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14期杂志 文档列表

碱剩余早期动态变化与严重脓毒症和脓毒症休克患者预后的联系 作者:张长奇 韩娟 高志凌 洪峰 聂为群 王龙梅 Chang-qi Zhi-ling Wei-qun Long-mei
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规范化诊治管理模式对妊娠糖尿病妊娠结局的影响 作者:高小红 刘建安 陈爱群 Xiao-hong Jian-an Ai-qun 单位:广东省深圳市宝安区妇幼保健院妇产科 518133 中山大学公共卫生学院妇幼卫生系
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冠心病与血清高敏C反应蛋白、尿酸及血脂水平的检测与结果分析 作者:高荣香 Rong-xiang
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摘要:目的 探讨冠心病患者血清高敏C反应蛋白(hs-CRP)、尿酸(UA)及血脂水平变化及临床意义.方法 抽取冠心病与健康对照组清晨空腹静脉血,应用全自动生化分析仪对血清hs-CRP、UA、血脂进行检测.结果 冠心病组高密度脂蛋白胆固醇(HDL-C)、载脂蛋白AI(apoAI)含量低于健康对照组;hs-CRP、UA、甘油三酯(TG)、胆固醇、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白B(apoB)浓度高于健康对照组.结论 血清hs-CRP、UA及血脂水平的联合检测对冠心病的诊断具有重要意义. Abstract: Objective Discussion coronary disease blood serum high sensitivity C-reactive protein (hs-CRP),the blood lipids and the uric level change and clinical significance. Methods Extraction coronary disease group with the healthy control group early morning the empty stomach venous blood, applied the whole blood to move the biochemistry analyzer to the blood serum hs-CRP, the uric acid, the blood lipids carries on the examination. Results The coronary disease group blood serum the high density lipoprotein cholesterol and carry the lipoprotein AI content were lower than that in the healthy control group. The hs-CRP, the uric acid, the triglyceride, the low density lipoprotein cholesterol, carry lipoprotein B were higher than that in the control group. Conclusions Combined determination of the patient blood serum hs-CRP, uric acid, blood lipids level is important for the diagnosis of coronary artery disease.

血清脂蛋白(a)水平与冠状动脉病变的关系 作者:陈大顺 袁争百 韩宏华 苏振琪 Da-shun Zheng-bai Hong-hua Zhen-qi
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抑郁症自杀未遂患者的2年随访研究 作者:韩自力 程敏锋 王厚亮 Zi-li Min-feng Hou-liang
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摘要:目的 了解抑郁症自杀未遂患者的预后及其影响因素.方法 收集56例首发抑郁症自杀未遂患者的2年随访资料,分析其疗效、服药依从性和社会功能等.结果 失访率35.71%,随访患者中63.89%恢复原来的工作或学业,77.78%服药完全依从.疗效指数为3.0±1.2,疗效指数与服药依从性呈负相关.结论 提高抑郁症自杀未遂患者的服药依从性有助于改善其预后. Abstract: Objective To explore the prognosis of first-episode depressive disorder with attempted suicide and the related factors. Methods Fifty-six patients with first-episode depressive disorder with attempted suicide were evaluated by curative effect, medication compliance and social function after 2 years follow-up. Results The missing ratio was 35.71%,63.89% of patients with follow-up recovered the job or got back to school, 77.78% were in completely compliance with the doctor's advice. EI was 3.0±1.2, the score of EI was negatively related with medication compliance. Conclusions High medication compliance of patients with first-episode depressive disorder with attempted suicide may help to improve the prognosis.

吉西他滨为主的联合方案治疗晚期乳腺癌临床观察 作者:范春香 Chun-xiang
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摘要:目的 观察吉西他滨联合阿霉素或顺铂治疗晚期乳腺癌的疗效和不良反应.方法 晚期经病理确诊的乳腺癌患者45例,32例既往使用蒽环类治疗失败,予以吉西他滨联合顺铂(GP方案)化疗,13例未曾应用蒽环类治疗,予以吉西他滨联合阿霉素(GA方案)化疗,吉西他滨剂量1000 mg/m2,第1、8天,其他药物使用常规剂量,21 d为1个周期,2个周期后评价疗效,有效者为化疗4个周期以上.结果 45例患者中完全缓解(CR) 5例,部分缓解(PR)15例,稳定(SD)20例,进展(PD)5例,总有效率(CR+PR)为53.3%,不良反应主要为恶心、呕吐、脱发、骨髓抑制,但均可耐受.无化疗相关死亡病例.结论 吉西他滨为主的联合化疗方案治疗晚期乳腺癌疗效较好,不良反应可以耐受. Abstract: Objective To evaluate the efficacy and toxicity of gemcitabine based combination chemotherapy in patients with advanced breast cancer.Methods Forty-five patients with a pathologic diagnosis were enrolled in the study,patients previously failured to dariamycin-based chemotherapy received the regimen of gemcitabine plus cisplation(GP regimen),the others received gemcitabine plus doxorubicin(GA regimen), the patients were treated with gemcitabine 1000 mg/m2 infusion for 10 minutes on day 1,8. Other agents were treated with regular doses,the regimen was repeated every 21 days and the clinical response was assessed after two cycles.The effective patients recieved at least four cycles.Results CR 5 cases, PR 15 cases,SD 20 cases,PD 5 cases,the overall response rate was 44.4 %(20/45),the toxicities included myelosuppression,nausea,vomiting and alopecia,but they were tolerable, there was no death during treatment.Conclusions The regimen based on is effective in the treatment of patients with advanced breast cancer,and the toxicities are tolerable.

芬太尼骨架型透皮贴剂治疗晚期肺癌中重度疼痛疗效观察 作者:张长弓 李高峰 巫正伟 钱可宝 张勇 Chang-gong Gao-feng Zheng-wei Ke-bao
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摘要:目的 观察芬太尼骨架型透皮贴剂(多瑞吉)治疗晚期肺癌中、重度疼痛的疗效.方法 42例晚期肺癌患者,治疗前均为中、重度疼痛,给予多瑞吉镇痛治疗,每24小时评定疼痛强度、生活质量、不良反应.结果 疼痛完全缓解12例(28.6%),明显缓解27例(64.3%),总有效率92.9%,患者生活质量明显改善,不良反应发生率低,主要为恶心、呕吐、嗜睡、便秘等.结论 多瑞吉治疗晚期肺癌中、重度疼痛效果良好. Abstract: Objective To observe the the efficacy of fentanyl patches (duragesic) in the treatment of advanced lung cancer with moderate to severe pain.Methods Forty-two cases of advanced lung cancer before treatment were of moderate to severe pain,who were given duragesic analgesic treatment.To assessed pain intensity, quality of life and adverse reactions every 24 hours.Results The pain complete relief in 12 cases (28.6%), 27 cases were obvious relief (64.3%). The total effective rate was 92.9%. Patients with significant improvement in the quality of life, a lower incidence of adverse reactions, mainly include nausea, vomiting, drowsiness and constipation.Conclusions Durogesic in the treatment of advanced lung cancer with moderate to severe pain has good efficacy.

辛伐他汀对人结肠癌裸鼠移植瘤血管生成的影响 作者:刘蔚 张连峰 李建生 张宇恒 Lian-feng Jian-sheng Yu-heng
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直肠全系膜切除保肛术在低位直肠癌根治中的应用 作者:孙宇 张辉 彭俊生 庞志刚 Jun-sheng Zhi-gang 单位:广州市第八人民医院普外科 510060 中山大学附属第六医院普外科 郑州大学第二附属医院普外科
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摘要:目的 探讨低位直肠癌行直肠全系膜切除术(TME)保肛的效果和可靠性.方法 对29例低位直肠癌患者行TME吻合器吻合保肛术.结果 无手术死亡及严重并发症,术后肛门功能优良率为87.7%,肿瘤术后局部复发率为7%,3年存活率为88.2%,5年存活率为69%.结论 TME保肛术在低位直肠癌治疗具有良好根治的效果,能保留或较好保留肛门功能,同时加用术前、术后放化疗是低位直肠癌可靠的治疗方案之一,甚或首选方案. Abstract: Objective To discuss the effect and reliability of TME in infraversion rectal cancer. Methods Operating on 29 infraversion rectal cancer patients with TME.Results Here was no death in surgery and no serious complications, the rate of anal functional well performance was 87.7%. Tumor local recurrence rate was 7%, 3-year survival rate was 88.2%, 5-year survival rate was 69%.Conclusions TME has good effect in treating infraversion rectal cancer, it can preserve anal function well, is a reliable way of operation. TME method can be the first choice if added with radiotherapy and chemotherapy preoperation and postoperation.

环肺静脉电隔离联合左心房线性消融治疗阵发性心房颤动的临床研究 作者:袁义强 马长生 董建增 赵育洁 于力 王瑞敏 孙俊华 黄琼 Yi-qiang Chang-sheng Jian-zeng Yu-jie rui-min Jun-hua 单位:郑州市第七人民医院 450006 首都医科大学附属北京安贞医院
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摘要:目的 探讨环肺静脉电隔离联合左心房线性消融治疗阵发性心房颤动(PAF,简称房颤)的临床效果与安全性.方法 选择23例PAF患者,应用Ensite3000 Navx系统和Lasso电极指导下行环肺静脉电隔离及左房顶部线、峡部线消融.消融终点为:在消融过程中房颤终止,且肺静脉电位消失,或房颤不终止,但肺静脉电位消失;若在窦律下消融,肺静脉电位消失;左心房顶部及峡部线达到完全阻滞.结果 23例PAF患者均顺利完成手术,手术时间234~297 min,平均(277±41)min,X线暴光时间29~55 min,19例患者术中出现房颤,其中14例在消融过程中房颤终止且达到肺静脉电隔离,另外5例消融过程中房颤未终止,但肺静脉完全隔离.4例患者在窦性心律下完成了肺静脉电隔离.左心房顶部线全部达到完全阻滞,峡部线有2例未能达到完全阻滞.随访期间发现3个月后有86.9%的患者房颤消失或明显减少.结论 环肺静脉电隔离联合左心房线性消融治疗PAF 安全、可靠. Abstract: Objective To study the clinical efficacy and safety of circumferential pulmonary vein isolation of paroxysmal atrial fibrillation(PAF) combined with left atrial linear lesion. Methods Twenty-three PAF patients were performed circumferential pulmonary vein isolation combined linear lesion of left atrial isthmus and loof with Ensite 3000 Navx and Lasso electrodes guiding. Radiofrequency end point, atrial fibrillation stopped and pulmonary vein potentials(PVPs) disappeared, or atrial fibrillation did not stop, but PVPs disappeared. PVPs disappeared if atrial fibrillation was ablated during sinus rhythm. Left atrium loof and isthmus line were complete block.Results Twenty-three PAF patients were performed ablation, operation times were from 234 to 297 minutes, X ray time was from 29 to 55 minutes, 19 atrial fibrillations occurred during operation, of which 14 atrial fibrillations stopped with pulmonary vein isolation and linear lesion, the other 5 atrial fibrillations

健康体检人群高脂血症相关知识调查 作者:林琼申 陈力 黄雪芹 黄婷 代莉 Qiong-shen Xue-qin
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恩替卡韦治疗HBeAg阳性慢性乙型肝炎患者96周临床研究 作者:张民 付慧玲 Hui-ling
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持续喂养对早产儿喂养不耐受的影响 作者:李璟 高建慧 何淑华 栾峰 叶春红 Jian-hui Shu-hua Chun-hong 单位:广东省中山市妇幼保健院儿保科 528403 广东省中山市妇幼保健院新生儿科 528403 广东省中山市妇幼保健院妇产科 528403
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持续输注依托咪酯对腹腔镜胆囊切除术患者细胞因子和肾上腺皮质功能的影响 作者:王勇 赵庆霞 张洁 韩雪萍 Qing-xia Xue-ping 单位:郑州大学第一附属医院麻醉科 450052 郑州大学护理学院生理教研室
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布地奈德和盐酸氨溴索雾化吸入佐治毛细支气管炎的疗效观察 作者:周博
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摘要:目的 观察布地奈德和盐酸氨溴索雾化吸入辅助治疗婴儿毛细支气管炎的临床疗效.方法 总结2005年9月至2009年12月我院儿科142例诊断为毛细支气管炎患儿的临床资料,随机分为两组,对照组66例,常规应用糜蛋白酶、地塞米松雾化吸入,同时给予抗感染治疗;治疗组76例,在对照组常规抗感染治疗的基础上应用布地奈德和盐酸氨溴索雾化吸入,观察患儿临床症状、体征消失时间.结果 治疗组显效率明显高于对照组,平均咳嗽消失时间、肺部喘鸣音消失时间、肺部湿啰音消失时间均比对照组明显缩短.结论 布地奈德和盐酸氨溴索雾化吸入辅助治疗婴儿毛细支气管炎疗效显著. Abstract: Objective To observe the effects of budesonide and ambroxol hydrochloric inhalation in treatment of infant bronchiolitis. Methods One hundred and forty-two cases of pediatric bronchiolitis from September 2005 to December 2009 in our hospital were randomly divided into two groups. Control group(66 cases) were treated by chymotrypsin, dexamethasone inhalation as routine, while giving the anti-infective treatment; Treatment group(76 cases) were given budesonide and ambroxol hydrochloric inhalation based on anti-infective thenxpy.To observe the disappearance time of clinical symptoms and signs in the two groups. Results In the treatment group had significantly higher efficiency, the average time of disappearance of cough, chest wheezing disappearance time and lung wet rales disappearance time were significantly shorter than those in the control group. Conclusions Budesonide and ambroxol hydrochloric inhalation has good efficacy for infants with bronchiolitis.