米索前列醇应用于晚期妊娠引产的临床研究

目的 :研究孕激素受体拮抗剂米索前列醇对妊娠晚期引产的效果。方法 :采用双盲对照法 ,选择晚期妊娠无米索前列醇禁忌证 6 0例为研究组 ,采用阴道给药总量 1 0 0mg ;另选择有关参数相同的 6 0例 ,应用催产素 ,两组观察相关指标体系进行比较。结果 :引产效果 ,分娩时间 ,宫颈评分等指标研究组均优于对照组。结论 :米索前列醇用于晚期妊娠引产效果优 ,安全     

IDO1 高表达与肺鳞癌临床分期及不良预后相关

目的 探讨不同分期肺鳞癌组织中 IDO1 的表达情况及与预后的关系。 方法 纳入河北医科大学 附属医院邢台市人民医院胸外科自 2017 年 1 月至 2019 年 1 月开展手术根治的肺鳞癌患者, 留取患者术中 癌组织标本, 用免疫组织化学染色法检测 IDO1 的表达情况, 并对患者进行术后随访。 结果 肺鳞癌组织 中有 IDO1 蛋白表达, 且临床Ⅱ ~ Ⅲ期阳性细胞数显著高于Ⅰ期。 截止随访结束时, 30 例患者中 28 例存 活, 2 例死亡, 疾病稳定 22 例 (73. 3 % ), 疾病进展 8 例 (26. 7 % )。 IDO1 高表达组和低表达组的无进展 生存期 (PFS) 分别为 26 个月和 40 个月, 差异具有统计学意义 (P< 0. 05); 高临床分期和低临床分期 PFS 分别为 33 个月和 40 个月, 差异具有统计学意义 (P< 0. 05)。 结论 IDO1 在肺鳞癌中表达量与临床分期有 关, 临床分期越高表达量越高, 患者预后也越差; IDO1 能指导临床分期和预后。     

Relationship between self-rating and polygraphic sleep parameters — analysis of compiled data from 12 young Japanese adults —

An examination of the relationship of the self-rating sleep score to polygraphic sleep parameters was conducted. The self-rating sleep questionnaire, OSA, includes five sleep quality factors: sleepiness (Fl), sleep maintenance without interruption (F2), worry about daily life or poor emotional condition (F3), integrated or perceived sleep feeling (F4) and sleep initiation or induction (F5). Polygraphic sleep parameters including each sleep stage in minutes were used. If intercorrelation coefficients exceeded 0.8, only one of the related parameters was selected for multivariate analysis. Twelve male students slept a total of 88 nights, among which the first night was not included, in an experimental room. When absolute values of Spearman’s rank correlation coefficient of not less than 0.4 were tentatively selected, the following pairs were extracted: F2 score and S1 (-0.423) or S3+S4 (0.409), F5 score and sleep latency (-0.439). Deeper sleep was closely associated with sleep maintenance without interruption. Agreement between self-rating and a polygraphic sleep parameter was recognized between the F5 score and sleep latency. Each OSA factor score was predicted by other polygraphic sleep parameters using multiple regression analysis. MT significantly contributed to the Fl, F3 and F4 scores. The number of stage shifts per night significantly contributed to the Fl and F3 scores, and the number of sleep spindles significantly contributed to the F5 score. Though prediction of sleep quality by polygraphic sleep parameters is limited, the association between concrete subjective and objective sleep parameters was clarified as mentioned above, and their practical meaning was partially elucidated.     

一期切除吻合术在左半结肠急性梗阻中的应用(附33例报告)

目的：探讨左半结肠急性梗阻如何安全实施一期切除吻合术。方法：回顾分析左半结肠急性梗阻行一期切除吻合术３３例。结果：一期愈合３１例,吻合口瘘１例,死亡率１例。结论：左半结肠急性梗阻只要正确掌握一期切除吻合术适应症,以及完善术中术后处理,可以安全施行一期切除吻合术。     

晶氧和碳酸氢钠改善第二产程母血酸碱平衡

对９９ 例经阴道分娩的产妇于第二产程开始时给予鼻导管吸氧,静脉滴注碳酸氢钠、过氧化氢碳酸酰胺（ 晶氧） ,于第二产程始末两次采母桡动脉血行血气分析。结果显示：晶氧碳酸氢钠联用组（ Ⅰ组）于第二产程结束时其ｐＨ,ＢＥ,ＰＯ２ 及Ｏ２ｓａｔ均显著高于对照组（ Ⅲ组）（ Ｐ ＜ ０ ．０５ 和＜ ０ ．０１） ,而ＰＯ２ 及Ｏ２ｓａｔ则无统计学差异;Ⅰ组与Ⅱ组ｐＨ,ＰＯ２ 及Ｏ２ｓａｔ 值于第二产程末较开始时显著升高（ Ｐ ＜ ０ ．０５ 和＜ ０ ．０１） ,ＢＥ 在该产程始末无统计学差异;Ⅲ组上述４ 指标明显下降（ Ｐ ＜ ０ ．０５ 和＜ ０ ．０１） 。各组间及组内比较ＰＣＯ２ 均无明显变化。提示第二产程中常规给予纠酸,吸氧内给氧能有效地改善产妇过度消耗所致的酸中毒和缺氧倾向。     

Patients' and doctors' perception of long-term morbidity in patients with testicular cancer clinical stage I

Patient-based questionnaires were designed with the aim to identify and rank long-term somatic and psychosocial morbidity in patients with low-stage testicular cancer. A further intention was to compare patients' assessments with experienced doctors' general opinion on quality of life items in cured testicular cancer patients. In pilot study I, 103 tumour-free patients ranked items of physical and psychosocial morbidity after having had various kinds of treatment. Though the ranking procedure appeared to cause some difficulties amongst the patients and subsequently was abandoned, the results indicated considerable differences between the patients' and doctors' evaluations. In pilot study II patients were asked to score the different items. The questionnaire of pilot study II was completed by 107 patients from the Norwegian Radium Hospital (NRH) and 99 relapse-free patients from the Royal Marsden Hospital (RMH) with testicular cancer stage I at least 1 year after infradiaphragmatic radiotherapy (n = 94) or adjuvant chemotherapy (2 cycles,n=26), or patients who had been followed on the surveillance program (n = 86). A total of 93 doctors completed a similar questionnaire, thereby expressing their general opinion on long-term morbidity in comparable testicular cancer patients as seen during routine clinical follow-up. Both the irradiated patients and those on the surveillance program reported slight degrees of Raynaud-like phenomena, neurotoxicity and ototoxicity, most probably representing background morbidity in an age-matched general male population. Doctors tended to underestimate their patients' somatic morbidity, but often overestimated the degree of psychological distress, in particular in patients on the surveillance program. Significant differences between RMH and NRH patients with regard to sexual problems and to leisure time activity may be explained by cultural differences in the two countries. The items presented in the questionnaire used identify important issues for patients cured of testicular cancer which may be used in future multicentre trans-cultural studies assessing these patients' quality of life. This will provide sufficient data for psychometric testing and, together with the findings from patients' free comments, support the final design of a testicular cancer quality of life module.     

论中药饮片的使用期

目的：研究中药饮片的使用期。方法：采用梯度升温法得到符合化学动力学的变化规律。结果：说明橘皮的成分会随着存放时间发生变化。结论：中药饮片应有合理的使用期，以更好的保证临床用药的效果。     

头针对超早期局部脑缺血大鼠的影响

目的观察头针治疗超早期脑梗死的效果并探讨作用机理。方法用 SD 大鼠制做动脉血栓性大脑中动脉局灶性脑梗死动物模型,术后2h 分别予通脑活络针刺法及尿激酶溶栓法治疗,并设模型组与假手术组。各组分别于栓塞后6h、3天及7天测量神经功能损害积分、脑梗死容积百分比、脑组织含水量、脑组织一氧化氮(NO)含量、总超氧化物歧化酶(SOD)活力及丙二醛(MDA)含量。结果术后经针刺或溶栓治疗3天及7天大鼠神经功能损害评分、脑梗死容积百分比、脑组织含水率较模型组显著减少,7天时针刺组与溶栓组神经功能损害评分、脑梗死容积百分比、脑组织含水率的比较差异无显著性。栓塞后针刺组各时间点脑组织总 SOD 活力明显高于模型组(P<0.05),而 MDA 含量明显低于模型组(P<0.05)。结论超早期通脑活络针刺法治疗急性脑梗死有明显疗效。减少氧自由基的产生、直接对神经元起到保护作用可能是其作用机理之一。     

化痰通络汤治疗缺血性中风恢复期风痰瘀阻证29例的临床观察

目的 观察化痰通络汤对缺血性中风恢复期风痰瘀阻证的临床疗效.方法 将57例缺血性中风恢复期风痰瘀阻证患者随机分为两组,治疗组29例采用化痰通络汤治疗,对照组28例采用消栓通络胶囊治疗,治疗8周后评价临床疗效.结果 两组患者治疗后神经功能缺损评分均得到明显改善(P<0.01),且治疗组优于对照组(P<0.05):治疗组的临床疗效及显效率优于对照组(P<0.05).结论 化痰通络汤治疗缺血性中风恢复期风痰瘀阻证有效.     

中成药中无机元素标准制订方法的研究

目的:获得中成药中无机元素的限量标准.方法:采用对应分析法对乌鸡白凤丸等中成药中的4种无机元素(Cu,Zn,Co,Fe)的化学分析数据进行聚类,并用人工神经网络法进行验证.结果:应用此2种方法均可将种类不同的中成药明显分开,并找出根据无机元素所分类作为研究对象的乌鸡白凤丸样本,用区间估计法获得了乌鸡白凤丸中Cu,Zn,Co,Fe 4种无机元素的限量标准.结论:对应分析法和人工神经网络法用于中成药的分类和区间估计法用于中成药的限量标准制订是可行的.