硝酸异山梨酯联合麝香保心丸治疗冠心病心绞痛临床效果观察

目的观察硝酸异山梨酯联合麝香保心丸治疗冠心病心绞痛的临床效果。方法选取解放军75600部队医院自2017年12月至2018年12月收治的96例药物保守治疗冠心病心绞痛患者为研究对象,随机数字表法将患者分入A组和B组,每组各48例。A组在常规治疗基础上应用硝酸异山梨酯,B组在A组基础上联合应用麝香保心丸。比较两组患者的治疗有效率、心绞痛发作次数、生活质量评分、血脂指标及不良反应发生情况。结果 B组治疗有效率为93.8%(45/48),高于A组的72.9%(35/48),差异有统计学意义(P<0.05)。A、B两组治疗后心绞痛发作次数均少于治疗前,且B组少于A组,差异有统计学意义(P<0.05)。A、B两组治疗后生活质量评分均高于治疗前,且B组高于A组,差异有统计学意义(P<0.05)。A、B两组治疗后甘油三酯、总胆固醇均低于治疗前,且B组低于A组,差异有统计学意义(P<0.05)。A、B两组不良反应发生率分别为14.6%(7/48)、10.4%(5/48),差异无统计学意义(P>0.05)。结论应用硝酸异山梨酯联合麝香保心丸治疗冠心病心绞痛临床效果显著,可有效缓解症状,降低心绞痛发作频次,提高生活质量,改善血脂指标,且不会增加不良反应。     

血管紧张素转化酶抑制剂联合β受体阻滞剂 治疗无心肌梗死冠心病心绞痛患者 临床效果及安全性观察

目的观察血管紧张素转化酶抑制剂联合β受体阻滞剂治疗无心肌梗死冠心病心绞痛患者的临床效果及安全性。方法选取自2015年6月至2017年2月北大医疗鲁中医院收治的110例无心肌梗死冠心病心绞痛患者为研究对象。将患者随机分入A组和B组,每组各55例。A组患者接受包括血管紧张素转化酶抑制剂(福辛普利钠片)的常规药物治疗;B组在A组基础上联合应用β受体阻滞剂(卡维地洛)。治疗3个月,比较两组的治疗有效率、病情改善程度及不良反应发生率。结果 B组有效率(94.6%)高于A组(80.0%),差异有统计学意义(P<0.05)。治疗后,A、B组的发作时间、发作次数均较治疗前明显减少,且B组少于A组,差异有统计学意义(P<0.05);6 min步行试验长度均较治疗前明显延长,且B组长于A组,差异有统计学意义(P<0.05)。A组(3.6%)、B组(5.5%)不良反应发生率比较,差异无统计学意义(P>0.05)。结论对于无心肌梗死冠心病心绞痛患者,在给予包括血管紧张素转化酶抑制剂的常规药物治疗之外再联合应用β受体阻滞剂可更好地改善患者病情,且安全性高。     

丹红注射液治疗冠心病稳定型心绞痛疗效观察

目的：观察丹红注射液治疗冠心病稳定型心绞痛的临床疗效及不良反应。方法：将冠心病心绞痛60例随机分为观察组与对照组各每组30例。两组在常规治疗的基础上,观察组采用丹红注射液治疗,对照组采用丹参注射治疗,比较两组临床症状、心电图改善及血流变、血脂变化等情况。两组均治疗14天。结果：观察组临床症状改善率为93.3%,对照组为73.3%,两组比较,差异显著（P〈0.05）;两组心电图改善比较差异不显著（P〉0.05）;观察组治疗后血脂、血流变、血细胞比容等与治疗前及对照组比较,差异显著（P〈0.05）。两组均未发现严重不良反应。结论：丹红注射液治疗冠心病心绞痛优于丹参注射液,且安全。     

红花注射液辅助治疗冠心病心绞痛疗效观察

目的:观察红花注射液辅助治疗冠心病心绞痛的疗效。方法:将冠心病心绞痛64例,随机分为对照组和观察组各32例。对照组给予基础治疗,包括吸氧、阿司匹林、硝酸酯类药物,并根据病情需要进行其他对症治疗;观察组在对照组治疗的基础上加用红花注射液20ml,稀释后静脉滴注,每天1次。疗程均为2周。疗程结束后,比较两组疗效、心电图及血流动力学的改善情况,并记录不良反应。结果:观察组总有效率及心电图改善率均显著高于对照组(P<0.05);治疗后观察组全血黏度、血细胞比容均显著低于对照组治疗后(P<0.05)。两组均未见明显不良反应。结论:红花注射液辅助治疗冠心病心绞痛效果较好。     

黄芪治疗冠心病心绞痛的研究进展

黄芪具有益气和活血化瘀作用[1] ,近年来应用黄芪治疗冠心病心绞痛的研究日益增多。现就其治疗冠心病心绞痛的研究进展作一综述。1　疗效观察胡丽霞等用常规疗法加黄芪注射液 2 4 ｇ静滴 2 4周治疗冠心病心绞痛 2 0例。其中静息型 7例中有 6例发作次数减少 ,持续时间缩短 ;劳力型严重程度缓解 ;缺血性心电图改善率 50 % 64% ;2例作平板运动时间延长 ,超声心动图 (ＵＣＧ)示左室射血分数 (ＥＦ)改善。施海明等[2 ] 应用随机交叉对照方法 ,用黄芪注射液 2 4ｇ/ｄ静滴治疗冠心病心绞痛 39例 (不稳定型 1 0例 ,稳定型 2 9例 ) ,2周后显示心绞痛…     

丹参酮ⅡA磺酸钠联合低分子肝素治疗不稳定心绞痛的临床研究

 目的 观察丹参酮ⅡA磺酸钠(TSN)治疗不稳定性心绞痛的安全性及疗效.方法 112例随机分为2组各56例,均予标准抗心绞痛治疗,治疗组在标准治疗基础上加用丹参酮ⅡA磺酸钠注射液治疗.观察治疗前后心绞痛缓解、心电图改善情况及血液流变学指标、治疗后24周内的心脏事件发生率.结果 治疗组在心绞痛控制、心电图改善、血液流变学指标上有显著性差异(P＜0.05);治疗后24周内治疗组心脏事件的发生率低于对照组.结论 丹参酮ⅡA磺酸钠能改善不稳定性心绞痛患者临床症状,并可降低心绞痛的再发率和心脏事件的发生率.     

舒血宁注射液治疗不稳定型心绞痛疗效观察

 目的 观察舒血宁注射液治疗不稳定型心绞痛(UAP)的临床疗效.方法 60例UAP患者,分为2组,常规治疗组29例,给予硝酸甘油、阿斯匹林、低分子肝素等药物;舒血宁组31例,在常规治疗组基础上加用舒血宁注射液.疗程10 d.观察治疗前后心绞痛发作次数、心电图变化,血流变学指标和不良反应情况.结果 舒血宁治疗组心绞痛缓解和心电图改善总有效率显著高于常规治疗组,差异有统计学意义(P<0.05).舒血宁治疗组血流变学指标显著改善(P<0.05).结论 在常规抗心绞痛药物治疗基础上加用舒血宁注射液联合治疗UAP安全、有效.     

葛根素注射液治疗冠心病心绞痛的临床研究

目的 :探讨葛根素治疗心绞痛的临床疗效及安全性观察。方法 :选择 92例心绞痛患者 ,随机分成治疗组和对照组 ,治疗组在内科常规治疗的基础上加用葛根素静点 ,观察二组患者症状缓解情况、心电图变化。结果 :治疗组的心绞痛疗效、心电图疗效分别为 91.3 %和 87% ,对照组分别为 60 .9%和 67.3 % ,有显著差异 (P <0 .0 5 )。结论 :葛根素在治疗心绞痛中疗效显著 ,使用方便、安全。     

芪参益气滴丸治疗冠心病心绞痛临床观察

目的观察芪参益气滴丸治疗冠心病心绞痛的临床疗效。方法选择冠心病心绞痛患者80例．随机分成治疗组和对照组各40例。芪参益气滴丸治疗组40例，西药对照组40例。治疗4周为1疗程。观察心绞痛症状及心电图ST段的变化。结果治疗组患者的心绞痛缓解总有效率及减少心绞痛发作频率、缩短发作持续时间方面，均优于对照组（P〈0．05）；心电图改善，治疗组亦显著优于对照组（P〈0．01）。结论芪参益气滴丸治疗冠心病心绞痛疗效确切。     

瑞舒伐他汀联合黄芪多糖治疗冠心病临床效果观察

目的观察瑞舒伐他汀联合黄芪多糖治疗冠心病的临床效果。方法选取西安市第五医院自2014年2月至2018年10月收治的90例冠心病患者为研究对象。将患者随机分入A组和B组,每组各45例。A组患者接受常规治疗及瑞舒伐他汀,B组患者在A组基础上联合黄芪多糖治疗。比较两组患者的治疗有效率、治疗前后血脂指标变化及不良反应发生情况。结果 B组有效率(95.6%)明显高于A组(82.2%),差异有统计学意义(P<0.05)。治疗后,两组患者总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平均较治疗前下降,且B组低于A组,差异有统计学意义(P<0.05);B组高密度脂蛋白胆固醇水平较治疗前升高,且高于A组,差异有统计学意义(P<0.05)。治疗期间,A组、B组不良反应发生率分别为6.7%(3/45)、8.9%(4/45),差异无统计学意义(P>0.05)。结论瑞舒伐他汀联合黄芪多糖治疗冠心病安全有效,可有效改善血脂指标。     

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.