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本文作者对毛泽东党的执政能力建设思想作了分析和研究，重点阐述了毛泽东的加强民主集中制建设是提高党的执政能力的制度保障、改进领导方式和工作方法是提高党的执政能力的关键环节、从实际出发制订和实行正确的政策和策略是提高党的执政能力的重要内容等丰富思想。 相似文献
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Objective
The purpose of this study was to explore the predictors of delayed wound healing and their use in risk stratification for endovascular treatment (EVT) of patients with critical limb ischemia (CLI) due to isolated below-the-knee lesions.Methods
Wound healing rates were analyzed retrospectively in patients who underwent successful below-the-knee percutaneous transluminal balloon angioplasty for CLI with tissue loss between May 2008 and June 2013. We also analyzed the independent predictors of delayed wound healing and their use in risk stratification.Results
The cumulative wound healing rates were 13.9%, 43.8%, 57.7%, and 65.7% at 3, 6, 9, and 12 months, respectively. Multivariate Cox proportional hazards analysis revealed the following as independent predictors of wound nonhealing after initial successful EVT: patients with end-stage renal disease receiving dialysis (hazard ratio [HR], 2.6; 95% confidence interval [CI], 1.0-6.3; P? =?.04); albumin level <3.0 g/dL (HR, 2.0; 95% CI, 1.1-3.8; P? =?.02); C-reactive protein level >5.0 mg/dL (HR, 3.9; 95% CI, 1.6-9.6; P = .003); major tissue loss (HR, 2.1; 95% CI, 1.3-3.4; P = .003); wound infection (HR, 1.9; 95% CI, 1.2-2.9; P = .005); gangrene (HR, 1.8; 95% CI, 1.2-2.8; P = .008); wound depth (University of Texas grade 3; HR, 3.4; 95% CI, 1.4-8.6; P = .009); duration of ulcer (≥2 months; HR, 2.9; 95% CI, 1.0-8.4; P = .048); insulin use (HR, 1.7; 95% CI, 1.0-2.8; P = .04); and lack of below-the-ankle runoff (HR, 1.9; 95% CI, 1.0-3.4; P = .04).Conclusions
The general status of the patient and the target limb's condition are important predictors of wound nonhealing. Regarding the limb's condition, information on wound depth and duration in addition to wound extent and infection would further enable the selection of suitable CLI patients for EVT. Such information would also enable optimal wound management, leading to successful wound healing and improved limb salvage and survival rates. 相似文献23.
韩懋为明代著名医家,撰有《韩氏医通》《杨梅疮论治方》等医学名著。韩氏提出的"一气流行"说植根于中国古代哲学"一元论"思想,是其医学理论根基。"一气流行"说重视气的运行,认为气机不调或气虚是疾病的病因病机;"一气流行"诊脉法从气之动静理解脉象,总结了气、血、痰、火四大病机的脉象特点;韩氏临证则依气、血、痰、火分别施治,气分之病,力推香附;血分之病,力主当归;以姜汁炒香附治痰;以黄连为主治火。 相似文献
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胃癌发热属中医"内伤发热"范畴,毛宇湘教授认为其病机主要是浊毒内蕴、脾胃虚弱,兼痰湿内盛、肝气郁滞、瘀热互结、阴虚内热,治疗以健脾和胃、化浊解毒为基本原则.根据病证的不同表现,兼以化痰祛湿、疏肝解郁、清热活血、健脾益气、养阴清热之法,采用自拟方健脾除湿解毒汤、理气化浊解毒汤、活血化浊解毒汤、益气化浊解毒汤、养阴清热解毒... 相似文献
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脾虚为不荣则痛的关键,脾虚不能运化则生滞,寒滞、湿滞、食滞最为常见。滞则损伤脾胃使脾胃更虚。肝失疏泄是导致不通则痛的重要病因。此外气机为脏腑功能协调的关键,升降相因才能使脾运胃和。治疗上以健脾、运脾、醒脾为主,同时重视疏肝理气、降肺胃之气等治疗大法。根据脾胃发病特点临证常用鸡内金、白术、山药、砂仁等药物。脾虚较甚者以九味资生丸加减;肝乘胃而胃脘痛者,常用生麦芽、川楝子、柴胡、郁金、香附等疏肝解郁;肝气郁滞胃脘疼痛者,常用逍遥散或疏调气机汤为基础方加减;气机不畅者,常用下气汤为基础方降肺胃之气,补中益气汤和升陷汤为基础以升肝气。 相似文献
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子午流注指导下中药热敷治疗脑卒中后便秘临床研究 总被引：1，自引：0，他引：1
目的:探讨子午流注指导下中药热敷治疗脑卒中后便秘的疗效。方法:将脑卒中后便秘患者156例分为对照组、中药热敷组、子午流注热敷组各52例。对照组给予乳果糖口服液,在此基础上,中药热敷组给予中药封包热敷腹部,子午流注热敷组择时于卯时和辰时用中药封包热敷腹部。对比分析三组的疗效、便秘症状积分、Bristol大便性状分型。结果:中药热敷组和子午流注热敷组的便秘症状积分、大便性状分型均优于对照组(P0.05),且治疗后子午流注热敷组便秘症状积分显著低于中药热敷组(P0.05),大便性状分型正常比例和临床疗效显著高于中药热敷组(P0.05)。结论:子午流注中药热敷治疗脑卒中后便秘可以提高临床疗效,改善症状,提高生活质量。 相似文献