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31.
复方麝香注射液联合脑血肿引流术治疗中老年高血压脑出血疗效观察及费用对比 总被引:6,自引:1,他引:5
目的:探讨复方麝香注射液联合微创手术治疗中老年高血压脑出血的临床疗效.方法:将78例接受微创治疗的患者随机分组,两组均采用内科综合治疗.手术对照组在综合治疗基础上加用微创手术进行脑血肿引流;中西医结合组在微创手术治疗后加用复方麝香注射液(10~20 ml/d)静脉滴注1周.结果:中西医结合组显效率(66.67%)、有效率(82.05%)均明显高于手术对照组(46.15%和69.23%,P均<0.05),存活患者日常生活能力也明显优于手术对照组(P<0.05),意识恢复时间明显短于手术对照组(P<0.05),并发症的发生率(15.38%)明显低于手术对照组(38.46%,P<0.01),病死率(5.13%)明显低于手术对照组(10.26%,P<0.01),平均住院天数[(18.29±4.93)d]明显少于手术对照组[(26.23±5.82)d,P<0.05],平均住院费用[(5 916.23±826.39)元]明显少于手术对照组[(8 168.35±1 021.21)元,P<0.05].结论:脑血肿引流术后加用复方麝香注射液治疗中老年高血压脑出血,可降低病死率,减少并发症,降低病残程度,提高生存患者的生活质量,缩短住院时间,降低治疗费用. 相似文献
32.
Background : A retrospective analysis of 103 case records from 1978 to 1996 with a provisional diagnosis of Buerger's disease was undertaken at the Department of Surgery, University of Hong Kong, Queen Mary Hospital. The aim of the study was to elucidate the clinical course and evaluate the results of surgical intervention of Buerger's disease in Hong Kong Chinese people. Methods : Fourteen patients were subsequently excluded from the study because of inability to fulfil our diagnostic criteria. Data on clinical presentation, investigations, indications and results of surgical intervention were reviewed. Sympathectomies and arterial reconstructions were performed on 42 and four patients, respectively, for critical ischaemia or rest pain. Outcome was analysed with respect to the rate of ulcer healing, pattern of recurrence and limb loss. Results : The patients were all young male heavy smokers with a mean age of 36.5 years. The majority of patients (80%) presented with ischaemic ulceration or gangrene. Vascular reconstruction was undertaken in four patients and satisfactory long-term results were obtained in three patients. Sympathectomy was able to relieve symptoms in 87% of operated patients and ischaemic ulceration healed in 2.6 (mean) ± 1.7 (SD) months after the operation. If the patient continued to smoke, surgical intervention did not exempt the patient from a relapse or amputation. Conclusion : Sympathectomy provides short-term pain relief and promotes ulcer healing in patients with Buerger's disease but carries no long-term benefit. Complete abstinence from smoking is the only means of arresting the progression of the disease. 相似文献
33.
本文用中草药红背丝绸醇提物、乙酸乙脂提取物和单体CA-1201 三种不同成分对ET-1 在动物整体及离体水平生物学效应的拮抗作用进行了研究。结果发现:这三种成分对ET-1 致小鼠进行死亡有保护作用,使得小鼠的死亡率及死亡数下降;并可拮抗ET-1 致胸主动脉的缩血管效应,醇提物和乙酸乙脂提取物(10- 7母液)拮抗ET 缩血管效应分别为57.27% 和58.61% ;CA-1201 10- 8和10- 9 M 亦能拮抗ET-1 的缩血管效应;醇提物和乙酸乙脂提取物口服及CA-1201 静脉注射后能拮抗ET-1 的升压作用,拮抗ET-1 作用均呈现明显的剂量依赖性。提示中草药红背丝绸不同成分可拮抗ET-1 的生物学效应。 相似文献
34.
35.
理气类中药对大鼠离体胃平滑肌条的作用 总被引:9,自引:0,他引:9
目的:观察理气类中药对大鼠离体胃平滑肌条运动的影响。方法:将肌条放置在灌流肌槽中,用生理记录仪记录肌条的收缩活动。结果:陈皮、枳实对胃各部位平滑肌条均为抑制效应,香附、薤白、木香、柿蒂、乌药对胃底肌条为兴奋效应,但对其他部位肌条则表现为兴奋或抑制不同的效应,沉香仅降低胃窦环行肌收缩波平均振幅,对其他肌条无影响。结论:理气类中药对大鼠离体胃平滑肌条既有兴奋作用,也有抑制作用。 相似文献
36.
37.
本文采用高效液相色谱法测定了四种中成药中淫羊藿甙的含量。以十八烷基硅烷键合硅胶为填料,柱温30℃;甲醇-0.2mol/L磷酸二氢钠水溶液(磷酸调pH=2.7)(57:43)为流动相,1ml/min;检测波长为268nm,淫羊藿甙色谱峰形对称、分离度好。所测补肾强身片、龟龄集、壮骨关节丸和前列宁冲剂中淫羊藿甙的含量分别为0.105%,0.0995%,0.0566%,0.313%。 相似文献
38.
G. M. Brieger M. Mongelli L. Y. Hin T. K. H. Chung 《International urogynecology journal》1997,8(4):191-195
The epidemiology of urinary dysfunction in a Chinese population living in Hong Kong was investigated. Fifteen hundred ethnic
Chinese women answered a telephone questionnaire including symptoms of urinary dysfunction, anthropometric measurements, obstetric
history and place of birth. The relative predictive value of these factors was analyzed using logistic regression. The prevalence
of urinary dysfunction was 13%. Ten percent reported stress incontinence, and 4% had urgency or urge incontinence. The strongest
predictor was place of birth, with women born in mainland China having the highest prevalence of pure stress incontinence
(OR 1.33, CI 1.1–1.6). For the symptoms of detrusor instability age was the strongest predictor, with women over 50 years
being at greater risk (OR 2.8, CI 1.6–5.0). Contrary to earlier beliefs, urinary dysfunction in Chinese women is as common
as in Caucasian women. Place of birth is the strongest predictor for pure stress incontinence, with women born in mainland
China being at greater risk. This suggests that environmental factors in early life have a differential effect on the development
of urinary incontinence.
EDITORIAL COMMENT: Taiwan Chinese women have a comparable prevalence of urinary dysfunction with Hong Kong Chinese women.
A survey representing a multistage sample of 82 678 women aged 18 years or older was conducted in the Taipei area from January
to June 1993. A total of 818 cases were interviewed by trained students. One hundred and eighty-nine (23.1%) of the respondents
reported having had some degree of incontinence in the preceding 12 months, 28 (3.4%) reporting regular incontinence. Most
presented with stress urinary incontinence, whereas urge incontinence and mixed incontinence were more commonly seen in the
elderly group (aged 60 years or older). The risk factors for urinary incontinence included age, number of vaginal deliveries
(>3), number of abortions (>2) and maternal history of incontinence. Voiding symptoms (irritative or obstructive) and constipation
were significantly more prevalent among respondents with incontinence than those without (P<0.001). This evidence also indicates that the long-held belief that Chinese women have a much lower prevalence of urinary
dysfunction than western women has all but ended. 相似文献
39.
40.