纤溶酶联合紫外线辐射充氧血液疗法治疗急性脑梗死的临床效果观察

目的观察纤溶酶联合紫外线辐射充氧血液疗法治疗急性脑梗死患者的疗效、安全性及临床价值。方法将90例急性脑梗死患者随机分为对照组和联合治疗组各45例,对照组给予纤溶酶治疗,联合治疗组给予纤溶酶联合紫外线辐射充氧血液疗法治疗,治疗14d、30d后评定疗效。结果联合治疗组总有效率明显高于对照组（P〈0.05）,神经功能缺损程度评分、改善血液流变学指标均优于对照组（P〈0.01）。结论纤溶酶联合紫外线辐射充氧血液疗法治疗急性脑梗死效果显著,能有效改善神经功能和血液流变学指标,控制病情发展,减少病残率。     

光量子血氧疗法治疗散发性脑炎21例疗效分析

光量子血氧疗法即紫外线辐射和充氧的自身血液回输液法，简称UBI，是指将病人(或献血者)的静脉血经体外抗凝、紫外线辐射和充氧以后，立即回输给病人，以达到治疗目的的一种方法。散发性脑炎病因，目前仍不是很明确。因此，治疗上也无明显特效药。我院近3年来应用药物治疗基础上，加用UBI取得一定疗效。现总结如下。     

紫外线辐射充氧自血回输法治疗急性脑梗塞110例效果观察

观察紫外线辐射充氧自血回输疗法（ＵＢＩＯ）治疗急性脑梗塞１１０例的疗效。同期选择１１０例作对照,对两组病例治疗前后的血液流变学指标及临床治疗效果进行比较。结果治疗组治疗后的血液流变学性质明显改善。治疗组痊愈率及总有效率明显高于对照组,两组差异有显著性及高度显著性。证明此疗法是治疗急性脑梗塞有效安全的好方法。     

自体量子血对急性原发性脑外伤恢复疗效观察及护理

目的 对自体量子血治疗急性原发性脑外伤恢复疗效观察及护理.方法 对照组30例常规药物治疗,治疗组60例常规药物加应用紫外线辐射充氧自血回输疗法,每2天1次,5次为一个疗程.结果 治疗组疗效明显优于对照组(P＜0.05).结论 应用量子血治疗急性原发性脑外伤后病人神志清醒质量提高,精神异常症状减轻,肢体肌力恢复较快,减少致残率.     

紫外线辐射充氧自血回输、酚妥拉明、多巴酚丁胺治疗慢性肺心病心力衰竭40例

目的 :观察紫外线辐射充氧自血回输、酚妥拉明、多巴酚丁胺治疗慢性肺心病心力衰竭的临床疗效。方法 :将 77例肺心病心力衰竭患者随机分为两组 ,对照组采用常规治疗 ,治疗组在常规治疗的基础上加用紫外线辐射充氧自血回输、酚妥拉明、多巴酚丁胺治疗。结果 :治疗组临床疗效明显高于对照组 ,经统计学处理 ,P <0 0 1,有显著性差异。结论 :紫外线辐射充氧自血回输、酚妥拉明、多巴酚丁胺联合治疗慢性肺源性心脏病心力衰竭有协同作用 ,疗效显著 ,安全可靠 ,值得在临床上推广应用。     

自血光量子血液疗法病的护理体会

自血光量子疗法系抽取患者少量自体静脉血,用无菌无热原的抗凝血袋采集经紫外线辐射和充氧后.再通过静脉回输给患者以达到治疗目的的一种特异性疗法.我中心从1993年3月开展以来用光量子血液疗法对临床不同疾病和病人治疗共计125例205次.现将光量子血液疗法的护理体会简述如下.     

自血紫外线辐射充氧输注疗法的护理体会

自血紫外线辐射充氧输注疗法的护理体会潘栓珍，高庆鲜，刘瑞春附属二院神经内科（０５００００）关键词自血充氧，紫外线辐射，护理学自血紫外线辐射充氧输注疗法是将自身小量的血液在体外经紫外线辐射和充氧后再输入体内的一种治疗方法。我科１９８８年９月～１９９２年...     

自血光量子血液疗法病的护理体会

<正> 自血光量子疗法系抽取患者少量自体静脉血,用无菌无热原的抗凝血袋采集经紫外线辐射和充氧后,再通过静脉回输给患者以达到治疗目的的一种特异性疗法。我中心从1993年3月开展以来用光量子血液疗法对临床不同疾病和病人治疗共计125例205次,现将光量子血液疗法的护理体会简述如下。     

天普洛欣尿激酶与紫外线辐射充氧自血回输联合治疗急性脑梗塞50例疗效观察

用尿激酶联合紫外线辐射充氧自血回输疗法治疗急性脑梗塞50例,并与单用尿激酶组及单用紫外线辐射充氧自上回输组进行了对照观察,治疗3周后,结果显示:3组总有效率基本相似,但联合治疗组治愈率明显高于对照两组,分别为68％、40％和48％(P<0.01),在整个治疗过程中未出现任何毒副作用。从开始治疗时间与疗效的关系看,以联合治疗组病后24h内开始治疗的疗效最好(P<0.01)。     

紫外线辐射充氧血液输入治疗脑血栓50例临床观察

紫外线辐射充氧血液输入治疗脑血栓５０例临床观察晋城市人民医院（０４８０００）李振昌，牛玉凤，张有富晋城市防疫站张裴芳紫外线辐射充氧血液输入疗法（以下简称血疗）是治疗脑血管病的一种有效手段。一年来我院采用自血回输治疗经头颅ＣＴ确诊的脑血栓患者５０例，效...     

紫外线照射充氧自血回输治疗中心性渗出性脉络膜视网膜病变疗效观察

目的:探讨紫外线照射充氧自血回输(UBIO)治疗中心性渗出性脉络膜视网膜病变的疗效。方法:确诊的中心性渗出性脉络膜视网膜病变患者60例(60只眼),分为药物治疗组(对照组)和UBIO综合治疗组(治疗组)。药物治疗组采用扩张血管药物、维生素等治疗,综合治疗组在药物治疗的基础上加用UBIO治疗,每日一次,6次为一疗程。结果:治疗组总有效率94.5%,治愈率75.6%;对照组总有效率77.8%,治愈率45.3%,两组总有效率、治愈率比较有显著性差异(P<0.01)。结论:UBIO对中心性渗出性脉络膜视网膜病变有明显的治疗作用,结合药物综合治疗疗效优于单纯药物治疗,是一种有效的治疗方法。     

针药结合治疗血管性痴呆临床观察

目的：观察针药结合治疗血管性痴呆（VD）的临床疗效。方法：108例VD患者随机分为三组，治疗组（针药组）48例应用针刺与药物结合的方法，对照1组（针刺组）30例应用针刺法治疗，对照2组（药物组）30例应用药物爱维治注射液治疗，观察各组患者的智力量表积分情况并对疗效进行评估。结果：针药结合疗法可显著提高VD患者智力量表积分，改善临床症状，提高患者的生活质量。结论：针药结合组疗效明显优于单纯采用针刺或应用爱维治的治疗组，具有临床推广价值。     

紫外线照射充氧自血回输治疗重型颅脑伤

对５８ 例重型颅脑伤（ Ｇ Ｃ Ｓ≤８ 分） 患者随机分组,用血液紫外线照射充氧疗法与常规疗法治疗。通过对生命体征、颅内压、血气和电解质及动态心电图的观察,并经 Ｇ Ｏ Ｓ评分,列项对照。结果表明,血液紫外线照射充氧疗法对重型颅脑伤的治疗有明显效果,治疗过程中未发生不良反应。此疗法无创伤,简便易操作,辅佐治疗重型颅脑伤安全可靠,有临床推广价值。     

紫外线照射充氧自血回输治疗心绞痛观察心电图QT离散度的变化

目的：观察紫外线照射充氧自血回输对心绞痛患者心电图Q—T离散度(QT dispersion QTd)的影响。方法：110例QTd(QTcd)＞50ms的心绞痛患者分为A，B两组，A组接受UBIO加传统药物治疗，B组接受传统药物治疗。观察两组治疗前后临床症状改善情况及QTcd的变化。结果：接受紫外线照射充氧自血回输治疗的A组，临床症状改善显著，QTcd与B组比较明显减少(t＝2．63 P＜0．01)。结论：紫外线照射充氧自血回输治疗心绞痛疗效确切，能有效降低心绞痛患者QTd，使心室肌复极趋向一致，从而减少室性心律失常的发生，有效预防心源性猝死。     

Comparative study of the specificities of needling acupoints DU20, DU26 and HT7 in intervening vascular dementia in different areas in the brain on the basis of scale assessment and cerebral functional imaging

Objective:Using methods of clinical scale assessment and cerebral functional imaging to compare the relative specif icity of needling acupoints Baihui(DU20),Shuigou(DU26) and Shenmen(HT7) in intervening vascular dementia(VD) in different areas in the brain.Methods:Fifty patients with VD were randomized into 5 groups.Needling on conventionally used acupoints of hand and foot three Yang-meridians aiming at hemiplegia was applied to the patients in Group A,and needling on DU20 to Group B,on DU26 to Group C,on HT7 to Group D and on all the three to Group E was applied additionally.Assessments of Mini Mental State Examination(MMSE),Activities of Daily Living(ADL) and Family Attitude Questionnaire(FAQ) were made.And the positron emission computerized tomography(PET) and single photon emission computerized tomography(SPECT) examinations were conducted in 5 selected patients from each group before and after treatment.Results:Needling on conventional acupoints plus DU20 could effect the inner temporal system,thalamencephalon system and prefrontal cortical system to improve memory and executive capacity of VD patients;conventional acupoints plus DU26 could effect more to the prefrontal cortical system to obviously elevate the executive capacity;that plus HT7 would reveal an effect similar to but rather weaker than plus DU20,and effect more to memory;and that plus all the three simultaneously could effect rather roundly multiple aspects of the nervous system related to intellectual activities,to elevate the recognition and enhance the executive capacity.Conclusion:Needling on various acupoints like DU20,DU26 and HT7 have effects on different brain areas.     

中西医结合治疗老年肾虚痰浊型血管性痴呆临床研究

目的:观察固脑益智汤联合多奈哌齐治疗老年肾虚痰浊型血管性痴呆(vascular dementia,VD)的临床疗效及其对血清中脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)和血管内皮生长因子(vascular endothelial growth factor,VEGF)水平的影响。方法:将102例VD随机分为观察组和对照组,每组51例。对照组给予常规措施和口服多奈哌齐片,每次5 mg,1次·d-1。观察组在对照组治疗基础上给予固脑益智汤,每天1剂,常规水煮,早晚温服。两组患者连续治疗3个月。比较两组中医证候相关症状评分、痴呆严重程度评分和临床疗效,检测两组患者血清中BDNF和VEGF水平。结果:治疗后,观察组患者证候相关症状评分和日常生活能力评分显著低于对照组,修订Folstein简易精神状态检查评分高于对照组(P0.01)。观察组有效率为86.27%,对照组为68.63%,两组有效率比较,差异有统计学意义(P0.05)。观察组治疗后血清中BDNF和VEGF水平显著高于对照组,差异有统计学意义(P0.01)。结论:固脑益智汤联合多奈哌齐治疗老年肾虚痰浊型VD疗效显著,且可上调患者血清中BDNF和VEGF水平。     

中药加UBIO疗法治疗口腔扁平苔藓

目的 观察中药加紫外线照射充血回输法（ＵＢＩＯ）治疗口腔扁平苔藓的疗效。方法 将５６例口腔扁平苔藓患者随机分为２组,为中药合ＵＢＩＯ疗法组和单用ＵＢＩＯ组治疗２个月以后观察临床疗效与实验室检测结果。结果 中药合ＵＢＩＯ组临床疗效优五ＵＢＩＯ组;血液流变学指标中药加ＵＢＩＯ疗法中药明显优于单纯ＵＢＩＯ疗法。结论 中药结合ＵＢＩＯ疗法是一种更为有效地治疗口腔扁平苔藓的方法。     

Experimental study on therapy of ultraviolet blood irradiation and oxygenation in acute soman intoxication in rabbits

Objective： To study the therapy effect of ultraviolet blood irradiation and oxygenation （UBIO） on blood AChe activity and lung injury due to acute soman intoxication in rabbits. Methods ：Forty rabbits were randomly divided into 4 groups： normal control group, intoxication group, routine therapy group and UBIO therapy group. Blood AChe activity and artery blood gas were analyzed 2 h after intoxication. ACP and AKP activities in BALF were determined respectively. Results： Blood AChe activity in intoxication group was lower than that in normal control group （P〈0.05）. BALF ACP and AKP activities in intoxication group were higher than that in normal control group. Blood AChe activities in UBIO therapy group increased and were higher than that in intoxication and routine therapy groups. Compared with intoxication group, BALF ACP and AKP activities were decreased （P〈0. 05） in UBIO therapy group, while artery blood pH, PaO2 and SaO2 increased （P〈0. 05）. Conclusion.. UBIO therapy can elevate blood AChe activity and alleviate lung injury induced by soman intoxication. So it may be a new way to treat acute soman intoxication.     

The influence of ultraviolet blood irradiation and oxygenation on oxygen free radicals metabolism in rabbits with soman intoxication

Objective： To investigate the effect of ultraviolet blood irradiation and oxygenation （UBIO） on the metabolism of oxygen free radicals in rabbits with acute soman intoxication. Methods： One hundred rabbits were randomly divided into 5 groups： normal control group, intoxication group, routine therapy group, UBIO therapy group and combined therapy group. After 14 d, the concentration of malondiadehyde （MDA） and activity of superoxide dismutase（SOD）, glutathionperoxidase（GSH-Px）, catalase （CAT） and total antioxidative capacity （T-AOC） in serum were determined respectively. Results： Compared with the normal control group, the concentration of MDA and activity of CAT in the intoxication group were significantly higher （P 〈 0. 05）, but SOD, GSH-Px activity and T-AOC were significantly lower （P〈0.05）. After UBIO or combined therapy, serum MDA level was significantly lower in comparison with intoxication group （P〈0.05）, but the activity of SOD, GSH-Px, CAT and T-AOC were higher than intoxication group （P（0.05）. Conclusion： There is an obvious oxygen free radical injury in rabbits with acute soman intoxication. UBIO can improve the antioxidation ability of rabbits and may be applied to treat acute soman intoxication as adjunctive therapy.     

脑心通联合尼莫地平治疗血管性痴呆的临床研究

目的分析脑心通胶囊联合尼莫地平治疗血管性痴呆(vascular dementia,VD)的疗效。方法将入选的76例血管性痴呆患者分为联合用药组40例,尼莫地平组36例。尼莫地平组在常规治疗的同时给予尼莫地平片30 mg口服,每日3次;联合用药组在此基础上加用步长脑心通4粒/次口服,每日3次,疗程均为3个月。结果两组治疗后临床症状明显缓解且联合用药组优于尼莫地平组(总有效率95%vs 65%,P<0.01);精神量表评定,联合用药组患者接受治疗后,简易精神智能状态评估量表(MMSE)评分明显高于同组治疗前及尼莫地平组治疗后(均P<0.01),日常生活能力量表(ADL)评分,联合用药组与尼莫地平组治疗后均低于治疗前(均P<0.01),且联合用药组治疗后ADL评分较尼莫地平组下降更明显(P<0.01)。结论脑心通胶囊联合尼莫地平治疗VD疗效优于单用尼莫地平。