中国实用医刊杂志
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中国实用医刊杂志


  • 主管单位:中华人民共和国卫生部
  • 主办单位:中华医学会河南分会
  • 影响因子:0.8
  • 下单时间: 1个月内
  • 国际刊号:1674-4756
  • 国内刊号:11-5689/R
  • 全年订价:¥ 408.00
  • 起订时间:
  • 创刊:1972年
  • 曾用名:中原医刊
  • 周期:半月刊
  • 出版社:中国实用医刊
  • 发行:河南
  • 语言:中文
  • 主编:秦省
  • 邮发:36-23
  • 库存:199
  • 邮编:450003
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中国实用医刊 2010年第12期杂志 文档列表

复方苦参注射液联合EP方案治疗小细胞肺癌的临床研究 作者:孙威
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两种术式治疗贲门癌的比较 作者:霍前伦 Qian-lun
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危重症患儿应激性高血糖的监测及预后 作者:曾乐辉 Le-hui
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吉西他滨联合适形放射治疗局部晚期胰腺癌 作者:孙衍伟 张荣华 周嘉云 苏彤 梁军 迟玉华 安永恒 Yan-wei Rong-hua Jia-yun Yu-hua Yong-heng 单位:山东省日照市人民医院肿瘤科 276800 青岛大学附属医院肿瘤科
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儿童腺样体扁桃体切除前后血清炎性介质的动态变化 作者:周宣岩 陶谦 张峰 高振峰 吕凌燕 Xuan-yan Zhen-feng Ling-yan
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慢性肺源性心脏病患者血浆CGRP和SP水平的测定 作者:王珍珍 谢新立 阮翘 Zhen-zhen Xin-li 单位:河南省肿瘤医院 郑州 450008 郑州大学第一附属医院核医学科
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后腹腔镜下肾切除术 作者:张珂珂 杨锦建 贾占奎 金志波 Ke-ke Jin-jian Zhan-kui Zhi-bo
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摘要:目的 探讨后腹腔镜下肾切除术的临床应用价值.方法 回顾性分析我院自2008年5月至2009年9月68例后腹腔镜下肾切除术患者的临床资料.首先清除腹膜外脂肪,打开肾周筋膜,沿腰大肌方向分离至肾蒂,游离肾动脉、肾静脉及输尿管,并用Hem-o-lok夹闭后离断之,继续游离肾脏.延长腰部切口,将患肾取出.结果 所有患者除1例因肾蒂周围粘连较严重,无法分离中转开放外,均获成功,未发生周围脏器及大血管损伤等严重并发症.手术时间60~120 min,平均90 min,失血量50~150 ml,平均100 ml.术后2~3 d拔除创腔引流管.术后平均住院时间8~10 d,平均9 d.平均随访5个月,对侧肾功能正常.结论 后腹腔镜肾切除术损伤小,住院时间短,患者恢复快. Abstract: Objective To investigate the clinical efficacy of retroperitoneal laparoscopic surgery in nephrectomy. Methods The way was retrospective analysis of 68 patients who were our in-patients and took the operation of retroperitoneal laparoscopic nephrectomy from May 2008 to September 2009. First of all, cleaning the extraperitoneal fat and then open the perirenal fascia,freeing the tissue along with psoas to renal pedicle and next freeing renal artery,renal vein and ureter,occlusing them with Hem-o-lock and then disconnected them,continuing freeing the kidney. Elongating the incision in the waist,taking out the kidney with tuberculosis. Results Only one case in all patients changed the operation type into opening since the adhesion around the renal pedicle was so serious that the target couldn't be freed clearly. All operations turned out to be successful and had no serious complications like the injury of large vessels and important organs around. Operation times are among 60 mins to 120 mins, 90 mins on average and blood losses are between 50 ml and 150 ml, 100 ml on average. Taking off the drainage tube 2 to 3 days after operations. The hospital stays after operations were 8-10 days, 9 days on average. The average

转化生长因子-β1、基质金属蛋白酶组织抑制物-1、基质金属蛋白酶-1在绝经后盆腔器官脱垂患者阴道壁组织中表达的研究 作者:张丽丽 张菊新 刘广芝 Li-li Ju-xin Guang-zhi 单位:郑州大学第一附属医院 450052 河南省人民医院
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A型肉毒毒素治疗特发性眼睑痉挛及Meige综合征的临床观察 作者:黄月 张杰文 成巧梅 叶松岩 赵宁 Jie-wen Qiao-mei Song-yan
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摘要:目的 探讨A型肉毒毒素治疗特发性眼睑痉挛及Meige综合征的疗效.方法 采用A型肉毒毒素局部多点注射治疗特发性眼睑痉挛及Meige综合征32例,对治疗前后的病情随访并进行分级比较.结果 症状完全缓解20例,占62.5%,明显缓解11例,占34.4%,部分缓解1例,占3.1%,疗效平均持续约3~6个月,复发者重复注射仍有效且剂量无增加,局部不良反应轻微、短暂.结论 局部注射A型肉毒毒素治疗特发性眼睑痉挛及Meige综合征是一种安全有效且简便易行的方法,可重复注射. Abstract: Objective To explore the efficacy of botulinum toxin type A (BOTOX-A) for treatment of blepharospasm and Meige syndrome. Methods Local multi-point injection of BOTOX-A was performed for 32 patients of blepharospasm and Meige syndrome. The efficacy and side effects were compared between the results before and after injection. Results Symptoms of 62.5% of the patients were completely relieved,34.4% were obviously relieved,3.1% were partially relieved. The average of therapeutic efficacy lasted 3 to 6 monthes.It was effective to the recurrent patients repeated with injection.Local untoward effect was light and transient. Conclusions Local injection of BOTOX-A is a simple,effective and safe therapy for blepharospasm and Meige syndrome.

生物燃料烟雾暴露对农村健康女性肺功能的影响 作者:徐欣欣 颜燕 易浩宇 Xin-xin Hao-yu 单位:河南省信阳市中心医院 464000 泰山医学院
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摘要:目的 探讨生物燃料烟雾暴露对农村健康女性肺功能的影响,提高预防慢性阻塞性肺疾病的意识.方法 对120名农村健康女性进行肺功能检测,分析生物燃料烟雾暴露对肺功能的影响.结果 生物燃料烟雾暴露组部分肺通气功能以及小气道功能较对照组均有明显降低,差异有统计学意义.结论 农村生物燃料烟雾暴露女性在尚无临床症状时肺通气功能已明显降低,尤其以小气道功能受损最为严重. Abstract: Objective Studying the effect of bio-fuel smoke exposure on pulmonary function of healthy women in rural areas to improve the awareness of preventing chronic obstructive pulmonary disease. Methods We applied to 120 healthy women in rural areas and analysed the effect of bio-fuel smoke exposure on pulmonary function. Results Both part ventilation of bio-fuel exposure group and small airway function obviously decreased compared with the control group,and the difference was statistically significant. Conclusions When the women exposured on bio-fuel smoke in rural areas had no clinical symptoms, their ventilation had reduced obviously, particularly small airway function being most serious.

不同剂量新斯的明拮抗国产顺式阿曲库铵肌肉松弛效应的观察 作者:薛文华 赵杰 Wen-hua
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摘要:目的 观察不同剂量的新斯的明拮抗国产顺式阿曲库铵肌肉松弛的效应.方法 将36例ASA Ⅰ~Ⅱ级择期手术患者分为三组,每组12例,分别给予新斯的明20、35、50 μg/kg拮抗国产阿曲库铵肌肉松弛作用,并测定各组TOF0.70的时间.结果 新斯的明20 μg/kg产生的肌肉松弛恢复弱于35 μg/kg和50 μg/kg.而35 μg/kg和50 μg/kg所产生的肌肉松弛拮抗效果相似.结论 新斯的明剂量由20 μg/kg增加到50 μg/kg时,肌松拮抗加快,35 μg/kg为较理想的拮抗剂量. Abstract: Objective To investigate the effect of different doses of neostigmine administration on recovery from cisatracrium induced neuromuscular blockade. Methods Thirty-six patients(ASA Ⅰ and Ⅱ) were divided into three groups(each twelve),and received neostigmine 20,35 and 50 μg/kg respectively. Results The speed of recovery from cisatracurium-induced neuromuscular blockade with neostigmine 20 μg/kg was lower as compared with 35 μg/kg and 50 μg/kg,but the difference was not significant between with neostigmine 35 μg/kg and 50 μg/kg. Conclusions Recovery from cisatracurium-induced neuromuscular blockade was accelerated when dose of neostigmine was increased from 20 μg/kg to 50 μg/kg,35 μg/kg is the optimal dose of neostigmine for reversal of cisatracufium-induced neuromuscular blockade.

小儿手足口病216例诊治分析 作者:胡学文 何国华 吴艳红 彭盛 林卫江 Xue-wen Guo-hua Yan-hong Wei-jiang 单位:南方医科大学附属佛山妇幼保健院儿科 广东佛山 528000 佛山市南海区妇幼保健院综合科 南方医科大学附属佛山妇幼保健院病案室 广东佛山 528000
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摘要:目的 加强对小儿手足口病流行病学及临床诊治特点的认识.方法 对216例小儿手足口病的流行病学及临床诊治特点进行分析.结果 广东南方地区手足口病全年均有发病,四季发病率无明显区别;皮肤黏膜疱疹有多样性临床表现;静脉输注丙种球蛋白或同型血浆治疗早期重症病例疗效显著.结论 正确认识手足口病的流行病学和临床特点对其防治至关重要,静脉输注丙种球蛋白或同型血浆可有效减少早期重症病例恶化. Abstract: Objective To recognize the epidemiology and clinical features of HFMD in children. Methods Epidemiology and clinical characteristics of 216 children with HFMD were analyzed. Results HFMD occurs all the year around in the southern part of Guangdong province, and the incidence of HFMD has no obvious difference during a year. There were varies clinic types of herpeson skin or mucous membrane.Immunoglobulin or plasma can be used to cure severe cases which on early stage. Conclusions Correct knowledge about HFMD is important to it's prevention. Critical cases deterioration can be effectively reduced by the use of immunoglobulin or plasma.

劳务女工孕期血铅水平与血压相关性研究 作者:高小红 林深婷 严应元 刘建安 Xiao-hong Shen-ting Ying-yuan Jian-an 单位:深圳市宝安区妇幼保健院妇产科 518133 北京大学医学部妇幼卫生系 中山大学公共卫生学院妇幼卫生系
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摘要: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. Abstract: 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

不典型肾血管平滑肌脂肪瘤诊断与治疗 作者:马宏祥 杨剑 徐旺 冯秀忠 Hong-xiang Xiu-zhong
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摘要:目的 探讨不典型肾血管平滑肌脂肪瘤的误诊原因,提高其诊治水平.方法 回顾性分析20例不典型肾血管平滑肌脂肪瘤患者的临床资料.20例均行B超检查,17例行CT扫描,10例行MRI扫描,8例行IVU检查.5例接受保守治疗,15例接受手术治疗,其中3例行肿瘤剜除术,5例行肾部分切除术,7例行肾癌根治术.结果 B超诊断肾血管平滑肌脂肪瘤12例(12/20),CT诊断肾血管平滑肌脂肪瘤9例(9/17).5例保守治疗者获得随访,肿瘤大小无明显变化,无转移.15例手术治疗者术后病理检查均为肾血管平滑肌脂肪瘤,随访未见肿瘤转移或复发.结论 大部分肾血管平滑肌脂肪瘤可通过B超、CT等影像学检查明确诊断;对于不典型肾血管平滑肌脂肪瘤,术前应仔细分析影像学检查,必要时应根据术中冰冻切片决定手术方案,减少不必要的肾切除. Abstract: Objective To investigate the misdiagnosis causes of atypical renal argiomyolipoma(RAML), and to improve its diagnosis and treatment. Methods We retrospectively analyzed the clinical datas of 20 patients with atypical RAML.Twenty cases made B-ultrasonography,17 cases made CT scan,10 cases made MRI scan,8 cases made IVU examination. of all patients, 5 cases were treated conservatively,15 cases underwent operations, 3 cases underwent tumor enucleation, 5 cases underwent partial nephrectomy, and 7 cases underwent radical nephrectomy. Results The positive diagnosis rate of ultrasonography and CT scan was 60%(12/20) and 53%(9/17). The 5 cases treated conservatively had no change by follow-up, no significant change in tumor size, without metastasis.Fifteen cases underwent operations were confirmed RAML after postoperative pathological examination, no tumor metastasis or recurrence in follow-up. Conclusions The majority of RAML can be diagnosed definitely by ultrasonography and CT scan. As to atypical RAML, we should carefully analyze image information before operation. Necessarily, we can decide operational plan accor

FOLFIRI一线治疗晚期结直肠癌近期疗效观察 作者:隋海洋 张伟杰 张嫣 王留兴 Hai-yang Wei-jie Liu-xing
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摘要:目的 观察FOLFIRI方案即伊立替康联合5-氟尿嘧啶(5-FU)及亚叶酸钙(LV)作为一线治疗晚期结直肠癌的近期疗效及毒性反应.方法 2007年6月至2009年7月,共32例晚期结直肠癌患者接受FOLFIRI方案化疗.FOLFIRI方案具体用法:伊立替康180 mg/m2静脉滴注90 min,第1天:LV 200 mg/m2与伊立替康同时滴入,持续时间相同,在5-FU之前,第1天和第2天;5-FU 400 mg/m2静脉推注,然后600 mg/m2持续静脉滴注22 h,第1天和第2天.14 d为1个周期.结果 32例可评价疗效患者平均治疗6个周期,总有效率为40.6%,中位缓解期7个月,无死亡病例.骨髓抑制为主要毒性反应,Ⅰ~Ⅳ度骨髓抑制发生率为71.9%;Ⅰ~Ⅱ度迟发型腹泻发生率56.2%.结论 FOLFIRI方案治疗晚期结直肠癌有效率高,毒性反应可以耐受,可作为治疗晚期结直肠癌的一线方案. Abstract: Objective To evaluate the short-term efficacy and toxicity of FOLFIRI as first-line treatment in advanced colorectal cancer. Methods From June 2007 to July 2009, 32 patients with advanced colorectal cancer received FOLFIRI chemotherapy.Regimen: irinotecan 180 mg/m2 iv drop in 90 minutes d1;LV 200 mg/m2 with irinotecan and the same time,before 5-FU,d1-2;5-FU 400 mg/m2 iv in blous, 600 mg/m2 iv drop in 22 hours, d1-2.14 day as a cycle. Results 32 cases can be appraised received 6 cycles of average therapy,the total response rate was 40.6%,the median overall survival was 7 months.The main toxic reaction was myelosuppression,Ⅰ~Ⅳ Grade myelosuppression 71.9%.Ⅰ-Ⅱ grade delayed diarrhea 56.2%. Conclusions FLOFIRI is effective for advanced colorectal cancer and the toxicreaction is tolerable.