针灸治疗阳痿的临床研究概况

文章从体针、针药结合、穴位敷贴、穴位注射、电针、火针及综合疗法等7个方面综述了近几年来针灸治疗阳痿概况，并做了总结性的评述。     

南京地区输血员Hp血清型分布及基因频率的调查

早在1955年Smithies采用淀粉凝胶电泳技术首次发现Hp(Haptoglobin;结合珠蛋白)具有遗传多态性,并将此分为Ⅰ型、ⅡA型及ⅡB型。此后,Smithies和Walker通过家系调查,将上述三种型别改称为Hpl-1型,Hp2-1型和Hp2-2型,并认为Hp系内有Hp~1和Hp~2两个等位基因控制遗传。Hp的主要生理功能在于和血红蛋白结合而构成复合物,从而防止铁质从体内流失。它在人体血清中含量比较稳定,平均约为100mg/dl,其组成成分较多,平均分子量约100000左右。由于Hp     

一所山区小学乙型肝炎病毒感染情况的调查

检查HBsAg携带情况是掌握乙肝病毒(HBV)感染的重要依据,2003年7月,我站接到群众反映,我县大院小学有些学生及学生家长患有乙型肝炎(乙肝),我们立即对该校全校学生及教师HBsAg携带情况进行了调查,现将调查结果分析如下.     

柴胡皂甙d通过磷酸化p38诱导视网膜母细胞瘤细胞凋亡

目的研究柴胡皂甙d(SSd)抑制视网膜母细胞瘤(Rb)细胞生长并诱导其凋亡的作用及信号转导机制。方法应用~3H-胸腺嘧啶掺入分析法观察SSd对细胞生长的抑制作用,用流式细胞仪分析SSd对Y79细胞周期的影响,以DNA片段凝胶电泳分析细胞凋亡,用Westem blot分析p38的磷酸化。结果SSd可明显地抑制Y79细胞的生长,10μg/ml SSd处理9h时,~3H-胸腺嘧啶掺入率下降达55．15%,此条件下,SSd可诱导Y79细胞凋亡。在此过程中,p38被激活,即磷酸化。结论SSd可抑制Y79细胞生长并诱导其凋亡,其过程是由磷酸化的p38介导。     

静脉高营养用于烧伤病人的护理

近年来我院对大面积烧伤的病人,采取静脉高营养疗法,并有4例特重病人通过Ⅱ度、Ⅲ度切削痂创面插管至上腔静脉,无1例发生感染和其它并发症。现将护理体会叙述如下。一、病例介绍例1:患者,男,22岁,石油液化汽烧伤,总面积86%,Ⅲ度26%,伴有呼吸道烧伤。入院后行气管切开,伤后第7天行背部切痂,大张异体皮移植,第10天嵌入自体皮,第12天经右上臂深Ⅱ度创面切开头静脉插管至上腔静脉,做6 cm长的皮下隧道,将导管自上臂健康皮肤引出;第17天面、胸部深     

干预高血压、高血脂、高黏滞血症对心脑血管疾患发生率的影响

Background:According to American Heart Association's report,death composition of cerebrovascular and cerebrovascular disease was increased to 29％ in 1996,and now 33％ from 25％ in 1992.Now,atherosclerosis seriously endanger human's health.Hypertension,hyperlipemia and hyperviscosity syndrome are main risk factors of cardiovascular and cerebrovascular diseases.There conditions often existed simultaneously in elders.Intervention to these diseases can prevent cardiovascular and cerebrovascular events,which is feasible. Objective:To investigate impact of hypertension,hyperlipemia and hyperviscosity syndrome on incidence of cardiovascular and cereborvascular events. Design:Random,controlled study. Unit:Department of Senile Diseases, Qianfoshan Hospital of Shandong. Subjects:In study group, 52 senile subjects with complete hospitalizing data were recruited from 1995～ 2000.Patients with hypertension,hyperlipemia ,hyperviscosity syndrome were included in the current study.13 subjects asked medical help due to hypertension,25 due to hyperlipemia and 14 due to hyperviscosity syndrome.Sometimes blood pressure of hypertension patients was 140～ 160/90～ 100 mmHg.Patients' mean age was 65.21.Ratio of male to female was 13:1.In control group,50 outpatients were included who had similar diseases those in study group.Mean age was 62.34 and ratio of male to female was 17.33:1. Intervention:In study group,calcium antagonist such as adalatcc, nitrendipine, plendil and/or ASCE inhibitor such as perindopril and captopril were given o.s.Blood pressure was con trolled to normal level.Blood lipid regulating drugs such as pravastatin, ticlopidine,and lipanthy were given for hyperlipemia patients.For patients with hyperviscosity syndrome,enteral aspirin or persantine was given,50～ 75 mg/day.Interval of drugs was 1 day to 2 months.Detailed data was unavailable.Red sage root or its compound form injecto was given i.v.,70 mg/day,pueraria root was given i.v.300～ 500 mg/day;astraglaus root was given 20～ 214 g/day,ginkgo leaf,70 mg/day.10～ 15 days was a disease course.Drugs were given for once in 17 subjects and twice 35 subjects.No subjects received 3 times of therapy.In control group,patients received no described treatment during 5 years.Outpatients' medical records as well as discharge record for inpatients were read to study conditions during five 5 years retrospectively. Main prognosis indexes:Collection point for statistical analysis was determined as begging phase of obervation and end point after 5 years.Cardiovascular events such as heart infarction,cerebrovascular disease such as cerebral infarction,cerebral hemorrhage and TIA were evaluated. Result: Incidence of cardiovascular and cerebrovascular events was markedly lower in study group compared with that in control group.In study group,2 subjects developed acute heart infarction(3.84％ ),11 subejcts developed heart infarction in control group(22.00％ )(P< 0.01).Ischemic cerebrovascular disease occurred in 1 subject(1.92％ ) in study group and 7 in control group(14.00％ ).Amount of cerebral hemorrhage showed no significant decrease in 1 subject (1.92％ )in study group and 3 subjects in control group(6.00％ )(P >0.05). Conclusion:Risk factors of cardiovascular and cerebrovascular disease in elders should be actively intervened to reduce development of cardiovascular and cerebrovascular disease.     

功能性消化不良患者心理状态的调查分析

功能性消化不良(functional dyspepsia,FD)是指具有上腹痛、上腹胀、早饱、嗳气、食欲不振、恶心、呕吐等上腹不适症状,经检查排除引起这些症状的器质性疾病的一组临床综合征,症状可持续或反复发作,病程一般规定为超过1个月[1],是消化科的常见病.国外文献报道FD患病率为20%～40%[2]. 目前FD的发病机制尚未明确,但精神紧张和心理异常是重要成因为许多学者所共识[3].这部分患者在消化科门诊中占相当比例,尤其合并心理异常者认为症状严重和难以治疗而频繁就诊,这不仅影响患者生活质量,而且构成了相当高的医疗费用.我们对91例以消化道症状或失眠为主诉而被诊断为FD的患者进行心理测验,探讨FD患者焦虑、抑郁等不良心理状态,为临床治疗及有针对性的护理干预提供理论依据,从而提高患者的生活质量.