膝关节粘连性功能障碍的手术和康复治疗：附20例病例分析

20例因创伤或某些病变后致膝关节纤维性僵直的住院患者,关节活动范围平均40°,影响工作及生活.采用手术分离膝关节内粘连及术后康复治疗,结果,膝关节活动范围平均达110°,较术前增加 70°.15例经平均27个月的随访,优者10例,良者3例,可者2例.     

活血化瘀对冠心病胰岛素抵抗的研究

目的 :探讨活血化瘀法对冠心病胰岛素抵抗的临床疗效。方法 :观察 46例冠心病患者接受活血化瘀治疗前后空腹血糖、胰岛素、胰岛素敏感性指数的变化 ,评定其临床疗效。结果 :治疗前后比较 ,空腹血糖无差异 (P >0 .0 5 ) ,胰岛素水平治疗后明显下降 (P <0 .0 5 ) ,胰岛素敏感性指数显著增高 (P <0 .0 5 )。结论 :活血化瘀法具有改善冠心病患者胰岛素抗抵作用。     

情志疾病的中医药防治研究与养生保健理论与方法的研究——中医现代化临床研究(二)

本文针对现代生活对人们健康危害严重的情志疾病，指出应该发掘中医对情志致病的发病机理，探索情志的伤脏规律，从而建立科学的中医学防治情志疾病的疗效评价方法。和有效的防治药物及方案；同时以老年人和更年期妇女两大人群为重点研究对象，研究了养生保健方法在解决老龄化相关疾病，亚健康状态所要达到的目标和发展思路，本文对此列出了与之对应的相关重点任务和关键技术。     

酶制剂Cerezyme治疗高雪氏病效果观察

目的　酶制剂cerezyme替代疗法治疗高雪氏病 4年小结。方法　 Cerezyme初剂量 6 0U/kg ,每 2周 1次静脉滴注 ,2年后疗效好转剂量改为 30U/kg。结果 　 1 5例用药 4年以上的患者 ,血红蛋白平均增加 2 1g/L ,1 4例血小板近 1 2月恢复正常 ;脾功能亢进得到改善 ,肝脾回缩 9.3%和 6 0 .6 % ,肝功能治疗 6个月后大多恢复正常 ;身高平均增长 2 5 6厘米 ,体重平均增加 1 4 5公斤 ,生活质量明显提高。结论　 在基因治疗尚未广泛应用之前 ,酶替代疗法仍是唯一改善症状的有效措施     

康赛德止痛液中陈皮、白术和党参的薄层鉴别

采用薄层色谱法对康赛德止痛液中陈皮、白术和党参进行了鉴别试验。鉴别方法灵敏，干扰少，重现性好。为控制其质量提供了依据。     

Psychosexual trauma of an abnormal cervical smear

Summary. The psychosexual sequelae of diagnosis and treatment of pre-invasive cervical atypia were assessed in three groups of women. The first group included 30 women referred to a colposcopy clinic with an abnormal cervical smear indicating cervical intraepithelial neoplasia (CIN), the second comprised 50 women who were traced as sexual partners of men with penile human papillomavirus (HPV) infection; 26 of them had histologically proven cervical atypia and 24 had no such evidence. The third group included 25 women traced as partners of men with non-specific urethritis and who did not have cervical disease. Before and after questionnaires assessed six aspects of sexual behaviour and responses before diagnosis and 6 months after treatment in women with cervical atypia. These were compared with answers given by women investigated and treated, if necessary, as partners of men with sexually transmitted disease (control group). There were statistically significant adverse psychosexual sequelae associated with diagnosis and treatment of pre-invasive cervical epithelial disease.     

Factors affecting the uptake of screening for neural tube defect

Summary. A questionnaire concerning pregnant women's knowledge of, and attitudes to, serum alpha fetoprotein (AFP) screening for spina bifida was sent to all pregnant women receiving a health education leaflet on AFP screening who booked at the Birmingham Maternity Hospital in the first quarter of 1984. The majority said that they would accept the test, and subsequently did so. This suggests that low uptake of the test is not a result of patients' resistance, and the results indicated that the provision of early information about the test is likely to improve uptake and decrease anxiety. With the increasing clinical usefulness of the AFP test, routine screening of pregnant women with an 'opt-out' system is becoming clinically desirable, and the survey suggests that it would be acceptable to the patients.