五倍子液联合金因肽治疗放射性口腔炎的疗效观察

目的 探讨五倍子液联合金因肽治疗头颈部肿瘤患者放射性口腔炎的效果.方法 随机将90例头颈部放射治疗的肿瘤患者分为2组,各45例.观察组使用五倍子液于3餐饭前30min、3餐饭后和睡前7个时间点口腔含漱,然后将金因肽喷在口腔黏膜处;对照组采用生理盐水混合剂于3餐饭前30min、3餐饭后、睡前7个时间点交替含漱.2组患者治疗过程中不采用其他药物性漱口液,坚持使用漱口液至放疗结束.2组疼痛严重患者均予静脉补充能量、抗炎治疗.观察比较2组患者放疗第3周末、第7周末口腔黏膜炎损伤及疼痛程度.结果 2组放疗后第3周末、第7周末,2组口腔黏膜炎损伤及疼痛程度比较,差异均有统计学意义(P＜0.01),观察组口腔黏膜炎损伤及疼痛程度明显轻于对照组.结论 使用五倍子液联合金因肽治疗可以减轻放射性口腔黏膜炎的损伤及疼痛程度.     

金霉素眼膏治疗小儿口角炎的疗效分析

目的 探讨金霉素眼膏治疗小儿口角炎的临床疗效.方法 回顾性分析我院收治的小儿口角炎患者的临床资料,依据治疗方式不同分为观察组(金霉素眼膏治疗组)50例和对照组(传统治疗组)30例.结果 观察组临床治疗总有效率明显高于对照组,观察组治疗后复发率为明显低于对照组治疗后复发率(P＜0.05),差异均有统计学意义.结论 金霉素眼膏治疗口角炎患儿临床效果明显,值得临床推广应用.     

利多卡因联合地塞米松对华蟾素所致静脉炎的干预效果观察

目的 观察利多卡因联合地塞米松对华蟾素所致静脉炎的干预效果.方法将本科输注华蟾素疗程的首日240例患者随机分为2组,每组各120例,实验组在静滴华蟾素前、中、后给予静脉输入利多卡因联合地塞米松;对照组则常规输入华蟾素.观察2组发生静脉炎的情况及疼痛情况.结果实验组与对照组静脉炎发生率分别为12.5%、36.7%,疼痛发生率分别为11.7%、35.8%,2组差异均有统计学意义(P<0.01).结论利多卡因联合地塞米松可使华蟾素所致的静脉炎发生率明显下降,且可减少疼痛的发生与减轻疼痛程度.     

中西医联合佐治晚期肺癌患者临床疗效观察

目的:观察中西医结合治疗晚期肺癌疗效,探讨晚期肺癌的中西医结合治疗方法.方法:68例肺癌晚期患者随机分为观察组和对照组,前者给予化疗和中药治疗,后者仅给予化疗.结果:观察组有效率58.8%,观察组有效率85.3%,观察组明显优于对照组,差异有统计学意义(P＜0.05).结论:中西医结合治疗肺癌病人可缓解病人临床症状、提高病人免疫力,减轻化疗引起的毒副反应,使患者改善睡眠,增强食欲,解除乏力,可提高患者生活质量,延长生存期.     

天仙子联合湿润烧伤膏治疗化疗性静脉炎的疗效观察

目的 探讨中药天仙子联合湿润烧伤膏治疗化疗性静脉炎的疗效.方法 将115例发生化疗性静脉炎患者,随机分为观察组58例和对照组57例,观察组采用中药天仙子联合湿润烧伤膏治疗,对照组单用湿润烧伤膏治疗.观察并比较2组化疗性静脉炎的总有效率及治疗有效时间.结果 2组总有效率及治疗有效时间比较,差异均有统计学意义(p＜0.01,p＜0.05).结论 采用中药天仙子联合湿润烧伤膏治疗化疗性静脉炎能提高有效率,缩短治疗时间,其疗效优于单用湿润烧伤膏组.     

药物联合治疗异位妊娠临床分析

目的:观察异位妊娠采用甲氨蝶蛉联合米非司酮治疗的临床效果.方法:选择异位妊娠病人62例,随机分为对照组与观察组各31例,观察组给予甲氨蝶蛉联合米非司酮联合治疗,对照组仅仅采用甲氨蝶蛉治疗;观察两组治疗后的临床情况并进行统计学分析.结果:一疗程后,两组的血β-HCG值、包块大小及住院时间各项指标比较,观察组明显小于对照组(P<0.05);观察组的有效率为93.5%明显高于对照组的80.6%,两组比较差异有显著性(p<0.05).结论:甲氨蝶蛉联合米非司酮治疗异位妊娠疗效明显高于单独的甲氨蝶蛉治疗,值得在临床中推广应用.     

吉西他滨联合顺铂治疗局部晚期非小细胞肺癌疗效观察

目的:探讨吉西他滨联合顺铂治疗局部晚期非小细胞肺癌(NSCLC)的方法和临床疗效.方法:将2006年6月至2010年6月我院收治的60例NSCLC的患者随机分为观察组40例和对照组20例,观察组采用吉西他滨联合顺铂治疗,对照组采用长春地辛、异环磷酰胺、顺铂方案化疗,比较两组患者的临床疗效及不良反应.结果:观察组的近期总有效率为82.5%(33/40)显著高于对照组的近期总有效率45.0%(9/20),P<0.05.观察组与对照组的不良反应物显著性差异,P>0.05.结论:吉西他滨联合顺铂治疗NSCLC有较好的近期疗效,不良反应可耐受,有利于改善患者的生存质量.     

40例肿瘤PICC置管临床护理

目的:探讨临床护理在肿瘤PICC置管中的应用效果.方法:选择我院2009年1月至2011年1月收治的行PICC置管化疗的肿瘤患者80例,随机分为两组,对照组40例采取常规护理,观察组40例在常规护理的基础上实施综合护理干预,对两组临床结果进行回顾性比较分析.结果:观察组治疗依从性明显优于对照组,并发症发生率明显低于对照组组,差异均有统计学意义(P<0.05),观察组导管发生脱落1例,对照组3例.结论:随着医学护理模式的改变,在肿瘤PICC置管的患者中行综合护理干预措施,可作为一种有效的辅助治疗手段,明显降低了并发症的发生率,提高了患者治疗依从性,具有十分重要的临床意义.     

美罗培南治疗重症肺炎78例临床分析

目的:探讨美罗培南治疗重症肺炎的临床疗效及注意事项.方法:选取重症肺炎患者156例,随机分为两组,两组患者均予以常规的重症肺炎给氧、对症、支持治疗,观察组给予美罗培南治疗;对照组给予左氧氟沙星、β内酰胺、头孢菌素类药物联合进行治疗.对比两组患者的体温改善、呼吸改善、不良反应、痰液致病菌清除情况、治疗后1周胸部CT表现等,综合评价治疗效果.结果:经过1个疗程的治疗后,两组患者的总有效率比较,观察组较对照组有明显优势.两组比较差异明显,有统计学意义.结论:采用美罗培南对重症肺炎患者进行治疗,能快速缓解临床症状,较为彻底的清除痰液致病菌,值得临床推广应用.     

穴位贴敷联合中药治疗慢性支气管炎疗效观察

目的 探讨穴位贴敷联合中药治疗慢性支气管炎的临床疗效.结果 纳入慢性支气管炎患者100例,随机分为观察组和对照组各50例.对照组采用抗感染、止咳、化痰等基础治疗,观察组在基础治疗同时,配合穴位贴敷联合中药治疗.结果观察组和对照组总有效率分别为96.0%和84.0%,观察组总有效率明显高于对照组(P<0.05);观察组和对照组复发率分别为6%和30%,观察组复发率明显低于对照组(P<0.05).结论 采用穴位贴敷联合中药治疗慢性支气管炎临床治愈率高,复发率低,临床疗效确切.     

The effect of amount of possession of the trait of hostility on accuracy of perception of hostility in others.

Some theories of personality hold that an individual's perception of others is influenced by his own personality characteristics; more specifically, that a trait of low social value will be projected more into others, and that insight into the possession of these characteristics reduces this distortion. These 2 hypotheses were tested by having a group of college students rate each other (including themselves) on degree of friendliness or hostility. Agreement with group rating about self yielded the insight score. In general, the hypotheses were supported; the "friendly" Ss were most accurate in their perception of others, and insight was positively associated with accurate perception. From Psyc Abstracts 36:04:4HL16M. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparison of rates of infection of two methods of emergency ventricular drainage

The rates of infection of two methods of external ventricular drainage in use at Atkinson Morley's Hospital--namely, (a) percutaneous drainage with Rickham reservoirs and (b) tunnelled ventriculostomies--were compared in this retrospective review. Percutaneous drainage of CSF with Rickham reservoirs was associated with a 27% rate of infection as identified by positive microbiological cultures; tunnelled ventriculostomy catheters had a 10% infection rate. The difference in the infection rate between the two methods was statistically significant (P < 0.015). Other variables examined, including the age and sex of the patients and the reasons for ventricular drainage, were not associated with an increased rate of infection. Most infections from either method were caused by a coagulase negative staphylococcus. The average duration of ventricular drainage before identification of positive cultures was 5.7 days for Rickham reservoirs and 6.0 days for ventriculostomies.     

浅析《野草》的版画特征

鲁迅先生一生热爱美术作品,对版画中木刻兴趣尤甚.<野草>作为其"写心之作",亦呈现出一些与木刻版画一致的审美特征:一是具有木刻版画的色彩特征,多对比、多冷色,有阴郁的美感;二是具有木刻版画的力度特征,环境描写、人物刻画处处刀锋毕现,遒劲有力,有一种"力之美".     

四辊破碎机车刀架的改造

针对四辊破碎机车刀架车削中存在的几个问题,详细介绍了电动车刀架的结构和工作原理,建立主要设计参数的数学表达式,并进行适当的分析。改造后,这种电动车刀架运行平稳、可靠、方便、省力,取得了预期的效果。     

转炉炉壳热应力分析

根据实际转炉建立实体模型。以有限元为手段,考虑了炉衬和炉壳材料的物性参数随温度变化的特点和炉衬与炉壳之间膨胀间隙,计算了转炉炉壳在温度载荷和炉衬膨胀压力同时作用下的热应力。所得结果可为转炉炉壳设计提供依据。     

Comparison of the results of surgical and conservative treatment of fractures of the diaphysis of the tibia

In this paper is treated the fundamental problematic of the fracture of the diaphysis of the tibia and the therapeutic results after the conservative and operative treatment are confronted. Among 518 patients with 433 open fractures and 35 with closed fractures of the diaphysis of the tibia, successful treatment of more 2/3 was obtained in the period from 1968 to 1972. Following our casuistics and literature, whose results are similar, we find out that the average total treatment of the osteosynthesis of the fracture of the diaphysis was shortened for 2,5 months depending upon the type and the localisation of the fracture. Apolied methods of the operative and conservative and conservative treatment in relation to the velocity of the medical cure as well as to the extreme anatomical-functional results are analised. We noticed that osteosynthesis, made by the intermedullary nail and the extension of the canals or by a small AO table, by the achieved stability makes conditions of immediate motions and an early rehabilitation. Because of that it gives the best functional results.     

焦炭热性能指标意义浅析

通过对焦炭在高炉内的历程及其变化规律的剖析,阐述焦炭热性能指标的意义,形象地把焦炭在高炉内的损耗分为三部分(M1,M2,M3)。指出M2对焦比及焦炭价格有一定的指导作用。     

Results of treatment of cancer of the cardia

Cancer of the cardia is traditionally discussed with cardiac cancer of the lower portion of the esophagus and upper gastric cancer invading the esophagus, and the specific characteristics of cancer of the cardia have never been clearly defined. We reviewed the outcome of 172 patients with adenocarcinoma of the cardia who had undergone radical surgery between 1949 and 1994 in the Division of Gastrointestinal Surgery of the Cancer Institute Hospital. The centers of the tumors were located within 2 cm above and below the boundary between the esophagus and the stomach, and their longitudinal diameter was less than 8 cm. We divided the patients into an early period (1949-1979; n = 79) and a late period (1980-1994; n = 93), and focused on the historical transition. There were no differences in patient gender or histology between the two periods. However, the late period was associated with fewer cases of esophageal invasion and shorter longitudinal diameter, as the age of the population advanced. The number of advanced cancers such as the localized and infiltrative type had decreased, and early cancer and early clinical stage had become more common, but despite the fact that the number of early cancers had increased, extended dissection, such as thoracic and paraaortic lymph node dissection, was performed more frequently. By clinical stage, the long-term outcome markedly improved in Stage I patient in the late period, and tended to improve in Stage II and III patients. This appears to have been attributable to the prevention of micrometastasis by extended dissection, although the number of early cancers is another major potential cause. There were no differences in the outcome of Stage IV patients between the two periods, and further advances in multimodality therapy must be awaited. The range of resection is basically proximal gastrectomy, and if there are adequate indications, the prognosis is favorable. In view of the status of lymphatic flow and lymph node metastasis, and long-term results, lateroaortic lymph node dissection is important. Since the number of early cancer patients has been increasing, if intraabdominal recurrence is prevented, intrathoracic lymph node dissection will contribute greatly to the outcome of such patients.     

参与式农业基地建设行动方案设计

为了编制实用性强的基地建设行动方案,首先,确定参与式发展的主体,搭建一个"决策框架";其次,针对行动目标,提出不同参与主体,如管理者、农民、消费者等团队与个人的目标及行动内容;最后,工作应向重塑伙伴式合作关系,挖掘农民自我发展潜力,完成三大角色的转换,打造农业基地文化等方向推进.