老年糖尿病患者血脂调治的新思路附:72例病例SLPG报告

目的研究和分析血清蛋白谱(SLPG)检测与老年糖尿病患者血管并发症及中医辨证的关系.方法对72例患者符合WHO诊断标准的老年非胰岛素依赖型糖尿病(NIDDM)的住院病例,进行常规血脂和血清脂蛋白谱(SLPG)两项检测,并与40例无心脑血管疾病、内分泌疾病、肝肾病变的老年志愿者进行组对照,同时还对有合并症与无合并症的患病者之间;患者者各中医不同证型之间的检测结果进行对照分析.结果 (1)患病组SLPG异常率,高于对照组(P<0.01).在患病组内,合并冠心病、脑梗塞、高血压、肾病和视网膜病变者,其SLPG的某些指标异常率高于无并发症组(P<0.01,或P<0.05).(2)在不同中医证型之间,其SLPG指数也存在一定差异.其中,心脾两虚组、肝肾阴虚组和阴阳两虚组分别高于气阴两虚组和阴虚热盛组P<0.05).有夹杂证组高于无夹杂证组(P<0.01).在有夹杂证各组之间,夹痰组和夹痰夹夹瘀组高于夹瘀组(P<0.05).结论在老年糖尿病的血脂检测中,血清脂蛋白谱(SLPG)检测的灵敏度高于常规血脂检测,且SLPG异常与中医辩证分型存在一定的规律性.     

中西医结合治疗2型糖尿病的思路和方法

中西医结合治疗2型糖尿病可充分发挥中医和西医各自的优势,不仅可显著提高疗效、缩短疗程,还能有效防治各种并发症.笔者现结合临床实践就此作一阐述.     

针刺治疗脑血管意外后遗症的体会

脑血管意外在我国的发病率,致残率高达86.5%,我们采用以针刺为主治疗该病,取得满意疗效,现报告如下: 一、临床资料选择206例临床确诊为脑血管意外后遗症的患者,其中男125例,女81例,平均年龄57.2岁。发病情况:左瘫112例,右瘫94例;肌力0～Ⅰ级(全瘫)42例,肌力Ⅲ级(重瘫)     

超声电导经皮局部透药治疗下背痛的疗效观察

目的：探讨超声电导经皮局部透药治疗下背痛的疗效。方法：将112例下背痛患者随机分为治疗组和对照组，2组患者均给予超声电导经皮透药治疗，其中治疗组患者的凝胶贴片注入地塞米松及利多卡因等药物，对照组的凝胶贴片则注入生理盐水，超声电导治疗每次持续30min，每天1次，10d为1个疗程。于治疗前、治疗3，7，10d后对2组患者疼痛程度采用目测类比评分法（VAS）进行评分及组间比较。结果：2组患者分别经10d治疗后，治疗组患者在疼痛改善方面明显优于对照组（P〈0．01）。结论：超声电导经皮局部透药治疗对下背痛患者具有显著疗效。     

中药电离子导入治疗骨关节炎60例

自１９９７年１１月始开展中药直流电离子导入治疗骨关节炎 ,取得了满意疗效 ,现报告如下。１资料与方法１．１资料自１９９７年１１月～１９９８年２月间门诊和病房病人 ,选取以腰椎、膝关节、踝关节病变为主者。将符合条件的９０例病人按２ :１的比例随机分为治疗组６０例 ,对照组３０例。治疗组中男２２例 ,女３８例 ,年龄最小４２岁 ,最大７１岁 ;病变部位腰椎２８例 ,膝关节２３例３４个关节 (其中１１例为双侧关节 ) ,踝关节９例１３个关节(其中４例为双侧 ) ;病程半年以内的９例 ,半年～１年１２例 ,１～２年１７例 ,２～５年１２例 …     

经皮射频热凝颈脊神经后支治疗颈性头痛的研究

本文报道采用经皮选择性射频热凝颈脊神经后支治疗颈性头痛的方法及临床疗效分析。选择16例颈性头痛的患者,其中男性9例,女性7例,均经物理治疗、中西药物治疗效果不佳后应用此方法治疗。经皮穿刺将射频针刺入损伤的颈脊神经后支处,射频热凝阻断颈脊神经后支。16例患者中有13例取得明显的治疗效果。提示经皮射频热凝颈脊神经后支是颈性头痛一种有效的治疗方法。本文还对颈性头痛的病因及此种治疗方法的治疗机理进行了探讨。     

微米中药功能衬材：活血及促进骨折愈合的作用

BACKGROUND: As a new self-synthetized medical orthopedic fixation material, micron traditional Chinese medicine functional lining material can promote the secretion of alkaline phosphatase and callus formation, decrease serum calcium level, as well as increase serum phosphorus level and calcium-phosphorus product. OBJECTIVE: To further verify the therapeutic effect of micron traditional Chinese medicine functional lining material on fracture healing. METHODS: Twenty-four New Zealand rabbits were selected to prepare models of right radial fracture, and then were randomly allocated into four groups: rabbits in micron group were treated with micron traditional Chinese medicine functional lining material (micron Panax notoginseng powder mixed with active ingredients of Davallia divaricata and Carthamus tinctoriousplus) plus plaster external fixation; those in traditional Chinese medicine control group treated with ordinary Chinese medicine functional material plus plaster external fixation; those in lining material control group treated with ordinary lining material (sterile degreasing cotton) plus plaster external fixation; those in model control group received no treatment. The whole blood viscosity at high/middle/low shear rates and plasma viscosity were detected at 2, 4 and 6 weeks before and after modeling. Additionally, rabbits in each group were killed at 6 weeks after modeling, and radial samples were removed for histological observation. RESULTS AND CONCLUSION: The whole blood viscosity at high/middle/low shear rates and plasma viscosity in the micron group were all lower than those in the other three groups in the same period, and had significant differences from those in the model control group at 4 and 6 weeks after modeling (P < 0.05 or 0.01). A large number of osteoblasts could be found, woven bone began to form and the bone marrow cavity was recanalized in the micron group; in the traditional Chinese medicine group, woven bone, chondrocytes and endochondral ossification coexisted and there was a connection between calluses inside and outside of the broken end, but the bone marrow cavity was not recanalized. In contrast, neither connection between calluses inside and outside of the broken end, nor recanalized bone marrow cavity appeared in the lining material and model control groups. In conclusion, micron traditional Chinese medicine functional lining material can promote fracture healing by improving microcirculation and accelerating osteoblast proliferation.     

黄芪注射液对人单核细胞源性泡沫细胞内胆固醇外流的影响

目的观察黄芪注射液是否对人外周血单核细胞源性泡沫细胞内胆固醇外流产生作用和影响,从机体胆固醇逆转运（RCT）的角度探讨黄芪的调脂机制和抗动脉粥样硬化的作用。方法采用密度梯度离心法和塑料吸附法从人外周血中分离出单核细胞,以50nmol／I。佛波酯（PMA）刺激48h使之转化为巨噬细胞。细胞分为对照组与实验组,以黄芪注射液干预后分别测定细胞内总胆固醇（TC）、游离胆固醇（FC）与蛋白（Pro）含量的变化,观察黄芪注射液对细胞内TC／Pro影响的量效关系和时效关系。结果成功建立人单核细胞源性泡沫细胞模型。经不同浓度黄芪注射液作用后,细胞中TC／Pro随黄芪注射液浓度的增加而呈剂量依赖性降低,细胞泡沫化程度也随着药物浓度的升高而降低（P〈0．01）,且在药物浓度一定的情况下,细胞中TC／Pro随黄芪注射液处理时间的延长而呈时间依赖性降低（P〈0．01）。结论黄芪注射液通过降低细胞内TC含量,一定程度上减轻巨噬细胞的泡沫化程度,推测可能与其抑制巨噬细胞上SR—B1受体功能从而抑制细胞对胆固醇摄取,或是通过增强巨噬细胞上ABCA1转运体的功能而促进了细胞内胆固醇的外流有关,或者是两者共同作用的结果。     

Mora生物共振仪治疗顽固性手部湿疹1例

患者,女,47岁。因双手手部皮肤散在红色小水疱伴瘙痒反复发作20年,加重1年于2011年4月19日来我科就诊。患者20年前无明显诱因于手指和手掌部出现红色小水疱伴瘙痒,近1年皮损扩散至手背,且出现皮肤增厚及苔藓样变伴痛痒难忍。曾在市内几家省级医院皮肤科诊治,诊断为"顽固性湿疹",曾接受多种中西医方法治疗,