改良式剖宫产术396例分析

目的探讨改良式剖宫产术的临床价值.方法于下腹部两髂前上棘连线下2—3cm处做横行直切口,钝性分离脂肪层及腹直肌,横向撕开腹膜,肠线单层连续缝合子宫肌层,不缝合腹膜,肠线连续缝合筋膜,间断全层缝合皮肤及皮下组织.并与同期腹部横弧形切口剖宫产术进行比较.结果改良式手术时间短,术中出血量少,术后排气时间缩短、疼痛轻、病率低,住院时间短.与对照组比较差异显著性(P<0.05).结论改良式剖宫产术手术时间短,术后并发症少,住院时间短,值得临床推广应用.     

改良式剖宫产术35例分析

目的探讨改良式剖宫产术的临床价值.方法于下腹部两骼前上棘连线下2~3cm处做横直切口,横行撕拉皮下脂肪及腹直肌,横向撕开腹膜,肠线全层连续扣锁缝合子宫肌层,肠线连续缝合脏层腹膜,不缝合壁层腹膜,丝线连续缝合筋膜及间断全层缝合皮肤及皮下组织.并与同期下腹部正中竖直切口剖宫产术进行对照.结果改良式剖宫术手术时间短,出血少,术后并发症少,住院时间短.与对照组比较差异有显著性(P＜0.05).结论改良式剖宫产手术时间短,术后并发症少,恢复快.     

新改良式剖宫产术50例临床分析

目的：探讨新改良式剖宫产术的临床价值。方法：于下腹部两骼前上棘连线下２～３ｃｍ处做一横行切口,钝性分离脂肪层,腹查肌前鞘及腹直肌,横向撕开腹膜,肠线单层边续缝合子宫肌层,不缝合反折腹膜及壁层腹膜,肠线连续缝合腹直肌前鞘,丝线间断褥式全层缝合皮肤及皮下组织３针。并与传统腹部纵切口剖宫产术进行比较。结果：新改良式手术时间短,术中出血量少,术后排气时间短,术后病率低、疼痛轻,住院时间短,切口疤痕纤细。与对照组比较有显著性差异（Ｐ〈０．０５）。结论：新改良式剖宫产术时间短,术后并发症少,住院时间短,值得临床推广应用。     

改良式剖宫产术50例临床报告

探讨改良式剖宫产术的临床价值。方法：于两髂前上棘连线下3cm处做横直切口，钝性分离脂肪层及腹直肌，横向撕开腹膜，肠线单层连续缝合子宫肌层，不缝腹膜，肠线连续缝合筋膜及间断全层缝合皮下组织及皮肤。并与腹部纵切口剖宫产术进行比较。结果：改良式手术时间短，术中出血量少，术后排气时间缩短，住院时间短。于对照组比较有显著差异。结论：改良式具有诸多优点，值得推广。     

改良式剖宫产术152例分析

目的：探讨改良式剖宫产术的临床价值。方法：于下腹部两髂前上棘连线下约2 cm或耻骨联合上3 cm(相当于 pfanential皱纹上2 cm)处做横行直切口,钝性分离脂肪层及腹直肌,横向上下撕开腹膜,肠线单层连续扣锁缝合子宫肌层,不缝合腹膜,肠线连续缝合筋膜及皮下组织。并与传统的下腹部直切口剖宫产术进行比较。结果：改良式剖宫产术手术时间短,术中失血量减少,术后排气时间短,疼痛轻,发病率低。与对照组比较有显著性差异(P<0.05)。结论：改良式剖宫产术时间短,术中失血量少,术后并发症少,住院时间缩短,且减少病人的经济负担,值得临床推广应用。     

改良式剖宫产术142例临床分析

目的　探讨改良式剖宫产术的临床价值。方法　于下腹部两髂前上棘连线下 3～ 4cm或者耻骨联合上 3横指处做横行直切口 ,钝性分离脂肪层及腹直肌 ,横向撕开腹膜 ,剖宫取出胎儿 ,合成Ⅰ号可吸收线单层连续缝合子宫肌层 ,不缝合腹膜 ,连续缝合筋膜及间断全层缝合皮下组织及皮肤。并与同期腹部弧形切口剖宫产术进行比较。结果　改良式手术时间短 ,术中出血量少 ,术后排气时间缩短 ,疼痛轻 ,病率低 ,住院时间短。与对照组比较差异有显著性 (P <0 .0 5 )。结论　改良式剖宫产术手术时间短 ,术后并发症少 ,住院时间短 ,值得临床推广应用     

改良式新剖宫产术131例临床观察

目的　探讨改良式新剖宫产术的临床价值。方法　切口选择在Pfannesisttel皱壁 ,非弧型切开 ,钝性分离脂肪层及腹直肌 ,横向撕离腹膜 ,肠线连续锁边缝合子宫肌层 ,不缝合腹膜 ,7号丝线连续缝合筋膜及 1号丝线间断 3针缝合皮下组织 ,WAB胶粘皮肤。并与同期子宫下段剖宫产术进行比较。结果　改良式新剖宫产术手术时间短 ,术中出血量少 ,术后排气早 ,术后病率低 ,住院时间短。与对照组比较有显著性差异 (P <0 .0 1)。结论　改良式新剖宫产术优于传统术式 ,值得临床推广应用     

改良剖宫产术486例临床分析

目的 :探讨改良后的剖宫产术在临床的应用价值。方法 :采用下腹部横直切口 ,钝性分离皮下脂肪层、腹直肌和腹膜层 ,微乔线单层连续扣锁缝合子宫肌层 ,肠线连续缝合腹膜、腹直肌前鞘。并与传统的下腹部直切口剖宫产术进行比较。结果 :改良剖宫产手术时间短 ,术中失血减少 ,术后排气时间早 ,疼痛轻 ,病率低 ,与对照组比较有显著性差异(P<0 .0 5 )。结论 :改良剖宫产术时间短 ,术中失血少 ,术后并发症少 ,住院时间缩短 ,减少患者的经济负担 ,值得临床推广应用。     

106例改良式剖宫产临床体会

目的 探讨改良式剖宫产的I临床价值。方法 于下腹部两髂棘连线下2-3cm处做横形切口，钝性分离脂肪层和腹直肌，横向撕开腹膜，肠线连续单层缝合子宫，不缝合腹膜；肠线连续缝合筋膜，丝线间断缝合皮肤和皮下脂肪3针。并与传统的子宫下段剖宫产术进行比较。结果 改良式手术时间短，术中出血量少，术后排气时间短，疼痛轻，损伤小。结论 改良式剖宫产手术时间短，术后并发症少，恢复快，值得在临床中应用。     

改良式剖宫产术152例分析

目的：探讨改良式剖宫产术的临床价值。方法：于下腹部两髂前上棘连线下约２ｃｍ或耻骨联合上３ｃｍ（相当于ｐｆａｎｅｎｔｉａｌ皱纹上２ｃｍ）处做横行直切口，钝性分离脂肪层及腹直肌，横向上下撕开腹膜，肠线单层连续扣锁缝合子宫肌层，不缝合腹膜，肠线连续缝合筋膜及皮下组织。并与传统的下膜部直切口剖宫产术进行比较。结果：改良式剖宫产术手术时间短，术中失血量减少，术后排气时间短，疼痛轻，发病率低。与对照组比较有显     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

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.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

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.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.