浅析蒙西医结合治疗水痘的体会

目的探索蒙西医治疗水痘的疗效。方法从临床上对比蒙西医治疗水痘的疗效。结果蒙医学方法治疗20名患儿全愈18名,好转2名,治愈率90%。西医学方法治疗20名患儿全愈16名、好转3名、1名疗效不显,治愈率85%。蒙西医结合治疗水痘20例患儿7d基本治愈,治愈率100%。病因、临床表现相同、但对疾病的认识,诊断,治疗方法不同。结论根据蒙西医临床治疗对比观察结果表明用蒙西医结合治疗水痘,疗程短,疗效快,治愈率明显提高。对患儿付反应小、不留发症、益于早日康复。     

急性胆源性胰腺炎的临床治疗探讨

目的:探讨提高急性胆源性胰腺炎(acute biliary pancreatitis,ABP)疗效的治疗方法.方法:本组共48例ABP患者,其中胆道梗阻性11例、非梗阻性37例.对梗阻性ABP患者采取早期急诊手术治疗,手术方式为胆囊切除、胆总管切开取石、T管引流,胰腺包膜切开引流、胰腺坏死组织和感染灶清除;对非梗阻性ABP患者早期采取非手术治疗.结果:非梗阻性ABP 37例,其中34例经非手术治疗痊愈;3例出现体温升高、病情恶化者急诊手术,2例痊愈,1例死于多器官功能衰竭.11例梗阻性ABP行急诊手术治疗,发生并发症5例,均治愈.结论:急性胆源性胰腺炎的治疗应遵循个体化原则,对伴有胆道梗阻者早期宜行急诊手术,其它类型的急性胆源性胰腺炎早期宜非手术治疗.选择正确的治疗方法,把握恰当的手术时机,可提高治愈率,降低病死率.     

金属胆道支架在恶性胆道梗阻治疗中的临床应用

目的：探讨金属胆道支架置人结合肿瘤区域化疗在恶性胆道梗阻治疗中的应用价值。方法：46例不能根治切除的恶性胆管梗阻患者中，42例行经皮肝穿刺胆道引流（PTCD）后支架置放术，另4例行经腹胆道支架置放术。支架置放术后，36例采用皮下埋置化疗泵化疗药物注射，8例采用分次动脉插管化疗药物灌注。结果：经PTCD成功后支架置人成功率95．2％，经腹支架置人成功率100％。结论：金属胆道支架置人成功率高，手术损伤，支架通畅率高，结合肿瘤区域化疗，可进一步提高疗效。     

Astemizole in the Treatment of Hay Fever

A double-blind parallel trial of astemizole, pheniramine and placebo was carried out in 51 patients with hay fever. Astemizole is a new potent H1-antihistamine with long duration of action but devoid of central activity. Evaluation criteria were daily symptom- and side effect score cards, daily nasal peak flow measurements, clinical examination and blood tests. Control of nasal symptoms was significantly better with both antihistamines than with placebo. Tiredness and anticholinergic side effects were less common in the astemizole group than in the pheniramine group. No significant changes in the "safety evaluation" blood tests were observed.     

Association of Single Nucleotide Polymorphisms of the Interleukin-10 Promoter Gene and Susceptibility to Primary Biliary Cirrhosis: Immunogenetic Differences in Italian and Japanese Patients

Several lines of data suggest that genetic factors play an important role in the onset and/or progression of primary biliary cirrhosis (PBC). Since PBC is an autoimmune disease, it is reasoned to assume that genes encoding cytokines may confer susceptibility to disease. Amongst these factors, interleukin-10 (IL-10) has received significant attention. The promoter region of IL-10 gene has three single nucleotide polymorphisms (SNPs) at positions &#109 1082, &#109 819 and &#109 592. To elucidate the association of the three SNPs of IL-10 promoter region with susceptibility of PBC in two different genetic populations, 159 unrelated patients with PBC (94 Italian and 65 Japanese) and 143 local controls (72 Italian and 71 Japanese) were enrolled. SNPs were determined using allele-specific PCR/RFLP. In Italian PBC patients, the frequency of homozygosity for G/G at position &#109 1082 was significantly higher than that of local controls (p <0.041, OR=2.44, 95% C.I.; 1.02-5.86). The frequencies of haplotype GCC in PBC patients, possibly linked to higher IL-10 production, were also significant higher than local controls (p <0.033). However, in Japanese population, there were no significant differences in the three SNPs and haplotypes between PBC patients and controls. Excessive production of IL-10 may play an important role in some populations in modulating the onset of PBC. Further, immunogenetic studies of PBC should take into account ethnic and geographic variations; this makes such studies in heterogeneous population, like the USA, more difficult.     

蒙医蒙药配合针灸、按摩治疗肩周炎

肩周炎是肩周肌肉、肌腱和肩关节囊等组织的慢性炎症,形成关节内外粘连、阻碍肩的活动。针灸、按摩能迅速消除或改善局部组织水肿,充血、渗出、粘连、挛缩,缺血等病理变化,从而加速循环加速代谢,使病变组织和神经组织从新修复,缓解痉挛,减轻疼痛,按摩对局部直接作用,可缓解血管、肌肉等软组织痉挛,其疼痛也随之减轻。肩周炎的针灸疗效一般都很好,对疼痛剧烈,进行以上治疗仍不见好转者,可考虑封闭治疗,则更利于早日康复。     

Treatment of Grass Pollen-Induced Hay Fever with Intranasal Budesonide

The clinical effects of intranasal budesonide (16 alpha, 17 alpha (22 R,S) propylmethylenedioxypregana-1-4-diene-11beta 21 diol-3, 20 dione)) - a new non-halogenated glucocorticoid - were evaluated in a double-blind comparison with placebo, in patients with pronounced hay fever. Aerosolized budesonide, using a daily dosage of either 400 microgram or 200 microgram, showed a highly significantly reduction in the nasal symptoms as compared with placebo. No significant difference could be demonstrated between the effects of 400 microgram and 200 microgram per day, suggesting that the lower dosage is adequate. No significant effect on the eye symptoms and no fall in plasma cortisol values were observed with either dosage. Only mild side effects were reported.     

老年患者腹腔镜胆道切开取石T管引流术的护理

目的：研究老年结石患者运用腹腔镜胆道切开取石术后进行T管引流的护理。方法选择我院2012年9月~2013年9月诊治的86例进行腹腔镜胆道切开T管引流术的患者,根据老年患者的心理以及生理特点进行术前心理宣教和护理,有针对性的实施老年基础病以及并发症的护理,根据每个阶段的情况实施相应的护理措施。结果根据老年患者每个阶段的具体特点制定有针对性的护理计划,能够有效的提升护理效果。结论降低并发症的出现,提升老年患者的手术配合率,提升老年患者的手术成功率以及预后效果。     

电视教材《登革热及其防治》的创作体会

结合电视教材《登革热及其防治》的创作过程，从选题、总体设计、稿本编写、素材收集和整理、动画制作、前期拍摄，以及后期编辑等各方面阐述了制作体会，同时探讨了如何促进和完善电视教材的设计与创作。     

WBC、CRP和PCT在急诊发热患者诊治中的应用

目的 探讨WBC、CRP和PCT在急诊发热患者诊治中的应用效果。方法 选用2015年11月~2017年11月中山市人民医院救治的119例急诊发热患者为研究对象,给予患者实施WBC、CRP和PCT检测和病因学检查,依据诊断结果中是否感染细菌分为对照组和观察组,对照组32例为非细菌感染患者,观察组87例为细菌感染患者,对比两组WBC、CRP、PCT诊断情况。结果 观察组的WBC、CRP、PCT水平高于对照组,血液WBC、CRP、PCT的指标中,敏感度、特异度等进行比较,三种联合检测的敏感度和准确度最高。结论 WBC、CRP和PCT在急诊发热患者诊治中的应用效果显著,细菌感染发热患者WBC、CRP和PCT水平明显提升,PCT的特异性更优,CRP敏感度更优,联合检测的应用价值最高。