重新修复42件全口义齿修复体的临床研究

目的探讨全口义齿修复体修复5年的临床疗效，分析失败病例的原因及解决方法。方法300例病人，共300件全口义齿修复体（其中半口修复者32人），其中重新修复42例病人，共42件全口义齿修复体。均修复5年以上，定期回院复查，记录使用情况。结果300件全口义齿修复体修复5年后，258件成功，成功率86％。有42件失败，占14％，其中修复体折断破裂者18件，修复体松脱10件，人工牙折断8件。结论严格掌握适应证，规范临床操作和建立心理相融型的医患关系是提高全口义齿修复质量，减少失败重做的关键。     

全口义齿修复失败的原因及处理对策

目的 探析全口义齿修复失败的原因及处理的方法.方法 回顾性分析2017年1月至2020年1月本院收治的50例全口义齿修复失败患者的临床资料,分析全口义齿修复失败的原因,并据此制定具体的处理对策.结果 50例全口义齿修复失败患者中,20例患者因义齿修复体松脱导致(占比40.00％),10例患者因基托折断、断裂导致(占比2...     

金属烤瓷修复体在筑瓷烧结中的缺陷及其防范

1998年3月～1999年4月,我们共制作618件金属烤瓷修复体,其中28件出现不同程度缺陷需重新制作.本文对此28件修复体失败原因进行回顾性分析.现报告如下. 1临床资料 1.1一般资料 金属烤瓷冠桥修复失败28例,男11例,女17例;年龄20～57岁,平均31岁.单冠修复体21件,桥修复体7件. 1.2修复材料和方法     

烤瓷熔附金属修复体的临床研究

目的 对烤瓷熔附金属修复体的临床效果进行观察，总结成功及失败的经验教训，提高口腔修复水平。方法 对597例患者的719件烤瓷熔附金属修复进行5-8年的临床观察。按统一的疗效标准，分为优秀、良好、失败3级，结果 优秀617件，占85.8%，良好94件，占13.1%，失败8件，占1.1%，结论 烤瓷熔附金属修复仍是目前最理想的固定修复方法，但在病例选择，修复体设计与制作，基牙的处理以及修复体的选色与配色方面，必须遵循相应的原则与方法，才能保证其临床效果。     

金属烤瓷固定修复牙列缺损的临床应用研究

目的:研究金属烤瓷固定修复牙列缺损的临床应用,探讨金属烤瓷固定修复牙列缺损的临床意义。方法:回顾性分析457例牙列缺损患者的临床资料,前牙组修复体394件,后牙组修复体537件,并对其进行统计学分析。结果:前牙组修复体成功381件(96.70%),失败13件(3.30%),后牙组修复体成功511件(95.16%),失败26件(4.84%),两组组间比较差异无统计学意义。结论:金属烤瓷固定修复牙列缺损成功率较高,是临床上安全、可靠、理想的牙列缺损固定修复方法。     

金属烤瓷牙修复后出现问题的原因分析

目的 探讨金属烤瓷牙固定桥修复后出现的原因进行分析.方法 收集2006年-2009年来我院进行金属烤瓷牙固定修复后出现问题的30例患者42件修复体出现的问题进行回顾性分析.结果 42件修复体出现的问题原因是:崩溃,食物嵌塞,基牙折断,牙龈炎颜色不协调.结论 为了减少金属烤瓷固定修复所出现的问题,分析失败原因,减少修复体失败的发生,严格遵守金属烤瓷固定桥设计原则和制作要求.     

临床制作工艺对纯钛烤瓷修复体的影响

目的 探讨纯钛烤瓷修复体在临床制作中出现的问题及解决措施,提出如何提高纯钛烤瓷修复体工艺的技术问题.方法 对四年制作200例共260件纯钛烤瓷修复体的制作过程中出现的问题进行分析.结果 崩瓷裂瓷9件,占3.46%;色泽差异4件,占1.54%;气泡产生5件,占1.92%;铸造缺陷4件,占1.54%.结论 纯钛烤瓷修复体的制作是一个复杂而细致的过程,钛瓷结合问题又是目前纯钛烤瓷的主要问题.其中任何一个制作环节的失误都可能导致修复体的失败.因此,纯钛烤瓷在制作时每一步环节都要求更为严格遵循操作规程,以获得最好的修复效果.     

牙周维护在冠桥修复中的临床意义

目的探讨牙周维护在冠桥修复中的临床意义。方法对近十年冠桥修复727例共800件冠桥修复体制作过程中牙周维护和使用过程中牙周维护的临床观察。结果727例800件冠桥修复体中,721件正常使用,良好率90．12％,失败79件（9．88％）。结论牙周维护在冠桥修复中至关重要,关系到冠桥修复体的修复成败和使用寿命。     

金属烤瓷修复体制作的临床体会

目的:探讨金属烤瓷修复体在制作中出现的问题及补救措施,如何提高金属烤瓷修复工艺的技术问题.方法:选择近4a制作的230例,共260件金属烤瓷修复体,记录在制作中出现的问题.结果:铸造缺陷4件,占154%,瓷裂5件,占192%,气泡9件,占346%,色泽不协调8件,占31%.结论:金属烤瓷修复体的制作是一个复杂而细致的过程,其中任何一个环节的失误都可能导致修复体的失败,因此在制作时提高熟练程度,每一步都严格遵循操作规程,才能获得最好的修复效果.     

61件金属烤瓷修复体的临床应用

目的 探讨金属烤瓷修复体在口腔临床修复中的疗效及失败的原因。方法 按照金属烤瓷冠的要求备牙，活髓牙常规麻醉，并制作临时冠保护牙髓。结果 本文成功45例56件修复体，失败5例5件修复体，其中瓷裂或瓷崩2例，修复体脱落1例，义齿折断1例，颜色与形态欠佳1例。结论 合金与烤瓷的热膨胀系数匹配，是金属烤瓷修复体的成功的关键，桥与冠的成功率相同。     

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.