康咳灵合剂质量标准研究

目的 建立康咳灵合剂的质量标准。方法 采用薄层色谱法（TLC）对矮地茶、百部进行定性鉴别;采用高效液相色谱法（HPLC）测定岩白菜素的含量。色谱柱为Lichrospher C₁₈柱（4.6 mm×250 mm,5 μm）;流动相：甲醇-水（20：80）;检测波长：275 nm;柱温：30℃;流速：1 ml/min。结果 TLC法能准确鉴别矮地茶和百部,斑点清晰;岩白菜素在0.064 8~0.648 μg（r=0.9998）范围内线性关系良好,平均回收率100.24%（RSD为1.9%,n=6）。结论 本实验建立的方法简便、专属性高、重复性好,结果准确可靠,可用于康咳灵合剂的质量控制。     

血脂康治疗2型糖尿病合并高脂血症临床随机对照试验的Meta分析*

目的：运用Meta分析评价血脂康对2型糖尿病合并高脂血症患者的临床疗效。方法：检索Pubmed、Web of Knowledge、The Cochrane library、中国学术期刊数据库(China National Knowledge Infrastructure, CNKI)、维普中文科技期刊数据库(Chinese Scientifc Journal Database, VIP)、万方数据库中的文献,检索年限为2000年1月—2019年9月,筛选所有血脂康治疗2型糖尿病合并高脂血症临床随机对照试验(randomized controlled trial, RCT)。应用改良Jadad评分法进行质量评价,应用RevMan 5.2软件进行Meta分析。结果：共纳入13个RCT,均为低质量研究。血脂康试验组总胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、空腹血糖,餐后2 h血糖及糖化血红蛋白等指标的改善均较常规治疗对照组明显(P<0.05)。结论：在常规降糖治疗基础上加用血脂康对于改善2型糖尿病合并高脂血症患者的血脂及血糖均优于常规降糖治疗。     

163例腹蛇咬伤患者的紧急救治和护理

目的:总结163例腹蛇咬伤患者的紧急救治处理和护理体会。方法:对163例腹蛇咬伤患者给予紧急处理,并采取综合护理措施。结果:经积极救治和精心护理,治愈出院162例,死亡1例。结论:对腹蛇咬伤患者,责任护士全面评估病情,及时正确处置,尽早使用抗毒药物,减少毒素的吸收;严密观察病情,加强伤口护理及伤肢功能锻炼,重视情志护理,可提高治愈率和救治效果。     

Chinese expert consensus on the clinical applications of aminolevulinic acid-based photodynamic therapy in female lower genital tract diseases (2022)

IntroductionWith the younger onset age of female lower genital tract diseases, there are increasing demands for protecting organ and tissue structures to preserve fertility and, therefore, effective fertility-sparing treatments that cause minimal normal tissue damage and less adverse reactions are urgently needed.ObjectiveThis study is aimed at reviewing information and achieving consensus on recommendations on the clinical applications of aminolevulinic acid-based photodynamic therapy (ALA-PDT) in female lower genital tract diseases.MethodsMembers of the expert panel held online and in-person meetings to discuss and revise drafts created by the steering committee based on the literature review and the clinical experiences of the expert panel. Opinions of the experts were transcribed and discussed in detail to ensure that the consensus statement best reflects the current advances in the field and the experts’ view.ResultsAfter numerous rounds of meetings, experts unanimously agreed on the importance of ALA-PDT in the treatment of cervical squamous intraepithelial lesions (SIL), vaginal SIL, vulvar SIL, vulvar lichen sclerosus (VLS), and condyloma acuminatumon (CA). Experts also reached consensus on the recommended treatment regimen and treatment methods.ConclusionThis consensus aimed to provide practical basis and guidance for the clinical applications of ALA-PDT in female lower genital tract diseases in China. Of note, this is the only expert consensus prepared by board-certified specialists in gynecology and obstetrics in China. More evidence-based clinical studies should be made to update and expand the current recommendations.