Rhubarb for the Treatment of Patients Who Have Suffered from cerebral hemorrhage
复方大黄软膏外敷治疗晚期腹部恶性肿瘤患者腹胀的临床研究
论著·社区中医药CHINESE COMMUNITY DOCTORS 中国社区医师2020年第36卷第22期腹胀作为临床常见的症状,是影响晚期恶性肿瘤患者生活质量的重要因素之一,虽然腹胀并没有统一的诊断及评价标准,但是对患者、家属以及医生都会造成许多困扰。
现在肿瘤领域的研究主要集中在针对肿瘤疾病本身的研究,而对恶性肿瘤并发症的一些问题,并没有给予足够的关注,虽然临床针对晚期恶性肿瘤的一些症状群有研究,如疼痛-苦恼-疲乏、恶心-食欲不振-呕吐以及睡眠不安-健忘-悲伤等,而针对腹胀问题的研究相对较少,但是不能不正视它对晚期恶性肿瘤患者所造成的危害,因此,我们有必要开展一些相关的临床研究,以期能缓解这一问题对患者造成的伤害,提高患者的生活质量。
首先晚期腹部恶性肿瘤患者腹胀的原因较复杂,但主要为恶性肿瘤腹膜转移导致的腹水,及胃肠功能障碍导致的胀气两大原因居多,从中医角度来看,主要为气机不畅,水道不通,如余俊仁,在加味六磨汤敷脐治疗恶性肠梗阻的临床疗效观察[1]、付晓峰[2]在当归芍药散加味治疗肝脾血瘀型恶性腹水临床观察中均阐释了上述病机。
中药散剂或膏剂外敷,作为常用的中医治法之一,在恶性肿瘤的治疗中具有重要的地位,如秦传蓉等[3]采用中医外治法在恶性肿瘤治疗中的研究进展、苏菲等[4]在中医外治法在晚期肿瘤胸腹腔积液患者中的应用进展中均有相关总结。
而复方大黄软膏的主要作用机理即行气消胀、通调水道。
复方大黄软膏系我院院内制剂“七消散”的膏剂,有比较长的院内应用经验,最初是用于治疗急性胰腺炎,在张帆等[5]运用七消散外敷治疗急性胰腺炎的疗效观察中,辅用七消散能更快的缓解腹胀、腹痛等症状,减少并发症发生,缩短住院时间;这一研究也为我院将七消散制成院内制剂打下了基础。
而为了方便临床的应用,皮凤娟等[6]将七消散制成了膏剂,取名复方大黄软膏,为了保证质量,分别复方大黄软膏外敷治疗晚期腹部恶性肿瘤患者腹胀的临床研究张彬646000泸州市中医医院,四川泸州doi:10.3969/j.issn.1007-614x.2020.22.043基金项目2017年泸州市科技局科技计划项目/泸州市卫计委科研课题[2017-S-46(2/2)]摘要目的:探讨复方大黄软膏外敷对晚期腹部恶性肿瘤患者腹胀的疗效及安全性。
注射用重组人脑利钠肽联合左西孟旦治疗重症顽固性心力衰竭的临床效果分析
药物与临床DOI:10.16662/ki.1674-0742.2023.30.103注射用重组人脑利钠肽联合左西孟旦治疗重症顽固性心力衰竭的临床效果分析独步原,丁大胜,马常乐新沂市人民医院心内二科江苏新沂221400[摘要]目的分析重症顽固性心力衰竭(refractory heart failure, RHF)治疗中左西孟旦+重组人脑利钠肽(注射用)的作用。
方法随机选择2020年1月—2023年7月在新沂市人民医院接受治疗的70例重症RHF患者,以随机数表法分为两组,35例/组,以重组人脑利钠肽(注射用)治疗的纳入对照组,在对照组基础上加用左西孟旦治疗的划入观察组。
对比两组患者疗效、心功能指标、心肌损伤标志物及不良反应。
结果观察组总有效率为97.14%,较对照组的77.14%高,差异有统计学意义(χ2=4.590,P<0.05)。
治疗后,观察组左心室射血分数高于对照组,左室后壁厚度、心室间隔厚度、左室舒张期内径低于对照组,差异有统计学意义(P<0.05)。
观察组心肌肌钙蛋白I、N末端B型脑钠肽前体均低于对照组,差异有统计学意义(P<0.05)。
两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。
结论重组人脑利钠肽+左西孟旦治疗重症RHF效果确切,心功能改善明显,且可保障药效与安全性。
[关键词]顽固性心力衰竭;重组人脑利钠肽;左西孟旦;不良反应[中图分类号]R453 [文献标识码]A [文章编号]1674-0742(2023)10(c)-0103-04Clinical Effect of Recombinant Human Brain Natriuretic Peptide for Injec⁃tion Combined with Levosimendan in the Treatment of Severe Refractory Heart FailureDU Buyuan, DING Dasheng, MA ChangleDepartment of Cardiology II, Xinyi People's Hospital, Xinyi, Jiangsu Province, 221400 China[Abstract] Objective To analyze the effects of levosimendan + recombinant human brain natriuretic peptide (inject⁃able) in the treatment of critical refractory heart failure (RHF).Methods70 patients with severe RHF who received treatment in Xinyi People's Hospital from January 2020 to July 2023 were randomly selected and divided into two groups by random number table, with 35 cases/group. Those treated with recombinant human brain natriuretic peptide (for injection) were included in the control group, and those treated with levosimendan on the basis of the control group were included in the observation group. The efficacy, cardiac function indexes, myocardial injury markers and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 97.14%, which was higher than that of the control group (77.14%), and the difference was statistically significant (χ2= 4.590, P<0.05). After treatment, the left ventricular ejection fraction in the observation group was higher than that in the control group, and the left ventricular posterior wall thickness, interventricular septum thickness, and left ventricu⁃lar end-diastolic diameter were lower than those in the control group, and the difference was statistically significant (P <0.05). Myocardial troponin I and N-terminal B-type brain natriuretic peptide precursors in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). There was no sta⁃tistically significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Re⁃combinant human brain natriuretic peptide plus levosimendan is effective in the treatment of severe RHF, with obvi⁃ous improvement in cardiac function, and can ensure efficacy and safety.[Key words] Refractory heart failure; Recombinant human brain natriuretic peptide; Levosimendan; Adverse reaction [作者简介] 独步原(1986-),女,本科,主治医师,研究方向为心内科临床。
人凝血因子检验方法
人凝血因子检验方法引言人凝血因子是一组在血液凝固过程中起关键作用的蛋白质。
凝血因子检验是评估一个人的凝血功能是否正常的重要方法。
本文将介绍人凝血因子检验的方法,包括常用的实验室检测方法和新兴的分子诊断技术。
1. 凝血因子简介人体内共有13种已知的凝血因子,它们按照其参与凝血反应的顺序被编号为Ⅰ至ⅩⅢ。
这些凝血因子在正常情况下相互协作,形成一个复杂而精确的平衡系统,以维持正常的止血和溶栓过程。
2. 常用实验室检测方法2.1 凝血酶原时间(PT)PT是评估外源性凝血通路功能的指标。
该测试使用钠柠檬酸抗凝剂处理患者的血液样本,然后添加磷酸钙和组织因子来启动凝血反应。
通过计算患者样本中形成凝块所需时间来确定PT值。
2.2 部分凝血活酶时间(APTT)APTT是评估内源性凝血通路功能的指标。
该测试使用钠柠檬酸抗凝剂处理患者的血液样本,然后添加磷酸钙和活化的部分凝血活酶来启动凝血反应。
通过计算患者样本中形成凝块所需时间来确定APTT值。
2.3 血小板计数和出血时间除了凝血因子本身,血小板也是维持正常止血过程中不可或缺的组成部分。
进行完整的凝血功能检查时,还需要评估患者的血小板计数和出血时间。
3. 分子诊断技术近年来,随着分子生物学技术的不断发展,越来越多的新兴检测方法被应用于人凝血因子检验中。
3.1 多重PCR多重PCR(Polymerase Chain Reaction)是一种高效且灵敏的分子生物学技术,可以同时检测多个基因突变。
在人凝血因子检验中,多重PCR可以用于快速筛查常见突变引起的凝血因子缺陷。
3.2 基因测序基因测序是一种直接测定DNA序列的方法。
通过对凝血因子相关基因进行全序列测定,可以发现罕见突变或新的基因变异,为凝血功能异常的诊断提供更准确的依据。
3.3 基因芯片技术基因芯片技术是一种高通量的基因分析方法,可以同时检测上千个基因。
在人凝血因子检验中,基因芯片技术可以用于快速筛查多个凝血相关基因的变异。
大黄芒硝外敷在会阴水肿的应用研究
大黄芒硝外敷在会阴水肿的应用研究发布时间:2022-06-08T12:00:11.072Z 来源:《中国医学人文》2022年1月1期作者:周华英罗文婷[导读]周华英罗文婷(昆山市第六人民医院妇产科;江苏昆山 215300)【摘要】目的:评估会阴水肿患者实施大黄芒硝外敷治疗的应用效果。
方法:对60例本医院实施治疗的会阴水肿予以项目研究,信息采集时间为2020年2月至2021年2月,以随机数字表法为分组方案,对照组(n=30常规湿敷治疗)、观察组(n=30大黄芒硝外敷治疗),统计及对比组间治疗前后指标、临床效果情况。
结果:(1)会阴水肿患者治疗前指标无组间统计学差异性(P>0.05)。
观察组的会阴水肿患者对比对照组患者治疗后疼痛、水肿评分统计指标较低,具备组间统计学差异性(P<0.05)。
(2)观察组的会阴水肿患者(96.67%)对比对照组患者(76.67%)临床效果统计指标较高,具备组间统计学差异性(P<0.05)。
结论:会阴水肿实施大黄芒硝外敷治疗效果确切,能够显著改善患者疼痛及水肿症状。
【关键词】会阴水肿;大黄;芒硝[Abstract] Objective: To evaluate the effect of external application of rhubarb Mirabilite in patients with perineal edema. Methods: 60 cases of perineal edema treated in our hospital were studied. The information collection time was from February 2020 to February 2021. Taking the random number table method as the grouping scheme, the indexes and clinical effects before and after treatment in the control group (n = 30 conventional wet compress treatment) and the observation group (n = 30 rhubarb mirabilite external application treatment) were counted and compared. Results: (1) there was no significant difference in the indexes of patients with perineal edema before treatment (P > 0.05). The statistical indexes of pain and edema scores in the observation group were lower than those in the control group (P < 0.05). (2) The patients with perineal edema in the observation group (96.67%) had higher statistical indexes of clinical effect than those in the control group (76.67%), which had statistical difference between the groups (P < 0.05). Conclusion: external application of rhubarb and mirabilite is effective in the treatment of perineal edema, which can significantly improve the symptoms of pain and edema.【 key words 】 perineal edema; chinese rhubarb; Mirabilite会阴水肿多发于分娩期间,患者因分娩损伤、胎儿体重较大、孕程时间长等因素的共同影响,发生会因为只水肿、疼痛症状[1]。
中药活血化瘀汤治疗卵巢囊肿的治疗效果
中药活血化瘀汤治疗卵巢囊肿的治疗效果发布时间:2022-04-29T02:24:18.830Z 来源:《健康世界》2022年3期作者:丛文秀[导读] 目的探讨分析对卵巢囊肿患者采用中药活血化瘀汤进行治疗的效果。
方法本次研究对象均为卵巢囊肿患者丛文秀七台河市妇幼保健院 154600【摘要】目的探讨分析对卵巢囊肿患者采用中药活血化瘀汤进行治疗的效果。
方法本次研究对象均为卵巢囊肿患者,共计80例,收治时间范围介于2020年5月到2021年11月之间。
按照双盲法对患者分组,其中40例设为甲组采用大黄蛰虫丸治疗,另外40例设为乙组采用中药活血化瘀汤进行治疗。
观察对两组的治疗效果。
结果比较两组的治疗效果,乙组优于甲组(P<0.05);比较两组治疗后的卵巢直径,乙组低于甲组(P<0.05)。
结论根据本次研究的结果可以确认,对卵巢囊肿患者采用中药活血化瘀汤进行治疗的效果极为确切,能够有效控制患者的病情,改善患者的卵巢状态,值得大力推广。
【关键词】卵巢囊肿;活血化瘀汤;中医中药;治疗效果;对比分析 [Abstract] Objective To explore and analyze the effect of Huoxue Huayu Decoction on patients with ovarian cyst. Methods the subjects of this study were 80 patients with ovarian cyst. The treatment time ranged from May 2020 to November 2021. The patients were divided into groups according to the double-blind method, of which 40 cases were treated with rhubarb Zhezhuang pill in group A and 40 cases were treated with Huoxue Huayu Decoction in group B. The therapeutic effects of the two groups were observed. Results the therapeutic effects of the two groups were compared. Group B was better than group A (P < 0.05); The ovarian diameter of group B was lower than that of group A (P < 0.05). Conclusion according to the results of this study, it can be confirmed that the effect of Huoxue Huayu Decoction in the treatment of patients with ovarian cyst is very accurate. It can effectively control the patient's condition and improve the patient's ovarian state, which is worthy of vigorous promotion.【 key words 】 ovarian cyst; Huoxue Huayu Decoction; Traditional Chinese medicine; Therapeutic effect; comparative analysis 卵巢囊肿属于临床上比较常见的一种妇科疾病,患者在发病后其卵巢表面或者是内部会出现囊状结构,这将会引发患者出现下腹坠胀感等不适症状。
排毒保肾丸治疗慢性肾脏病3~4期的临床研究
排毒保肾丸治疗慢性肾脏病3~4期的临床研究王水华;刘永芳;陈帮明;吴兆东;王国斌;黄红恩;魏林;钟利平【期刊名称】《中国中西医结合肾病杂志》【年(卷),期】2015(0)6【摘要】目的:观察排毒保肾丸(大黄虫丸加减)治疗慢性肾脏病(CKD)3~4期中医辨证兼血瘀证和湿浊证患者的疗效。
方法:将符合入选标准的 CKD3~4期辨证兼血瘀证和湿浊证患者284例随机分为治疗组和对照组各142例,治疗组和对照组在常规治疗的基础上分别给予排毒保肾丸和包醛氧淀粉胶囊治疗,疗程均为16周。
观察两组患者血瘀证和湿浊证中医证候的变化,以及24 h 尿蛋白定量(24 h UP)、血纤维蛋白原(Fg)、尿素氮(BUN)、肌酐(Scr)、估算肾小球滤过率(eG-FR)的改变,判定疾病疗效,记录不良反应。
结果:治疗组血瘀证和湿浊证主症、次症均得到改善(P ﹤0.05或 P ﹤0.01),中医证候总有效率分别为90.5%和58.9%(P ﹤0.01);与治疗前比较,治疗组治疗后24 h UP 减少、血 Fg 降低(P ﹤0.01),血BUN、Scr 降低(P ﹤0.01),eGFR 升高(P ﹤0.01),对照组治疗后血 BUN 降低(P ﹤0.01),Scr 下降(P ﹤0.05)、eGFR 升高(P ﹤0.05);与对照组治疗后比较,治疗组治疗后24 h UP、Fg、Scr 降低(P ﹤0.01),eGFR 升高(P ﹤0.01),BUN 差异无统计学意义(P ﹥0.05);治疗组和对照组疾病总有效率分别为81.0%和69.0%(P ﹤0.01)。
结论:排毒保肾丸能改善 CKD3~4期中医辨证兼血瘀证和湿浊证患者中医证候,减少蛋白尿,降低血纤维蛋白原,降低血尿素氮和肌酐,改善肾功能。
%Objective:To observe the effect of Paidu Baoshen Pill(modified Rhubarb Zhechong Pills)in the treatment of chronic kidney disease stage 3and 4 patients whose syndrome differentiation were both with blood stasis and dampness syndrome. Methods:284 cases of chronic kidney disease stage 3 and 4 patients whose syndrome differentiation were both with blood stasis and dampness syndrome were ramdoly divided into treatment group 142 cases and control group 142 cases. On the basis of conventional therapy,the treatment group and control group were given Paidu Baoshen Pill and coated aldehyde oxystarch capsules respectively for 16 weeks. Then the changes of TCM blood stasis and dampness syndrome. Blood urea nitrogen,creatinine,estimated glomerular fil-tration rate,the 24 hours urinary protein quantitative,the fibrinogen and the adverse reactions were observed. Results:The primary and second symptoms of blood stasis and dampness in the treatment group were improved(P ﹤ 0. 05 or P ﹤ 0. 01). The total efficiency of TCM syndromes were better in the treatment group than that of the control group(P ﹤ 0. 05). Compare with the pretherapy stage, the 24 hUP reduced(P ﹤ 0. 01),the Fg,BUN and Scr decreased(P ﹤ 0.01),the eGFR ascended(P ﹤ 0. 01)in the treatment group. The BUN decreased(P ﹤ 0. 01),the Scr decreased(P ﹤ 0. 05),the eGFR elevated in the control group(P ﹤ 0. 05),when compared with the pretherapy. Compared with the posttreatment conroll group,the 24 uUP,Fb and Scr decreased,the eGFR in-creased,the BUN had no statistical significance(P ﹥ 0. 05). The total effective rate of the treatment group and the control group were 81. 0% and 69. 0% respectively(P ﹤ 0. 01). Conclusion:Paidu Baoshen Pill can improve the TCM syndrome of chronic kidney dis-ease stage 3 and 4 patients whose syndrome differentiation were both with blood stasis anddampness syndrome,decreased urine pro-tein,reduce the blood urea nitrogen and creatinine,reduced fibrinogen and improve renal function.【总页数】4页(P502-505)【作者】王水华;刘永芳;陈帮明;吴兆东;王国斌;黄红恩;魏林;钟利平【作者单位】江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000;江西省九江市中医医院肾病科九江 332000【正文语种】中文【相关文献】1.排毒保肾丸纠正慢性肾衰钙磷代谢紊乱的临床研究 [J], 时蔡林;王国斌2.保肾活血排毒法治疗早中期慢性肾脏病临床疗效评价 [J], 许陵冬;陈继红;陶兴3.排毒保肾丸联合缬沙坦对保护腹膜透析患者残余肾功能的临床研究 [J], 刘干炎;王国斌;王水华;陈帮明;黄红恩;魏林;王金象;刘永芳4.排毒保肾丸对慢性肾脏病2期患者蛋白尿的影响 [J], 陈帮明;吴慧心;刘永芳;刘晖扬;刘干炎;林雪菲;熊清玓;王金象;姚子睿;徐媖5.排毒保肾丸治疗慢性肾脏病2期临床观察 [J], 陈帮明;吴慧心;刘永芳;刘晖扬;刘干炎;林雪菲;熊清玓;王金象;姚子睿;徐媖因版权原因,仅展示原文概要,查看原文内容请购买。
中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用
■中医中葯■2018年3月中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用张萍(宝鸡市妇幼保健院妇1科,陕西宝鸡,721000)摘要:目的探讨中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用效果。
方法选取在我院行妇科腹腔镜手术后发生 腹部瘀斑的患者70例,随机将其分为观察组和对照组,各35例。
对照组行常规治疗,观察组在常规治疗的基础上应用芒硝、大黄外敷。
对比两组用药后的疼痛情况、瘀斑变浅时间和瘀斑持续时间及患者对治疗的满意度。
结果随着用药时间的推移,两组的VAS评分均降低(P<0.05);用药l、3d后,观察组的VAS评分均低于对照组(P<0.05);观察组的瘀斑变浅时间和瘀斑 持续时间均短于对照组(P<0.05);观察组患者治疗的满意度高于对照组(P<0.05)。
结论应用中药芒硝、大黄外敷治疗妇科腹 腔镜术后腹部瘀斑可有效地缓解疼痛,加快瘀斑的吸收,并可提高患者对治疗的满意度,值得临床推广。
关键词:腹部瘀斑;芒硝;大黄;腹腔镜中图分类号:R737.9 文献标志码:A 文章编号:2096-1413(2018)07-0112-02Application effect of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecologic laparoscopic surgeryZHANG Ping(No.1 Gynecology Department, Baoji Maternal and Child Care Hospital, Baoji 721000, China)A B S T R A C T:Objective To explore the clinical effects of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecologic laparoscopic surgery. Methods A total of 70 patients with abdominal ecchymosis after gynecological laparoscopic surgery in our hospital were selected and randomly divided into observation group (35 cases) and control group (35 cases). The control group received conventional treatment, while the observation group was treated with Mirabilite and Rhubarb for external use on the basis of routine treatment. The pain condition, the superficial time of ecchymosis and the duration of ecchymosis and the satisfaction of the two groups were compared. Results With the passage of time, the VAS scores of the two groups decreased (P<0.05); after 1, 3 days of medication, the VAS scores of the observation group were lower than those of the control group (P<0.05). The superficial time of ecchymosis and the duration of ecchymosis in the observation group were shorter than those in the control group (P<0.05). The satisfaction rate with treatment of the observation group was higher than that of the control group (P<0.05). Conclusion The application of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecological laparoscopic can effectively relieve pain, accelerate the absorption of ecchymosis, and improve patients' satisfaction with treatment, which is worthy of clinical promotion.K E Y W O R D S:abdominal ecchymosis; Mirabilite; Rhubarb; laparoscopic腹腔镜手术以创伤小、出血量少和术后恢复快等优点逐渐取代传统手术,成为治疗妇科疾病的首选术式。
中药大黄辅助治疗急性重症胰腺炎的临床效果观察
中药大黄辅助治疗急性重症胰腺炎的临床效果观察摘要:目的:观察病探讨中药大黄辅助治疗急性重症胰腺炎的临床效果。
方法随机抽取我院2013年2月——2015年6月60例重症胰腺炎患者,根据患者治疗方法对其进行分组,其中对照组实施常规治疗方法,观察组在此基础上采用中药大黄进行辅助治疗,比较两组患者治疗情况。
结果观察组总有效率为93.1%,明显高于对照组(67.7%),两组差异明显(P<0.05);观察组患者病情转归情况明显优于对照组,且白细胞、甘油三酯下降程度显著优于对照组,两组差异显著(P<0.05)。
结论在常规治疗的基础上,将中药大黄作为治疗重症急性胰腺炎的辅助措施,可明显提高治疗效果,对患者良好预后具有重要意义。
关键词:中药大黄;急性重症胰腺炎[Abstract]Objective To observe the clinical effect of disease to explore traditional Chinese medicine Rhubarb in the treatment of severe acute pancreatitis.Methods randomly selected in our hospital in 2013 February - June 2015 60 cases of severe acute pancreatitis patients,grouping the according to the treatment methods,the control group received routine treatment method,the observation group based on the use of Chinese medicine rhubarb adjunctive therapy,compared two groups of patients treatment.The results in the observation group,the total effective rate was 93.1%,significantly higher than that of the control group(67.7%),the difference between the two groups significantly(P < 0.05);observation group patients prognosis was better than that of the control group and white blood cells,triglycerides decreased severity was significantly superior to the control group,the difference between the two groups significantly(P < 0.05).Conclusion on the basis of routine treatment,the rhubarb as adjunct to the treatment of severe acute pancreatitis(SAP),can significantly improve curative effect,has the vital significance to the patients with good prognosis.[Key words]Rhubarb;acute severe pancreatitis;我院在对重症急性胰腺炎开展临床诊疗工作时,将中药大黄作为辅助治疗措施,取得满意疗效,现选择2013年2月——2015年6月60例重症胰腺炎患者加以说明,结果如下。
雾化吸入干扰素α2b注射液治疗小儿呼吸道合胞病毒肺炎的临床效果
临床医学研究与实践2021年5月第6卷第13期DOI :10.19347/ki.2096-1413.202113028作者简介:崔鸿鹤(1970-),男,汉族,河南信阳人,副主任医师,学士。
研究方向:儿科疾病的诊治。
Clinical effect of atomized inhalation of interferon α2b injection in thetreatment of children with respiratory syncytial virus pneumoniaCUI Honghe(Huaibin County Third People's Hospital,Xinyang 464400,China)ABSTRACT:Objective To analyze the clinical effect of atomized inhalation of interferon α2b injection in the treatment of children with respiratory syncytial virus pneumonia.Methods A total of 100children with respiratory syncytial virus pneumonia admitted in our hospital from June 2018to June 2020were selected retrospectively.According to the treatment methods,the children were divided into conventional treatment group (n=50,conventional drugs)and atomized inhalationgroup (n=50,atomized inhalation of interferon α2b injection on the basis of conventional treatment).The levels of serum inflammatory factors,clinical efficacy,disappearance time of symptoms and signs,and occurrence of adverse reactions were compared between the two groups.Results After treatment,the levels of IL-10in the two groups were higher than that before treatment,and the levels of IL -18and TNF -αwere lower than those before treatment,and those in the atomized inhalation group were better than the conventional treatment group (P <0.05).The total effective rate of treatment of the atomized inhalation group was higher than that of the conventional treatment group (P <0.05).The disappearance time of fever,cough,wheezing and pulmonary rales in the atomized inhalation group were shorter than those in the conventional treatment group (P <0.05).There was no significant difference in the total incidence of adverse reactionsbetween the two groups (P >0.05).Conclusion The atomized inhalation of interferon α2b injection in the treatment of children with respiratory syncytial virus pneumonia has a good effect,and it will not increase the adverse reactions of children.KEYWORDS:respiratory syncytial virus pneumonia in children;atomized inhalation;interferon α2b injection;adverse reactions雾化吸入干扰素α2b 注射液治疗小儿呼吸道合胞病毒肺炎的临床效果崔鸿鹤(河南省淮滨县第三人民医院,河南信阳,464400)摘要:目的分析雾化吸入干扰素α2b 注射液治疗小儿呼吸道合胞病毒肺炎的临床效果。
海曲泊帕联合重组人血小板生成素治疗原发免疫性血小板减少症的临床观察
海曲泊帕联合重组人血小板生成素治疗原发免疫性血小板减少症的临床观察郭星 1*,赵丹 2,左金曼 3(1.蚌埠医学院第二附属医院药学部,安徽 蚌埠 233020;2.蚌埠市第三人民医院药学部,安徽 蚌埠 233099;3.蚌埠医学院第二附属医院血液内科,安徽 蚌埠 233020)中图分类号 R 973;R 558+.2 文献标志码 A 文章编号 1001-0408(2023)23-2910-05DOI 10.6039/j.issn.1001-0408.2023.23.17摘要 目的 探讨海曲泊帕联合重组人血小板生成素(rhTPO )治疗原发免疫性血小板减少症(ITP )在真实世界中的临床疗效和安全性。
方法 回顾性选取2021年1月至2022年12月蚌埠医学院第二附属医院诊断为ITP 的患者,将其中使用海曲泊帕联合rhTPO 的98例患者设为观察组,使用rhTPO 的157例患者设为对照组。
观察并比较2组患者治疗前后的血小板计数、临床疗效、出血情况、血小板输注率和不良反应发生情况。
结果 从治疗第8天[观察组为(61.04±13.46)×109 L -1,对照组为(52.11±12.06)×109 L -1]开始,2组患者的血小板计数差异有统计学意义(P <0.05),且2组患者血小板计数的峰值和稳定值差异均有统计学意义(P <0.05)。
观察组与对照组患者的总有效率分别为79.59%和66.88%,累积达终点率分别为81.32%与68.68%,中位有效时间分别为8 d 和10 d ,差异均有统计学意义(P <0.05)。
治疗期间观察组与对照组患者的出血率分别为3.06%和8.28%(P <0.05),出血等级均为1级或2级;血小板输注率分别为31.63%和40.76%,差异有统计学意义(P <0.05)。
2组患者不良反应发生率分别为11.22%和9.55%,差异无统计学意义(P >0.05),且均无中重度不良反应记录。
大黄蛰虫丸联合恩替卡韦治疗青年乙肝肝纤维化患者的疗效观察
World Latest Medicne Information (Electronic Version) 2019 Vo1.19 No.21投稿邮箱:sjzxyx88@16·论著·大黄蛰虫丸联合恩替卡韦治疗青年乙肝肝纤维化患者的疗效观察刘宁1 ,何肖洁2,张玉花2 ,王文文2(1.滨州医学院,山东 烟台 264003;2.滨州医学院附属医院 感染性疾病科,山东 滨州 256603)0 引言据资料显示,在世界范围内乙型肝炎病毒患者有20亿,慢性乙型肝炎病毒[1]人群有2.4亿,每一年都有65万人得肝细胞癌[2]、肝硬化、肝衰竭疾病,最终走向死亡。
肝纤维化属于慢性乙型肝炎慢慢演变成肝硬化,如果治疗及时,能够预防形成肝纤维化,防止肝硬化的病变。
我院2017-2018年对76例慢性乙肝肝纤维化患者采用大黄蛰虫丸联合恩替卡韦联合治疗,取得了满意效果,现报道如下。
1 资料及方法1.1 临床资料。
选择本医院2017年10这2018年10月患有慢性乙肝肝纤维化且在感染科接受过治疗的76名患者作为研究对象,经《慢性乙型肝炎防治指南》[3]诊断均符合要求。
半年内没有做过免疫调节、抗病毒治疗。
分成实验组、研究组,每组38人。
实验组男20人,女18人;研究组男24人,女14人;年龄不超过19-35岁,患病时间1-15年。
两组相较无统计学意义,能够进行比较。
在研究过程中,病人都是自愿参与治疗并在同意书上签字。
1.2 方法1.2.1 实验组:恩替卡韦分散片一天一次,饭前服用,总疗程24周。
1.2.2 研究组:大黄蛰虫丸一天三次,口服,联合恩替卡韦分散片(具体用法同上),总疗程24周。
1.3 观察指标1.3.1 肝功能指标检测选择全自动生化分析仪,全方位检测总胆红素(TBIL )、天门冬氨酸氨基转移酶(AST )和清丙氨酸氨基转移酶(ALT )。
1.3.2 放射免疫法是肝纤维化指标的常用方法,全方位检测层黏蛋白(LN )、Ⅲ型前胶原(PCIII )、血清透明质酸(HA )和IV 型胶原(IV-C )。
Arborjet 毒物防护指南说明书
PRECAUTIONARY STATEMENTSFIRST AIDHAZARDS TO HUMANS AND DOMESTIC ANIMALSCAUTION: Harmful if absorbed through skin. Avoid contact with skin, eyes, or cloth-ing. Wash thoroughly with soap and water after handling and before eating, drinking, chewing gum or using tobacco. Avoid breathing spray mist. Remove contaminated clothing and wash clothing before reuse.IF ON SKIN OR CLOTHING:• Take off contaminated clothing.• Rinse skin immediately with plenty of water for 15-20 minutes.• Call a poison control center or doctor for treatment advice.IF IN EYES:• Hold eye open and rinse slowly and gently with water for 15-20 minutes. • Remove contact lenses, if present, after the first 5 minutes, then continue rinsing eye. • Call a poison control center or doctor for treatment advice.Have the product container or label with you when calling a poison control center or doctor, or going for treatment. For medical emergencies, phone 24 hours a day, National Pesticide T elecommunication Network at 1-800-858-7378.USER SAFETY RECOMMENDATIONSUsers Should: Wash hands before eating, drinking, chewing gum, using tobacco or using the toilet. Users should remove clothing immediately if pesticide gets inside. Then wash thoroughly and put on clean clothing.ENVIRONMENTAL HAZARDS: This pesticide is toxic to birds and aquatic inver-tebrates. To protect the environment, do not allow pesticide to enter or run off into storm drains, drainage ditches, gutters or surface waters. Applying this product in calm weather when rain is not predicted for the next 24 hours will help to ensure that wind or rain does not blow or wash pesticide off the treatment area. Rinsing application equip -ment over the treated area will help avoid run off to water bodies or drainage systems.DIRECTIONS FOR USEIt is a violation of Federal Law to use this product in a manner inconsistent with its labeling.AZASOL WSP USE RATE RECOMMENDATIONSFOR KEY PESTS BY USE SITEThese label rates provide a high and low dose application of AzaSol WSP .To apply AzaSol WSP select a suitable hand held trigger type sprayer that will deliver a forceful, fine, leaf and fruit covering, wetting, spray mist. To get thorough spray coverage on waxy or pubescent plant surfaces the addition of small amount of a suitable sticker agent (such as NuFilm P) added to the spray mix, at the recommended rates may give better foliage, insect coverage and control.APPLICATION METHOD AND EQUIPMENT: Apply AzaSol WSP as a foliar spray to control insects and nematodes. Apply AzaSol WSP through sub-surface soil treatment equipment (e.g. lawn grass). To repel adult flies, apply through fogging equipment. Always follow equipment manufacturers use directions.Apply AzaSol WSP by using any powered or manual pesticide application equipment. Follow the original manufacturer’s recommendations when using these types of equipment.APPLICATION INSTRUCTIONSREAD ALL DIRECTIONS AND PRECAUTIONS BEFORE USE(continued on reverse side)PRODUCT DESCRIPTIONAzaSol WSP is a pale yellow/white, amorphous powder containing 6% by weight azadirachtin. It will instantly dissolve in water to give a solution that is ready for spray applications for pest control. Non-Oil based and highly effective as a powder.Use AzaSol WSP for pre-harvest treatment of fruits and vegetables in case of suddenpest infestations.AzaSol WSP is effective on a very wide spectrum of insects and pests as listed on this label.Use AzaSol WSP on a wide variety of plants as listed indoors and outdoors. If plans are made to use AzaSol WSP on plants not listed on this label, it is recommended that a small area such as a leaf, stem, or branch be test sprayed first and checked several days later to make sure that leaf wilting or damage does not occur.When used as directed, AzaSol WSP will destroy targeted insect larvae when they, (1) eat sprayed plants, or (2) come in contact with the spray. AzaSol WSP eliminates insects by stopping the insect’s growth, and is effective on all insects listed, insect larval stages and pupae.USE RECOMMENDATION:Low Rate (Recommended for preventative treatments before signs of infestation.) 1 tsp./1 gal. of water/1000 sq. ft.Medium Rate* (Recommended for most treatments. For preventative to medium infestations when pests are present.) 2-3 tsp./1 gal. of water/1000 sq. ft.High Rate (Recommended for difficult to manage pests or high infestations.) 4 tsp./1 gal. of water/1000 sq. ft.*Not for use in CaliforniaRe-sealable Mylar Packets:AzaSol WSP is sealed in mylar packets to ensure air tight and water tight seal to protect powdered AzaSol WSP . Carefully open mylar packet and dispense the powder into the mixing tank. You can use the entire contents or you can measure a partial amount to meet mixing and rates specified for application. Airborne powder: You can reduce the amount of airborne powder by avoiding windy conditions, using the entire contents of packet, and by emptying contents into a partially filled tank. Agitate tank mix.MIXINGUse the tables below for your site/pest combination.For optimum results, 2 to 3 applications made at 7 to 10 day intervals is recom-mended, unless otherwise specified. Foliar applications should be made to both sides of leaves. In addition, a sticker agent used as per the manufacturer’s recom-mendations may improve product performance.BORERS, Larvae such as: Peach twig borer, Peach tree borers, Cranberry borers Thoroughly spray in spring after egg hatch to control young larvae.MOLE CRICKETS, nymphs and young “instars” Turf Treatment For turfgrass, spray to drench turf foryoung cricket nymphs in spring. Stopsyoung from growth to adults.IMPORTANT: PLEASE READ BEFORE USETo the extent consistent with applicable laws, Arborjet, Inc. warrants that (a) this prod-uct conforms to the chemical description on its label; (b) this product is reasonably fitfor the purposes stated on its label, subject to the inherent risks referred to herein, whenused in accordance with its directions; and (c) that the directions, cautions and otherstatements on this label are based upon responsible experts’ evaluations of reasonabletests of effectiveness, of toxicity to laboratory animals and plants, and upon reportsof field experience. Testing has not been performed on all varieties of food crops, andplants, in all states, or under all application, weather and crop conditions. There are noexpress warranties other than those set forth herein. Arborjet, Inc. neither makes norintends, nor does it authorize any agent or representative to make, any other warranty,express or implied. Arborjet, Inc. expressly excludes and disclaims all implied warran-ties of merchantability, fitness for particular purpose, or any other warranty of qualityof performance.This warranty does not extend to, and the user shall be solely responsible for, any lossor damage that results from the use of this product in any manner that is inconsistentwith this label’s directions, or cautions.Distributed by:Rev 1/2019Azasol® is a registered trademark of Soluneem, Inc.Arborjet, Inc.99 Blueberry Hill RoadWoburn, MA 01801781-935-9070*Not for use in California。
度普利尤单抗治疗成人难治性特应性皮炎2_例报告及文献复习
第 49 卷第 5 期2023年 9 月吉林大学学报(医学版)Journal of Jilin University(Medicine Edition)Vol.49 No.5Sep.2023DOI:10.13481/j.1671‑587X.20230529度普利尤单抗治疗成人难治性特应性皮炎2例报告及文献复习赵雪琪, 朱文静, 牟妍, 许蒙, 董帅, 夏建新(吉林大学第二医院皮肤科,吉林长春130041)[摘要]目的目的:观察度普利尤单抗治疗难治性特应性皮炎(AD)的疗效,为该类患者的治疗提供参考。
方法方法:收集2例难治性重度AD患者应用度普利尤单抗治疗的临床资料和随访结果,结合相关文献复习,分析度普利尤单抗治疗难治性AD的疗效及安全性。
结果结果:患者1,女性,30岁,双手背见密集充实丘疹,似皮肤淀粉样变改变,四肢及躯干散在红斑、丘疹伴瘙痒25年,并发过敏性鼻炎5年,诊断为成人重度AD,应用度普利尤单抗治疗16周后停药,皮损完全消退,随访至今未复发,过敏性鼻炎症状明显缓解,无须应用口服药。
患者2,女性,59岁,全身暗红斑、丘疹和结节伴瘙痒10余年,曾多次住院治疗,既往应用环孢素、沙利度胺和激素治疗,效果不佳,诊断为成人重度AD,应用度普利尤至今,皮损基本消退。
结论结论:度普利尤单抗对难治性AD有良好疗效且安全,患者生活质量改善,AD并发其他2型炎症驱动的过敏性疾病症状得到控制。
[关键词]特应性皮炎;度普利尤单抗;丘疹;过敏性鼻炎;疗效[中图分类号]R751.05 [文献标志码]BDupilumab in treatment of adult refractory atopic dermatitis:2 case reports and literature reviewZHAO Xueqi, ZHU Wenjing, MOU Yan, XU Meng, DONG Shuai, XIA Jianxin (Department of Dermatology, Second Hospital , Jilin University, Changchun130041,China)ABSTRACT Objective:To observe the efficacy of dupilumab in the treatment of refractory atopic dermatitis (AD),and to provide the reference for the treatment of such patients.Methods:The clinical data and follow-up results of two patients with refractory severe AD treated with dupilumab were collected;combined with the literature review, the efficacy and safety of dupilumab in the treatment of refractory AD were analyzed.Results:Patient 1 was a 30-year-old female with dense, infiltrated papules on the back of both hands, resembling lichenified skin changes, scattered erythema, and papules with itching on the limbs and trunk for 25 years. Patient 1 also had a history of allergic rhinitis for 5 years. The diagnosis was adults severe AD. After 16 weeks of treatment with dupilumab, the skin lesions were completely regressed, and there were no relapse during the follow-up period.The symptoms of allergic rhinitis was improved significantly,and oral medication was no longer needed.Patient 2 was a 59-year-old female with general dark red erythema,papules,and nodules accompanied by itching for over 10 years.Patient 2 had been hospitalized many times and had previously received treatment with cyclosporine, azathioprine, and steroids with unsatisfactory results.The diagnosis was adults severe AD.Up to the present,the skin lesions had [文章编号] 1671‑587X(2023)05‑1332‑05[收稿日期]2022‑10‑05[基金项目]国家自然科学基金青年科学基金项目(81803160);吉林省科技厅科技发展计划国际科技合作项目(20200801078GH)[作者简介]赵雪琪(1997-),女,山东省潍坊市人,在读硕士研究生,主要从事皮炎湿疹类皮肤病治疗方面的研究。
尘螨组分蛋白及其在特异性免疫治疗中的研究进展
尘螨组分蛋白及其在特异性免疫治疗中的研究进展丁佳琪1,王晓艳2,王学艳2,尹金淑1(首都医科大学附属北京世纪坛医院,1.耳鼻咽喉头颈外科2变态反应科,北京100038)摘要:在世界范围内,尘螨是最常见的吸入性过敏原,可诱发过敏性鼻炎、过敏性哮喘、特应性皮炎等过敏性疾病,对患者的工作和生活造成极大影响.尘螨特异性免疫治疗是目前唯一针对病因的治疗,许多临床研究以及Mca分析均证实特异性免疫治疗对于过敏性疾病,尤其是过敏性鼻炎具有良好临床疗效.除了可有效缓解临床症状、减少临床用药外,更重要的是能够阻断疾病的自然进程,预防鼻炎进展为哮喘.特异性免疫治疗前后许多免疫学及生物学指标可发生变化,为客观评价免疫治疗的疗效提供了依据.多项研究显示,尘螨特异性免疫治疗前后尘螨的致敏蛋白组分也可发生变化,使得尘螨组分蛋白可能成为评估特异性免疫治疗的疗效指标,本文将对这一领域的研究进展进行综述.关键词:尘螨;特异性免疫治疗;蛋白组分;过敏性鼻炎中图分类号:R593.1文献标识码:ATheResearchProgressofDustMiteComponentProteinsandTheirApplicationsinSpecificImmunotherapyDING Jiaqi1,WANG Xiaoyan2,WANG Xueyan2,YIN Jinshu1(1.Otolaryngology Head and Neck Surgery, 2.Allergic Surgery,Beijing Shijitan Hospital,Capital Medical University,Beijing100038,China)Abstract:Dust mitesarethe mostcommoninhalation a l ergen overthe world,which caninduce a l ergicdiseasessuchasa l ergicasthma,a l ergicrhinitisandatopicdermatitis.Theseconditionscan have a great impact on patients'quality of life.At present,dust mite specific immunotherapy is the only available treatment targeting its etiology.Many clinical studies and meta analyses have confirmedthatspecificimmunotherapy hasa good clinicaleffecton a l ergic diseases,especia l y a l ergic rhinitis.In addition to effectively relieving clinical symptoms and reducing clinical medication,moreimportantly,itcan block the natural process of a l ergic diseases and prevent rhinitisfrom developing into asthma.The changes of manyimmunologicaland biologicalindexes beforeandafterspecificimmunotherapyprovideafoundationforobjectivelyevaluatingtheefficacy of immunotherapy.A number of studies have shown that the a l ergenic protein components of dust mitescanbechangedbeforeandafterspecificimmunotherapy,sothatdustmitecomponentproteins may become an index to evaluate the efficacy of specific immunotherapy.This paper reviews the researchprogre s inthisfield.Key words:Dust mite;Specific immunotherapy;Protein component;Allergic rhinitis变应性鼻炎(llegic rhinitis,AR)是易感个体接触致敏原后导致的以鼻塞、喷嚏、流涕、鼻痒等症状为主要表现的鼻腔黏膜慢性炎症[].流行病学显示:AR 的患病率逐步上升,可影响全世界范围内多达40%的人口[2-3].近些年来,我国AR患病率也呈明显上升趋势。
观察大黄牡丹汤联合手术治疗阑尾周围脓肿的临床疗效
观察大黄牡丹汤联合手术治疗阑尾周围脓肿的临床疗效发布时间:2022-10-31T06:34:19.466Z 来源:《中国医学人文》2022年17期作者:吴宏擘[导读] 目的分析在治疗阑尾周围脓肿时联合应用大黄牡丹汤与手术治疗的效果吴宏擘中国人民解放军联勤保障部队第九六二医院 150040【摘要】目的分析在治疗阑尾周围脓肿时联合应用大黄牡丹汤与手术治疗的效果。
方法选取2021年7月~2022年6月期间本院收治的阑尾炎周围脓肿患者78例,使用随机法进行平均分组,各39例。
常规组行手术治疗,治疗组则联合应用大黄牡丹汤与手术治疗,对比两组治疗效果。
结果治疗组的治疗有效率92.31%显著更高于常规组的治疗有效率43.59%(P<0.05)。
结论联合应用大黄牡丹汤与手术治疗方式为阑尾炎周围脓肿患者进行治疗,临床治疗效果更显著,有利于患者术后疼痛减轻,并促进患者术后恢复,具有较高的临床推广价值。
【关键词】大黄牡丹汤;手术治疗;阑尾周围脓肿 [Abstract] Objective To analyze the effect of rhubarb peony decoction combined with surgery in the treatment of periappendiceal abscess. Methods 78 patients with periappendicitis abscess treated in our hospital from July 2021 to June 2022 were randomly divided into 39 cases each. The routine group was treated with surgery, while the treatment group was treated with rhubarb Peony Decoction and surgery, and the therapeutic effects of the two groups were compared. Results the effective rate of 92.31% in the treatment group was significantly higher than 43.59% in the routine group (p<0.05). Conclusion the combination of rhubarb Peony Decoction and surgical treatment for patients with periappendicitis abscess has a more significant clinical treatment effect, which is conducive to reducing postoperative pain and promoting postoperative recovery of patients, and has high clinical promotion value.[Key words] rhubarb and peony soup; Surgical treatment; Periappendiceal abscess 阑尾周围脓肿是一种常见的炎性肿块,临床上属于外科疾病,主要是因为气血瘀滞,导致淤积成块或者是淤积时间过长,久而久之就形成阑尾周围脓肿【1】。
奥曲肽联合大黄治疗急性胰腺炎的 Meta 分析
奥曲肽联合大黄治疗急性胰腺炎的 Meta 分析雷正元;罗恒丽;王国俊【摘要】目的:系统评价大黄与奥曲肽联用治疗急性胰腺炎的有效性和安全性。
方法计算机检索中国生物医学文献数据库(CBM)、维普(VIP)、中国知网(CNKI)、PubMed 和万方数据库,查找有关应用奥曲肽与大黄联用治疗急性胰腺炎的随机对照试验(RCT),并追索纳入文献的参考文献,检索时限:2008年1月至2014年12月。
英文检索词为“Octreotide”,“rhubarb”,“ASP”,中文检索词为“大黄”、“奥曲肽”、“急性胰腺炎”。
2位评价员按照 Corchrane 系统评价方法,预先制定纳入标准和排除标准,对检索的文献进行独立筛选、数据提取和文献评估,交叉核对相关数据,使用 RevMan 5.2软件分析。
结果纳入10篇 RCT,共655例受试者(试验组336例,对照组319例)。
Meta 分析结果显示:与单用奥曲肽相比,大黄联合奥曲肽可以提高显效率[RR=1.47,95%CI (1.21,1.78),P <0.01]和总有效率[RR=1.19,95%CI (1.09,1.29),P <0.01];试验组与对照组在缩短腹痛时间、血淀粉酶恢复时间、排便恢复时间、患者住院时间、腹胀消失时间、呕吐消失时间、尿淀粉酶恢复时间、腹压痛消失时间方面,均差异有统计学意义(P <0.01);可降低转手术率,但差异无统计学意义(P >0.05);两组安全性方面未见严重不良反应报道。
结论与单用奥曲肽相比,奥曲肽联合大黄治疗急性重症胰腺炎能提高奥曲肽的临床疗效,安全性较好。
%Objective To evaluate the efficacy and safety of the treatment with Octreotide combined with rhubarb for acute severe pancreatitis(ASP).Methods Randomized controlled trials(RCTs)were searched from the following data-bases as CBM、VIP、CNKI、PubMedand WanFang ,all RCTs searched from January 2008 to December2014.Search terms were "Octreotide","rhubarb","ASP".Two reviewersaccording to the Cochrane systematic review,pre-defined inclusion and exclusion criteria,then screening literatures,extraction data and assessing literature′quality independently,finally unifided datas by cross-checked,Meta-a-nalysis was performed by RevMan5.2 software.Results Ten RCTs involving 655 patients (treatment group:336 cases,control group:31 9 cases)were included.Meta-analysis results showed that compared with the use of Octreotide,Octreotide combined rhu-barb advanced the clinical cure rates[RR=1.47,95%CI (1.21,1.78),P <0.01 ]and the total clinical effective rates [RR = 1.1 9, 95%CI (1.09,1.29),P <0.01];Octreotide combined rhubarb shorted the remission time of abdominal pain,the remission time of vomit,the recovery time of serum amylase,the recovery time of urine amylase,hospitalization days,the first defecation time,the ab-dominal distension disappear time and the remission time of signs of abdominal tenderness,the differences all above showed statisti-cal significance(P<0.01).But reducing the proportion of surgery didn′t have statistic difference(P >0.05).No severe adverse e-vents or allergic reactions were reported.Conclusion Compared with the traditional Octreotide therapy alone,rhubarb combined with Octreotide therapy for ASP have a better curative effect.【期刊名称】《重庆医学》【年(卷),期】2015(000)024【总页数】5页(P3385-3388,3392)【关键词】奥曲肽;大黄属;急性病;胰腺炎;随机对照试验【作者】雷正元;罗恒丽;王国俊【作者单位】泸州医学院附属医院人力资源部,四川泸州 646000;泸州医学院附属医院药学部,四川泸州 646000;泸州医学院附属医院药学部,四川泸州 646000【正文语种】中文【中图分类】R576急性胰腺炎是常见的起病急、并发症多、病死率高的临床急腹症之一[1]。
观察复方大黄煎剂联合紫草油治疗重度难愈性压疮患者的临床疗效
观察复方大黄煎剂联合紫草油治疗重度难愈性压疮患者的临床疗效发布时间:2021-06-09T02:36:10.427Z 来源:《中国医学人文》(学术版)2021年4月4期作者:王肃杰[导读] 目的观察复方大黄煎剂联合紫草油治疗重度难愈性压疮患者的临床疗效。
方法选取本院2019年5月到2020年5月期间收治的158例重度难愈性压疮患者进行研究,采用随机数字表法把其分成观察组和对照组,各79例,对照组采用传统的西药外用治疗方法,观察组使用中药复方大黄煎剂联合紫草药油进行治疗,并对两组的临床治疗总有效率和创面脱落腐肉时间、出现新生肉芽时间、创面完全愈合时间进行比较。
王肃杰大庆市中医医院 163311【摘要】目的观察复方大黄煎剂联合紫草油治疗重度难愈性压疮患者的临床疗效。
方法选取本院2019年5月到2020年5月期间收治的158例重度难愈性压疮患者进行研究,采用随机数字表法把其分成观察组和对照组,各79例,对照组采用传统的西药外用治疗方法,观察组使用中药复方大黄煎剂联合紫草药油进行治疗,并对两组的临床治疗总有效率和创面脱落腐肉时间、出现新生肉芽时间、创面完全愈合时间进行比较。
结果观察组在治疗总有效率方面显著的高于对照组,在创面脱落腐肉时间、出现新生肉芽时间、创面完全愈合时间方面用时显著的低于对照组,两组存在较大差异,有统计学意义(P<0.05)。
结论在对重度难愈性压疮患者进行治疗的时候,使用中药复方大黄煎剂联合紫草药油进行治疗,在疗效方面更加显著,能够促使患者尽早康复,值得在临床上进行推广和应用。
【关键词】复方大黄煎剂;紫草油;重度难愈性压疮;临床疗效[Abstract] Objective To observe the clinical efficacy of Compound Rhubarb decoction combined with Arnebia oil in the treatment of severe refractory pressure ulcer.Methods 158 patients with severe refractory pressure ulcer in our hospital from May 2019 to may 2020 were selected and randomly divided into the observation group and the control group,with 79 cases in each group.The control group was treated with traditional western medicine,while the observation group was treated with Compound Rhubarb decoction combined with Arnebia oil,The total effective rate of the two groups was compared with that of the control group.Results the total effective rate of the observation group was significantly higher than that of the control group,and the time of falling off rotten meat,appearance of new granulation and wound healing of the observation group was significantly lower than that of the control group(P<0.05)。
血必净注射液联合大黄治疗严重多发性创伤患者胃肠功能障碍的疗效观察
血必净注射液联合大黄治疗严重多发性创伤患者胃肠功能障碍的疗效观察汪勇;刘云龙;聂保忠;马宁;刘虎【期刊名称】《蚌埠医学院学报》【年(卷),期】2013(38)3【摘要】目的:观察联合应用血必净和大黄对严重多发性创伤患者胃肠功能障碍的治疗效果.方法:将严重多发性创伤胃肠道功能障碍患者52例随机分为2组,治疗组27例应用血必净和大黄治疗,对照组25例不应用血必净和大黄,原发病及其他治疗2组一致.观察2组患者胃肠功能改善情况及多器官功能障碍综合征(MODS)的发生率.结果:治疗组的治疗后胃肠功能评分明显低于对照组(P<0.01),治疗肠麻痹有效率高于对照组(P<0.01),MODS发生率明显低于对照组(P<0.01).结论:血必净和大黄联合应用治疗严重多发性创伤胃肠功能障碍具有较好的疗效,可以明显降低MODS 的发生率.%Objective: To evaluate the effects of treatment severe multiple trauma patients with gastrointestinal dysfunction with Xuebijing combined with Rhubarb. Methods: Fifty-two severe multiple trauma cases with gastrointestinal dysfunction were randomly divided into treatment group (n = 27) , which were treated with Xuebijing injection and Rhubarb and control group (n = 25) , which were not used the above measures. The treatment of original and other disease of two groups were the same. The effects of alleviative gastrointestinal dysfunction and morbidity of multiple organ dysfunction syndrome(MODS) of two groups were observed. Results: The gastrointestinal function scores and morbidity of MODS of theteatment group were significantly lower than that of the control group (P<0.01). The effects of alleviative gastrointestinal dysfunction were significantly higher than that of the control group (P<0.01). Conclusions: The treatment of Xuebijing combined with Rhubarb have good effects on severe multiple trauma patients with gastrointestinal dysfunction, and can reduce the morbidity of MODS.【总页数】3页(P303-305)【作者】汪勇;刘云龙;聂保忠;马宁;刘虎【作者单位】淮北矿工总医院ICU,安徽,淮北,235000【正文语种】中文【中图分类】R64【相关文献】1.大黄联合活性炭防治创伤性休克患者胃肠功能障碍的临床疗效观察 [J], 包坤;欧武剑;缪英年;卢育明;罗明2.大黄鼻饲联合芒硝腹部外敷治疗危重患者胃肠功能障碍45例 [J], 杨翠华;李莉;吴思娜3.大黄鼻饲联合芒硝腹部外敷治疗危重患者胃肠功能障碍45例 [J], 杨翠华;李莉;吴思娜4.早期应用大黄在治疗严重多发性创伤胃肠功能障碍中的价值研究 [J], 李天泉;龚光远;陈维5.大黄联合芒硝治疗危重症患者胃肠功能障碍的疗效观察 [J], 沈凌鸿;郑贵军;王君梅;袁亚松;蒋佳维因版权原因,仅展示原文概要,查看原文内容请购买。
贝伐珠单抗胸腔内注射治疗肺癌相关恶性胸腔积液回顾性疗效分析
【摘要】 目的 回顾性分析贝伐珠单抗胸腔内注射对肺癌相关恶性胸腔积液的疗效及安全性。
方法 选择2017年1月至2018年8月上海市肺科医院住院患者中明确诊断为肺癌伴有胸腔积液的患者,所有患者均给予胸腔穿刺置管,在常规抗肿瘤治疗的基础上给予贝伐珠单抗胸腔内注入。
记录患者临床症状改善、胸腔积液控制情况及安全性。
结果 34例患者中,男性20例,女性14例。
贝伐珠单抗胸腔内注射控制癌性胸腔积液疗效明显,总有效率为82.4%,平均胸腔积液控制时间4.91个月,安全性良好,未见明显不良反应,有效改善患者生活质量。
早期应用患者胸腔积液控制效果明显,EGFR/ALK 驱动基因阳性患者与驱动基因阴性患者疗效上无统计学差异。
结论 贝伐珠单抗胸腔内注射治疗恶性胸腔积液有效率较高,不良反应少,能有效改善患者生活质量,早期应用效果明显,与患者基因突变状态无明显相关性。
【关键词】 肺癌;贝伐珠单抗;恶性胸腔积液Retrospective analysis of the efficacy of intrapleural injection of Bevacizumab in the treatment of lung cancer-related malig-nant pleural effusionZHANG Hui-zhen 1, WU Feng-ying 2, LI Ai-wu 2 (1. Department of Respiratory, the First People's Hospital of Hefei City, Hefei 230001, China; 2. Department of Oncology, Shanghai Pulmonary Hospital, Shanghai 200433, China)Corresponding author :LI Ai-wu, Email: liaiwufkyy@ 【Abstract 】 Objective The efficacy and safety of intrapleural injection of Bevacizumab in the treatment of lung cancer-related malignant pleural effusion were retrospectively analyzed. Method From January 2017 to August 2018, Shanghai Pulmonary Hospital inpatients in diagnosis for lung cancer patients with pleural effusion were selected, all patients were given thoracic puncture catheterization. On the basis of conventional anti-tumor treatment Beacizumab bead order were given, and the chest cavity injection. Record patients' clinical symptoms improved, chest water control and security. Result Of the 34 patients, 20 were male, 14 were female, median age was 66 years. Intrapleural injection of Bevacizumab is effective in the control of malignant pleural effusion, with a total effective rate of 82.4%. The average duration of pleural effusion control is 4.91 months, with good safety and no obvious adverse reactions, effectively improving the quality of life of patients. Early application of patients with pleural fluid control effect is obvious, EGFR/ALK driver gene positive patients and negative patients with no significant difference in the efficacy of the driver gene. Conclusion Intrapleural injection of Bevacizumab for the treatment of malignant pleural effusion has a high effective rate and little adverse reaction, and can effectively improve the quality of life of patients. The early application of Bevacizumab has a significant effect, and there is no significant correlation with the mutation status of patients.【Key words 】 Lung cancer; Bevacizumab; Malignant pleural effusion贝伐珠单抗胸腔内注射治疗肺癌相关恶性胸腔积液回顾性疗效分析张会珍1,吴凤英2,李爱武2(1.安徽省合肥市第一人民医院 呼吸内科,合肥 230001;2.上海市肺科医院 肿瘤科,上海 200433)基金项目:国家自然科学基金青年科学基金(81402381)通讯作者:李爱武 E-mail :liaiwufkyy@肺癌是呼吸系统最常见的恶性肿瘤,全球范围内在人群中发病率及恶性度均明显高于其他肿瘤[1],其中胸膜转移导致的恶性胸腔积液(malignant pleural effusion ,MPE )是晚期肺癌的常见并发症,胸腔积液可以导致患者呼吸困难,生活质量下降,并引起心脏功能不全,严重时可危及生命。
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Effectiveness and Safety of Rhubarb for the Treatment of Patients Who Have Suffered From Cerebral Hemorrhage - Full Text View -
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Placebo Comparator: B
Eligibility
Ages Eligible for Study: Genders Eligible for Study: Accepts Healthy Volunteers: Criteria Inclusion Criteria: Occurrence of an acute cerebral hemorrhage (between 9 and 72 h after onset) with a score of at least 6 on the National Institute of Health Stroke Scale (NIHSS), and patient age of at least 18 years. Have no pneumonia according to modified criteria of the U.S. Centers for Disease Control and Prevention (CDC) Consistent with the Constipation of Phlegm-Heat Accumulation type by Traditional Chinese Medicine (TCM) standard Patients or their representatives voluntarily take part in this study and signed the informed consent Exclusion Criteria: Cerebral infarction, transient ischemic attack(TIA) Subarachnoid hemorrhage Proven cerebral embolism caused by tumor, Brain Trauma, cerebral parasitic disease, dysbolismus, fibrillation atrial resulted from rheumatic heart disease, coronary heart disease, and other heart diseases Clinical signs of infection on admission 18 Years and older Both No
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Effectiveness and Safety of Rhubarb for the Treatment of Patients Who Have Suffered From Cerebral Hemorrhage
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Pregnant or breast-feeding Allergic to rhubarb Preceding or ongoing antibiotic therapy within the last 24 h Participation in another interventional trial Immunosuppressant treatment within the last 30 days Combining severe clinical conditions such as liver, kidney, Hematopoietic System, endocrine system or psychological diseases
Further study details as provided by Fudan University: Primary Outcome Measures: The lung infection rate within 14 days after stroke onset [ Time Frame: 14 days ] [ Designated as safety issue: No ] Secondary Outcome Measures: Global disability on modified Rankin scale at 90 days [ Time Frame: 90 days ] [ Designated as safety issue: No ] NIH stroke scale [ Time Frame: 90 days ] [ Designated as safety issue: No ] Barthel Index [ Time Frame: 90 days ] [ Designated as safety issue: No ] Death rate [ Time Frame: 90 days ] [ Designated as safety issue: No ] Syndrome score by Traditional Chinese Medicine (TCM) standard [ Time Frame: 90 days ] [ Designated as safety issue: No ] Changes in laboratory indexes as safety assessment, including red blood cell(RBC), white blood cell(WBC), platelet(PLT), alanine transaminase (ALT), aspartate transaminase(AST), blood urea nitrogen (BUN), creatinine(Cr) in blood samples; protein, [ Time Frame: 90 days ] [ Designated as safety issue: Yes ] Estimated Enrollment: Study Start Date: Arms Experimental: A 100 January 2009 Assigned Interventions Drug: rhubarb 14 days of rhubarb Drug: Placebo 14 days of Placebo
/ct2/show/NCT00815737?term=Stroke+AND+pneumonia&rank=6[2012-6-25 14:24:54]
Effectiveness and Safety of Rhubarb for the Treatment of Patients Who Have Suffered From Cerebral Hemorrhage - Full Text View -
Fudan University Fudan University NCT00815737
Purpose
This study will determine if rhubarb will reduced the incidence of pneumonia and improved recovery from an acute cerebral hemorrhage. The study is designed to look at both infection rate and overall recovery and recovery of motor function, for example muscle strength and coordination. Condition Lung Infection Cerebral Hemorrhage Pneumonia Study Type: Study Design: Intervention Drug: rhubarb Drug: Placebo Phase Phase 2 Phase 3
/ct2/show/NCT00815737?term=Stroke+AND+pneumonia&rank=6[2012-6-25 14:24:54]
Effectiveness and Safety of Rhubarb for the Treatment of Patients Who Have Suffered From Cerebral Hemorrhage - Full Text View -
Contacts and Locations
Please refer to this study by its identifier: NCT00815737
Locations China, Shanghai Zhongshan hospital of Fudan University Shanghai, Shanghai, China, 200032 Sponsors and Collaborators Fudan University