关于“浙江吉兰泰龙”(“Chilantaisaurus zhejiangensis”)的讨论

“吉兰泰龙”(“Chilantaisaurus”)自1964年首次描述命名以来,长期被认为是异特龙科(Allosauridae)的大型掠食恐龙,包括4个种。但随着研究的深入,这个属被解体。其中,属型种“大水沟吉兰泰龙”(“C.tashuikouensis”)和“西伯利亚吉兰泰龙”(“C.sibiricus”)被归入棘龙类(Spinosauria)或新坚尾龙类(Neotetanurane);“毛儿图吉兰泰龙”(“C.maortuensis”)被归入鲨齿龙类(Carcharodontosaurid),并被重新描述命名为毛儿图侏儒鲨齿龙(Shaochilong maortuensis)。“浙江吉兰泰龙”(“C.zhejiangensis”)是现存唯一的此类恐龙的足部骨骼化石标本,从其尺寸大小推测,这是一种身长约5 m的大中型兽足类恐龙。通过与其他大中型兽足类的同部位骨骼化石进行对比,可见其具备许多兽足类特别是镰刀龙类的共同特征,并非原以为的仅相似于慢龙,也不排除其属于另一种大中型兽足类的可能性。

艽龙胶囊治疗功能性便秘临床疗效观察

[目的]观察艽龙胶囊治疗功能性便秘临床疗效。[方法]将40例慢传输型便秘患者随机分为2组,其中治疗组(A组)20例,对照组(B组)20例;将42例出口梗阻型便秘患者随机分为2组,其中治疗组(C组)20例,对照组(D组)22例;其中A、C组给予口服艽龙胶囊160mg,3次/d口服,B、D组给予马来酸曲美布汀片5mg,3次/d口服治疗。4组患者均口服4周为1疗程。[结果]4组患者治疗总有效率分别为90%、80%、95%、54.5%,慢传输型便秘患者,A组与B组差异有统计学意义(P<0.05);出口梗阻型便秘患者,C组与D组差异有统计学意义(P<0.05);结肠传输试验方面,治疗前后组内比较,A组、B组、C组与治疗前比较,透X线标志物残留数差异均有统计学意义(P<0.05),D组与治疗前比较,差异均无统计学意义(P>0.05),治疗后A组与B组比较,差异有统计学意义(P<0.05);治疗后C组与D组比较,差异有统计学意义(P<0.05);肛门直肠测压方面,治疗前后组内比较,A组、C组与治疗前比较,最大耐受容量、肛管静脉压、收缩压、排便压差异均有统计学意义(P<0.05),B组、D组与治疗前比较,差异均无统计学意义(P>0.05),治疗后A组与B组比较,最大耐受容量、肛管静脉压、收缩压、排便压差异有统计学意义(P<0.05);治疗后C组与D组比较,最大耐受容量、肛管静脉压、收缩压、排便压差异有统计学意义(P<0.05)。[结论]艽龙胶囊不仅能改善便秘患者结肠传输功能,还能调整便秘患者最大耐受容量、肛管排便压、静息压和收缩压,从而缓解便秘患者的临床症状。

Observation on therapeutic effect of chronic fatigue syndrome treated with Panlongci (coiling dragon needling) and moving cupping on back

Objective To compare the differences of therapeutic effect of chronic fatigue syndrome （CFS） treated with the combined therapy of Panlongci （coiling dragon needling） and cupping on back and the western medicine therapy with prednisone. Methods Seventy-two cases were randomly divided into 2 groups of acupuncture-cupping group （37 cases） and prednisone group （35 cases）. In acupuncture-cupping group, Jiaji points （夹脊 EX-B 2） of the level of T1–L5 were applied with coiling dragon needling once a day, combining with moving cupping on back once every two days. In prednisone group, prednisone tablets of 10 mg were orally taken at 8：00 am everyday. Seven days were counted as one treatment course, and 2 courses were carried on totally. FS-14 scale and BELL’s CFS integral table were applied to evaluate the fatigue degree of patients before and after the treatment, and the therapeutic effects of both groups were compared. Results After one course of treatment, the BELL’s scores of both groups were obviously improved （both P0.01）, but there was no significant difference between the 2 groups （P0.05）; after 2 courses of treatment, the BELL’s score in acupuncture-cupping group improved more obviously than that of the prednisone group （P0.05）, and the total effective rate of 91.9% （34/37） in acupuncture-cupping group was superior to that of 71.4% （25/35） in prednisone group （P0.05）. Conclusion The therapeutic effect of chronic fatigue syndrome treated with coiling dragon needling and moving cupping on back is positive, which is superior to that of prednisone with oral administration.