老年糖尿病并发急性脑梗死的综合治疗

近年来我院采用国产精制抗栓酶治疗老年糖尿病并发急性脑梗死 ,并作了分组对照比较 ,取得了良好的疗效。现报道如下。1　临床资料1 1　观察对象　观察组 :78例 ,均为 1998年 2月— 2 0 0 2年 6月我院神经内科收住的患者 ,男 5 0例 ,女 2 8例 ;年龄 5 0～ 6 5( 5 5 .0± 2 .7)岁     

透出液蛋白丢失与连续性非卧床腹膜透析患者营养不良-炎性反应-动脉硬化综合征的相关性

Objective To investigate the impact of peritoneal albumin leakage on malnutrition-inflammation-atherosclerosis (MIA) syndrome in continuous ambulatory peritoneal dialysis (CAPD) patients. Methods A cross-sectional study of a cohort of 130 CAPD patients without edema or active infection was performed. In order to identify peritoneal transport characteristics in CAPD patients, a standard peritoneal equilibration test (PET) was carried out. For malnutrition and inflammation, serum albumin and high-sensitivity C-reactive protein (hs-CRP) levels were measured. Mean-carotid artery intima media thickness (IMT) was used to determine atherosclerosis. Residual glomerular filtration rate (rGFR) was defined as the average of 24-hour urinary urea and creatinine clearances. Results Pearson and Spearman correlation analysis showed that peritoneal albumin leakage amount was positively correlated with age, body mass index, night dwell time, blood glucose, 4 h D/P creatinine levels and hs-CRP levels (r=0.204, P<0.05 ;r=0.314, P<0.01; r=0.265, P<0.01; r=0.212, P<0.05; r=0.401, P<0.01; r=0.216, P<0.05); whereas it was negatively correlated with diastolic perssure, serum albumin levels, glucose level of dialyzate and peritoneal Kt/V (r=-0.209, P<0.05; r=-0.123, P<0.05; r=-0.271, P<0.01; r=-0.212, P<0.01). Overall, there was no correlation between peritoneal albumin leakage and IMT. Patients was significantly greater (P<0.01), and there was a positive correlation between peritoneal albumin leakage amount and IMT (r=0.650, P<0.01). Conclusions Peritoneal albumin leakage is significantly associated with peritoneal transport characteristics, malnutrition and inflammatory state in CAPD patients. High peritoneal albumin leakage amount is a risk factor for atherosclerosis in patients with rGFR less than 1 ml·min-1(1.73 m2)-1.     

新式剖宫产改良术式410例临床分析

随着临床经验的积累，我们发现新式剖宫产(即Stark剖宫产术)确有其特殊并发症的发生。为避免或减少Stark剖宫产术后的筋膜下血肿的发生，我们应用新式剖宫产改良术式行剖宫产术410例，取得良好效果，现报道如下。     

产科护理中应用人性化护理干预的效果分析

目的对在临床产科护理过程中实施人性化护理的应用效果和具体措施以及相应体会进行研究分析。方法抽取86例产科患者病例,将其分为A、B两组,平均每组43例。分别进行常规护理和人性化护理干预。结果 B组产妇生产过程中的心理状态明显优于A组产妇;该组患者产妇在生产前后出现并发症的人数明显少于A组产妇;该组产妇对护理的满意度明显高于A组产妇。结论在临床产科护理过程中实施人性化护理的应用效果非常突出。     

国家中药复方专利治疗偏头痛用药规律研究

目的 基于数据挖掘技术对国家专利数据库中治疗偏头痛的中药复方配伍规律进行研究,为偏头痛的临床治疗及新药研发提供思路。方法 检索国家知识产权局中国专利公布公告网站建库至2022年5月1日治疗偏头痛的中药复方专利数据,运用古今医案云平台(V2.3.5)对筛选出的中药复方进行药物频次统计、性味归经统计、功效统计、关联分析、聚类分析、复杂网络分析等数据挖掘。结果 通过检索与筛选,共纳入符合标准的中药复方394首,涉及667味中药,药物总频次4737次。药物使用频次居前10位分别是川芎、白芷、天麻、甘草、当归、白芍、防风、细辛、菊花、柴胡。药物性味归经上,药性以温性为主,其次为平性、微寒等,药味以辛味为主,其次为甘味、苦味等,归经以肝经为主,其次为肺经、脾经、心经、胃经、肾经等。药物功效以祛风止痛、清热解毒、解表散寒、平抑肝阳、活血行气等使用频次较高。药物关联中高频药物组合有“川芎-白芷”“天麻-川芎”“当归-川芎”“细辛-川芎”“天麻-白芷”“细辛-白芷”等。药物聚类可将使用频次≥40次的27味高频中药聚类成6类。复杂网络分析筛选出治疗偏头痛的核心组方为：川芎、白芷、细辛、防风、天麻、当归、白...     

透出液蛋白丢失与连续性非卧床腹膜透析患者营养不良-炎性反应-动脉硬化综合征的相关性

Objective To investigate the impact of peritoneal albumin leakage on malnutrition-inflammation-atherosclerosis (MIA) syndrome in continuous ambulatory peritoneal dialysis (CAPD) patients. Methods A cross-sectional study of a cohort of 130 CAPD patients without edema or active infection was performed. In order to identify peritoneal transport characteristics in CAPD patients, a standard peritoneal equilibration test (PET) was carried out. For malnutrition and inflammation, serum albumin and high-sensitivity C-reactive protein (hs-CRP) levels were measured. Mean-carotid artery intima media thickness (IMT) was used to determine atherosclerosis. Residual glomerular filtration rate (rGFR) was defined as the average of 24-hour urinary urea and creatinine clearances. Results Pearson and Spearman correlation analysis showed that peritoneal albumin leakage amount was positively correlated with age, body mass index, night dwell time, blood glucose, 4 h D/P creatinine levels and hs-CRP levels (r=0.204, P<0.05 ;r=0.314, P<0.01; r=0.265, P<0.01; r=0.212, P<0.05; r=0.401, P<0.01; r=0.216, P<0.05); whereas it was negatively correlated with diastolic perssure, serum albumin levels, glucose level of dialyzate and peritoneal Kt/V (r=-0.209, P<0.05; r=-0.123, P<0.05; r=-0.271, P<0.01; r=-0.212, P<0.01). Overall, there was no correlation between peritoneal albumin leakage and IMT. Patients was significantly greater (P<0.01), and there was a positive correlation between peritoneal albumin leakage amount and IMT (r=0.650, P<0.01). Conclusions Peritoneal albumin leakage is significantly associated with peritoneal transport characteristics, malnutrition and inflammatory state in CAPD patients. High peritoneal albumin leakage amount is a risk factor for atherosclerosis in patients with rGFR less than 1 ml·min-1(1.73 m2)-1.     

透出液蛋白丢失与连续性非卧床腹膜透析患者营养不良-炎性反应-动脉硬化综合征的相关性

Objective To investigate the impact of peritoneal albumin leakage on malnutrition-inflammation-atherosclerosis (MIA) syndrome in continuous ambulatory peritoneal dialysis (CAPD) patients. Methods A cross-sectional study of a cohort of 130 CAPD patients without edema or active infection was performed. In order to identify peritoneal transport characteristics in CAPD patients, a standard peritoneal equilibration test (PET) was carried out. For malnutrition and inflammation, serum albumin and high-sensitivity C-reactive protein (hs-CRP) levels were measured. Mean-carotid artery intima media thickness (IMT) was used to determine atherosclerosis. Residual glomerular filtration rate (rGFR) was defined as the average of 24-hour urinary urea and creatinine clearances. Results Pearson and Spearman correlation analysis showed that peritoneal albumin leakage amount was positively correlated with age, body mass index, night dwell time, blood glucose, 4 h D/P creatinine levels and hs-CRP levels (r=0.204, P<0.05 ;r=0.314, P<0.01; r=0.265, P<0.01; r=0.212, P<0.05; r=0.401, P<0.01; r=0.216, P<0.05); whereas it was negatively correlated with diastolic perssure, serum albumin levels, glucose level of dialyzate and peritoneal Kt/V (r=-0.209, P<0.05; r=-0.123, P<0.05; r=-0.271, P<0.01; r=-0.212, P<0.01). Overall, there was no correlation between peritoneal albumin leakage and IMT. Patients was significantly greater (P<0.01), and there was a positive correlation between peritoneal albumin leakage amount and IMT (r=0.650, P<0.01). Conclusions Peritoneal albumin leakage is significantly associated with peritoneal transport characteristics, malnutrition and inflammatory state in CAPD patients. High peritoneal albumin leakage amount is a risk factor for atherosclerosis in patients with rGFR less than 1 ml·min-1(1.73 m2)-1.     

论通腑理论在脑病中的临床运用

通过对通腑理论的阐述,结合相关文献佐证,以通腑理论在中风、昏迷、眩晕、不寐、头痛、痴呆、郁证、颤证等脑病方面的临床运用为例,探讨其在临床中对脑病辨证治疗的指导作用,以提高中医药论治脑病的临床疗效。     

174例HBsAg阳性产妇婴儿母乳喂养与人工喂养HBV感染情况对比

众所周知,母乳中含有丰富的营养成份和免疫物质,是婴儿的天然食品。然而,HBsAg阳性产妇是否提倡母乳喂养成为令人关注的问题。为此,我们佳木斯市妇幼保健院和传染病院对1989～1992年的168例HBsAg阳性孕妇及其分娩的174例婴儿(18个月以内)采婴儿血测试HBV感染情况,以母乳喂养与人工喂养进行比较,现将结果报告如下:     

河南省不同人群庚型肝炎病毒感染的调查分析

目前,已有可靠的血清学和分子生物学检测方法来区分五型病毒性肝炎,但仍有１０％～２０％的肝炎病例的病原因子不清楚〔１〕。大量的临床研究提示还有另外的肝炎病原因子存在。１９９５年下半年和１９９６年初,美国Ｇｅｎｅｌａｂｓ的Ｋｉｍ等〔２〕和Ａｂｂｏｔ公司的...