十二指肠乳头周围憩室与急性胰腺炎关系的探讨

目的探讨十二指肠乳头周围憩室与急性胰腺炎的关系。方法对878例患者行十二指肠镜检查并做内镜下逆行胰胆管造影术（ERCP）。其中发现十二指肠乳头周围憩室者128例（憩室组），未发现憩室者750例（对照组）。每例患者详细记录ERCP指征及检查结果。结果胆石症检出率在憩室组为66．4％，对照组为41．3％（P〈0．001）。以急性胰腺炎为ERCP指征在憩室组为56．3％，对照组22．3％（P〈0．001）。不明原因急性胰腺炎（特发性急性胰腺炎）憩室组17．2％，对照组2．0％（P〈0．001）。结论十二指肠乳头周围憩室与急性胰腺炎发病有关。并可以认为乳头周围憩室是急性胰腺炎发病的病因之一。     

弥漫性轴突创伤的视神经病

目的:探索外伤性视神经病(TON)的病因与治疗方法.方法:根据TON损伤的程度,选择激光刺激穴位(LSP)或药物治疗.结果:TON 22例(22眼),LSP 11例11眼,治疗后2眼(18.18%)有效, 无效9眼(81.82%);药物治疗11例11眼均无效;总计有效2眼(9.09%),20眼(90 90%)仍在失明范围内, P>0.167.结论:TON治疗的效果不佳,根据临床病例和文献分析认为与弥漫性轴突的损伤有关,为今后的研究与治疗获得了新的思路.     

A quantification model of Traditional Chinese Medicine syndromes in children with idiopathic precocious puberty and early puberty

Objective

To establish a quantification model of Traditional Chinese Medicine (TCM) syndromes by sampling patients undergoing idiopathic precocious puberty (IPP) and early puberty.

Methods

A questionnaire for classifying and quantifying TCM syndromes was designed and administered. All the results were analyzed; the relationship between 3 types of syndrome and 47 symptoms were summated. Meanwhile, the frequency distribution of each symptom or sign was aggregated. Fuzzy mathematics was used to develop a quantification model of TCM syndromes.

Results

We found that precocious puberty had 3 types of syndrome, including hyperactivity of fire due to Yin deficiency (Syndrome I), depressed liver Qi transforming into fire (Syndrome II), and end retention of damp heat (Syndrome III). In the IPP group, Syndrome I was the most common principal syndrome (100%). Forty-six patients (43.81%) were diagnosed with Syndrome I accompanied by Syndrome II and 11 (10.48%) were diagnosed with Syndrome I accompanied by Syndrome III. In the early puberty group, Syndrome I was also the main syndrome (98.39%). The degrees of most symptoms were mild to moderate. Reddened tongue was the most common tongue manifestation (62.86% prevalence) in the IPP group. The most common pulse manifestations were slippery pulse, thread pulse, and taut pulse. The Asymptotic Normalization Coefficient (ANC) method was used to quantify the TCM syndromes in 167 cases. Diagnostic accuracy rate reached 91%, comparable to expert diagnosis.

Conclusion

We find that there are 3 types of syndrome in the IPP group and in the early puberty group. Syndrome I (hyperactivity of fire due to Yin deficiency) is the main syndrome in the two groups. ANC may be an appropriate for quantification model of TCM syndromes.     

安徽铜陵牡丹皮适宜采收期的研究

目的:研究安徽铜陵牡丹皮适宜采收期,为牡丹皮基地提供科学依据。方法:选铜陵2002年秋季移栽的3年生牡丹植株,2005年生长季节,每月定期采样30株,测定根干鲜重及根中丹皮酚的含量。结果:从产量上分析,6月之后,牡丹地下部显著增重,根部干物质积累平均为52.4g;从丹皮酚的含量分析,移栽3年生牡丹植株均已达到《中国药典》标准,其中以8月份丹皮酚含量较高,为2.2%。从不同年限、不同等级牡丹皮的生产率分析,移栽3年、4年干重比前1年增加率都在10%以上,移栽4年的牡丹皮一、二级所占比例较高,为47.8%。所以采收应选择移栽4年后的牡丹皮。结论:安徽铜陵牡丹皮采收年限应在移栽第4年的8月下旬～9月中旬。     

经尿道激光切除重度增生前列腺

重度前列腺增生需手术治疗。作者对４２例重度前列腺增生患者行经尿道非接触式激光治疗。根据手术前后ＡＵＡ症状评分、最大尿流率改变和残余尿改变情况，对术后６个月以上者进行随访，疗效良好者占７５％。作者还对手术操作技巧及相关问题及治疗体会进行讨论。作者认为：如能熟练掌握手术操作技术，激光治疗重度前列腺增生患者仍是安全、有效的治疗方法。     

创伤性脑缺血的研究

研究创伤性脑缺血（Traumatic brain ischemia, TBI）、血流动力学（hemodynamics, HD）、脑血流量（cerebral blood flow, CBF）、脑氧代谢（cerebral metabolic rate of oxygen, CMRO2）等各指标的改变,以及诊断与处理均获得进展。