无创通气在胸腹部术后呼吸功能不全患者应用

目的：探讨无创通气治疗胸腹部术后呼吸功能不全患者的疗效。方法：对2009年至2010年我院胸腹手术后低氧血症患者实施了面罩无创通气,观察通气前、通气4h及停用呼吸机后血气分析、血流动力学指标及呼吸功能的变化。结果：患者经面罩无创通气后4h及停用呼吸机后的血气分析、血流动力学指标及呼吸功能与通气前比较有明显好转（P〈0.05）。结论：无创通气能有效改善呼吸功能,对血流动力学影响小,是解决胸腹手术后呼吸功能不全的一种安全有效方法。     

儿童十二指肠憩室一例报告

十二指肠憩室是中年人较常见的一种疾病,儿童少见。我科收治了一例10岁儿童十二指肠憩室患者,现报告如下。 患儿,女10岁。因腹痛三周于1993年4月入院。患儿于三周前,无明显诱因出现脐周持续性隐痛,阵发性加剧,甚则辗转反侧。不发热,无呕吐,饮食及大小便正常。曾服驱虫药未见排虫。外科会诊排除急腹症。平素体健,否认传染病史及药物过敏史。家庭中无类似疾患。查体:体温37℃,脉搏90次/分,呼吸28次/分。营养中等,发育正常。皮肤无黄疸及皮疹,浅表淋巴结未触及,心肺未见异常,腹软,无肌紧张,肝脾未触及,无固定压痛点,脐周及右上腹压痛较明显,麦氏点无压痛     

头痛医头 脚痛医脚——1例胸椎结核误诊为胆囊炎的教训

患者男,30岁。因右上腹及右腰部剧痛2天,咳嗽及变换体位时明显加重第1次住院。查体:体温36.6℃,脉搏70次/分,血压14/10kPa。神清,表情痛苦。巩膜无黄染,心、肺无异常。腹软,右上腹压痛(±),无反跳痛,墨菲征(-),肝、脾未扪及,肝区叩击痛(±),腹水征阴性,肠鸣音正常。实验室检查:白细胞6.0×109/L,中性0.70,淋巴0.30,血沉40mm/h,尿、粪常规及肝功能正常。胸部X线透视:心、肺正常,腰椎X线照片结果正常。腹部B超:胆囊炎。诊断:急性胆囊炎。给予消炎利胆治疗18天,其间数次肌注哌替啶疼痛方缓解,出院时仍腹痛,尚可忍受。20天后又出现发热、胸背…     

补中益气汤加减治疗支气管哮喘21例疗效观察

补中益气汤系中医八大名方之一.近年来,笔者采用补中益气汤加减治疗支气管哮喘21例,疗效显著,报告如下。     

Effect of liver-soothing and mind-regulating acupuncture on resting-state electroencephalographic signals in rats with post-traumatic stress disorder

Objective

To observe the effect of liver-soothing and mind-regulating acupuncture method on the resting-state electroencephalography (EEG) in rats with post-traumatic stress disorder (PTSD), and to provide evidence for the effect mechanism study and clinical application of acupuncture intervention for PTSD.

Methods

Sixty Sprague-Dawley (SD) rats were randomly divided into a blank control group, a model group, a grasping group, a paroxetine group and an acupuncture group, with 12 rats in each group. Except for rats in the blank control group, rats in the other groups were subjected to preparing the PTSD models using ‘incarceration plus electric shock’ method. After interventions, changes in rat behavior of each group were observed; changes in resting-state EEG were collected and analyzed with multichannel EEG acquisition and analysis system, and image analysis and statistical processing were performed.

Results

Compared with the blank control group, the average escape latency in the model group was significantly longer (P<0.05), and the times of crossing the platform and the effective areas were all significantly reduced (P<0.01). Compared with the grasping group, the average escape latencies in the paroxetine group and acupuncture group were significantly shortened (P<0.05), and the times of crossing the platform and the effective areas were all significantly increased (P<0.05). There were no significant differences in the average escape latency, the times of crossing the platform and the effective areas between the acupuncture group and paroxetine group (all P>0.05). Compared with the blank control group, the α-wave power spectrum value in the model group was significantly decreased, and the power spectrum values of β-wave, δ-wave and э-wave were significantly increased (all P<0.01); compared with the grasping group, α-wave power spectrum values in the paroxetine group and acupuncture group were significantly increased (both P<0.01), and the power spectrum values of β-wave, δ-wave and э-wave were decreased significantly (all P<0.01). The power spectrum values of α-wave, β-wave, δ-wave and э-wave of rats in the acupuncture group were not significantly different from those in the paroxetine group (all P>0.05).

Conclusion

Liver-soothing and mind-regulating acupuncture method can significantly improve the abnormal EEG activity in PTSD rats, which may be one mechanism of liver-soothing and mind-regulating acupuncture method in effectively affecting the brain function in PTSD rats.

     

针刺联合推拿并用治疗膝关节骨性关节炎60例疗效观察

目的：探讨针刺配合手法治疗膝关节骨性关节炎的疗效。方法将60例二期膝关节骨性关节炎患者采用简单随机法分为2组：对照组26例,采用针刺治疗;观察组34例,采用针刺配合手法治疗,2组均以15d 为1个疗程,共观察2个疗程。结果观察组与对照组的 VAS 评分平均值在治疗前分别为7.65±0.19、7.57±0.24,治疗后分别为1.73±0.23、2.88±0.19,2组均有显著疗效,且观察组优于对照组差异有统计学意义（P ﹤0.05）;经 WOMAC量表评分,观察组总有效率为94.1％高于对照组的76.9％,差异有统计学意义（P ﹤0.05）。结论针刺配合手法治疗膝关节骨性关节炎具有较好疗效,值得推广。     

奥拉西坦在血管性痴呆急性期的疗效

血管性痴呆(VD)是居阿尔茨海默病之后第二位的痴呆原因,发生在脑血管病基础上的以记忆、认知功能障碍为主,或伴有语言、视觉空间技能及情感或人格障碍的获得性智能的持续性损害[1]。本实验研究奥拉西坦在住院患者血管性痴呆(vascular dementia)急性期的治疗效果。1资料与方法1.1研究对象及方法选取2009年4月至2010年4月在昌邑市人民医院就诊的门诊和住院     

IVD行业微升级高精度灌装机的设计与探讨

IVD行业灌装1～100μL试剂时,采用手动移液枪操作方式,生产效率低,生产质量不稳定。设计了一种实现IVD行业1～100μL灌装的高精度灌装机,提高生产效率,提高灌装一致性和灌装系统稳定性。设计通过引入回流管路,控制切换阀,实现了灌装过程的高度重复性,从而保证了每次灌装动作的一致性,提高了灌装精度,实现了1-100μL液体高精度灌装功能。该灌装机实现了1～100μL自动化灌装,1～10μL灌装水溶性试剂液量误差±0.1μL,10～100μL灌装液量误差±0.2μL。同时具有自动化程度高、稳定性好、灌装精度高、洁净度高、易清洗的特点,可满足CIP、SIP的需求,成功地解决了IVD试剂生产环节的微升级灌装难题。