超声乳化联合人工晶体植入术治疗高度近视白内障的临床观察

由于高度近视患者的白内障发生早,发展快,目前超声乳化联合人工晶体植入术治疗高度近视白内障已广泛应用于临床。该技术具有组织损伤小,切口愈合快,术后散光小,视力恢复快等优点[1]。     

子宫肌瘤患者介入治疗的心理分析及护理对策

子宫肌瘤的介入治疗是近年来开展的一项新技术,介入治疗的创伤小恢复快,它是通过股动脉穿刺把造影剂注入,使供应肌瘤的血管阻断肌瘤的血液供应,使其坏死,在护理过程中护士应全面了解介入治疗的知识,有目的有计划的实施护理教育。现将我院调查100例子宫肌瘤介入治疗患者的心理状况及护理对策报道如下。     

CCU病房护士的素质要求

随着护理专业的发展趋势,医院护理的服务对象多为隐性急重症患者。近年来世界范围内重症监护发展甚快,我国CCU病房的建设也从高危患者心脏复苏（CPR）逐步发展到能进行更复杂治疗的监护中心。因此,加强CCU病房护士的素质对提高CCU病房的救治能力具有重要意义。     

TACE联合复方苦参注射液治疗原发性肝癌临床分析

目的探讨经导管肝动脉化疗栓塞（TACE）联合复方苦参注射液治疗原发性肝癌的临床效果。方法90例原发性肝癌患者随机分成3组,每组30例,A组采用复方苦参注射液联合TACE,B组仅行TACE,C组只给予苦参中药治疗。治疗3月后比较3组疗效及免疫指标情况。结果3组治疗效果比较（P〈0．05）;3组治疗3月后生存质量评分变化比较,单纯TACE组及TACE＋苦参组均优于单纯苦参组（P〈0．05）,TACE＋苦参组又优于单纯TACE组（P〈0．05）。3组治疗后CD3＋、CD4＋、CD;／CD8＋、NK,IL-2、TNF均较治疗前上升（P〈0．05）,单纯TACE组、TACE＋苦参组治疗前后上述指标提升幅度均高于单纯苦参组（P〈0．05）,TACE＋苦参组上述指标提升幅度高于单纯TACE组（P〈0．05）。结论TACE联合复方苦参注射液治疗原发性肝癌可保护和改善免疫功能,可减少瘤体体积、改善患者生活质量。     

介入化疗灌注栓塞治疗中晚期非小细胞肺癌的临床研究

目的探讨PVA颗粒介入栓塞治疗非小细胞肺癌的临床疗效和毒副反应.方法选取中晚期非小细胞肺癌患者60例,随机分成两组,每组30例.A组采用PVA介入灌注栓塞治疗,B组仅行介入化疗灌注治疗.两组病例均在介入化疗灌注治疗1~2个疗程后进行临床疗效及毒副反应评价.结果 A组病例中卡氏评分提高占80%(16/20); B组病例中卡氏评分提高占50%(10/20)( P <0.05).A组与B组病例的临床疗效分别为: CR 3.3%,0%;PR 70%,40%; SD 23.3%,50%; PD 3.3%,10%( P <0.05).A、B 两组6、12、18、24个月生存率分别为100%,90%;80%,65%;65%,40%;50%,25%,且毒副反应不增加.结论 PVA介入灌注栓塞治疗中晚期非小细胞肺癌疗效优于单纯介入化疗灌注治疗,且不增加毒副作用,是中晚期肺癌可选择的一种安全有效的治疗方法.     

Research on frequency of application with modern Chinese herbal medicine

Objective:To study the relationship between 500 kinds of commonly used Chinese herbal medicine and the classification of their efficacies in Chinese Materia Medica in relation to the common diseases listed in Internal Medicine.Methods:Database retrieval frequency of the quantitative statistical method was adopted.First,the 8 980 kinds of Chinese herbal medicine recorded in Chinese Materia Medica were used as the original search objects,and 4 493 kinds which were cited in more than five articles were picked out and then rechecked for further title citations.Second,as judged based on the Criterion,the numbers of articles which included the medicines in the line of standards were examined.As a result,500 species of Chinese herbal medicine were singled out based on their retrieval frequency and were then used for compilation of the classification statistics according to their efficacy and the common diseases in Internal Medicine.Results:From the classification of Chinese medicines,herbs with wide efficiency and a meek nature had higher frequencies, but those which were not appropriate as decoctions had relatively lower frequencies.However,according to the average frequency,the Chinese herbal medicine for nourishing qi and tonifying blood,at 36 346 times and 34 544 times,respectively,were the most commonly used.Analyzed from the frequency of application of the Chinese medicine in the treatment of common diseases,most of the top 10 kinds of Chinese herbal medicine with the highest frequencies generally coincided with the 500 selected medicines.In addition,the Chinese medicines with clear pharmacological efficiency were easily isolated and purified to be made into injections, although other forms are more commonly used.Conclusion:The results of the research objectively reflected the current applications of Chinese herbal medicine,and could be used as references in teaching,research,clinical applications,and in compiling and increasing the drugs in textbooks and Pharmacopoeia.     

慢鼻茶治疗慢性鼻炎200例

慢鼻茶治疗慢性鼻炎２００例国营湖北东方化工厂职工医院（４４１４０４．襄樊）朱显书，何阳秀慢性鼻炎为耳鼻喉科较为常见的临床疾病。慢性鼻炎往往因急性鼻炎治疗不当或延误治疗所致，病理表现为鼻腔粘膜及粘膜下组织的慢性炎症，临床上分为单纯性与肥厚性两种，单纯性...     

经颈静脉肝内门体分流术治疗高龄患者显著性门脉高压的现状

经颈静脉肝内门体分流术(TIPS)作为一种微创介入治疗方式，已经成为治疗肝硬化门脉高压并发症的重要手段。目前，TIPS术主要用于肝功能尚可的中青年人群中，在高龄人群中的经验尚不充分，存在争议。笔者通过检索近年来TIPS和高龄的相关文献，就TIPS运用于高龄患者的现状进行总结。     

动脉置管溶栓治疗穿刺所致急性末梢肢体缺血

目的 评估动脉置管溶栓治疗穿刺所致急性末梢肢体缺血的效果.方法 对6例因穿刺或注射导致的肢体末梢急性缺血的患者,采用动脉置管溶栓治疗.结果 患者均在用药后第2天感患肢疼痛及麻木显著减轻,活动障碍缓解,用药3～5天后肢体温度显著改善,1～2周后出现局部皮肤痂壳样脱皮,肢体功能逐渐恢复.结论 早期明确诊断,早期用药,必要时局部插管持续用药可明显增加溶栓成功率,最大限度的保留肢体及利于功能恢复.