片治疗。结果治疗组总有效率96.15%,对照组总有效率80.00%。两组疗效比较有显著性差异(P0.05)。结论应用梅花针叩刺配合火罐治疗股外侧皮神经炎疗效肯定,优于口服甲钴胺片治疗效果,是较为理想的治疗方法,且安全有效、操作简便。     

电针配合穴位注射治疗股外侧皮神经炎40例

目的探讨电针配合穴位注射维生素B1、B12注射液治疗股外侧皮神经炎的临床疗效。方法将80例股外侧皮神经炎患者按照数字随机表法随机分为观察组和对照组,每组40例。观察组予以电针配合穴注维生素B1、B12注射液治疗,对照组予以普通针刺治疗,每天治疗1次,6天为一个疗程,每个疗程间隔1天,总共治疗2个疗程。结果观察组有效率为90%、痊愈率为77.5%;对照组分别为:82%、62.5%。观察组疗效优于对照组(均P0.05)。结论运用电针配合穴注维生素B1、B12注射液治疗股外侧皮神经炎疗效显著,疗效优于普通针刺。     

温针加走罐治疗股外侧皮神经炎45例

目的 温针加走罐治疗股外侧皮神经炎的疗效观察.方法 股外侧皮神经炎病人随机分为观察组(45例)和对照组(26例)进行临床观察对比.结果 经治疗观察组疗效优于对照组.结论 该法具有疗效快,效果好的特点,是一种值得推广的的方法.     

中西医结合治疗股外侧皮神经炎30例临床观察

目的：观察中西医结合治疗股外侧皮神经炎的临床疗效。方法：采用维生素肌注，通痹方口服及局部围针的综合治疗方法。结果：经治疗30例股外侧皮神经炎患者，痊愈24例。好转6例。痊愈率80%。结论：中西医结合治疗股外侧皮神经炎有显著的疗效。     

梅花针叩刺结合三棱针刺络拔罐治疗股外侧皮神经炎32例

目的：介绍多年来应用梅花针叩刺结合三棱针刺络放血、拔罐疗法治疗股外侧皮神经炎的经验。方法：32例股外侧皮神经炎患者应用梅花针叩刺结合三棱针刺络放血、拔罐法治疗。结果：股外侧皮神经炎好发于20～70岁，平均50岁。病程15天到3年。应用梅花针叩刺结合三棱针刺络放血、拔罐治疗0．5～3个月，疗效确切。经过6个月～3年随访，痊愈24例，好转7例，无效1例。结论：梅花针叩刺结合三棱针刺络放血、拔罐治疗股外侧皮神经炎是一种疗效确切的治疗方法。     

中药联合理疗治疗股外侧皮神经炎疗效观察

股外侧皮神经炎又称感觉异常性股痛症,多因股外侧皮神经损伤所引起,为临床常见病。现代医学尚无特效疗法。中医治疗本病有一定的优势,自2001年7月以来,笔者采用中药身痛逐瘀汤配合走罐疗法,治疗股外侧皮神经炎32例,取得了满意疗效,现总结报告如下。1临床资料1·1一般资料本组32     

七星针加拔罐治疗股外侧皮神经炎

目的观察七星针局部叩刺加拔罐治疗股外侧皮神经炎的临床疗效。方法将本院近年来收治的股外侧皮神经炎患者共计18例作为研究资料,在病变局部以七星针叩刺至发红或出血,之后拔罐,留罐至15分钟后起罐,1周2次,7次为1个疗程,疗程之间要休息7天。结果治愈15例,占83.33%;显效2例,占11.11%;有效1例,占5.56%;无效0例;总有效率:100%。结论股外侧皮神经炎应用七星针局部叩刺加拔罐进行治疗,收到了较好的治疗效果,值得在临床上推广应用。     

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.