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Objective To review the presentation, diagnosis and recent developments in the pharmacological and invasive treatmentof ST elevation myocardial infarction (STEMI) with a special focus on health-care organization in order to increaseaccessibility of primary percutaneous coronary intervention (PCI). 相似文献
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目的 在接受急诊冠脉介入术(PCI)的急性ST段抬高型心肌梗死患者中,评价术前使用安心颗粒联合血栓抽吸术对心肌灌注的影响。方法 160例接受急诊冠脉介入术的急性ST段抬高型心肌梗死患者被随机分为安心颗粒组(术前顿服安心颗粒8.8 g,术后安心颗粒4.4 g/次,每日2次)和对照组。所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀。术后观察心肌呈色分级(MBG)、心电图ST段回落百分比、肌钙蛋白(cTnI)和肌酸激酶同工酶(CK-MB)峰值、左室射血分数(LVEF)、主要不良心脏事件(MACE)。结果 安心颗粒组术后的MBG分级较高(P<0.05),达到MBG 3级的患者比例较多(P<0.05),术后ST段回落百分比>70%的患者数较对照组多(P<0.05),cTnI(P<0.01)和CKMB(P<0.05)峰值时间提前。术后第30天,安心颗粒组患者的左室射血分数明显高于对照组(P<0.01)。第(30±1)天时,2组患者主要不良心脏事件发生人数无显著性差别(P>0.05)。结论 急诊冠脉介入术前使用安心颗粒,联合血栓抽吸术,能改善心肌灌注和泵功能,但对短期内主要不良心脏事件无影响。 相似文献
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Due to its own internal laws of development,Chinese medicine(CM)seems more inclined to empirical medicine in a relatively long historical period.It is considered to be lacking objective and unified clinical practice guidelines(CPGs),and the difficulties in diagnosis and therapeutic effect evaluation comes with it,have restricted its further inheritance,development and international communication.Over the years,our research group has been committed to improving the standardization theory and methodology of CM,also perfecting relative techniques for further application,which are all based on the stratified evidence scoring method.We have already applied this method to 45 issued guidelines,including 5 national guidelines,3 industrial guidelines,and 37 formulation/revision social organization guidelines.The stratified evidence scoring method has been recognized and used widely.It helps scholars and applicators to study,formulate,publish and popularize the acupuncture therapy clinical practice guidelines better,thus further promotes the development of acupuncture therapy. 相似文献
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1病例简介患儿,男,7岁,突发高热,精神萎靡,嗜睡。发病12h后厌食,呕吐3次后就诊。患儿自诉头痛,在胸部和背部发现细小皮疹。体检结果提示,患儿明显地表现为麻木状态,面色潮红,病态显著。躯干上发现一些细小的斑点状皮疹。四肢末端温度较低,而且毛细血管回流低于正常。生命体征为 相似文献
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目的 探讨劳务女工孕期血铅水平与其血压的关系,为改善围生期工作,促进孕妇健康提供参考.方法 对2008年3月至2009年11月在深圳市宝安区妇幼保健院产前门诊建卡的劳务女工孕妇进行问卷调查、血压及血微量元素浓度测定.随机选取其中897例资料完整并在深圳居住满2年者作为研究对象,采用简相关和回归方法评价血铅与血压的关系.结果 孕妇血铅均值为(45±23)μg/L;家族史、体质量指数(BMI)、血铅浓度对血压升高有预测作用;在血铅56 μg/L分界点时,两组舒张压比较差异有统计学意义(P<0.05);高铅组(血铅浓度≥100 μg/L)收缩压、舒张压均显著高于低铅组(P<0.05).结论 低铅暴露是致孕妇血压升高的危险因素之一,铅对血压的影响以舒张压更为敏感.
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Objective To observe the degree of blood lead in pregant women and the influence of different levels of blood lead on blood pressure under environmental lead exposure, in order to previde basic evidences for taking the further measures. Methods A quesionnaire survey was administed, blood pressure and the serum of microelements were tested for the pregnant women who took the prenatal examinationin the Maternal and Child Care Service Centre of Baoan between March 2008 and November 2009, gathered 897 pregnant women whose materials were complete and stayed in Shenzhen more than one year as the study objects. Compare the differences between groups distributed by quartileand carried out the pair matching study. Correlation, stepwise regression analysis and T test were usedto statistic. Results The average of blood lead was (45±23)μg/L;The Bivriate correlations showed the association between blood lead and blood pressure was positive. Stepwise regression analysis indicated family history, BMI,blood lead were predictors of increasing blood pressure. After excluding the confounding factors, on the 56 μg/L the diastolic pressure(DBP) with statistical significance (P<0.05);Blood pressure of case group was higher than that of control group with significant difference (P<0.05). Blood calcium of case group was lower than that of control group without statistical significance (P>0.05). Conclusions The results indicate the degree of blood lead of pregnant women in Shenzhen is low. Environmental lead exposure is one of the dangerous factors of increasing blood pressure .DBP is more sensitive to lead. 相似文献
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先讲一个真实的病例。半年前早春时节,田嫂因在山间水田里劳动时感受风寒,诱发旧病关节痛,听邻居说激素药强的松有消炎、止痛作用,治疗关节痛有特 相似文献
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1病历摘要患者,男,36岁。1994年2月排便时下腹部坠痛不适,大便时干时稀,带黏液,脐孔红肿,两家医院按肠炎、脐炎治疗无效。1994年5月患者自感脐部皮下肿硬,不久脐孔长出玉米粒大角状物,迅速膨胀性生长,触摸角状物无疼痛。此时,腹痛、腰痛、排便困难等全身症状亦明显加重。1997年 相似文献
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中华医学会第九次全国血液学学术会议于2006年10月20~22日在江苏省南京市召开.会议由中华医学会、中华医学会血液学分会主办,江苏省医学会承办,江苏省血液研究所、南京医科大学第一附属医院、东南大学附属中大医院协办. 相似文献
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1喘证 刘某,女,52岁.自诉喘证10余年,时轻时重,近1周加重.现呼吸急促,不得平卧,胸闷、咳嗽,咳痰稀白,咽痒,舌红苔薄,脉沉细.中医诊断:喘证.辨证:痰浊阻肺,肺气上逆,兼气阴两虚.立法:化痰降逆,益气养阴.处方:桑白皮12 g,地骨皮10 g,杭芍12 g,杏仁10 g,生甘草6 g,款冬花12 g,桔梗10g,川贝母10 g,生牡蛎30 g,太子参15 g,麦冬12g,玄参6 g,五味子3 g,法半夏10 g.7剂,每日1剂,水煎服.服药后,喘证明显减轻,已能平卧,咳痰减少,但仍胸闷.上方减玄参,加苏梗10g、炙枇杷叶10 g,继服7剂.三诊,诸症基本消失,已能正常工作、生活,上方略做调整,继服7剂巩固疗效. 相似文献
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目的 调查苏州市社区卫生服务人力资源现状及需求,从而为合理开发社区卫生服务人力提供科学依据.方法 采取整群分层随机抽样的方法,调查分析了苏州市403个社区卫生服务中心(站)、3970名社区卫生服务从业人员的现状资料.结果 主要表现为社区卫生服务中心人员富余;药品收入占总收入的比例非常高,社区卫生服务中心为57.20%,社区卫生服务站为80.05%;通过继续教育和学习,大专和本科的学历明显提高,但目前仍低于全国平均水平,尤其是社区卫生服务站学历水平低、本科水平人员少;满意度普遍较低,其中对收入状况最不满意,其次是中心(站)的总体发展状况和工作状况等.结论 坚持社区全科特色教育和服务,调整社区卫生服务中心富余人员,提高社区从业人员满意度,明确社区卫生工作预防为主的功能和定位等,才能合理开发社区卫生服务人力. 相似文献