Book Review on the Illustrated Seeds of Chinese Medicinal Plants

Medicinal plants are important source for Oriental and Western medicines.There are more than 500 herbs commonly used today in China,in which near 30% of them are seed medicines and over     

推拿教学课堂导入方式的探讨

推拿学是中医极具特色的临床学科,教学有其特点与规律.通过总结推拿教学中常用的6种形式即课程导入、案例导入、问题导入、媒体导入、预习导入、随时导入的方式并对推拿课堂的导入进行了相应的要求,如导入需要设计、相互关联、贯穿等,对推拿教学的课堂导入的地位、作用、目的等进行了探讨,为推拿教学提供参考.     

中医养生学教学方法初探

中医养生学是中医药的重要组成部分。现随着生活方式的改变,养生疗法在临床和日常生活中日趋显示出优势。通过养生学教学,培养学生自主学习及实际运用能力,学有所用,提高中医专业的中医养生学教学质量。     

利尿性肾图对小儿上尿路扩张的诊断意义

对３３例４４侧上尿路扩张的患儿进行利尿性肾图的检测，其时间活性曲线分成四种类型：Ⅰ型，无梗阻；Ⅱｂ、Ⅲ、Ⅳ型，有明显梗阻存在，其中２１侧接受手术，术中均发现有不同程度的上尿路梗阻性病变；Ⅱａ型，需定期随访，观察病情变化。利尿性肾图对鉴别小儿尿路梗阻是一较为简便、可靠的方法。     

Incidence of brain injuries in premature infants with gestational age ≤34 weeks in ten urban hospitals in China

Background

There is a large number (1.5 million per year) of premature births in China. It is necessary to obtain the authentic incidences of intraventricular hemorrhage (IVH) and periventricular leukomalacia (PVL), the common brain injuries, in Chinese premature infants. The present multicenter study aimed to investigate the incidence of brain injuries in premature infants in ten urban hospitals in China.

Methods

The research proposal was designed by the Subspecialty Group of Neonatology of Pediatric Society of the Chinese Medical Association. Ten large-scale urban hospitals voluntarily joined the multicenter investigation. All premature infants with a gestational age ≤34 weeks in the ten hospitals were subjected to routine cranial ultrasound within three days after birth, and then to repeated ultrasound every 3–7 days till their discharge from the hospital from January 2005 to August 2006. A uniform data collection sheet was designed to record cases of brain injuries.

Results

The incidences of overall IVH and severe IVH were 19.7% (305/1551) and 4.6% (72/1551), respectively with 18.4% (56/305) for grade 1, 58.0% (177/305) for grade 2, 17.7% (54/305) for grade 3 and 5.9% (18/305) for grade 4 in nine hospitals. The incidences of overall PVL and cystic PVL were 5.0% (89/1792) and 0.8% (14/1792) respectively, with 84.3% (75/89) for grade 1, 13.5% (12/89) for grade 2, and 2.2% (2/89) for grade 3 in the ten hospitals. The statistically significant risk factors that might aggravate the severity of IVH were vaginal delivery (OR=1.883, 95% CI: 1.099–3.228, P=0.020) and mechanical ventilation (OR=4.150, 95% CI: 2.384–7.223, P=0.000). The risk factors that might result in the development of cystic PVL was vaginal delivery (OR=21.094, 95% CI: 2.650–167.895, P=0.000).

Conclusions

The investigative report can basically reflect the incidence of brain injuries in premature infants in major big cities of China. Since more than 60% of the Chinese population live in the rural areas of China, it is expected to undertake a further multicenter investigation covering the rural areas in the future.     

增殖性糖尿病视网膜病变多次手术临床分析

目的：探讨增殖性糖尿病视网膜病变玻璃体切割术后多次手术的原因及处理。方法：回顾性分析3a来因增殖性糖尿病视网膜病变行玻璃体切割术后需要再次手术的患者。结果：患者189眼术后需要再次进行手术的为24例26眼（占总观察眼数13.8%）。分别是：玻璃体再积血3眼,前房积血1眼,视网膜脱离11眼（占总观察眼数5.8%,占再手术眼42.3%,其中3眼合并新生血管性青光眼）,白内障6眼（占总观察眼数3.2%）,单纯硅油取出5眼。189眼中有6眼发生了新生血管性青光眼（3.2%）,6眼均为玻璃体晶状体联合手术或玻璃体切割术后又摘除白内障病例。2次手术19眼,3次或以上手术7眼（其中5眼合并视网膜脱离）。结论：发生视网膜脱离是糖尿病视网膜病变玻璃体切割术后需要多次手术的主要原因;也占据需要3次或以上手术的主要部分。新生血管性青光眼的发生值得重视,出现视网膜脱离时要提高警惕,需要摘除晶状体时必须慎重。     

人工晶状体断襻的术中处理

目的：探讨人工晶状体植入时出现断襻的术中处理方法。方法：回顾总结2006-03/2011-05的25例25眼人工晶状体植入时出现断襻的术中处理方法：其一是将断襻人工晶状体植入囊袋内（23眼）,其二是一期或二期更换断襻人工晶状体（2眼）。结果：在25眼中,其中1眼术中进行人工晶状体的更换,1眼术后第3d人工晶状体向下发生严重脱位,进行了人工晶状体的更换,2眼人工晶状体发生轻微移位,余21眼未发生人工晶状体移位;术后1mo矫正视力0.8～1.0者8眼,0.5～者14眼,0.2者1眼（合并有糖尿病视网膜病变）,23眼均未发生人工晶状体明显移位;术后6mo随访的15眼均未发生人工晶状体明显移位。结论：将断襻人工晶状体植入囊袋内合适的位置,大多数人工晶状体不发生移位或不影响术后视力的提高,可以作为手术应急的一种选择。