老年妇女绝经后阴道流血的原因分析与治疗对策探讨

目的探讨分析老年妇女绝经后阴道流血的原因及治疗方案。方法回顾分析2007年1月-2011年12月我院接收的211例绝经后阴道流血及血性白带为主要症状的女性患者,排除因妊娠引起流血的病例,对其余患者进行妇科检查、经阴或腹部B超检查、TCT检查及宫腔镜下病理活检。观察分析所有患者的阴道流血的病因及病变程度。结果依据本组患者的各项检查及病理报告可分为：生殖器官炎症125例,子宫肌瘤18例,恶性肿瘤53例,其他15例。结论绝经早期阴道流血多数患者由生殖器官良性病变引起的,但随着绝经时间的延长,恶性程度越高,针对病因选取恰当的治疗方式才是行之有效的方案。     

Women,Health, and Films

No abstract available for this article.     

Myocardial perfusion imaging in humans by contrast echocardiography using polygelin colloid solution

This study evaluated the myocardial contrast effect and safety of polygelin colloid solution selectively injected into the coronary arteries in 25 patients during two-dimensional echocardiography. Six patients (group I) had selective intracoronary injections of nonagitated and 19 (group II) of hand-agitated polygelin colloid solution. Myocardial contrast was seen on two-dimensional echocardiographic cross sections in three patients of group I and in all patients of group II; in 16 patients it was also seen on M-mode echocardiograms. The contrast effect lasted for 15 to 60 seconds. The intensity of myocardial opacification was not significantly influenced by the amount of polygelin colloid solution injected, heart rate or cardiac size. The total number of contrast-enhanced segments after right and left coronary artery injections delineated the entire cross-sectional area in any given view. None of the patients developed symptoms during or immediately after the injections. One patient had transient second degree atrioventricular block after a right coronary wedge injection, one patient showed a QRS axis shift and two others had transient T wave changes. There were no aortic blood pressure changes and no significant serum enzyme (creatine kinase [CK], CK-MB fraction, glutamic oxaloacetic transaminase) elevation or alterations of left ventricular function assessed echocardiographically. It is concluded that hand-agitated polygelin colloid solution is a useful and safe intracoronary contrast agent for delineating myocardial perfusion areas on two-dimensional echocardiography in humans.     

用于人体局部微循环监测的便携式近红外检测仪

近红外技术在生物医学中应用越来越广泛,已涉及到指述的诊断和治疗.本文针对更年期妇女经常出现的潮热、局部充血等症状,研发了一套用于人体局部微循环状态监测的便携式近红外检测装置,能够同步监测人体体温和局部血容量的变化.系统由便携式监护仪和配套的PC机及相应软件组成.便携式监护仪采用腰带式设计,温度测量精度为0.2℃,在人体体温区段(35～40 ℃)精度可达到0.1℃;所测血容量的变化与体温变化一致,即体温升高,局部血液循环加快,血容量增加.配套PC机及软件主要完成对监护仪的控制、数据的传输、处理、存储等任务.     

Induced abortion in China and the advances of post abortion family planning service

<正>This is a review of current situation of induced abortion and post abortion family planning service in China. Induced abortion is an important issue in reproductive health. This article reviewed the distribution of induced abortion in various time, areas, and population in China, and explored the character, reason, and harm to reproductive health of induced abortion. Furthermore, this article introduces the concept of Quality of Care Program in Family Planning, and discusses how important and necessary it is to introduce Quality of Care Program in Family Planning to China.     

乌灵胶囊作为黛力新的增效剂治疗卒中后抑郁疗效的Meta分析

目的：系统评价乌灵胶囊作为黛力新的增效剂治疗卒中后抑郁（PSD）的疗效和安全性。方法系统检索 PubMed 、Cochrane 图书馆、万方医学网、中国知网、EMbase 和 Web of Science 等数据库中关于乌灵胶囊作为黛力新的增效剂治疗 PSD 疗效的随机对照试验（RCT ）。截止时间设定到2016年2月。两名评价员根据预先设定的标准独立地进行文献筛选和数据提取,Meta 分析使用 RevMan 5.2软件。结果共有11篇 RCT 符合纳入标准。 Meta 分析结果显示,与单用黛力新相比,乌灵胶囊联合黛力新能更好地降低抑郁评分（SM D ＝－1．72,95％ CI ＝－2．08～－1．36,P ＜0．01）和神经功能缺损评分（SM D ＝－1．27,95％ CI ＝－1．80～－0．74,P ＜0．01）,总有效率更高（RR ＝1．12,95％ CI ＝1．05～1．19,P ＜0．01）,且不良反应更少（RR ＝0．54,95％ CI ＝0．35～0．83,P ＜0．01）。结论乌灵胶囊作为增效剂能显著提高黛力新治疗 PSD 的疗效,且安全性更好。     

血清视锥蛋白样蛋白-1水平对卒中后认知障碍的临床诊断价值

目的探讨卒中后认知障碍(PSCI)患者血清视锥蛋白样蛋白-1(VILIP-1)水平及其临床诊断价值。方法选取2014年11月至2015年4月石河子大学第一附属医院神经内科收治的110例脑梗死患者,于卒中后三个月行蒙特利尔认知评分(MOCA)将患者分为认知障碍组53例,认知正常组57例,通过酶联免疫吸附法(ELISA)检测血清VILIP-1水平,通过绘制受试者工作特征曲线(ROC)分析VILIP-1对PSCI的诊断价值。结果认知功能障碍组血清VILIP-1水平(530.72±72.05pg·m L~(-1))显著高于认知功能正常组(373.41±50.00pg·m L~(-1))(P0.01);Pearson相关分析示,血清VILIP-1水平与MOCA评分呈负相关(r=-0.724,P0.001);以VILIP-1水平来判断PSCI,ROC曲线下面积为0.939(P0.001),当选取VILIP-1界值为424.527 pg·m L~(-1)时,其敏感度为90.57%,特异度为94.74%,阳性准确率为94.12%,阴性准确率为91.53%,总准确率为92.72%。结论 PSCI患者血清VILIP-1水平升高,且其敏感度、特异度较好,对PSCI有一定的临床诊断价值。     

Development of Diabetes Mellitus Following Kidney Transplantation: A Canadian Experience

The onset of diabetes mellitus following kidney transplantation or post-transplant diabetes mellitus (PTDM) is now recognized as being an increasingly common complication that is associated with poor graft and patient survival. The incidence and clinical correlates of PTDM in a Canadian kidney transplant population has not been examined and may vary based on differences in demographics (i.e. race). Furthermore, little information exists on the association of variables such as cumulative dose of corticosteroids and trough calcineurin inhibitor levels and PTDM. We examined all recipients of a kidney transplant in our center between 1995 and 2001 and found an overall PTDM rate of 9.8%. Five clinical factors were independently associated with PTDM: older recipient age, deceased donor, hepatitis C antibody status, rejection episode and use of tacrolimus (vs. cyclosporine). Furthermore, cumulative corticosteroid dose and calcineurin inhibitor trough level were not associated with PTDM. This study demonstrates that in a Canadian kidney transplant population that there is a significant risk of PTDM following kidney transplantation, and it is therefore advisable to minimize this risk.     

髋臼骨折术后个体化三维有限元模型的建立

目的 建立可靠的个体化髋臼骨折术后三维有限元模型,并对其进行力学分析.方法 选择髋臼双柱骨折患者1例行骨盆CT扫描,Mimics 10.01(Metarialise公司交互式医学影像控制系统)重建三维模型,Magic 9.9软件对模型进行面网格修饰,经体网格划分及附材质后构建个体化髋臼骨折术后有限元模型,导入有限元分析软件Abaqus 6.9加载并分析各部位应力特点.结果 建立了个体化髋臼骨折术后三维有限元模型.加载并行有限元分析结果表明应力沿骶髂关节向前后柱传导,左右侧髋臼前壁、臼顶负重区、髋臼后壁出现应力集中,且两侧应力均值无明显差异.与正常髋臼相应区域比较,发生骨折的髋臼在骨折线分布区出现明显应力增高,左侧正常髋臼应力均值为1.19 Mpa,右侧术后髋臼应力均值为1.48 Mpa,有明显差异.结论 利用Mimics建立的个体化髋臼骨折术后有限元模型,具有较高真实性和精确度,有限元法为髋臼骨折术后评价提供了一种有效的生物力学方法.     

重组人生长激素对肝癌切除术后患者低蛋白血症的调理作用的研究

目的观察重组人生长激素（rhGH）对肝癌切除术后患者低蛋白血症的调理作用。方法40例肝癌切除术后并低蛋白血症患者随机分为治疗组（20例,基础治疗＋低热量肠外营养支持＋rhGH）和对照组（20例,基础治疗＋低热量肠外营养支持）,观察两组患者营养指标、血浆蛋白浓度变化及并发症发生率。结果治疗7d后,治疗组血浆白蛋白、前白蛋白、转铁蛋白明显升高,对照组变化不明显。两组间比较,差异显著（P〈0．01）。治疗组较对照组并发症明显减少。结论低热量营养支持加rhGH联合应用能迅速有效改善肝癌切除术后患者的营养代谢障碍,增强肝脏合成蛋白能力,提高血浆蛋白含量,降低并发症的发生率,改善肝癌切除术后患者的预后。