拉米夫定联合左旋咪唑搽剂与乙肝疫苗治疗慢性乙型肝炎的疗效

目的探讨乙型肝炎病毒（HBV）携带者的治疗途径。方法应用拉米夫定联合左旋咪唑搽荆（涂布剂）和乙肝疫苗治疗HBV携带者HBeAg，HBV DNA均阳性者510例为观察组，对照组90例只口服拉米夫定，观察6-12个月。结果治疗6个月时观察组HBeAg，HBV DNA阴转达40．0％和65．0％；对照组为20．0％和50．0％；治疗12个月时，观察组HBeAg，HBV DNA阴转达50．0％和75．0％；对照组为30．0％和60．0％。两组比较，差异有显著性（P〈0．05）。结论拉米夫定联合左旋咪唑搽荆（涂布荆）与乙肝疫苗治疗慢性乙型肝炎安全有效，用药方法简便，副作用少。费用相对经济，临床易推广。     

老年慢性肺心病与多脏器衰竭死亡原因分析

目的　探讨老年肺心病多脏器衰竭 (MSOF)的死亡情况。方法　对 2 0 4例老年慢性肺心病死亡 2 4例的临床资料进行分析。结果　老年肺心病的病死率随着年龄的增大而增高 ,且老年慢性肺心病死亡均合并多脏器衰竭。结论　治疗抢救老年多脏器衰竭 ,降低病死率 ,关键在于早期诊断和控制感染 ,纠正缺氧和二氧化碳潴留 ,改善微循环 ,纠正水电解质平衡 ,提高免疫功能等综合治疗措施     

医疗设备维修轮岗培训专家会诊管理探讨

本文分析了医院医疗设备维修现状及存在问题,探讨了医疗设备维修轮岗培训、专家会诊管理方法的作用,规范设备维修管理,进一步降低设备维修成本,增加医院的经济效益和社会效益。     

乌体林斯和黄芪注射液联用治疗缓解期哮喘的临床观察

Objective To investigate the efficacy of acupoint injections of mycobaoterium phlei F.U.36 combined with huangqi, and cordate houttuynia for stable. Methods 56 patients with stable asthma were randomized to receive acupoint injections of mycobacterium phlei F.U.36, huangqi, and cordatehouttuynia every the other day (study group, 32 patients), or conventional therapy (control group, 24 patients). The efficacy was observed in the two groups. The changes in FVC, FEV1, and VC were determined. Results The study group was superior to the control group in the total effective rate (96.87% vs 79.17%; x2=10, P< 0.01). VC, FVC, and FEV1 were markedly improved in the study group ([2.91 ± 0.64]vs [1.79 ± 0.43]L, P < 0.05; [2.09 ± 0.62]vs [1.64 ± 0.46]L, P< 0.05; [1.35 ± 0.35]vs [0.92 ± 0.70]L, P< 0.05); while they did not differ significantly in the control group before and after treatment (P< 0.05). Conclusions The efficacy of acupoint injections of mycobacterium phlei F.U.36, huangqi and cordate houttuynia for stable asthma is better than that of conventional therapy.     

脂肪肝与丙型肝炎病毒感染的相关性

目的 了解脂肪肝与丙型肝炎(丙肝)病毒(HCV)感染的关系.方法 对138例脂肪肝患者及276例体检健康正常人(对照组)的HCV感染状况进行临床分析.结果 138例脂肪肝患者中共检出抗HCV阳性16例,HCV感染率为11.6%,其中10例血清标本同时检出HCVRNA.对照组相应为4例(1.4%)和2例.比较两组的HCV二项指标阳性率,差异有显著性(P分别为0.004 2,O.016 5).结论 脂肪肝与HCV感染关系较为密切,HCV感染可能是脂肪肝成因之一,亦提示脂肪肝可能是慢性HCV感染向肝硬化演变的早期过渡阶段之一.     

医学工程人员的职业危害因素及应对措施

本文分析了医学工程人员日常工作中可能受到的职业危害因素,总结了医学工程人员进行职业健康防护的应对措施,加强职业风险意识,减少职业伤害。     

应用精益管理优化门诊流程的实践与效果

我院针对门诊流程存在的缺陷,“挂号难”、“看病烦”等问题,于2010年8月开始采用精益思维管理,实施多元化门诊流程优化措施,通过创新预约诊疗方式及门诊全预约诊疗改善门诊患者挂号环节的流动;通过挂号收费通窗、分时段就诊使工作量均衡;通过集中式服务整合资源的方法降低人力成本,减少患者跑动次数.精益管理在医院门诊管理中起着积极作用,患者等候时间明显缩短,满意度显著提高,实现患者和医院双赢.     

高血压患者的经颅多普勒观察

目的探讨高血压患者的经颅多普勒(TCD)表现。方法选取本院2001年1月～2002年12月门诊接诊及住院确诊的高血压患者285例,均行TCD检查,对检查结果进行分析。结果 183例高血压患者的TCD出现异常,异常率为64.2%。其中,有98例为低流速,占53.6%;85例为高流速,占46.4%;69例为血管峰值(S/D)升高,占37.7%;86例为血管阻力指数升高,占47.0%;99例为频谱形态异常,占54.1%;对治疗2～3个月的183例高血压患者进行TCD复查,其中TCD恢复正常和明显好转157例,占85.8%。结论 TCD检查对高血压病的诊疗及预防具有重要的临床价值。     

乌体林斯和黄芪注射液联用治疗缓解期哮喘的临床观察

Objective To investigate the efficacy of acupoint injections of mycobaoterium phlei F.U.36 combined with huangqi, and cordate houttuynia for stable. Methods 56 patients with stable asthma were randomized to receive acupoint injections of mycobacterium phlei F.U.36, huangqi, and cordatehouttuynia every the other day (study group, 32 patients), or conventional therapy (control group, 24 patients). The efficacy was observed in the two groups. The changes in FVC, FEV1, and VC were determined. Results The study group was superior to the control group in the total effective rate (96.87% vs 79.17%; x2=10, P< 0.01). VC, FVC, and FEV1 were markedly improved in the study group ([2.91 ± 0.64]vs [1.79 ± 0.43]L, P < 0.05; [2.09 ± 0.62]vs [1.64 ± 0.46]L, P< 0.05; [1.35 ± 0.35]vs [0.92 ± 0.70]L, P< 0.05); while they did not differ significantly in the control group before and after treatment (P< 0.05). Conclusions The efficacy of acupoint injections of mycobacterium phlei F.U.36, huangqi and cordate houttuynia for stable asthma is better than that of conventional therapy.     

扎鲁司特治疗哮喘的临床疗效观察

目的观察白三烯受体拮抗剂扎鲁司特治疗哮喘的临床疗效。方法60例哮喘患者随机分成对照组和观察组。对照组用抗生素、二甲羟丙茶碱0.5g、地塞米松5～15mg加入50g/L葡萄糖250ml中静脉滴注,1次/d,共7d。观察组在常规治疗基础上用扎鲁司特20mg,2次/d。结果观察组总有效率为93.7%,对照组为80.0%,两组疗效比较差异有显著性(P<0.01);两组治疗后FVC,VC,FXV与治疗前比较差异有显著性(P<0.05);观察组与对照组治疗后比较差异有显著性(P<0.05)。结论扎鲁司特治疗哮喘疗效肯定,副作用小,值得推广。