快速康复理念在外固定支架治疗四肢骨折术后康复中的应用及对患者功能恢复的影响

目的 探讨快速康复理念在外固定支架治疗四肢骨折术后康复中的应用及对患者功能恢复的影响。方法 300例行外固定支架手术治疗的四肢骨折患者,根据入院单双号分为对照组和观察组,每组150例。对照组患者实施常规康复治疗,观察组患者实施快速康复理念进行康复治疗。比较两组患者康复治疗前后Fugl-Meyer运动功能评定量表(FMA)评分、视觉模拟评分法(VAS)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分及并发症发生情况。结果 康复治疗前,两组患者的FMA评分比较,差异无统计学意义(P>0.05);康复治疗后,两组患者的FMA评分均较康复治疗前升高,观察组患者的FMA评分(88.39±5.05)分明显高于对照组的(71.67±4.65)分,差异具有统计学意义(P<0.05)。康复治疗前,两组患者的VAS评分比较,差异无统计学意义(P>0.05);康复治疗后,两组患者的VAS评分均较康复治疗前降低,观察组患者的VAS评分(1.29±0.18)分明显低于对照组的(3.07±0.45)分,差异具有统计学意义(P<0.05)。康复治疗前,两组患者的SDS、SAS评分...     

应用腹主动脉阻断术治疗肾蒂损伤1例报告并文献复习

目的探讨腹主动脉阻断术在肾蒂损伤中的应用价值及肾蒂损伤的诊断及治疗方法, 以期提高肾蒂损伤的诊治水平。方法分析1例肾蒂损伤后联合腹主动脉钳夹阻断术修补肾静脉的病例, 并进行肾蒂损伤诊治及腹主动脉阻断术相关文献回顾。综合讨论肾蒂损伤的诊疗方法及腹主动脉阻断术的手术方法和临床应用现状。对腹主动脉阻断术在肾蒂损伤中的实施可行性进行分析。结果本例肾蒂损伤病例救治过程中, 术中探查见术野出血严重, 患者病情危急, 行腹主动脉阻断术, 探查肾静脉破口并顺利修补, 术后成功保留了肾脏, 术后随访3个月, 患者恢复良好。结论腹主动脉阻断术可以有效减少术野出血, 便于修补损伤血管, 严格把握手术指针及阻断时间, 可在肾蒂损伤手术治疗中发挥关键作用, 尤其对于独肾、肾功能不全患者有重要意义。     

HPLC-ELSD测定不同产地青蒿中青蒿素的含量

目的建立HPLC-ELSD同时测定不同产地青蒿中青蒿素的含量.方法采用色谱柱:LichrospherC18柱(4.6 mm×250 mm,5 μm);流动相:甲醇:水(75:25);Alltech ELSD 2000(蒸发光散射检测器)检测,气体为高纯氮气,流速2.0 L/min.结果在此色谱条件下,青蒿素与其它色谱峰完全达到基线分离(R>2.0).12批不同产地黄花蒿中青蒿素含量在0.25%～1.21%.结论用该方法进行检测,操作简单,灵敏度高.     

浅析检验检测机构远程评审过程中风险控制

<正>检验检测机构资质认定现场评审自突发疫情后受到了前所未有的影响,而检验检测机构资质认定刻不容缓,特别是针对口罩、防护用品等抗疫物资的检验检测,为此国家市场监管总局紧急出台了疫情防控期间加强检验检测认证管理的相关指导意见,帮助检验检测机构更好地服务于企业的复产复工,同时切实解决因疫情或其他原因而无法实施现场评审的情况,     

肝移植术后撤除免疫抑制剂的回顾性分析

目的:分析肝移植病人术后完全撤除免疫抑制剂的临床资料.方法:回顾性分析自2013年1月至2020年6月本中心撤除免疫抑制剂的15例肝移植病人临床资料.结果:11例因严重免疫抑制剂不良反应而被动撤药,平均撤药时间(10.4±6.2)个月.2例发生急性排斥反应.撤药成功率81.8％.主动撤药的4例病人平均撤药时间(28.8...     

垂体腺瘤中雌激素受体基因的表达

目的　研究人垂体腺瘤中雌激素受体基因 (estrogenreceptorgene ,ER)mRNA与蛋白水平的表达及其与垂体腺瘤生物学特性的关系。方法　用免疫组化法和逆转录 聚合酶链反应 (RT PCR法 ) ,检测 6 0例各种类型垂体腺瘤标本中ER蛋白的表达 ,比较不同类型垂体腺瘤ER蛋白表达的差异及ER蛋白表达与mRNA表达的差异。结果　泌乳素腺瘤、促性腺激素细胞瘤中均有ER蛋白表达 ,其表达与mRNA表达一致 ;无功能腺瘤中 2例有ER蛋白表达 ,其蛋白表达与mRNA表达不一致 ;其它类型垂体腺瘤未发现ER基因表达。结论　ER基因表达的检测可有助于评价PRL腺瘤的增殖活性及筛选抗雌激素治疗对象。ER基因的表达异常可能与PRL腺瘤及促性腺激素细胞瘤的发生、发展有关     

Effect of iodine intake on serum thyroglobulin——A five-year prospective epidemiological study

Objective To clarify the effect of iodine intake on serum thyroglobulin (Tg). Methods A 5-year prospective study was conducted in the 3 different iodine intake areas in China [Panshan (miht deficiency) ,Zhangwu (more than adequate) and Huanghua (excess)]. A total of 3 099 people with normal serum levels of Tg in 1999 were followed and 2 448 of these participants were feasible to be observed in 2004 and included in the present study. The serum levels of Tg, thyraglobulin antibody(TgAb), thyroid peroxidase antibody(TPOAb) and TSH, thyroid volume, family and personal histories of thyroid diseases were measured and inquried. The general linear model (GLM) was used to explore the determinants of Tg. Results Among the study population at baseline, serum Tg were significantly different in three areas [7.5 (4.4-13. 1) μg/L at Panshan, 6.8 (3.6-11.2)μg/L at Huanghua, 5.9 (3.2-10.7) μg/L at Zhangwu, P<0.01]. They were associated with age, sex and the rate of positive TgAb, abnormal thyroid volume, abnormal TSH and positive personal history of thyroid diseases, in order to control the effects of confounding factors, the data from 1856 subjects with thyroid-related indexes all in normal range and without personal history of thyroid diseases were analyzed to clarify the effect of iodine intake on Tg. The serum Tg among three areas were significantly different in both 1999 and 2004, they were all increased in 5 years with significant augment (△ Tg) among the three areas[3.1 (-0.2-8.0) μg/L at Panshan, 3.5 (0.5-9.0)μg/L at Huanghua vs 2. 5(0.3-6.1) μg/L at Zhangwu,P<0.01]. The GLM analysis revealed that age, Tg and TSH levels at baseline were the determinants of △Tg in addition to iodine intake. Conclusion Iodine intake is a dominant determinant of serum Tg. Age and TSH should also be considered while indicating iodine intake by serum Tg.     

脑脊液分离出一株液化沙雷氏菌

液化沙雷氏菌(S.1iauefaciens)曾名为液化肠杆菌.我们从脑脊液中分离出此菌,现报告如下:     

发热伴血小板减少综合征1例

<正>1临床资料患者,男,56岁,农民,因发热1周、发现血小板减少1d于2011年7月27日收入南昌大学上饶医院内一科。患者于入院前1周割禾淋雨后出现畏寒、发热,体温高达39.0℃,在当地乡卫生院给予退热及静脉滴注抗生素治疗(具体用药不详),效果不