刺络闪火法治疗腰棘间韧带损伤

作者自1986年5月以来应用刺络闪火法治疗腰棘间韧带损伤取得满意效果。该法融按摩、刺络、闪火及复位于一体。结果表明该法不仅能消除棘间韧带的水肿,而且较好地调整损伤节段腰椎珠应和结构,从根本上促进损伤韧带的修复。     

浅谈手术室急诊急救的护理体会

患者在遭受突发疾病或创伤的打击下接受手术治疗，其生理和心理反应的变化不同程度地影响到患者对手术的心理承受能力以及术中配合和术后恢复情况，这就要求手术室护士全面掌握急诊急救理论知识和技能，快速敏捷地协助医生做好急诊急救和心理护理。现将护理体会总结如下。     

Rapid Method for Multi-residue Determination of Avermectins in Bovine Liver Using High-performance Liquid Chromatography with Fluorescence Detection

A simple method using high-performance liquid chromatography and fluorescence detection is presented for the simultaneous determination of the antiparasitic agents avermectins (abamectin, ivermectin and doramectin) in bovine liver. Samples were extracted using acetonitrile and cleaned up on an alumina SPE column and derivatized with trifluoroacetic anhydride. The derivatives were detected using fluorescence detector set at 365 nm excitation and 475 nm emission wavelengths. As the results, the limit of quantification for three avermectins was about 1 μg/kg. Inter-assay showed the mean recoveries of avermectins in bovine liver ranged from 72% to 81%, with RSD less than 9.9%.     

早产合并临床绒毛膜羊膜炎时母血和脐血中细胞因子的检测

目的：探讨早产合并临床绒毛膜羊膜炎时母血和臆血中细胞因子的变化。方法：应用ＥＬＩＳＡ法测定３１例早产合并临床绒毛膜羊膜炎孕妇（Ａ组）外周血和脐务中肿瘤坏死因子ＴＮＦα）、白细胞介素６（ＩＬ－６）和白细胞介素８（ＩＬ－８）含量,并以３５例早产孕妇作对照（Ｂ组）。结果：Ａ组母血中ＴＮＦα、ＩＬ－８均显著高于Ｂ组（Ｐ〈０．０５,脐血中ＩＬ－６显著高于Ｂ组（Ｐ〈０．０２）,母血中ＩＬ－６,脐血中ＴＮＦα和     

中医药治疗支气管扩张咯血的研究进展

近年来中医药治疗支气管扩张咯血在临床上得到广泛的应用,目前对其治疗主要是采取辨证分型治疗、专方治疗、中医药联合西药治疗及针灸等其他疗法,临床上取得很好疗效,为中医药治疗支气管扩张咯血提供了新的思路。从近几年的趋势来看,中西医结合治疗是一种趋势,表明中西医结合治疗有明显优势,可以提高疗效。同时口服中药可以提高呼吸道免疫力,加快损伤的修复,减少疾病的复发。     

Determination of Trenbolone Residual in Bovine Liver by Liquid Chromatography–Mass Spectrometry

A sensitive method was developed and validated for the quantitation of trenbolone residues in bovine liver. Target analytes were extracted from liver homogenate using solid phase cartridges, separated on a Phenyl column and detected using an electrospray ionization mass spectrometer operating in positive ion mode. The mean recovery of the analytes was between 62% and 69%. The method provided detection capabilities of 1 μg/kg for trenbolone. The method is suitable for application in veterinary drug residue in surveillance programme.     

Quantification of Nitroimidazoles Residues in Swine Liver by Liquid Chromatography–Mass Spectrometry with Atmospheric Pressure Chemical Ionization

A liquid chromatography–mass spectrometry method was developed for the simultaneous determination of ronidazole (RNZ), metronidazole (MNZ) and dimetridazole (DMZ) residues in swine liver. Following liquid–liquid extraction, the HLB solid-phase extraction was used for further purification. The targets were detected by atmospheric pressure chemical ionization (APCI) following the reverse phase liquid chromatography separation. Consequently, the detection limits for the method were 0.5 μg/kg for MNZ, 1.0 μg/kg for RNZ and 0.5 μg/kg for DMZ, respectively. The accuracies were determined using swine liver samples fortified at levels of 0.5, 1, 2, and 4 μg/kg and the mean recoveries of the analytes were between 66% and 81%.     

小剂量氯胺酮在小儿腰椎穿刺术中的应用

目的：研究小剂量氯胺酮在小儿腰椎穿刺中的应用。方法：将328例3月至5岁的有腰椎穿刺适应症的患儿随机分成A、B两组，A组应用小剂量氯胺酮（2～4mg／kg）全麻协助穿刺，B组应用利多卡因局麻协助穿刺，比较两组穿刺成功率和损伤率。并观察氯胺酮的不良反应。结果：A组穿刺成功率明显高于B组，P〈0．005，差异非常显著，损伤率A组明显低于B组，P〈0．005，差异非常显著。氯胺酮的不良反应少而轻。结论：小剂量氯胺酮协助小儿腰椎穿刺是安全可行的。     

小剂量rt-PA静脉溶栓治疗超早期心源性脑栓塞临床分析

目的探讨小剂量rt-PA静脉溶栓治疗超早期心源性脑栓塞的安全性及近期疗效。方法回顾性分析我院2008-01—2013-12超早期心源性脑栓塞患者47例,其中接受小剂量rt-PA静滴溶栓治疗24例为溶栓组,接受常规二级预防23例为对照组。比较2组治疗前后美国国立卫生研究院卒中量表(NIHSS)、Barthel指数(BI)及改良Rankin评分(mRS)。结果2组治疗前基本临床资料比较差异无统计学意义(P0.05);溶栓组NIHSS评分明显下降,BI、mRS上升,2组治疗后NIHSS评分、BI、mRS比较差异有统计学意义(P0.05),其中1例出现无症状性脑出血。对照组治疗后NIHSS评分、BI、mRS与治疗前相比差异无统计学意义(P0.05)。结论小剂量rt-PA静脉溶栓治疗超早期心源性脑栓塞是安全的,近期疗效显著。     

根管电子探测仪的临床评价

目的 评价根管电子探测仪测量根管长度的准确性.方法 选择门诊患者109人共126个根管,随机分为两组.实验组用根管电子探测仪测量其根管工作长度;对照组采用根管插针后x光线测量其根管长度,两组皆按测定的长度进行根管充填术,对比两组准确性.结果 实验组准确率92.06%,对照组确准确率90.47%,实验组准确率稍高.结论 根管电子探测仪有较高临床应用价值.