天麻钩藤饮加减治疗高血压病疗效观察

目的:观察天麻钩藤饮加减治疗肝阳上亢型高血压病的临床疗效。方法:将符合选择标准的患者随机分为治疗组62例,口服珍菊降压片加天麻钩藤汤加减,对照组58例,口服珍菊降压片。结果:两组患者治疗后血压、中医证候综合疗效总有效率治疗组74.2%,对照组58.2%。结论:在治疗肝阳上亢型高血压病时珍菊降压片加天麻钩藤汤加减的疗效要明显优于珍菊降压片。     

天麻钩藤饮加减联合西药治疗高血压肝阳上亢证疗效分析

目的:探究天麻钩藤饮加减联合西药治疗高血压肝阳上亢证的疗效。方法:选取2019年10月～2020年10月收治的肝阳上亢证高血压患者84例,按随机数字表法分为两组,各42例。对照组口服西药治疗,在对照组基础上,研究组联合天麻钩藤饮加减治疗。对比两组临床疗效,治疗前后中医证候积分、血压水平及不良反应发生情况。结果:研究组治疗总有效率为95.24%,高于对照组的76.19%,差异有统计学意义(P<0.05);研究组治疗后中医证候积分为(3.06±0.42)分,收缩压为(128.54±9.61) mm Hg,舒张压为(74.10±2.14) mm Hg,分别低于对照组的(7.84±0.59)分、(138.75±10.39) mm Hg、(89.43±2.65) mm Hg,差异有统计学意义(P<0.05);两组均未见明显不良反应。结论:高血压肝阳上亢证患者采用天麻钩藤饮加减联合西药治疗,能够有效改善临床症状,稳定血压水平,疗效确切,安全可靠。     

天麻钩藤饮加减辅助治疗肝阳上亢型高血压疗效观察

目的:探讨天麻钩藤饮加减辅助治疗肝阳上亢型高血压病的临床效果。方法:按照随机对照原则将纳入的160例符合诊断的高血压患者随机分为治疗组和对照组各80例,两组均口服硝苯地平缓释片10 mg/次,2次/d。治疗组联合应用天麻钩藤饮加减方,观察两组血压改善情况和降压疗效。结果:治疗组总有效率为91.2%,对照组总有效率为81.2%,两组比较差异明显(P0.05)。治疗后两组血压均较治疗前下降,差异有统计学意义(P0.01);治疗后治疗组舒张压和收缩压与对照组比较差异明显(P0.05)。结论:天麻钩藤饮加减辅助治疗肝阳上亢型高血压有更好的效果,可改善患者临床症状。     

天麻钩藤饮治疗肝阳上亢型高血压疗效观察

目的:观察天麻钩藤饮治疗肝阳上亢型高血压患者中医证候疗效及对动态血压指标的影响。方法:60例高血压患者随机分为2组各30例。2组均常规给予降压治疗,治疗组加用天麻钩藤饮汤剂口服。疗程均为2周。观察2组中医证候疗效及对动态血压指标的影响。结果:治疗组中医证候及动态血压的疗效均优于对照组(P<0.05),治疗组治疗后血压昼夜节律有显著改善,杓型血压增多、反杓型血压减少。结论:天麻钩藤饮有利于改善肝阳上亢型高血压患者的临床症状,调节血压及昼夜节律。     

天麻钩藤饮加减联合西药治疗高血压肝阳上亢证42例的疗效

目的 探究天麻钩藤饮加减联合西药在高血压肝阳上亢证治疗中的效果。方法 选择我院2019年10月-2020年11月收治的肝阳上亢证高血压患者84例，按随机数字表法分为两组各42例。对照组口服西药，在上述基础上，研究组联合天麻钩藤饮加减治疗。对比两组治疗总有效率、中医证候积分、血压水平及不良反应。结果 研究组治疗总有效率为95.24%，高于对照组的76.19%，有统计学差异（P＜0.05）；研究组治疗后中医证候积分为（3.06±0.42）分、SBP为（128.54±9.61）mmHg、DBP为（74.10±2.14）mmHg，均低于对照组的（7.84±0.59）分、（138.75±10.39）mmHg、（89.43±2.65）mmHg，有统计学差异（P＜0.05）；两组均未见明显不良反应。结论 高血压肝阳上亢证患者采用天麻钩藤饮加减联合西药治疗能够有效改善临床症状，稳定血压水平，疗效确切，安全可靠，值得推广应用。     

天麻钩藤饮联合硝苯地平控释片治疗肝阳上亢型高血压病40例的临床疗效观察

目的:观察天麻钩藤饮联合硝苯地平控释片治疗肝阳上亢型高血压病的临床疗效。方法:将80例肝阳上亢型高血压病患者随机分为治疗组和对照组各40例,对照组给予硝苯地平控释片30 mg口服,1次/d;治疗组在对照组的基础上给予天麻钩藤饮,1剂/d,口服。治疗后,记录两组患者的血压及中医证候改善情况。结果:在血压控制方面,治疗组总有效率为95.0%,对照组总有效率为80.0%,治疗组优于对照组,P0.05;在中医证候改善方面,治疗组总有效率为97.5%,对照组总有效率为55.0%,治疗组明显优于对照组,P0.01。结论:中药天麻钩藤饮联合西药硝苯地平控释片治疗肝阳上亢型高血压疗效显著,能明显改善患者的临床症状,值得临床推广。     

天麻钩藤饮加减联合马来酸桂哌齐特治疗椎基底动脉供血不足32例

目的：观察天麻钩藤饮加减联合马来酸桂哌齐特治疗椎基底动脉供血不足疗效。方法：将确诊为椎基底动脉供血不足（中医诊断眩晕病肝阳上亢证者）的62例住院患者随机分为2组,对照组30例应用马来酸桂哌齐特等单纯西医方法治疗;治疗组32例应用天麻钩藤饮加减联合马来酸桂哌齐特等中西医结合治疗,10d为1个疗程,2组连续治疗10d后比较临床疗效,并使用彩色血管超声检查测定椎动脉血流收缩期峰值速度（PSV）。结果：治疗组有效率96.8%,明显高于对照组的80.0%,治疗组椎动脉血流速度显著改善。结论：天麻钩藤饮加减联合马来酸桂哌齐特中西医结合治疗可明显改善椎基底动脉供血,疗效优于单纯应用马来酸桂哌齐特。     

天麻钩藤饮辨证加减治疗原发性高血压伴失眠症临床疗效观察

目的:观察天麻钩藤饮辨证加减治疗原发性高血压伴失眠症的临床疗效。方法:100例原发性高血压伴失眠症患者,随机分为2组,每组50例,对照组采用西医常规治疗,观察组在对照组基础上采用天麻钩藤饮加减治疗,两组均持续治疗2个月。比较两组的临床疗效、血压水平、睡眠质量评分。结果:观察组总有效率高于对照组(P0.05)。治疗后,观察组的收缩压、舒张压、睡眠质量评分均低于对照组(P0.05)。结论:天麻钩藤饮加减用于治疗原发性高血压伴失眠症患者,具有显著的临床疗效。     

天麻钩藤饮联合卡托普利治疗高血压44例疗效观察

目的:探讨天麻钩藤饮治疗肝阳上亢型高血压的临床效果。方法:将我院86例肝阳上亢型高血压患者随机分为对照组和治疗组,对照组予卡托普利,治疗组在此基础上加用天麻钩藤饮,评估两组临床治疗效果。结果:治疗组患者总有效率明显高于对照组,P<0.05。结论:天麻钩藤饮治疗高血压符合国际高血压协会提出的治疗高血压的目标血压,可以降低心脑血管疾病和并发症,从而降低死亡率,且适宜基层医院使用。     

天麻钩藤饮治疗高血压病的疗效观察

目的观察天麻钩藤饮单独及联合依那普利治疗1级、2级原发性高血压(肝阳上亢型)的临床疗效及毒副作用。方法将90例确诊患者,随机分为治疗组30例(天麻钩藤饮治疗),对照组30例(依那普利治疗),联合组30例(天麻钩藤饮联合依那普利治疗),4周后分别对3组的血压及疗效进行测评。结果 3组血压水平均较治疗前下降,且以联合组高血压患者的收缩和舒张压的降低更满意,联合组未发生不良反应,耐受性好,作用平稳持久,有效率达96.67%。结论天麻钩藤饮单独及联合依那普利治疗1级、2级原发性高血压(肝阳上亢型)临床疗效肯定。     

Complementary and integrative medicine: An observational study on pediatric clinicians’ knowledge,beliefs and practices

ObjectiveComplementary and Integrative Medicine (CIM) is a group of diverse health care therapies that often serve as adjuncts to conventional medical treatments. Our aim for this study was to evaluate the current knowledge, beliefs and practices of pediatric clinicians regarding CIM.MethodsClinicians from the pediatric unit of a large US based teaching hospital in Connecticut were surveyed, through self-administered questionnaires.ResultsWe sampled 70 participants with a response rate of 99 %. Of the 70, 32 were Registered Nurses, 9 were Attendings, 7 were Fellows, 15 were Residents and 4 were Nurse Practitioners. Regarding use, 24 % had referred a patient to a CIM practitioner, 43 % reported using CIM while 47 % had a family member who had used CIM in the past year. Respondents were most familiar with massage (70 %) and yoga (69 %) least familiar with Ayurvedic medicine (20 %) and Qi Gong (24 %). Regarding attitude, 67 % believed that some CIM therapies hold promise for the treatment of symptoms while 59 % believed that incorporation of CIM would increase patient satisfaction. Most of the respondents indicated that they did not have easy access to clinical information on many CIM treatment modalities. Nurses were more familiar (p = 0.024), had more positive attitudes and beliefs (p = 0.001) and thought CIM therapies had a higher impact (p = 0.002) on patient care compared to physicians, even when controlled for gender.ConclusionThis study highlights the need to bridge the gap in evidence based medicine and clinician’s knowledge with the rise in CIM use. It also stresses the need for standardized learning competencies in the field of PIM.     

中国睡眠呼吸知识的普及情况调查

睡眠医学与呼吸系统密切相关,睡眠呼吸暂停事件是常见的睡眠障碍相关疾病的表现之一。睡眠呼吸暂停事件与心、脑血管疾病、内分泌疾病等密切相关,严重影响人类的健康和生活质量。虽然随着睡眠呼吸医学教育的普及,睡眠呼吸暂停低通气综合征等相关疾病逐渐引起我们的重视,然而不同群体对呼吸睡眠的认知因专业背景、宣传普及范围和力度等存在不同的水平差异。本次拟开展不同群体的教育和认知情况调查研究,初步了解中国睡眠呼吸市场的普及情况。     

If you are pregnant and smoke,admission to hospital may damage your baby's health

Summary

• ? It is recognized that smoking adversely affects the outcome of pregnancy. However, clinical experience suggested that women admitted to hospital during pregnancy smoked more than when they were at home.
• ? Forty-one women who were over 20 weeks pregnant, who smoked and had been in hospital for 2 days or more were interviewed using a structured schedule.
• ? The women had made a significant reduction in their cigarette consumption during pregnancy but on admission to hospital the number of cigarettes smoked had almost returned to the pre-pregnancy level. Boredom was seen as the main factor contributing to this increase.
• ? Strategies for reducing the effects of admission to hospital on smoking behaviour are suggested.

     

Thyroid cancer review 2: management of differentiated thyroid cancers

This is the second review article on thyroid cancer dealing with the common differentiated types that comprise 90% of thyroid cancers. Despite clinical management guidelines offered by a number of organisations including the British Association of Otolaryngologists and Head and Neck Surgeon, The British Thyroid Association, The American Association Of Endocrinologists, The American Thyroid Association and the National Cancer Centre Network, debate regarding the management of differentiated thyroid cancer continues. This is because of the absence of good quality research evidence as a consequence of the natural history of this disease.     

Sysmex KX-21血细胞分析仪复检规则的制定与评价

目的 建立血细胞分析仪的复检规则,以求合理、有效地使用血细胞分析仪,同时为使用三分群血细胞分析仪的实验室复检标准的制定提供参考依据.方法 根据医院及KX-21血细胞分析仪的特点,结合国际血液学复检专家组推荐的血细胞复检规则,制定血细胞显微镜复检标准.通过对1 700例标本血涂片进行姥微镜检查,包括人工白细胞分类和细胞形态观察,评价仪器和手工检查结果的一致性以及规则的可行性.结果 根据本复检规则和涂片镜检阳性评定标准[1]对检测结果进行统计分析,复检率为33.76%(574/1 700),真阳性率为11.88%(202/1 700),假阳性率为21.88%(372/1 700),真阴性率为64.29%(1 093/1 700),假阴性率为1.94%(33/1 700),未漏检原幼细胞.结论 国际血液学复检专家组推荐的血细胞复检规则对三分群血细胞分析仪复检规则的制定亦有指导意义.本研究制定的KX-21血细胞分析仪的复检规则符合本实验室特点.     

Oral infections related to radiation and immunosuppressive therapy

Abstract. The frequency of oral infection complications after cytotoxic chemotherapy andradiochemotherapy is significant, often contributing to serious septic infectious complications. Generally, the more intense the cytotoxic therapy, the more common are the oral infection complications. In the present review, the spectrum of oral infections related to radiation and immunosuppressive therapy are evaluated and the different local and systemic treatment modalities are presented.     

Health/Illness transition and telehealth: a concept analysis using the evolutionary method

TOPIC: Telehealth as an alternative to hospitalization. PURPOSE: Exploring the health/illness transition that occurs when an acutely ill client may be discharged into the home with telehealth in place of hospitalization or in an effort to promote an earlier discharge from the hospital. SOURCE: Published literature. CONCLUSION: The concept of the health/illness transition using telehealth has not been researched. Qualitative methods of research using interviews could enhance the knowledge in selecting appropriate individuals and nursing interventions to enhance the clients' transition from the hospital to the home with telehealth.     

Sysmex KX-21血细胞分析仪复检规则的制定与评价

目的 建立血细胞分析仪的复检规则,以求合理、有效地使用血细胞分析仪,同时为使用三分群血细胞分析仪的实验室复检标准的制定提供参考依据.方法 根据医院及KX-21血细胞分析仪的特点,结合国际血液学复检专家组推荐的血细胞复检规则,制定血细胞显微镜复检标准.通过对1 700例标本血涂片进行姥微镜检查,包括人工白细胞分类和细胞形态观察,评价仪器和手工检查结果的一致性以及规则的可行性.结果 根据本复检规则和涂片镜检阳性评定标准[1]对检测结果进行统计分析,复检率为33.76%(574/1 700),真阳性率为11.88%(202/1 700),假阳性率为21.88%(372/1 700),真阴性率为64.29%(1 093/1 700),假阴性率为1.94%(33/1 700),未漏检原幼细胞.结论 国际血液学复检专家组推荐的血细胞复检规则对三分群血细胞分析仪复检规则的制定亦有指导意义.本研究制定的KX-21血细胞分析仪的复检规则符合本实验室特点.     

介入放射技术在妇产科临床运用探讨

目的探讨介入放射技术在妇产科临床诊断与治疗的应用可行性与安全性．方法临床34例患者，16例为剖宫产术后反复大出血者，3例为顽固性功能性子宫出血者，10例为晚期官颈癌者，5例为子宫肌瘤者。34例经Scldinger介入放射技术诊断与治疗。结果经介入放射技术诊断与治疗，34倒不同的患者得到及时、准确、有效的诊断与治疗，未见并发症和后遗症。结论介入放射技术在妇产科临床运用安全、有效。     

加强对人类健康影响重大的内分泌代谢病防治

以联合国名义直接作出决议的疾病只有艾滋病和糖尿病,国际糖尿病联盟(IDF)发表的新的糖尿病防治指南,展现了在糖尿病预防与诊治方面的最新进展。甲状腺疾病流行病学、临床及实验室研究和长期随访,填补了我国在世界卫生保健数据库中的空白。