杨小红从肾虚膀胱热论治老年女性泌尿系感染经验介绍

杨小红教授是广州中医药大学硕士研究生导师,广州中医药大学第一附属医院主任医师,师从全国名老中医陈镜合,从事临床、教学、科研工作三十余年,在治疗泌尿系统疾病方面经验丰富,疗效显著。笔者跟师学习3年余,现将杨教授治疗老年女性泌尿系感染经验总结如下。     

CLINICAL AND DIAGNOSTIC FEATURES OF SCHISTOSOMIASIS JAPONICA A REVIEW OF 200 CASES

Schistosomiasis'' japonica is one of the most important parasitic diseases in China. Ever since its dscovery in this eountry (j) its inCidenee、and extent Of enilemiCity haVe bec0删：e inCreaSlngIy evident With imprOvement Of diagnoStiC methodS and a8 a reSUlt Of inVeStiga- 戗On8 made by VariOU8 W0rkerS. It iS Well knOWn that reglonS watered by the Yan或ze RiVer were rampant w托h this di8ea8e. The vast areas of endemlelty lnclude not only the territories im!mediately traversed by the main stream and its lnnumerable tributarie8 but also districts adjaeent to the mammoth bodies of water such as Great Lake（太湖）,Poyanghu t都防湖），and Tung七inghu（洞庭湖）． Thus Kiangsu（江袜），、Chekiang 【浙江），Anhwei（安徽），Kiangsi（江西），Hupeh（湖北）and Hunan （湖南） are the proVinees of high endemicity. Rampaney of the infeStation dOes nOt, hoWever, COnfine to reglOnS of tbe Central and lOWer YangtZe Valley aS eaSeS Of SChiStOSOmiaSiS have been reCOrded il土the central plains Of Szechuan(四J”) (2—4)and sou¨thwest parC of Chin可ihcluding Kwangsi（魔西）(5)and Yunnan（雷南）（艿。8）．     

The correlation between TNF-α, IL-6 in cervical mucous during follicular development and ovulation stimulation in different protocols

Objective To investigate the correlation between TNF-α and IL-6 levels in cervical mucous during follicular development and ovulation stimulation in different protocols.Methods 36 infertile women were set up as experimental groups,divided into CC, HMG, IVF-ET group,each group consisted of 12 infertile women and 15 women with normal menstrual cycles were choiced as control group.Cervical mucous during follicular phase, luteal phase and ovulation phase were collected.TNF-α, IL-6 levels in cervical mucous were measured by radioimmunology assay (RIA).Follicular development were monitored by transvaginal ultrasonagraphy.Results (1) TNF-α levels in cervical mucous of experimental groups and control group were periodically various among the reproductive cycle.It increased during follicular phase, reached to peak during ovulation phase, and decreased during luteal phase (P＜0.05).IL-6 levels had no obvious periodical changes.(2) Compared with CC and control group, levels of TNF-α,IL-6 in HMG and IVF-ET group were significantly higher (P＜0.05).(3) Levels of TNF-α and IL-6 in cervical mucous were positively correlated with the dominant follicle diameter (r=0.261, r=0.192 respectively,P＜0.05).(4) TNF-α and IL-6 showed positive correlation in the reproductive cycle (r=0.782,P＜0.05).Conclusions (1) TNF-α level shows a cyclic change in the reproductive cycle and peaks during ovulation,whereas IL-6 level does not.(2) TNF-α and IL-6 may play a certain role in the process of follicular development and ovulation.(3)The levels of TNF-α and IL-6 are up-regulated by gonadotrophic hormone.(4) TNF-α and IL-6 may have coordination properties and participate in the same biological effects.     

Comparison of clinical outcomes of frozen-thawed blastocysts transfer in natural and hormonally controlled cycles

Objectives:To assess the clinical outcomes of frozen-thawed blastocysts transfer in natural and hormonally controlled cycles.Methods:A retrospective analysis of natural and hormonally controlled cycle for 246 frozen-thawed blastocyst transfer cycles,the clinical pregnancy rate,implantation rate,early abortion rate were compared.Results:Of the 192 hormonally controlled cycles,the cancel rate,clinical pregnancy rate per ET,implantation rate and abortion rate were 7.3%(14/192),53.9%(96/178),38.8%(131/338)and 11.5%(11/96)respectively,whereas in 54 natural cycles,these rates were 16.7%(9/54),68.9%(31/45),52.9%(45/85)and 16.1%(5/31)respectively.There was no significant difference between the two groups with regard to the clinical pregnancy and abortion rate per ET,but the cancel rate and implantation rate were higher in natural cycles.However,the pregnancy and implantation rates of patients without PCOS in hormonal control cycles(57.2%,40.9%)were similar with those in natural cycles(P>0.05).Conclusion:These findings suggested that both hormonally controlled and natural cycles had similar pregnancy outcomes in frozen-thawed blastocysts transfer.     

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关于正确使用统计学符号的通知

根据国家标准ＧＢ3358— 82《统计学名词及符号》的有关规定 ,请作者书写统计学符号时注意以下规格 :①样本的算术平均数用英文斜体小写 ｘ表示 ,不用正体 Ｘ ,也不用Ｍ或Ｍｅａｎ(中位数仍用Ｍ) ;②标准差用英文斜体小写ｓ,不用ＳＤ ;③标准误用英文斜体小写ｓ ｘ,不用ＳＥ ,也不用ＳＥＭ ;④ｔ检验用英文斜体小写ｔ;⑤Ｆ检验用英文斜体大写Ｆ ;⑥卡方检验用希腊文斜体小写 χ2 ;⑦相关系数用英文斜体小写ｒ;⑧自由度用希腊文斜体小写γ ;⑨样本用英文斜体小写ｎ ;⑩概率用英文斜体大写Ｐ。关于正确使用统计学符号的通知$《北京中医药大…