对诊断PADAM的游离睾酮指数的评估

目的 评价诊断中老年男子部分雄激素缺乏综合征（PADAM）的游离睾酮指数（FTI）.方法 对129例45岁以上健康男性的FTI进行年龄相关分析.以推算的游离睾酮（CFT）值为依据,对FTI进行有效性检验.结果 男子在中老年期FTI与增龄呈明显的负相关.FTI敏感性97.78%,特异性58.33%.结论 计算简单的FTI可用于PADAM病人的筛选和随访,尤其对70岁以上男子是血清FT较为有效的参数.     

治疗新生儿烫伤九例

1临床资料 2000--2006年笔者单位收治烫伤新生儿9例，其中男5例、女4例，年龄：出生即刻一出生后23d。入院时间：3例〈伤后2h，4例为伤后2～6h，2例〉伤后6h。烫伤面积为2％-26％[（14±3）％]TBSA，浅Ⅱ度3例次、深Ⅱ度5例次、Ⅲ度4例次，均为热液烫伤。致伤部位：下肢7例次、臀部3例次、后躯干6例次。住院时间为2—33d。[第一段]     

复方银杏叶片对阴虚血瘀模型大鼠血液流变性的影响

用氢化可的松、肾上腺素复制阴虚血瘀模型大鼠，观察复方银杏叶片对模型大鼠血液流变性异常的影响。结果表明，该药能够降低模型大鼠的全血粘度、血浆粘度、红细胞压积沉降，提示复方银杏叶片具有改善血液流变性，调节微循环的作用。     

老年人测量腹股沟温度40例分析

我们2003—05-2003—08及2004—03-2004—05分别对40例随机抽取的已康复老年人进行了口温、腋温、腹股沟温的自身对照测量，现报告如下。     

大黄消肿止痛散结膏治疗肌注后硬结72例

我们根据肌注后硬结产生的原因和形成机理在临床工作中应用自制大黄消肿止痛散结膏外敷治疗肌注后硬结72例，治愈68％，显效20．8％，好转8．3％，无效2．7％，总有效率97．2％。认为该疗法具有操作简便、疗效高，费用低，无副作用等优点，适合临床推广应用。     

填塞法治疗大型、感染性颌骨囊肿的临床总结

目的探讨填塞法用于大型或感染性颌骨囊腔的保守治疗的可行性及临床应用价值。方法对43例大型、感染性颌骨囊肿采用填塞法进行保守治疗，手术后定期换药、随访，观察颌骨囊肿愈合情况和疗效。结果本组43例患者全部愈合，常规全景X光检查，骨腔变小、密度增加，囊腔初步愈合，效果满意。结论填塞法用于大型或感染性颌骨囊腔的保守治疗，适用范围广，创伤小，效果肯定。     

环戊硫酮治疗干眼的临床疗效评价

Objective To investigate anethol trithione therapic efficiency on dry eye. Methods It was a prospective random double-blind controlled study. Eighty cases diagnosed dry eye in Ocular Surface Out-patient Clinic of Xiamen University Affiliated Xiamen Eye Center from 2006 to 2008 were divided into two groups: anethol trithione group and control group, 40 cases in each group. Every group was then divided into two subgroups: weak dry eye subgroup, middle and severe dry eye subgroup. All groups had been added with 0.05% refresh drops. All patients had been detected and evaluated by subjective symptoms of dry eye, visual acuity,corneal fluorescent staining(F1), break-up time(BUT) and Schirmer Ⅰ test (SⅠT) at pre-therapy and 3,7,28 d of post-therapy. All groups had been compared and analyzed by F test and sample mean difference (SMD) or median difference (MD) comparison between pre-therapy and post-therapy. Results Except of tear and red eye, the other subjective symptoms of dry eye, F1, BUT and SⅠT of weak dry eye subgroup of both groups had been improved at 7 d after therapy. Only those of middle and severe dry eye subgroup of anethol trithione group had been improved at 7 d after therapy compared with those of pre-therapy: SMD=0.96 (visual tiredness), 1.26 (dry and unsmooth sensation), 0.82 (foreign body sensation), 1.28 (burning sensation), 1.05 (photophobia), 1.48 ( pain ) ; MD=0.30 (visual acuity), 4.00 (F1) ,5.00 (BUT), 5.00 (SⅠT) [F=15.30 (visual tiredness), 15.68 (dry and unsmooth sensation ), 13.56 (foreign body sensation), 20. 91 ( burning sensation ), 18.90 (photophobia), 27.22 ( pain ), 10.54 (visual acuity), 188.21 (F1) ,261.76 (BUT) ,269.05 (SⅠT) ;P<0. 05]. Those of middle and severe dry eye subgroup of control group hadn't significantly been improved at 28 d after therapy: SMD=0.10 (visual tiredness) ,0.16 (dry and unsmooth sensation) ,0.09 (foreign body sensation) ,0.38 ( burning sensation ), 0.24(photophobia) ,0.36 (pain) ,0.23 (red eye) ; MD=0.10 (visual acuity) ,0.50(F1) ,0.50(BUT), 0.50(SⅠT) [F=1.76 (visual tiredness), 1.61 (dry and unsmooth sensation), 1.02 (foreign body sensation),2.39 (burning sensation), 2.42 (photophobia), 2.73 ( pain ), 2.55 ( red eye ), 1.46 ( visual acuity) ,2.35 (F1) ,2.90 (BUT) ,2.76 (SⅠT) ; P>0.05]. SⅠT of anethol trithione group had been improved more significantly after therapy (F=13.77, P<0.05). Conclusion Anethol trithione could significantly improve middle and severe dry eye patients' symptoms and signs whose lacrimal gland function survival and it has clinical application value.     

内皮功能障碍与冠脉疾病

冠脉疾病的发生、发展与内皮功能障碍密切相关，逆转失调的内皮功能是心血管疾病治疗的新趋势。本文较系统地阐述了血管内皮细胞的功能、评价方法及内皮功能障碍与冠脉疾病发生、发展的关系。     

起搏器高度依赖性患者起搏器置换方法与疗效探讨

目的 :探讨起搏器高度依赖性患者起搏器置换方法与疗效。　方法 :对 8例起搏器高度依赖性患者 ,在起搏器与电极的接口松解前 ,应用在体起搏器间断接触法 ,使自身逸搏心律得已恢复 ,然后再行松解接口以及必要的起搏参数测试。　结果 :起搏器离体次数为 3～ 7(5± 2 )次 ,最长逸搏间期为 3.38～ 6 .2 0 (4.5 1± 1.11)s,自身逸搏心率为 30～ 4 3(38± 5 )次 /min ,均顺利完成起搏器置换。　结论 :在体起搏器间断接触法切实可行 ,能够明显提高起搏器高度依赖性患者起搏器置换的安全性     

50例围绝经期功能性子宫出血临床治疗探讨

目的探讨米非司酮治疗围绝经期功能性子宫出血的有效方法。方法米非司酮12.5mg,每晚睡前服1次,连服3个月,疗程结束后,再行B超检查。结果所有患者用药期间全部闭经,总有效率100%。14例服药后出现恶心、食欲减退,停药后恢复正常。结论米非司酮治疗围绝经期功能性子宫出血,疗效可靠。