中西医结合治疗亚急性重症肝炎23例疗效观察

目的:观察中西医结合方法治疗亚急性重症肝炎的临床疗效。方法:将42例亚急性重症肝炎患者随机分为2组。对照组19例采用促肝细胞生长素等西药治疗;治疗组23例采用急肝退黄汤联合促肝细胞生长素等西药的中西医结合方法治疗。观察2组总胆红素、凝血酶原活动度的变化和治疗效果。结果:总有效率治疗组为73.91％,对照组52.63％,2组比较,差异有显著性意义(P<0.05);对降低总胆红素、提高凝血酶原活动度,治疗组优于对照组,差异有非常显著性意义(P<0.01)。结论:中西医结合疗法治疗亚急性重症肝炎能加速黄疸消退,提高凝血酶原活动度,疗效确切。     

Potassium increases intracellular calcium simulating progesterone action in human sperm

Progesterone (P) and zona pellucida are known to induce acrosome reaction in human sperm by increasing cytosolic calcium. High concentrations of potassium ions (K+) improve the rate of acrosome reaction in human sperm in vitro. This article determined whether the effect of K+ on the acrosome in human sperm is mediated by increasing intracellular calcium ([Ca2+]i). The effect of K+ on [Ca2+]i was examined by using Fura 2 as the fluorescent indicator. The effect of K+ and P on [Ca2+]i in sperm and the involvement of ion channels was compared. Motile sperm were collected by the swim-up method from semen of healthy volunteers and capacitated overnight in BWW containing 0.5% BSA. Incubation of capacitated sperm with different concentrations of potassium chloride (1.25-20 mM) resulted in dose-dependent increase in [Ca2+]i similar to that observed with P. The increase in [Ca2+]i by K+ and P was blocked by the addition of EGTA, a Ca2+ chelator. K+-induced change in [Ca2+] was not altered by the addition of dihydropyridine derivatives. The combined treatment of K+ (20 mM) and P (0.75 microg/mL) caused an additive effect on the increase in [Ca2+]i. It would appear that human sperm plasma membrane possess different Ca2+ channels responsive to P and K+.     

凉血清营颗粒对Ⅰ型变态反应的影响

目的:研究凉血清营颗粒对Ⅰ型变态反应的影响.方法:用天花粉蛋白所致小鼠速发型超敏反应及大鼠同种异体被动超敏反应(PCA)观察对Ⅰ型变态反应的影响;用化合物48/80所致小鼠过敏性休克死亡及大鼠颅骨肥大细胞模型观察对肥大细胞脱颗粒的影响;用组织胺所致小鼠皮肤毛细血管通透性亢进试验观察对组织胺的直接对抗作用.结果:凉血清营颗粒能一定程度拮抗天花粉蛋白所致小鼠过敏性休克及大鼠PCA,并能明显抑制化合物48/80及天花粉蛋白所致腹腔或骨膜肥大细胞脱颗粒,还能明显对抗组织胺所致毛细血管通透性亢进.结论:凉血清营颗粒具有显著的抗Ⅰ型变态反应作用,此作用可能是其能抑制IgE生成、肥大细胞脱颗粒及直接拮抗组织胺作用的综合效果.     

Treatment of 116 cases of facial pigmented spots by auricular needle-embedding method

以耳穴子宫、神门、内分泌、肺为主穴,根据辨证选取配穴,埋针治疗面部色素斑患者116例,全部治愈.     

Dr. YIN Ming＇s Experience in Treating Pediatric Diseases

Dr. YIN Ming is skilled at the pediatric diseases and wins the trust from her patients and their families. I learned a lot from the clinical practice with her and now the experience is as follows.     

Observation on therapeutic effect of cold moxibustion on rheumatoid interphalangeal arthritis

目的:观察冷灸对类风湿性指间关节炎的临床疗效.方法:将576例类风湿性指间关节炎随机分为冷灸组290例和对照组286例,治疗时间为2个月.结果:两者总有效率差异不明显,但在第2个疗程末前者完全缓解率达77.2%,后者仅23.4%,两者差异有显著意义(P＜0.005).结论:冷灸治疗类风湿性指间关节炎效果优于西药抗炎剂.     

Clinical analysis of knee osteoarthritis treated mainly by acupuncture

目的:了解不同治疗方法对膝关节骨关节炎的临床治疗效果.方法:对148例患膝随机分为4组进行针灸、中药频谱照射法、综合法、西药内服治疗,观察其疗效.结果:4组总有效率分别为78.9%,72.7%,92.3%和78.9%,各组之间无差异(P＞0.05).综合组显效率优于其他各组(P＜0.05).结论:针灸、中药频谱照射对膝骨关节炎有一定疗效,综合法能协同两者作用,使疗效提高.     

Treatment of 30 cases of vitiligo by cupping method plus external application of Chinese herbs

在皮损区拔罐,然后外涂中药治疗白癜风患者30例,对照组予西药治疗,3个疗程后,治疗组总有效率96.7%,对照组总有效率76.7%.治疗组疗效好于对照组(P＜0.05).     

Treatment of 30 cases of rheumatoid arthritis by needle-warming therapy

取双侧肾俞、足三里和曲池,进行温针,并配合内服中药治疗类风湿性关节炎患者30例,以西药常规治疗30例为对照.治疗3个月后,两组有效率分别为86.7%和60.0%,疗效差异有统计意义(P＜0.05).     

Clinical observation on scapulohumeral periarthritis treated by Tuina and SSP meridian therapeutic apparatus

目的:观察推拿结合经脉治疗仪治疗肩周炎的疗效.方法:观察组采用推拿结合日本产SSP经脉治疗仪治疗肩周炎患者35例.对照组单纯用经脉治疗仪治疗肩周炎患者30例.结果:观察组与对照组对肩周炎的治疗都有一定效果.但观察组的治愈率与对照组相比有明显差距(P＜0.01),观察组对肩周炎的治愈率明显高于对照组.结论:经脉治疗仪结合推拿是治疗肩周炎的一种有效方法.