甘草散结合针刺治疗小儿遗尿47例

目的:观察药针结合治疗小儿遗尿的疗效。方法:采用自拟甘草散(甘草、硫磺、紫河车、菖蒲、桑螵蛸、金樱子),结合针刺大钟、通里、三阴交、关元(艾灸)治疗本病47例。结果:总有效率为93.7%。结论:此疗法具有醒神开窍、理肺健脾、壮阳补肾之功效。     

支气管扩张对老年慢性阻塞性肺疾病稳定期患者的肺功能及急性加重的影响

目的 探讨支气管扩张对老年慢性阻塞性肺疾病(COPD)稳定期患者的肺功能及急性加重的影响.方法 选择2017年1月至2018年1月开封市疾病预防控制中心门诊体检的老年COPD稳定期患者30例纳入COPD组,另选择同期老年COPD合并支气管扩张30例患者纳入COPD合并支气管扩张组.对比两组第1秒用力呼气量与用力肺活量百...     

探讨改良颅窝减压术在Chiari畸形Ⅰ型患者中的应用及对脑脊液动力学的影响

目的:探讨改良颅窝减压术在Chiari畸形Ⅰ型患者中的应用及其对脑脊液动力学的影响。方法:选取2018年4月至2020年4月山西省晋城市人民医院神经外科收治的110例Chiari畸形Ⅰ型患者,男57例,女53例,年龄(38.21±4.11)岁,年龄范围为20～60岁。按照手术方法不同分为实施传统颅窝减压术的传统组( ...     

肝气虚证治初探

后世言＂肝无补法＂见肝之病必先实脾,究非《灵素》本旨,且未尽合临床,值得探讨.     

妊娠合并甲状腺功能亢进症110例临床分析

目的分析妊娠合并甲状腺功能亢进的治疗对妊娠结局的影响。方法将妊娠合并甲状腺功能亢进症孕妇105例分为治疗组68例和对照组37例。治疗组为妊娠期经过系统治疗且分娩前甲状腺功能基本正常者,对照组为未经正规系统的治疗或曾进行短暂治疗后自行停药在住院分娩前发现甲状腺功能显著升高者。比较2组孕妇甲状腺功能及妊娠结局。结果治疗组FT3、FT4水平明显低于对照组,TSH明显高于对照组;治疗组低体重儿（LBW）、早产、新生儿窒息、新生儿甲亢、新生儿甲减及新生儿黄疸的发生率均低于对照组,差异均有统计学意义（P〈0．05或P〈0．01）。结论妊娠合并甲亢需引起临床医师重视,加强孕妇甲状腺功能监测,积极治疗可减少孕妇和胎儿不良事件的发生。     

显微镜外科手术治疗脑胶质瘤的近期效果及对认知功能的影响

目的:探究与分析显微镜外科手术治疗脑胶质瘤的近期效果及对认知功能的影响。方法:回顾性分析2018年1月至2020年1月山西省晋城市人民医院神经外科收治的121例脑胶质瘤患者的临床资料,男74例,女47例,年龄(45.85±3.28)岁,年龄范围为32～67岁。根据不同手术治疗方法分为开颅组( n＝55)及显...     

食管癌、贲门癌患者外周血CD+8NKT细胞活化受体NKG2D及其分泌性配体sMICA检测的临床意义

Objective To evaluate the clinical diagnostic application and operative efficacy of the expression of NKG2D in peripheral blood CD+8 NKT cell and its ligand sMICA in patients with esophageal or cardiac carcinoma.Methods The peripheral blood NKG2D positive CD+8 NKT cell percentage was concomitantly determined by flow cytometry in 53 preoperative patients including 29 postoperative patients with esophageal or cardiac carcinoma and 30 healthy controls.The serum sMICA was determined by ELISA.Results The peripheral blood NKG2D positive CD+8 NKT cell percentage in patients was significantly lower than that in controls [(77.632±8.972) % vs (89.053±6.515) %] (t = -6.113,P ＜0.05); with stage Ⅱ,Ⅲ,Ⅳ,it decreased significantly in order (F = 99.251,P ＜0.01);with lymph node metastasis lower than that without lymph node metastasis (t = -10.384,P ＜0.01); squamous carcinoma was higher than adenocarcinoma (t =9.899,P ＜0.01); postoperative was significantly higher than preoperative (t =-4.319,P ＜0.01).The level of serum sMICA in patients was significantly higher than that in controls [(326.28±85.407) pg/ml vs (210.00±92.560) pg/ml](t =7.292,P ＜0.01); with stage Ⅱ,Ⅲ,Ⅳ,it increased significautly in order (F =63.355,P ＜0.01); with lymph node metastasis higher than that without lymph node metastasis (t =7.770,P ＜0.01); squamous carcinoma was lower than adenocarcinoma (t =-7.593,P＜0.01); postoperative was significantly lower than preoperative (t =7.027,P ＜0.01).Serum sMICA could inhibit peripheral blood CD+8 NKT cell activation receptor NKG2D (F =142.773,P ＜0.05),determination coefficient R2 = 0.7368.Conclusion The level of peripheral blood CD+8NKT cell activation receptor NKG2D and serum sMICA in patients could be an assistant indicator for     

Arnold-Chiari畸形合并脊髓空洞症的显微手术治疗

目的探讨Arnold-Chiari畸形合并脊髓空洞症（ACM-SM）的手术方式和疗效。方法对2006年1月-2008年12月收治的23例ACM-SM患者采用后颅窝减压、硬膜成形、枕大池重建术,并根据不同的临床特点行下疝扁桃体切除及脊髓中央管口疏通术。结果所有患者随访6个月-2年,症状消失和改善21例,仅2例症状恶化。所有患者中有17例来本院复查MRI,示枕大池形成14例,脊髓空洞缩小12例。结论解除后脑受压,恢复脑脊液的生理循环状态,消除空洞对脊髓的压迫、侵害,这是手术治疗ACM-SM的关键。