益气通脉消痛汤治疗心肌梗死35例

目的:观察益气通脉消痛汤治疗心肌梗死的临床疗效。方法:将66例患者随机分为对照组和治疗组,对照组31例采用基础疗法和极化液治疗,治疗组35例在对照组治疗的基础上采用益气通脉消痛汤治疗,2周为1疗程。结果:治疗组35例,显效22例,有效11例,无效1例,死亡1例,有效率为94.3%。对照组31例,显效11例,有效11例,无效5例,死亡4例,有效率为70.9%。两组经统计学处理,有显著差异(P<0.05)。结论:益气通脉消痛汤治疗心肌梗死可提高疗效,降低死亡率。

益气通脉消痛汤治疗心肌梗死的效果分析

目的:观察分析益气通脉消痛汤治疗心肌梗死(AMI)的效果。方法:选择79例于我院接受治疗的AMI患者,其中36例接受常规治疗(对照组),另43例加用益气通脉消痛汤治疗(治疗组)。结果:治疗组显效为69.8%,有效为25.6%,总有效率为95.4%,对照组显效为47.2%,有效为36.1%,总有效率为83.3%,经统计学处理差异显著(P<0.05)。结论:益气通脉消痛汤对AMI的治疗效果确切,极具临床应用价值。

桃仁红花煎胶囊联合加味通脉定痛汤治疗冠心病心绞痛76例

目的:观察桃仁红花煎胶囊联合加味通脉定痛汤治疗冠心病心绞痛的临床疗效。方法:将152例冠心病心绞痛患者按照治疗方案不同分为两组,对照组76例给予加味通脉定痛汤(甘草、红花、川芎、白芥子、枳壳、法半夏、地龙、柴胡、丹参、党参、黄芪),1剂/d,水煎,煮药汁200 m L,分早、晚2次口服;治疗组76例在对照组治疗基础上加用桃仁红花煎胶囊(生地黄、当归、青皮、赤芍、延胡索、制香附、红花、桃仁、川芎、丹参),4粒/次,3次/d,口服。两组均以2周为1个疗程,连续治疗1个疗程。结果:治疗组显效40例,有效30例,无效6例,有效率为92.11%;对照组显效30例,有效31例,无效15例,有效率为80.26%。两组对比,差别有统计学意义(P<0.05)。结论:桃仁红花煎胶囊联合加味通脉定痛汤治疗冠心病心绞痛有较好疗效,可有效缩短心绞痛发作持续时间,减少心绞痛发作次数,显著改善患者生活质量。

应用益气通脉消痛汤治疗心肌梗死的效果分析

目的 :探讨分析应用益气通脉消痛汤治疗心肌梗死的临床效果。方法 :选取2012年11月~2014年1月间我院收治的心肌梗死患者73例作为研究对象,采用随机数字表法将其分为对照组(25例)和实验组(48例),为对照组患者进行常规治疗,应用益气通脉消痛汤为实验组患者进行治疗,观察对比两组患者的临床疗效,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果 :在实验组48例患者中,临床疗效判定等级为显效的患者有32例(占患者总数的66.67%),临床疗效判定等级为有效的患者有14例(占患者总数的29.17%),临床疗效判定等级为无效的患者有2例(占患者总数的4.17%),治疗的总有效率为95.83%;在对照组25例患者中,临床疗效判定等级为显效的患者有7例(占患者总数的28.00%),临床疗效判定等级为有效的患者有13例(占患者总数的52.00%),临床疗效判定等级为无效的患者有5例(占患者总数的20.00%),治疗的总有效率为80.00%。实验组患者的临床疗效明显优于对照组患者,差异显著(P<0.05),具有统计学意义。结论 :应用益气通脉消痛汤治疗心肌梗死的临床效果显著,值得在临床上推广应用。

中西医结合治疗冠心病心绞痛42例临床观察

目的 :探讨通脉定痛汤配合西药常规治疗冠心病心绞痛的临床疗效。方法 :将 79例冠心病心绞痛患者随机分为治疗组 4 2例与对照组 37例 ,两组均给予常规西药治疗 ,治疗组加用通脉定痛汤 ,并观察其对心绞痛、心电图以及血脂等的影响。结果 :治疗组对心绞痛、心电图、血脂异常均有明显改善作用 (P <0 .0 5或P <0 .0 1) ,其中对心绞痛的缓解作用明显优于对照组 (P <0 .0 1)。结论 :中西医结合治疗较单纯西药治疗具有更优的缓解冠心病心绞痛的作用。

略论头痛的分经治疗

头为“诸阳之会”,“清阳之腑”,五脏精华之血,六腑清阳之气,皆上注于头。凡六淫外感,脏腑内伤,导致阳气阻塞,浊邪上踞,肝阳上亢,精髓气血亏损,经络之气运行失常等,均能导致头痛。前人有根据本病病因的不同,分为外感与内伤头痛的;有从病情轻重、病程长短、发作规律和疼痛部位分为真头痛、头风、偏头风、雷头风、脑风、巅顶痛的;还有按经络的分布,分为三阳与三阴头痛的。从临床实践中看,以经络学说为基础,分经辨治头痛具有重要意义,兹论述于后: 一、头痛的分经理论源于《内经》头痛的分经理论源于《灵枢·厥病》篇。篇内说:“厥头痛,面若肿起而烦心,取之足阳明太阴……头脉痛,心悲,善泣。

中西医结合治疗单疱病毒性角膜炎体会

单疱病毒性角膜炎是眼科临床常见病,其病情顽固、迁延、易复发,又无特效药物治疗,系当前治盲率较高的眼病之一。祖国医学在千百年前对此病就有所认识,如“聚星障”,“花冰假翳”,“鱼翳”,“阴阳翳”等等。对病因病机也有较详细的描述,认为是正气虚,邪气实,肝火内炽,气虚火旺上攻于目所致。随着医学事业的发展,中西医结合治疗眼病越来越为人们听认识,作者运用中西医结合治疗单疱性角膜炎41例,现总结如下:

逍遥散在消化性疾病中的应用举例

逍遥散出自《太平惠民和剂局方》，为肝郁血虚，脾虚之证而设。该方由四逆散化裁而来，具有疏肝解郁，健脾和营之意。肝郁开解，脾虚得健，

The Effect of Test Dose Fentanyl on Predicting Postoperative Respiratory Depression in Patients with Continuous Intravenous Morphine Analgesia

Objective: To evaluate the effect of test dose fentanyl on predictingpostoperative analgesia and respiratory depression. Methods: Preoperatively the lowest pulseoximeter saturation (SpO_2) under room air breathing was measured after 2 μg/kg of fentanyl givenintravenously in 35 patients who were scheduled with continuous intravenous morphine analgesia (12μg·kg^(-1)·h^(-1)) postoperatively. Results: The test dose fentanyl resulted in respiratorydepression in 19 of 35 cases, while 8 (42.1%) of the 19 cases developed respiratory depressionpostoperatively. However in the rest 16 patients, no patient (0) developed respiratory depression (P< 0.01). The fentanyl-induced lowest SpO_2 significantly correlated with the lowest SpO_2postoperatively (P < 0.01). The analgesia effect in terms of verbal analogue scale was correlatedneither with the fentanyl-induced lowest SpO_2 nor with the lowest SpO_2 postoperatively (P > 0.05).Conclusion: The patient who was sensitive to fentanyl-induced respiratory depression would take ahigh risk to develop postoperative respiratory depression with intravenous morphine analgesia andthe patient with respiratory depression does not always go with satisfactory analgesia.

张元素指点迷津

刘完素和张元素都是金元时期的大名医。二人都著书立说,在对疾病的治疗上,有着不同的见解。有一次,刘完素得了伤寒病,吃了自己开的药之后,还是头痛脉紧,呕吐不止,吃不下饭。家人很担心,听说张元素对这类病治得很好,就想请张元素来给诊治诊治。谁知,刘完素死活都不愿意。他说：＂我和他都是大夫，我都治不好的病，他肯定也治不好，我才不愿意去求他呢!＂

全国各地出土的秦汉以前医药文化资源(续三)

(接上期)3 湖北省江陵县张家山 1983～1984年间湖北省江陵县张家山连续发掘了大量汉代竹简。其中有三类著作都是和医学有关即:《脉书》5种医籍,《引书》6种医籍和有关法医内容的汉简。现分述如下。

Prognostic value of coronary artery calcium score in patients with stable an-gina pectoris after percutaneous coronary intervention

Objectives To evaluate the prognostic value of the coronary artery calcium （CAC） score in patients with stable angina pectoris （SAP） who underwent percutaneous coronary intervention （PCI）. Methods A total of 334 consecutive patients with SAP who underwent first PCI following multi-slice computer tomography （MSCT） were enrolled from our institution between January 2007 and June 2012. The CAC score was calculated according to the standard Agatston calcium scoring algorithm. Complex PCI was defined as use of high pressure bal-loon, kissing balloon and/or rotablator. Procedure-related complications included dissection, occlusion, perforation, no/slow flow and emer-gency coronary artery bypass grafting. Main adverse cardiac events （MACE） were defined as a combined end point of death, non-fatal myo-cardial infarction, target lesion revascularization and rehospitalization for cardiac ischemic events. Results Patients with a CAC score〉300 （n=145） had significantly higher PCI complexity （13.1%vs. 5.8%, P=0.017） and rate of procedure-related complications （17.2%vs. 7.4%, P=0.005） than patients with a CAC score≤300 （n=189）. After a median follow-up of 22.5 months （4-72 months）, patients with a CAC score≤300 differ greatly than those patients with CAC score＆gt;300 in cumulative non-events survival rates （88.9 vs. 79.0%, Log rank 4.577, P=0.032）. After adjusted for other factors, the risk of MACE was significantly higher [hazard ratio （HR）：4.3, 95%confidence inter-val （95%CI）：2.4-8.2, P=0.038] in patients with a CAC score〉300 compared to patients with a lower CAC score. Conclusions The CAC score is an independent predictor for MACE in SAP patients who underwent PCI and indicates complexity of PCI and proce-dure-related complications.

Angina rapidly improved with a plant-based diet and returned after resuming a Western diet

Atherosclerosis and its related cardiovascular disease is the most common cause of morbidity and mortality in the Western world. The roots of this disease may lie, in part, in dietary and lifestyle behaviors, indicating that modifica- tion of these behaviors may lead to profound improvements.

Relationship between resistin level in serum and acute coronary syndrome or stable angina pectoris

Objective： To investigate the relationship between serum resistin level and acute coronary syndrome （ACS） or stable angina pectoris （SAP）. Methods： Sixty-five patients, with coronary artery disease, were enrolled and divided into three subgroups： acute myocardial infarction （AMI）, unstable angina pectoris （UAP） and SAP, and 26 healthy people were recruited as controls in the cross-sectional study. Serum resistin levels were determined by ELISA （enzyme-linked immunosorbent assay）, and WBC （white blood cell count）, hsCRP （high sensitive C-reaction protein）, CKmax （maximum of creatinkinase）, CK-MBmax （maximum of isozyme of creatinkinase） and cTnImax （maximum of troponin） were measured by standard laboratory methods. Results： The serum resistin levels were 4 folds higher in AMI patients, 2.43 folds in UAP patients and I. 12 folds in SAP patients than in the healthy controls （P〈0.05）. The resistin levels were also significantly different between AMI [（8.16±0.79） ng/ml], UAP [（5.59±0.75） ng/ml] and SAP [（3.45±0.56） ng/ml] groups （P〈0.01）; WBC, hsCRP, CK CK-MBmax and cTnlmax were significantly increased in AMI patients over UAP and SAP patients. Spearman analysis showed that serum resistin levels were positively correlated with WBC （r=0.412, P=0.046）, hsCRP （r=0.427,p=0.037）, CK CK-MBmax and cTnImax （r=0.731, 0.678, 0.656; P〈0.01）. Conclusion： Serum resistin levels increased with inflammatory factors and myocardial impairment. The results suggest that human resistin might play an important role in the pathogenesis of atherosclerosis and AMI as an inflammatory factor.

古代宫廷贵族的体育原则

古代贵族教育,礼、乐、射、驭、书、数六艺并重,表明中国自古有重视体育的传统。“流水不腐,户枢不蠹”,汉简《脉书》就明确地简述了生命在於运动这个浅显的道理。中国古代有着重视体育的传统。當時的教育,特别是宫廷貴族的特殊教育,

Prevalence of linked angina and gastroesophageal reflux disease in general practice

AIM： To evaluate the association between gastroesophageal reflux diseases （GERD） and coronary heart diseases. METHODS： One thousand nine hundred and seventy consecutive patients who attended our hospital were enrolled. All of the patients who first attend our hospital were asked to respond to the F-scale questionnaire regardless of their chief complaints. All patients had a careful history taken, and resting echocardiography （ECG） was performed by physicians if the diagnostic necessity arose. Patients with ECG signs of coronary artery ischemia were defined as ST- segment depression based on the Minnesota code. RESULTS： Among 712 patients （36%） with GERD, ECG was performed in 171 （24%）, and ischemic changes were detected in eight （5%）. Four （50%） of these patients with abnormal findings upon ECG had no chest symptoms such as chest pain, chest oppression, or palpitations. These patients （0.6%; 4/712） were thought to have non-GERD heartburn, which may be related to ischemic heart disease. Of 281 patients who underwent ECG and did not have GERD symptoms, 20 （7%） had abnormal findings upon ECG. In patients with GERD symptoms and ECG signs of coronary artery ischemia, the prevalence of linked angina was considered to be 0.4% （8/1970 patients）.CONCLUSION： The present study suggested that ischemic heart disease might be found although a patient was referred to the hospital with a complaint of GERD symptoms. Physicians have to be concerned about missing clinically important coronary artery disease while evaluating patients for GERD symptoms.