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斑秃是累及头发的慢性炎症性皮肤病,可发生于任何年龄,尤其好发于儿童及青少年,发病率较高,在两性中发病率相差无几。根据严重程度可分为斑秃(AA),全秃(AT)和普秃(AU)。斑秃的病因已有很多报道,如遗传、免疫、微量元素、环境等因素,现今国内外有研究发现斑秃患者血液流变学异常,因此我们在斑秃的临床治疗中以活血化瘀为主,辨证论治,随症加减,观察36例患者的治疗情况,并将之总结如下。 相似文献
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陈文康刘寒飞邹和德赵家有 《中国性科学》2023,(11):5-8
孕酮在女性生理功能和妊娠中发挥重要作用,对男性生殖健康亦有影响。为更好地阐释孕酮在男科疾病中的影响和作用,为同类研究提供思路与参考,根据孕酮与不同疾病分类梳理相关文献,分别回顾了孕酮与妇产科疾病、神经系统疾病、心血管疾病、骨科疾病,以及不育症、勃起功能障碍、前列腺疾病等男科疾病相关性的研究现状。认为孕酮作为一种由性腺器官分泌并可在神经系统合成具有神经活性的内分泌性激素,参与神经调节,松弛平滑肌细胞,影响血管内皮,改善血管血流状况。推测可能与勃起功能障碍潜在发病机制相关,在男科疾病临床和基础研究中应重视孕酮的作用。 相似文献
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慢性湿疹是一种临床上常见的难治性皮肤病,中医认为血虚风燥,湿热蕴积,瘀血阻络是其主要病机,近年来许多研究发现其病程中存在氧自由基的损伤,自由基的大量堆积产生了一系列血瘀的症状,用活血化瘀法能极大的提高慢性湿疹的临床疗效,并为慢性湿疹的治疗提供理论依据和新的思路。 相似文献
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显微外科作为一项能达到细微操作和精细缝合的外科技术,在近年来逐渐发展完善,其应用于男性生殖系统疾病的范畴得到了极大的扩展,同时也大大增加了男科疾病手术的成功率和患者满意率。本文拟对显微外科技术在男科手术中的相关应用研究进展进行综述,以促进显微外科技术在男科手术中的应用。 相似文献
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阳痿是男子性功能障碍的常见病、多发病,直接影响着现代家庭的和谐和稳定。随着现代医学的发展和民族文化素质及生活水平的提高,男性病的就诊率日渐提高。近十余年来,我国不断拓宽在男性病方面的研究,被众多医务工作者和患者所重视,笔者在临床中运用中医活血化瘀法及海绵体注射技术治疗中医辨证为气滞血瘀的阳痿病证,取得了较好疗效,现报道如下。 相似文献
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胚胎9周时阴茎头已发育并完全裸露,而包皮迟至12周时才形成并逐渐向阴茎头远端方向生长,至14周时才覆盖整个阴茎头并与阴茎头粘连。这种生理性粘连一直持续至出生时,伴或不伴有包皮口狭窄,随着阴茎发育多在17岁前自然消失,如不消失,就变为病理性;因炎症等因素成人原本已翻动自如的包皮可以再次发生包皮口狭窄及包皮粘连,此属于病理性。作为一门正在蓬勃发展中的学科,现代男科学应在前所未有的高度上重视包皮粘连及包皮口狭窄的诊断及处理,以期阴茎的结构及功能得到良好的保障。本文对包皮粘连及包皮口狭窄加以分析,对有关研究进展加以综述,认为这两者在现代男科学中具有重要的地位。 相似文献
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皮肤组织工程相关技术发展迅猛,在皮肤病治疗方面也有了一些初步应用。除了治疗皮肤溃疡、修补皮肤缺损外,还用于治疗白癜风、大疱性表皮松解症、光化性紫癜等皮肤病的治疗,且疗效较好,已经成为皮肤病治疗的一个亮点。 相似文献
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目的:探讨温肾活血方加减辅助辩治男性性功能障碍的临床效果,以期提高临床治疗水平。方法:随机选取2010年1月至2013年2月150例男性性功能障碍患者为研究对象,分成两组。对照组75例,采用龟鹿补肾丸治疗;观察组75例,采用温肾活血方加减辩治,比较两组治疗后在效果方面的差异性。结果:对照组显效例数23例,比率为30.67%,有效35例,比率为46.67%,总有效率为77.34%;观察组显效例数44例,比率为58.67%,有效23例,比率为30.67%,总有效率为89.34%,两组比较有显著差异性(P<0.05)。治疗前两组在勃起功能国际问卷增分值相关指标、IIEF-5评分、勃起坚硬度、持续时间等方面比较无明显差异性(P>0.05),而治疗后和治疗前比较均有明显的改善(P<0.05),但是治疗后观察组比对照组改善的更加明显(P<0.05),有统计学意义。结论:温肾活血方加减辅助辩治男性性功能障碍临床效果满意。 相似文献
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阳痿是男子精神上最痛苦的一种常见的性功能障碍疾病,在中医男科诸证中,占有较大的比例。细读《实用中医内科学》、部分男科学专著及公开发表的论文,运用辨证论治的方法开展对阳痿的治疗及研究,仍然是当前的主导方向。在临床实践中常常会遇到这样的病例:除了阳痿以及因阳痿产生的痛苦外,其余无任何症状,无虚象、无实象、舌脉亦然。熟记分型标准,也不能对号入座。可以说,以阳痿为主诉而就诊者,无证可辩的并非少数,辨证而后论治,无证可辨论治也就无所依凭了。通过反复阅读古代文献及现代男科学专著,结合临床经验,就阳痿的治疗谈一点体会。性功… 相似文献
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K Grossgebauer 《Zeitschrift für Hautkrankheiten》1983,58(7):498-508
Microbiological analysis of semen in andrology is mainly performed in cases of infertility and artificial insemination. In order to localize the suggested infection and to detect urethral (asymptomatic) colonization, we recommend to analyse additional specimens of the patient, i.e. urethral swabs and first portion of urine. As a rule, quantitative microbiological analysis is necessary in cases of bacteria belonging to the group of potentially pathogenic flora. In isolating pathogenic ("specific") bacteria, the detection of a few microorganisms indicates an infectious process. We recommend the careful microscopical examination of the ejaculate to detect phagocytes, abnormal spermatozoa, trichomonads, yeasts and other cells. As a rapid microscopical examination we employ the DAPI-fluorochrome-technique. Microbiological cultures should take into consideration the isolation and identification of ureaplasmas and chlamydia trachomatis. In order to achieve a comparison of microbiological results with those of other laboratories, it is essential to define the terms "significant bacteriospermia" and "significant leukocytospermia". In other words, it is necessary to introduce a borderline between contamination and infection concerning the "nonspecific" potentially pathogenic flora. 相似文献
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补肾活血调肝治疗多囊卵巢综合征无排卵性不孕证临床研究 总被引:2,自引:0,他引:2
目的:探讨中医补肾活血调肝治疗多囊卵巢综合征PCOS无排卵性不孕证临床研究。方法:将60例PCOS无排卵性不孕证者随机分为治疗组、对照组各30例。治疗组予以自拟中药补肾活血调肝汤;对照组以口服氯米芬治疗。观察治疗前及治疗停药后3个月、6个月患者体内相关的激素及临床症状体征的变化。结果:停药后治疗组患者的总有效率优于对照组;停药后3个月两组患者的激素水平、卵巢体积、排卵率、受孕率、月经情况较治疗前明显改善;停药6个月对照组又回到治疗前的水平;而治疗组的激素水平、卵巢体积、排卵率、受孕率、月经情况仍保持较好的状态。结论:中医补肾活血调肝治疗肾虚肝郁型PCOS无排卵性不孕证近远期疗效优于对照组。 相似文献
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W Krause 《Zeitschrift für Hautkrankheiten》1987,62(8):621-628
Investigation of endocrine function is mainly performed by measuring plasma levels of the hormones concerned. Their evaluation must take into account the spontaneous alterations of hormonal plasma levels. With regard to gonadotrophins, the short-term episodic peaks of LH are significant. Testosterone levels, as well, show extensive short-term variations; in addition we find a marked circadian rhythm. Seasonal variations of longer duration are possibly superposed. Regarding the evaluation of testosterone levels, we must consider its protein-binding. Only the free fraction of the hormone is biologically active. Concerning the function and secretory capacity of endocrine organs, stimulation tests often provide us with better results than the determination of basal plasma levels. The gonadotropic function of the hypophysis can be stimulated by intravenous application of 100 micrograms GnRH leading to increased blood levels of LH and FSH. The stimulation of the testosterone biosynthesis is achieved by application of hCG. The testosterone plasma levels rise within a few hours; a second peak follows after about 48 hours. Functional tests are also significant regarding the therapeutical prognosis of spermatogenetic disorders treated with gonadotrophins. Their outcome is even better if the secretory capacity of the hypophysis and the Leydig's cell apparatus has been proved sufficient before treatment. 相似文献
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Basic andrological diagnosis consists of taking the patient's medical history and the couple's history as well as performing a physical examination including genital ultrasound, spermiogram, and hormonal analysis. If needed, a testicular biopsy and genetic testing may also be performed. Recent studies have shown the effect of lifestyle factors on male fertility. Thus, the patient history and clinical/andrological examinations have been broadened to include information on metabolic disorders like obesity and diabetes mellitus. The biggest changes occurred with the publication of the fifth edition of the WHO laboratory manual in 2010 and the introduction of a section on semen analysis in the German Medical Association guidelines (RiliBÄK). The reference values for almost all spermiogram parameters were adapted in an evidence‐based approach using worldwide prospective population studies. For central parameters such as sperm motility and morphology, the assessment criteria were changed. New independent markers such as sperm DNA fragmentation rate are now routinely used in clinical diagnosis. For German andrological laboratories, there are now mandatory quality assurance measures for semen analysis (in the German “Rili‐BÄK” guidelines). These include duplicate testing of all standard semen parameters and inter‐laboratory comparison at regular intervals. 相似文献
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活血化瘀中药对系统性硬皮病病人皮肤成纤维细胞增殖的影响 总被引:16,自引:2,他引:16
为了探讨活血化瘀中药治疗系统性硬皮病(SS)的药理机制,以体外培养的SS病人的皮肤成纤维细胞为研究对象,采用MTT方法对21种常用活血化瘀中药的水溶性提取物对该细胞增殖的影响进行了研究。结果显示,17种药物对该细胞增殖具有抑制作用,其中以赤芍、丹参、红花、丹皮、茜草、乳香、没药、苏木、牛膝和泽兰的抑制作用显著,且分别呈剂量效应关系和时间效应关系。本研究结果可为今后SS治疗时中药组方选择药物提供依据 相似文献