糖尿病合并肾功能受损患者一日食谱

水晶饼 【原料】麦淀粉50克、青菜50克、胡萝卜25克，香菇适量。     

内服外敷汽浴法治疗痹证临床观察

本文总结了近年来余用我院研制的蒙药威灵仙-18味内服,黄柏-10味汤外敷,蒙药汽浴器汽浴,简称“内服外敷汽浴法”,治疗痹证（类风湿性关节炎,风湿性关节炎,风湿寒性关节痛,骨性关节炎,腰椎间盘突出症,肩关节周围炎）效果显著,现总结如下.     

不同液体术前急性高容量血液稀释对深静脉血栓病人血液流变学的影响

Objective To investigate the effects of acute hypervolemic hemodilution (AHH) with different fluids on blood rheology in patients with deep vein (femoral and iliac) thrombosis. Methods Thirty ASA I or II patients aged 40-64 yr who had developed deep vein thrombosis in 48 h and were scheduled for embolectomy were randomly divided into 3 groups ( n = 10 each) ; group I normal saline (NS) ; group II 6 % HES 200/0.5 ( HES) ; group IE gelofusine (GEL). AHH was performed with normal saline, 6% HES or gelofusine infusion at 20 ml·kg-1 ·h-1 for 40 min. MAP, HR and SpO2 were monitored. Blood loss, volume of blood transfusion and fluid infused and urine output during operation were recorded. Anesthesia was induced with fentanyl 3-5 fig/kg, etomidate 0.15-0.30 mg/kg, propofol 1-2 mg/kg and succinylcholine 1-2 mg/kg and maintained with 2% isoflurane and propofol infusion at 5-8 mg·kg-1·h-1 and intermittent iv boluses of vecuronium. The patients were mechanically ventilated (VT 8 ml/kg, RR 12 bpm). PaO2 and PaCO2 were maintained within normal range. Venous blood samples were obtained before and after AHH for measurement of hematocrit (Hct), whole blood viscocity (WBV) at low or high shear rates, plasma viscosity, RBC aggregation and RBC deformation. RBC aggregation index and RBC deformation index were calculated. Results MAP and HR were stable in all patients. The amount of blood transfusion and fluid infused was significantly less in group HES and GEL than in group NS. The WBV at low or high shear rates in group HES and GEL, Hct in all 3 groups and RBC aggregation index in group HES were significantly decreased after AHH, but the RBC deformation index was significantly increased in group HES. Conclusion Colloid is better than crystalloid and HES is better than gelofusine in improving intraoperative hypercoagulability and sluggish blood flow.     

热水手浴用于静脉保护50例疗效观察

目的：探讨长期输液病人手部浅静脉的保护。方法：比较对照组热水手浴50例与常规组42例静脉硬化情况。结果：对照组出现静脉硬化例数及程度明显低于常规组，（P＜0．01）。结论：热水手浴在静脉保护方面有一定的作用。     

急性胰腺炎的诊治进展

急性胰腺炎（acute pancreatifis，AP）是指多种病因引起的胰酶激活，继以胰腺局部炎症反应为主要特征，伴或不伴有其他器官功能改变的疾病。临床上，大多数患者的病程呈自限性；20％～30％患者临床经过凶险。总体死亡率为5％～10％。AP临床上表现为急性、持续性腹痛（偶无腹痛），血清淀粉酶活性增高大于或等于正常值上限3倍，影像学提示胰腺有（无）形态改变，排除其他疾病者。可有（无）其他器官功能障碍。少数病例血清淀粉酶活性正常或轻度增高。     

冷饭热后难消化

剩饭重热后再吃,或将剩饭炒了再吃,不少人以为这样既卫生又节约。其实,剩饭重热后再吃难以消化,久而久之可能引起胃病。 让我们先来看看米饭中所含的主要成分淀粉是怎样在体内消化吸收的吧。首先,口腔内的唾液淀粉酶将淀粉水解成糊精及麦芽糖。其次,是在小肠内由胰腺分泌的胰淀粉酶和双糖酶继     

我爱我肩

累了一天．晚上又要熬夜写策划书．到凌晨2点时才完成．此时阿玲感到双臂软弱无力．肩部酸痛得让人难受。特别困的阿玲以为睡觉休息能有所缓解．可是第二天早上起床时．还隐隐感觉到肩部疼痛。慌慌张张地忙完了家务．又赶紧换上职业套装．穿上高跟鞋上班．下楼时刚走不远肩部就像什么东西压在上面又酸又疼。     

口服吸附剂治疗慢性肾功能衰竭研究进展

口服吸附剂是治疗慢性肾功能衰竭的有效手段之一，对于延迟肾衰发展进程，减少尿毒症的发生和血液透析的次数，尤其对于慢性肾功能衰竭早期预防和治疗是非常重要的。口服吸附剂疗法由于安全有效，价格低廉，便于服用，近年来备受关注，已逐渐成为治疗慢性肾衰竭的重要手段。目前，“吸附疗法”己被列为尿毒症的现代治疗方法之一。     

藏医蒸浴配口服藏药治疗坐骨神经痛的临床观察

目的:观察藏医蒸浴疗法配口服藏药治疗坐骨神经痛的临床效果。方法:五味甘露加拉日等药物药包放入蒸汽盆中,蒸汽加热,上盖蒸浴床板蒸浴每日两次,7天一疗程。结果:治疗坐骨神经痛102例,痊愈55例,好转40例,无效7例,总有效率93%。结论:五味甘露加拉日等药物药包蒸浴是藏医治疗坐骨神经痛的传统疗法之一。     

碘伏浴疗联合阿昔洛韦治疗水痘疗效观察

2004年1月～2005年1月笔者采用50ppm碘伏浴疗联合阿昔洛韦静滴治疗水痘，收到很好的效果，并与单用阿昔洛韦组对照，现报道如下。