《解剖学杂志》投稿须知

一男性尸体,约55岁,身高170.0cm,身体消瘦。笔者在解剖其腹腔时发现,腹腔内大部分器官形态位置正常,而乙状结肠位置异常,其上方降结肠位置基本正常,长度21.0cm,至左侧髂嵴最高点上缘高度续以乙状结肠起始,继而此乙状结肠随其系膜自降结肠最下端开始斜行转向右侧越过脊柱至右髂窝,全长19.5cm,其下端上方紧邻盲肠和阑尾,继而向下越过骨盆上口移行为直肠(图1)。     

不同年龄段下肢深静脉血栓形成危险因素分析

目的探讨下肢深静脉血栓形成（DVT）的发病危险因素。方法 204例下肢深静脉血栓形成的住院患者按年龄分为A组（〈45岁）和B组（≥45岁）,比较两组危险因素的临床资料并进行分析。结果手术（非骨科手术）因素A组明显高于B组,有统计学意义（P〈0.05）;高血压、创伤及骨折、恶性肿瘤、心脏病、糖尿病等因素B组明显高于A组（P〈0.05）;而长期卧床、下肢静脉曲张史、吸烟、饮酒两组无明显差异（P〉0.05）。结论下肢深静脉血栓形成随着年龄增长其危险因素逐渐增多,中老年患者大多存在2个以上危险因素。     

中药治疗帕金森病研究思路探讨

帕金森病目前是神经内科的难题,属于专项中的神经退行性疾病,严重危害了人民群众的健康,至今仍无有效的治疗方法.因西医西药治疗方法的副作用和手术创伤较大,开发有效治疗帕金森病的中药具有很大价值.     

Evidence-based practice method of integrative Chinese and Western medicine based on literature retrieval through PICO question and complementary and alternative medicine topics

An evidence-based practice method according to literature retrieval through PICO （Patients,Intervention,Comparison,Outcome） questions and complementary and alternative medicine （CAM） topics,which can obtain helpful evidence for guiding clinical practice,was introduced with a practical example in this paper.The knowledge of diseases and Western medicine treatment can be acquired by literature retrieval through PICO question,while searching by CAM topics may provide evidence for Chinese medicine （CM）.Thus the author held that literature retrieval through both PICO question and CAM topics was an ideal evidencebased practice method for integrative Chinese and Western medicine （ICWM）.However,since the standard in CM evidence hierarchy is still under study,the value of the CAM thematic retrieval method remains very limited.In the future,studies on the definition and hierarchy of CM evidences and the herb-drug interaction between Western and Chinese medicine during a combination therapy should be strengthened to improve the status of ICWM evidence-based practice.     

Herb-drug interaction: An emerging issue of integrative medicine

With the increasing enhancement of people＇s awareness of self-care,the voice for humans to return to nature is growing louder and louder.Drugs with natural plants as raw materials are increasingly favored by people all over the world for their unique advantages in preventing and curing diseases, rehabilitation and health care,especially in Europe,     

Therapeutic evaluation on complex interventions of integrative medicine and the potential role of data mining

It is a common view that the integration of Chinese medicine （CM） and modern Western medicine is an efficient way to facilitate the development of CM. Integrative medicine is a kind of complex interventions. Scientific therapeutic evaluation plays a crucial role in making integrative medicine universally acknowledged. However, the modern method of clinical study, which is based on the concept of evidence-based medicine, mostly focuses on the population characteristics and single interventional factor. As a result, it is difficult for this method to totally adapt to the clinical features of CM and integrative medicine as complex interventions. One possible way to solve this issue is to improve and integrate with the existing method and to utilize the evaluation model on complex interventions from abroad. As an interdisciplinary technique, data mining involves database technology, artificial intelligence, machine learning, statistics, neural network and some other latest technologies, and has been widely used in the field of CM. Therefore, the application of data mining in the therapeutic evaluation of integrative medicine has broad prospects.     

Primary tracheobronchial amyloidosis in China: Analysis of 64 cases and a review of literature

Primary tracheobronchial amyloidosis (TBA) is a rare pulmonary disease.A systematic review was performed on 64 cases of primary TBA in China and progress in the diagnosis and treatment of this disease is discussed.The Chinese biological and medical databases from 1970 to 2010 were searched and 75 cases of complete clinical and pathological data were identified.The clinical characteristics of the disease were summarized and longitudinal comparisons were made of diagnostic and treatment methods over time.The results showed that the morbidity associated with primary TBA has increased over recent years.The clinical manifestations were non-specific.Progressive dyspnea, cough and sputum were the most common symptoms.The percentage of patients undergoing computed tomography (CT) scan has increased over the years.The bronchoscopy and transbrochial lung biopsy (TBLB) were usually sufficient to establish the diagnosis.Treatment was reported for a total of 44 cases.Bronchoscopic Nd:YAG laser irradiation, argon plasma coagulation (APC) and drugs administration such as steroids and colchicines were reported to be effective in some patients.It is concluded that the demographic characteristics and clinical manifestations of primary TBA patients in China are largely consistent with findings reported in other countries.Dramatically more cases were reported in recent years, mainly due to the extensive application of bronchoscopy since 1990s.Chest CT scan provides important clues for the diagnosis of the disease.The definite diagnosis was confirmed by bronchoscopic findings and Congo red staining of biopsy specimen.Bronchoscopic Nd:YAG laser irradiation, argon plasma coagulation (APC) and drugs administration, such as steroids and colchicines were reported to be effective in some patients.     

冠心病稳定期血瘀证与冠状动脉病变特点的相关性

目的:探讨冠心病稳定期血瘀证及其兼证与冠状动脉造影Gensini评分的关系。方法:选取131例经冠状动脉造影证实的冠心病患者,记录其稳定期中医证候与血瘀证计分,并根据患者冠状动脉造影特点进行Gensini评分,分析其血瘀证及其兼证、血瘀证计分与其冠状动脉病变特点和Gensini评分之间的关系。结果:冠心病稳定期患者以血瘀证、痰浊证、气虚证最为多见,分别占64.9%(85/131)、63.4%(83/131)、64.9%(85/131)。血瘀证患者冠状动脉病变长度与Gensini评分的数值均高于非血瘀证者(P<0.05,P<0.01)。在血瘀证兼证中,血瘀兼痰浊患者的冠状动脉病变长度与Gensini评分的数值均高于非血瘀证者(P<0.05);血瘀证计分>9分的患者,其冠状动脉病变长度长于血瘀证计分≤9分的患者(P<0.05);冠心病稳定期患者血瘀证计分与Gensini评分无明显相关性(Pearson相关系数为0.104,P=0.241)。结论:血瘀证是冠心病稳定期患者的常见证候,血瘀证计分反映了患者血瘀证严重程度,稳定期患者的血瘀证计分与冠心病患者发病时冠状动脉病变严重程度没有相关性。     

Complementary and Alternative Medicine:Is It Possible to Be Mainstream?

<正>Complementary and alternative medicine(CAM), also known as non-conventional medicine,is used to refer to a broad set of health care practices(such as he rbal medicine,acuPuncture,yoga,Taichi, Qigong,meditation,manual therapies,homeopathic medicine,etc.)that are not part of a country's own tradition,or not integ rated into its dominant health care system.In fact,CAM iS generally used in most developed countries,especially in North America,