氨甲环酸在全膝关节置换中的应用及安全性

BACKGROUND: Studies suggested that blood loss was great during total knee arthroplasty, even blood transfusion was needed. Application of the tourniquet will destroy the coagulation system, and is not conducive to hemostasis after replacement. Recently, tranexamic acid has been extensively used to reduce blood loss during total knee arthroplasty, because of low price, simple administration pathway, and effective effects on hemostasis. OBJECTIVE: To summarize the application and safety of tranexamic acid in total knee arthroplasty. METHODS: The first author retrieved PubMed and Chinese Journal Full Text Database for articles from inception to October 2015. The key words were tranexamic acid, total knee arthroplasty, hemorrhage. More than 200 articles were retrieved, and finally 50 articles met the inclusion criteria. RESULTS AND CONCLUSION: Tranexamic acid is a fibrinolytic inhibitor, can reversibly block the binding of plasminogen to fibrin, effectively inhibit fibrinolysis, and reduce hemorrhage after total knee arthroplasty. Nevertheless, there were significant differences in the use, dose and effect of tranexamic acid on hemostasis among different studies. Tranexamic acid was an effective drug for hemostasis during total knee arthroplasty. During total knee arthroplasty, tranexamic acid had been used to reduce dominant blood loss and hidden blood loss after arthroplasty, and could not increase the risk for venous thrombosis of lower limb. Currently, the timing of use, dosage, route of administration, and possible complications of tranexamic acid remain controversial.      

急性跟腱断裂后临床康复效果的研究进展与分析

BACKGROUND:Achilles tendon is an important structure of the ankle. More and more factors result in an incresing incidence of Achilles tendon rupture. OBJECTIVE: To summarizes the latest research progress in the related factors promoting tendon healing, thus providing a scientific basis for choosing an appropriate treatment strategy. METHODS:A computer-based online search was conducted in PubMed and CNKI databases using the keywords of “Achilles tendon injury, union and functional recovery” in English and Chinese, respectively. RESULTS AND CONCLUSION: Current studies addressing tendon repair, anti-adhesion of tendon and promoting tendon healing mainly focus on the improvement in the minimally invasive surgery, suture methods and the repair and replacement of tendon sheath. The conservative treatment, traditional surgery, minimally invasive surgery, the suture method, and immobilization have been the most important and direct treatments with new ideas emerging endlessly. Selection of surgical approach and suture method depends on individual physical conditions, age and individual requirements. Repair effect of fixation with short leg plaster cast at plantar flexion position is superior to long legs. Stress stimuli both promote the healing of the Achilles tendon, and reduce tendon adhesion and anchylosis. However, how to effectively promote tendon healing and tendon strength after stress still needs further research. 中国组织工程研究杂志出版内容重点：组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程     

内蒙古自治区耐多药结核病现状与防治对策

结核病是一种严重威胁广大人民群众健康的慢性传染病,1998年内蒙古自治区结核病流行病学抽样调查结果显示,我区结核病疫情呈高感染率、高患病率、高耐药率的特点.导致我区结核病流行的众多因素中,结核病的耐药性已成为最重要的因素之一,耐药结核病尤其是耐多药结核病已成为我区结核病控制工作面临的严重挑战,本研究通过对我区耐多药结核病的疫情、现状和产生原因的分析,提出防治对策的建议,对加强我区耐多药结核病防治工作具有一定参考作用.     

女童外阴及肛周硬化萎缩性苔藓1例

患儿女,9岁,内蒙古自治区呼和浩特市人。阵发性外阴瘙痒偶伴疼痛1年。1年来无明显诱因外阴经常瘙痒,曾外用中药洗剂治疗,无明显疗效,逐渐加重,近期内患儿母亲发现其外阴颜色变浅,在当地医院诊断为“外阴白斑”,并予“维生素A软膏”外用治疗,无明显疗效,为明确诊断,于2005年11月     

黑龙江省某肿瘤专科医院 医疗服务质量综合评价与分析

摘 要：目的：以欧洲五维度健康量表（EQ-5D）指数得分为被解释变量,分析影响内蒙古自治区老年人健康相关生命 质量的因素,为相关政策的制定提供决策依据。方法：基于我国人群的效用值换算表,将欧洲五维度五水平的健康状态转化 成为 EQ-5D指数得分,采用归并回归模型分析影响内蒙古自治区老年人健康相关生命质量的因素。结果：回归分析结果显 示,年龄和慢性病的解释变量系数为负。教育水平和个人收入水平的被解释变量系数均为正。结论：年龄和慢性病与健康相 关生命质量呈负相关。教育水平和个人收入水平与健康相关生命质量呈正相关。     

内蒙古自治区中(蒙)药材种植统计数据挖掘分析

目的:中(蒙)药材作为中国独特的健康资源,在经济社会发展中发挥着重要作用,充分挖掘中(蒙)药材种植统计数据,为内蒙古自治区中(蒙)药材种植及发展提供理论依据。方法:运用空间自相关分析方法和地理探测器,对内蒙古自治区各旗县中(蒙)药材种植面积及种类的空间分布特征进行分析。结果:内蒙古自治区各旗县中(蒙)药材种植面积和种植种类在空间上差异很大,并且中(蒙)药材种植与其生境特征有着密切关系。结论:目前内蒙古自治区中(蒙)药材产业发展受环境、市场、技术和经营体制的多重制约,应发挥地方资源优势,根据地域区间差异性和区内相似性,找出中(蒙)药材适宜的种植地区。     

王志芬:不等,不靠,主动作为

内蒙古自治区妇幼保健院、儿童医院、妇产医院三位一体外迁新建项目规划占地220.56亩,建筑面积约为14.86万平方米,总投资12.53亿元,设计床位800张.目前,该项目正处于内外装修阶段.     

全国蒙医药信息化工作座谈会在呼和浩特召开

据悉,近日全国蒙医药信息化工作座谈会在内蒙古自治区呼和浩特市召开。来自内蒙古、辽宁、黑龙江、青海、新疆等省区的蒙医药信息化工作相关负责人参加了会议。     

内蒙古自治区将于2010年7月举办“髋关节疾病诊治与相关学科进展”主题的工程科技论坛

为更好促进我国髋关节疾病诊治水平提高，促进我国西部地区骨科发展，搭建学术交流平台，规范我国骨科继续教育、培养中青年骨科人才；由中国工程院医药卫生学部主办，中华医学会骨科学分会、中华医学会骨科学分会关节外科学组承办，内蒙古自治区医院、内蒙古自治区医学院附属第二医院以及《中华关节外科杂志（电子版）》协办的“工程科技论坛——髋关节疾病诊治与相关学科进展”将于2010年7月29日-8月1日在内蒙古自治区呼和浩特市召开。     

第四次全国中西医结合诊断学术交流会征文通知

为了促进全国中西医结合诊断学的学术发展和成果交流,不断提高临床诊断的学术水平,中国中西医结合学会拟定于2010年7月在内蒙古自治区呼和浩特市召开第四次全国中西医结合诊断学术交流会。现将会议征文有关事宜通知如下。