综合治疗慢性盆腔炎疗效观察

目的观察中药液保留灌肠及妇科特殊理疗联合抗生素治疗慢性盆腔炎的疗效。方法将120例慢性盆腔炎患者随机分为两组,治疗组60例用中药液灌肠及妇科特殊理疗联合抗生素治疗,对照组60例单用抗生素治疗。结果治疗组总有效率100．00％,对照组81．67％,两组比较有非常显著性差异（P〈0．01）。结论中药液灌肠及妇科特殊理疗联合抗生素疗效显著。     

盆腔炎慢性盆腔痛综合治疗临床观察

目的探讨康妇炎胶囊联合盆腔炎治疗仪治疗盆腔炎所致慢性盆腔痛患者的临床疗效。方法选择盆腔炎所致慢性疼痛患者194例,随机分为观察组91例、对照组103例。观察组予盆腔炎治疗仪、康妇炎胶囊及抗生素综合治疗,对照组口服抗生素,两组均治疗3个月经周期后,观察并比较两组疗效。结果观察组治疗有效率高于对照组(P<0.05),不良反应发生率比较差异无统计学意义(P>0.05)。结论盆腔炎治疗仪联合中药康复炎胶囊综合治疗盆腔炎所致慢性盆腔痛,临床疗效显著,且不良反应少,安全性高,值得临床推广。     

金刚藤胶囊联合抗生素治疗急性盆腔炎52例临床观察

目的观察应用金刚藤胶囊治疗急性盆腔炎的疗效。方法对照组采用抗生素治疗急性盆腔炎52例,观察组在此基础上加用金刚藤胶囊治疗。结果观察组总有效率为96.15%,对照组有效率80.77%。两组比较有显著差异性(P<0.05)。结论金刚藤胶囊联合抗生素治疗急性盆腔炎疗效好,值得临床进一步推广应用。     

中西医结合治疗盆腔炎性疾病65例疗效观察

目的：探讨抗生素联合中药外敷以及中药保留灌肠治疗盆腔炎性疾病的疗效。方法：将107例盆腔炎性疾病患者随机分成2组,治疗组65例,对照组42例。治疗组予以抗生素联合中药外敷以及中药保留灌肠治疗,对照组仅予以抗生素治疗。结果：治疗组治愈率66.15%,总体有效率95.38%;对照组治愈率54.76%,总体有效率88.10%。2组临床疗效比较有显著差异（P〈0.01）。结论：抗生素联合中药外敷以及保留灌肠对盆腔炎性疾病疗效确切。     

奥硝唑氯化钠注射液联合中药灌肠治疗慢性盆腔炎的临床观察

目的 探讨奥硝唑氯化钠注射液联合中药灌肠治疗慢性盆腔炎的疗效.方法 将128例慢性盆腔炎患者随机分为观察组和对照组各64例,对照组采用甲硝唑、阿奇霉素静脉点滴,观察组采用奥硝唑氯化钠注射液、阿奇霉素静脉点滴同时根据中医辨证加用中药保留灌肠.结果 观察组总有效率为96.9%,对照组总有效率为84.4%.观察组的治愈率和总有效率均高于时照组(P<0.05),观察组的疗效明显优于对照组.结论 中西药联合治疗慢性盆腔炎明显提高疗效,值得临床推广应用.     

抗生素联合千金胶囊治疗慢性附件炎的临床效果分析

目的分析抗生素联合千金胶囊治疗慢性附件炎的临床效果。方法选取2010年8月-2012年7月妇科收治的慢性附件炎患者120例,按照随机数字表法分为观察组及对照组,均给予替硝唑胶囊及盐酸左氧氟沙星胶囊治疗,而观察组再给予妇科千金胶囊治疗,均连续治疗两周,观察治疗效果。结果观察组治愈25例,显效17例,有效16例,无效2例,总有效率96.7%;对照组治愈17例,显效14例,有效18例,无效11例,总有效率81.7%。治疗后观察组治疗总有效率高于对照组,且差异具有统计学意义（P〈0.05）。结论抗生素联合千金胶囊治疗慢性附件炎临床效果满意,可有效减轻患者临床症状,建议在临床治疗中推广应用。     

腔内微波治疗慢性盆腔炎146例分析

目的:探讨腔内微波配合治疗慢性盆腔炎的疗效.方法:2006～2008年诊断为慢性盆腔炎的病人随机分为抗生素加腔内微波治疗组(微波组)和单纯抗生素治疗组(对照组),比较两组疗效.结果:微波组疗效明显优于对照组.结论:腔内微波配合治疗慢性盆腔炎疗效好,疗程短,值得临床推广使用.     

抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿64例疗效分析

目的:探讨抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿的临床效果.方法:将我院收治的64例慢性阻塞性肺气肿患者,随机分为对照组和观察组,对照组给予常规卧床休息、持续低流量吸氧、化痰、解痉、平喘、抗生素等对症支持治疗.观察组在对照组的基础上加用糖皮质激素治疗,分析两组治疗效果及不良反应发生情况.结果:对照组总有效率71.9％,观察组总有效率90.6％.两组总有效率经统计学分析,差异有统计学意义(P＜0.05).对照组出现1例恶心,1例胸痛患者,观察组出现1例腹泻,1例呕吐患者,两组不良反应发生情况经统计学分析,差异无统计学意义(P＞0.05).结论:采用抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿,疗效优于抗生素治疗,不良反应少,使用方便,值得临床推广应用.     

妇科千金胶囊联合莫西沙星治疗慢性盆腔炎的临床观察

目的 探讨妇科千金胶囊联合莫西沙星治疗慢性盆腔炎的临床效果。方法 选取2019年6月-2020年6月就诊的70例慢性盆腔炎患者,采用随机数字表法分为两组,各35例。观察组用妇科千金胶囊联合莫西沙星治疗,对照组用莫西沙星治疗,均治疗1个月。比较治疗1个月时两组的临床疗效;于治疗前、治疗1个月,比较两组炎症因子水平[白细胞介素-4(IL-4)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)];统计两组治疗期间的临床症状缓解时间及不良反应发生率。结果 治疗1个月,与对照组比较,观察组整体疗效优,治疗总有效率高(P<0.05);两组IL-4、IL-10均较治疗前高,TNF-α较治疗前低,且与对照组比较,观察组IL-4、IL-10高,TNF-α低(P<0.05);治疗期间,观察组下腹腰骶疼痛、白带增多、下腹部坠胀缓解时间短于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论 妇科千金胶囊、莫西沙星二者联合治疗慢性盆腔炎可以有效减轻患者炎症反应,缓解患者临床症状,增强临床疗效,且不增加不良反应。     

艾灸配合治疗慢性盆腔炎的临床观察及护理

目的探讨艾灸配合治疗慢性盆腔炎的临床疗效及护理方法。方法选取在2012年4月一2013年4月收治的78例慢性盆腔炎患者,并将患者随机分为两组,对照组的38例患者给予常规的中药灌肠治疗,观察组的40例患者则在对照组的基础上再采取艾灸配合治疗。然后对两组患者的临床疗效进行观察和对比。结果观察组治疗的总有效率为92．8％,对照组治疗的总有效率为74．5％,观察组的治疗有效率明显比对照组好,两组之间的差异具有统计学意义（P〈0．05）。结论综上所述,采用艾灸配合治疗慢性盆腔炎具有较好的临床疗效,而且安全、可靠、无毒副作用、无创伤。     

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.