Seventy-two Cases of Antidiabetic-Induced Hepatopathy Treated by Huatan Yigan Decoction

In order to observe the therapeutic effects of Huatan Yigan Decoction (化痰益肝汤 Decoction for resolvingphlegm and replenishing the liver) on antidiabetic-induced hepatopathy,129 cases were divided into twogroups,72 cases in the treatment group were administrated with Huatan Yigan Decoction and 57 cases inthe control group with the liver-protecting drugs.Their liver function,plasma prothrombin time (PT),bloodurea nitrogen and symptoms of the patients before and after treatment were observed during the threetherapeutic courses.Results:The total effective rate and cured rate of the treatment group manifested anobvious difference in comparison with those of the control group (P<0.05 or P<0.01).Even though the liverfunction,blood urea nitrogen (BUN) and symptoms in both groups were improved markedly,theseindicators in the treatment group were improved more markedly than those in control group (P<0.01).Noadverse effect was found during the treatment.Conclusion:Huatan Yigan Decoction shows a repair actionon hepatic injury.     

中药治疗前后眼挫伤患者图像视觉诱发电位检测

目的：了解中药治疗前后眼挫伤患者图像视觉诱发电位（ｐａｔｅｒｎｖｉｓｕａｌｅｖｏｋｅｄｐｏｔｅｎ－ｔｉａｌ，Ｐ－ＶＥＰ）改变。方法：６７例单侧眼挫伤患者服用祛风散瘀汤治疗。治疗前后均接受眼科常规检查，并在治疗前和治疗后１周、２周分别进行了Ｐ－ＶＥＰ检测。结果：与治疗前相比治疗后视力和症状有明显提高。Ｐ－ＶＥＰ的波幅和潜时明显改善。Ｐ－ＶＥＰ指标好转滞后眼部症状的变化，其中以高频率剌激的滞后更为明显。结论：Ｐ－ＶＥＰ检测可用于眼挫伤患者的诊断、预后评估和对中药疗效判定。     

我国的美容医学专业教育

由于历史的原因,现在从事美容医学职业人员缺乏系统的美容医学知识和技能的培训,而美容事业的健康发展必须借助于医学专业教育和美容师(医师)的继续教育。     

小议“表里出入”

一、“表里出入”提法的概念混淆表里辨证,与八纲辨证中的其他六纲有不同之处。它是一对纲领,却包含了表、表证、表邪、里、里证、里邪六个概念。它们之间既相互联系,又     

腹腔镜胆囊切除术后并发症的诊治及预防研究进展

与传统开腹胆囊切除术相比,腹腔镜胆囊切除术具有切口小、疼痛轻、康复快等特点,现已成为治疗胆囊良性疾病的"金标准"。尽管微创外科理念不断突破,腹腔镜器械不断更新,手术技术也日臻成熟,但腹腔镜胆囊切除术后并发症的发生仍是临床难题,需要医师的高度重视。本文现就腹腔镜胆囊切除术后相关并发症的诊治及预防措施作一综述。     

泌尿系肿瘤干细胞的研究进展

背景：相比而言,泌尿系肿瘤干细胞的研究起步较晚,但也取得了一定的成绩。 目的：综述近年来泌尿系肿瘤干细胞的研究进展。 方法：应用计算机在PubMed数据库中检索1997-01/2011-08有关泌尿系肿瘤干细胞的文献,检索词为“cancer stem cell,urologic cancer”,共检索到文献289篇。经阅读、排除重复及不合标准文献后,最终纳入30篇文献进行分析。 结果与结论：随着人们对肿瘤干细胞研究的不断深入,越来越多的实体瘤干细胞得到鉴定与分离,泌尿系肿瘤干细胞的研究也取得了一定的进展,人们对其生物学特征、自我调控机制及微环境的认识正不断深入,肿瘤干细胞靶向治疗将成为治愈泌尿系肿瘤的新途径。     

Clinical Observation on the Long-Term Therapeutic Effects of Traditional Chinese Medicine for Treatment of Liver Fibrosis

48 patients with liver fibrosis due to hepatitis B were treated for 2 years with the drugs for tonifyingthe kidney,supplementing qi,cooling and invigorating the blood and detoxification.The symptomswere markedly improved,and serum ALT and bilirubin were recovered and kept normal in most ofthe cases.The mean levels of serum hyaluronic acid,procollagen peptide Ⅲ and circulating immunecomplex were decreased and returned to normal after the treatment.B-ultrasonography showed thatthe portal vein kept in normal size in 82%of the patients,the enlarged portal vein diminished indiameter,and the enlarged spleen reduced.     

雌激素的临床毒理学

临床使用多种雌激素类药物的不良反应除有恶心、呕吐、乳房压痛、宫颈分泌过多、头痛、水盐滞留和尿血等,还有如下主要副作用内分泌系统:使用含雌激素的洗发剂及其它制剂在少女能引起性早熟,在男青年及成人能引起乳房增生。复方口服避孕药有时引起闭     

充血性心力衰竭患者血浆TNF-α、可溶性Fas、可溶性ICAM-1、NO和MDA含量的改变

充血性心力衰竭患者血浆TNF-α、可溶性Fas、可溶性ICAM-1、NO和MDA含量的改变     

同种异体静脉在交界可切除胰腺癌中应用的效果及管腔狭窄危险因素分析

目的评价同种异体静脉置换术在交界可切除胰腺癌中应用的效果, 并分析导致术后置换血管中重度狭窄的危险因素。方法回顾性分析2013年1月至2021年12月在首都医科大学附属北京朝阳医院肝胆外科行手术治疗的77例交界可切除胰腺癌患者的临床资料, 其中男性34例, 女性43例, 年龄(61.4±10.8)岁。分析患者的围手术期资料、术后置换血管狭窄情况、术后生存情况。采用门诊复查和电话相结合的方式进行随访。Cox比例风险模型分析导致置换血管发生中重度狭窄的可能危险因素。结果 77例患者中, 交界可切除胰腺癌侵犯门静脉系统汇合部41例, 侵犯肠系膜上静脉22例, 侵犯门静脉14例, 受侵静脉切除长度(3.7±1.0)cm, 肿瘤长径(3.8±1.6)cm, 淋巴结转移57例, R0切除70例, 术后并发症发生率为29.9%(23/77)。患者术后6个月、1年、2年的生存率分别为84.1%、52.3%、32.9%。随访期间, 77例患者发生置换血管轻度狭窄4例(5.2%), 中度狭窄9例(11.7%), 重度狭窄11例(14.3%)。多因素Cox回归分析结果显示, 血管切除长度>3 cm(R...