中药肾区渗透并常规治疗高血压性肾损害40例疗效观察

目的：观察中药肾区皮肤外敷渗透加西药常规治疗高血压肾损害结果。方法：将部分中药粉碎微细化处理，将另部分中药液化处理．粉液混合装袋醋浸后外敷在肾区皮肤上，用药物导入仪肾区靶点式导人人体。并用一般西医常规治疗。结果：平均治疗3周血肌酐下降23％，BUN下降26％，24h蛋白尿下降23％，尿量增加16％，收缩压下降9％，舒张压下降7％。结论：中药的肾区皮肤外敷渗透加西医常规治疗效果明显高于一般常规治疗。     

3D bioprinting in orthopedics translational research

Abstract

The repair of critical-size bone defect remains a challenge for orthopedic surgeons. With the advent of an aging society and their accompanying chronic diseases, it is becoming more difficult to treat bone defects, especially large segmental bone defects that are caused by trauma, tumors, infections, and congenital malformations. New materials and technologies need to be developed to address these conditions. 3D bioprinting is a novel technology that bridges the biomaterial and living cells and is an important method in tissue engineering projects. 3D bioprinting has the advantages of replacing or repairing damaged tissue and organs. The progress in material science and 3D printing devices make 3D bioprinting a technology which can be used to create various scaffolds with a large range of advanced material and cell types. However, in regard to the widespread use of bioprinting, biosafety, immunogenicity and rising costs are rising to be concerned. This article reviews the developments and applications of 3D bioprinting and highlights newly applied techniques and materials and the recent achievements in the orthopedic field. This paper also briefly reviews the difference between the methods of 3D bioprinting. The challenges are also elaborated with the aim to research materials, manufacture scaffolds, promote vascularization and maintain cell viability.     

医学信息管理专业网络技术模拟仿真实验教学

针对网络技术实验,采用模拟仿真的实验环境,将抽象的教学内容变成直观教学,利用基于问题的教学法培养学生科学思维,以任务驱动法激发学习积极性,实现理论与实验交叉教学     

缺血性中风运用益气活血药的规律探讨

通过对缺血性中风益气活血药的运用规律进行探讨 ,认为益气药与活血药必须协同使用 ,不可偏废 ,而且应尽可能早期使用 ,争取早日康复 ;在选药组方方面 ,必须根据气虚的脏腑归属、兼夹症及病情缓急来选择益气药 ;根据缺血性中风的不同病程阶段选用活血药 ;益气活血的用量必须根据气虚、血瘀的程度而定     

48例小儿使用静脉留置针敷贴致皮肤炎症的护理

总结48例小儿使用静脉留置针敷贴致皮肤炎症的护理经验。护理要点包括:予0.2%安尔碘消毒液定时消毒炎症皮肤,护士长进行护理查房,及时做好与患者的有效沟通。48例患儿均好转出院,无发生护理投诉。     

External Application of Herbal Medicine to Acupoints

Application of herbal medicine to acupoints is to regulate the meridians, yin-yang, and qi and blood for preventing and treating diseases through the pharmacological action of herbal medicines and with their stimulation to the acupoints. This article explains how to apply herbal medicines and gave the examples for the treatment of hypertension, asthma, chronic bronchitis and allergic rhinitis. Application of herbal medicines to acupoints is one of the important components of TCM, which shows satisfactory effects in treatment of some chronic diseases.     

中药内服外敷治疗溃疡性结肠炎临床观察

目的：观察中药内服外敷治疗溃疡性结肠炎的临床疗效。方法：用中药内服外敷治疗溃疡性结肠炎68例。结果：显效17例,有效49例,无效2例,有效率97.06%。结论：用中药内服外敷治疗溃疡性结肠炎疗效满意,是一种简便易行、疗效可靠的治疗方法。     

三香散外敷脐部配合改良式肛管排气治疗腹胀30例

临床上引起腹胀的原因很多,常见于消化系统功能障碍,轻者表现为食欲下降,睡眠紊乱,严重的可引起烦躁不安、呼吸困难、呻吟不止,甚至发生腹腔间室综合症,影响呼吸循环功能.临床上常单用三香散外敷脐部或常规的肛管排气,效果并不明显.我科自2008年～2009年对腹胀病人采用了三香散外敷脐部加一次性肛管外接一次性负压引流器进行肛管排气,取得了满意的效果,现报告如下.     

氯沙坦对原发性高血压良性小动脉肾硬化血液流变性的影响

目的观察氯沙坦对原发性高血压良性小动脉肾硬化治疗前后血液流变性的影响.方法测定72例原发性高血压良性小动脉肾硬化（HANS）和32例对照组的血液流变学及部分肾功能指标.72例HANS患者经氯沙坦治疗使血压降至正常并持续服药达12周,比较治疗前后的血液流变学指标,并观察不良反应.结果原发性高血压良性小动脉肾硬化组全血低切粘度、全血高切粘度、血浆粘度、红细胞聚集指数、刚性指数、部分肾功能指标与对照组比较,差异有显著性（P＜0.01或P＜0.05）;治疗组治疗前后全血低切粘度、全血高切粘度、血浆粘度、红细胞聚集指数比较差异有显著性（P＜0.05）.结论原发性高血压良性小动脉肾硬化患者血液流变性减退,氯沙坦可改善其部分血液流变学指标.     

三伏贴治疗支气管哮喘的临床疗效观察

目的:探讨三伏贴治疗冬天容易加重或复发的支气管哮喘的疗效。方法:纯中药按照特定方法配成药膏,在夏季三伏天,根据不同分型选择不同组穴位贴敷,连贴3年为一个疗程。结果:治疗600例支气管哮喘,随机分为治疗组和对照组各300例,对照组采取西药常规抗炎,解痉,平喘治疗,治疗组在西药常规抗炎,解痉,平喘的基础上采用三伏贴治疗,发现治疗组发病次数减少,发作程度减轻,发作后再通过治疗的时间也比对照组缩短。结论:特定时间在特定穴位上贴敷特定药物,能有效治疗支气管哮喘,且长期疗效上,三伏贴治疗支气管哮喘优于常规西药疗法。