Evaluation of the Effect and Efficiency of Ear Tip Bloodletting Combined with Xianfang Huoming Yin in the Treatment of Early-Stage Wheals

Objective:To evaluate the effect and efficiency of ear tip bloodletting combined with Xianfang Huoming Yin(XFH)in the treatment of early-stage wheals.Methods:70 patients with early-stage wheals admitted from September 2020 to September 2022 were divided into two groups by randomized numerical table method,with 35 cases/group.Both groups received conventional treatment,the control group combined with XFH,and the observation group combined with ear tip bloodletting therapy and XFH.Conscious symptom scores,ocular indexes,therapeutic effects,and sleep quality between the two groups were compared.Results:After the treatment,the patients in the observation group had lower self-awareness symptom scores and sleep quality scores as compared to those in the control group;the diameter of the mass in the observation group was smaller than that of the control group after treatment;the average tear film rupture time and the time taken for the first non-contact tear film to rupture were longer in the observation group than those in the control group;the total effective rate of the treatment in the observation group was higher than that of the control group(P<0.05).Conclusion:Ear tip bloodletting combined with XFH was ideal for the treatment of early-stage wheals and has a high effective rate.

The effect of elevating temperature on the growth and development of reproductive organs and yield of summer maize

Compared to other crops,maize production demands relatively high temperatures.However,temperatures exceeding 35℃lead to adverse effects on maize yield.High temperatures(≥35℃)are consistently experienced by summer maize during its reproductive growth stage in the North China Plain,which is likely to cause irreversible crop damage.This study investigated the effects of elevating temperature(ET)treatment on the yield component of summer maize,beginning at the 9th unfolding leaf stage and ending at the tasseling stage.Results demonstrated that continuous ET led to a decrease in the elongation rate and activity of silks and an elongated interval between anthesis and silking stages,and eventually decreased grain number at ear tip and reduced yield.Although continuous ET before tasseling damaged the anther structure,reduced pollen activity,delayed the start of the pollen shedding stage,and shortened the pollen shedding time,it was inferred,based on phenotypical and physiological traits,that continuous ET after the 9th unfolding leaf stage influenced ears and therefore may have more significant impacts.Overall,when maize plants were exposed to ET treatment in the ear reproductive development stage,the growth of ears and tassels was blocked,which increased the occurrence of barren ear tips and led to large yield losses.

Inheritance of Ear Tip-Barrenness Trait in Maize

The aim of this paper is to study the inheritance pattern of ear tip-barrenness trait in maize （Zea mays L.）. Ear tipbarrenness trait in maize can be classified into two types, tip-barren and tip-barrenless. Two inbred lines, lx01-3 （tipbarrenless type）, wx04-1 （tip-barren type）, and their F1, F2, BC1, BC2 generations were analyzed on their ear tip-barrenness types. Results showed that F1 was tip-barren type; the ratio of tip-barren type versus tip-barrenless type followed a 12.78： 1 ratio in F2 segregation population and a 2.75：1 ratio in BC1. Z2 test indicated that the trait of ear tip-barrenness type followed an inheritance pattern of 2 duplicate dominant genes. SPSS analysis indicated that the trait of ear tip-barrenness length is of abnormal distribution. Above results mean that： （1） The trait of maize ear tip-barrenness type is controlled by 2 duplicate dominant genes; tip-barren type is dominant over tip-barrenless type; （2） the trait of tip-barrenness length is a quantitative character controlled by polygene with major genes expected.

经皮门静脉穿刺改良TIPS治疗门脉高压急性上消化道出血临床对比分析

目的 探讨经皮门静脉穿刺改良经颈内静脉肝内门体分流术（TIPS）较常规TIPS方法的优越性及临床疗效.方法 回顾性分析空军总医院2009年3月～2011年9月采用TIPS技术治疗门脉高压急性上消化道出血患者36例,其中15例采用常规TIPS技术,21例采用经皮肝穿刺门静脉造影改良TIPS技术.结果 改良TIPS组与常规TIPS组相比,手术时间显著缩短（183.69±56.77 vs 140.32±43.56）、手术开始至胃冠状静脉封堵时间显著缩短（130.81±66.39 vs 12.53±13.18）、穿刺针数显著减少（7.57±3.14 vs 4.16±2.73）、改良TIPS组手术成功率100％,常规TIPS组手术成功率80％,两组治疗均可显著降低门静脉压力.结论 超声引导下经皮门静脉穿刺造影,可标识定位指导TIPS操作,并可在第一时间封堵胃冠状静脉出血,提高了TIPS穿刺的准确性和安全性,可行性优于常规TIPS操作方法.

TIPS和PTVE介入方法治疗肝硬化门静脉高压引起的上消化道出血的优劣差异

目的观察经颈静脉门静脉分流术(TIPS)和经皮肝穿刺胃冠状静脉栓塞术(PTVE)两种介入方法治疗肝硬化门静脉高压引起的上消化道出血的优劣差异。方法选取2015年3月—2017年8月间惠州市中心人民医院收治的肝硬化门静脉高压引起的上消化道出血患者60例进行研究,按照单双号法分为对照组(n=30,行PTVE)和治疗组(n=30,行TIPS),比较两组直接止血效果、术后复发率和肝功能改善情况。结果术后6h、术后12h止血率与对照组比较,差异无统计学意义(P>0.05);两组术后1月、3月、6月的出血复发率比较,差异无统计学意义(P>0.05);术后12月出血复发率比较,治疗组低于对照组(P<0.05);术后6个月两组肝功能恢复至正常、缓解率比较,组间差异有统计学意义(P<0.05)。结论TIPS和PTVE两种介入方法治疗肝硬化门静脉高压引起的上消化道出血近期疗效相当,但TIPS远期疗效更好,值得临床优先选择和推广。

TIPS术后再发消化道出血的原因分析

目的:探讨TIPS术后再发消化道出血的原因和护理体会。方法:回顾性分析了我科2006年11月～2007年9月行TIPS术116例再出血发生率以及其原因。结果:通过临床表现、实验室检查等分析出血原因有:陈旧性出血,胃溃疡伴活动性出血,胃黏膜急性病变出血,抗凝过度出血,饮食不当,分流道狭窄和堵塞引发出血。结论:认为认真分析术后患者的表现,科学正确地判断分析原因;早期观察消化道出血征象,及时予以处理,是保障了手术的成功机率重要环节。

Comparative study of endoscopy vs.transjugular intrahepatic portosystemic shunt in the management of gastric variceal bleeding

Background and Aim:Gastric varices are associated with high mortality.There have been conflicting reports on whether endoscopic treatment with cyanoacrylate or the placement of a transjugular intrahepatic portosystemic shunt(TIPS)is more effective in the treatment of gastric varices.We compared the outcomes of patients treated with cyanoacrylate glue or TIPS for the management of acute gastric variceal bleeding.Methods:The study was designed as a retrospective cohort analysis of patients undergoing either TIPS or endoscopic treatment with cyanoacrylate for acute gastric variceal bleeding at our institution from 2001 to 2011.Primary compared to studied between the two treatment modalities were the short-term treatment outcomes,including re-bleeding within 30 days,length of hospital stay and in-hospital mortality.Kaplan-Meier survival analysis was performed to assess factors associated with in-hospital mortality.Results:A total of 169 patients were included in the analysis.The TIPS arm contained 140 patients and the cyanoacrylate arm contained 29 patients.There was no evidence to suggest any significant differences in demographics or disease severity.There were no differences between the TIPS arm and the cyanoacrylate armtwo groups in treatment outcomes including re-bleeding within 30 days(17.4%vs.17.2%;P=0.98),median length of stay in the hospital(4.5 days vs.6.0 days;P紏0.35)or in-hospital mortality(9.0%vs.11.1%;P=0.74).In-hospital mortality was evaluated for 149 patients and lower albumin(P=0.015),higher MELD score(P<0.001),higher CTP score(P=0.005)and bleeding(P=0.008)were all significantly associated with in-hospital death.Conclusion:These findings suggest that both treatments are equally effective.Cyanoacrylate offers a safe,effective alternative to TIPS for gastric varices,and physician may choose the best therapy for each patient,factoring in the availability of TIPS or cyanoacrylate,the individual patient’s presentation,and cost.

Bacteremia and “Endotipsitis” following transjugular intrahepatic portosystemic shunting

AIM: To identify all cases of bacteremia and suspected endotipsitis after Transjugular intrahepatic portosystemic shunting (TIPS) at our institution and to determine risk factors for their occurrence. METHODS: We retrospectively reviewed records of all patients who underwent TIPS in our institution between 1996 and 2009. Data included: indications for TIPS, underlying liver disease, demographics, positive blood cultures after TIPS, microbiological characteristics, treat- ment and outcome. RESULTS: 49 men and 47 women were included with a mean age of 55.8 years (range 15-84). Indications for TIPS included variceal bleeding, refractory ascites,hydrothorax and hepatorenal syndrome. Positive blood cultures after TIPS were found in 39/96 (40%) patients at various time intervals following the procedure. Seven patients had persistent bacteremia fitting the definition of endotipsitis. Staphylococcus species grew in 66% of the positive cultures, Candida and enterococci species in 15% each of the isolates, and 3% cultures grew other species. Multi-variate regression analysis identified 4 variables: hypothyroidism, HCV, prophylactic use of an- tibiotics and the procedure duration as independent risk factors for positive blood cultures following TIPS (P < 0.0006, 0.005, 0.001, 0.0003, respectively). Prophylactic use of antibiotics before the procedure was associated with a decreased risk for bacteremia, preventing mainly early infections, occurring within 120 d of the procedure. CONCLUSION: Bacteremia is common following TIPS. Risk factors associated with bacteremia include failure to use prophylactic antibiotics, hypothyroidism, HCV and a long procedure. Our results strongly support the use of prophylaxis as a means to decrease early post TIPS infections.

乙型病毒性肝炎肝硬化食管静脉曲张TIPS术后消化道出血1例报道并文献复习

通过1例少见的乙型病毒性肝炎肝硬化食管静脉曲张TIPS术后消化道出血病例的诊疗,加以文献复习,分析出血原因,以探讨乙型病毒性肝炎肝硬化患者通过治疗最大获益的治疗方案。

Efficacy analysis of transjugular intrahe-patic portosystemic shunt in the treatment of esophago-gastric variceal bleeding complicated with cavernous transformation of the portal vein

Objective To explore the safety and efficacy of transjugular intrahepatic portosystemic shunt(TIPS)in the treatment of esophago-gastric variceal bleeding(EGVB)complicated with cavernous transformation of portal vein(CTPV).Methods From January 1,2015 to December 31,2018,the clinical data of liver cirrhosis patients with EGVB and complicated with(CTPV group)or without(non-CTPV group)CTPV receiving TIPS at Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School were retrospectively analyzed.

不同针具在眼科耳尖放血疗法中的应用对比

目的探讨不同针具在眼科耳尖放血疗法中的应用对比。方法选择开展眼科耳尖放血疗法的15家医院的70名眼科门诊护士进行调查,分别调查对比护士使用不同针具为患者进行耳尖放血疗法过程中的感受、操作时护士发生针刺伤的风险性等情况。结果在五组不同针具护士使用感受比较中发现一次性末梢采血器(安全锁卡式)比其他四组针具在使用中操作方便简单性、使用后针具的处理及针刺深度把握最优,在使用针具完成治疗过程中发生针刺伤的比例最低。结论一次性末梢采血器(安全锁卡式)用于耳尖放血时在满足治疗需求的同时,操作更为简便,可更加有效地降低护士针刺伤的发生率,从而保障护士的职业安全。

热敏灸结合耳尖放血治疗痰湿壅盛型高血压:随机对照试验

目的:探讨热敏灸结合耳尖放血治疗痰湿壅盛型高血压患者的疗效,为临床治疗该病提供中医方案。方法:将80例原发性高血压患者随机分成观察组和对照组,各40例。观察组采用热敏灸结合耳尖放血治疗,对照组选用口服西药,在患者治疗前与治疗4周后分别测量血压、进行中医证候评分并观察临床疗效。结果:2组患者治疗后的收缩压、舒张压数值均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);2组患者治疗后的中医证候积分均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);在临床总有效率方面,观察组优于对照组(P<0.05)。结论:热敏灸结合耳尖放血法治疗痰湿壅盛型高血压疗效确切,能有效降低患者血压,改善临床不适症状。

引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果评价

目的:分析引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果。方法:选取2021年10月~2022年11月本院收治血液透析伴肾性高血压患者202例为研究对象。根据治疗方案不同分为对照组(耳尖放血疗法+常规治疗)98例和观察组(对照组基础上予以加用引火归元贴)104例。对比两组临床疗效、即时降压情况、血压水平、高血压中医症状积分及安全性。结果:观察组临床疗效高于对照组,差异具有统计学差异(P<0.05)。两组均随着时间增长收缩压、舒张压血压差值均显著上升,且观察组首次治疗后5min、15min、30min、60min收缩压、舒张压血压差值均大于对照组(P<0.05)。两组治疗后收缩压、舒张压水平均显著下降(P<0.05);两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05)。两组治疗后1周、治疗后1月高血压中医症状积分均显著下降,且观察组治疗后1周高血压中医症状积分下降幅度大于对照组(P<0.05)。两组均未出现严重的不良反应。结论:引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中即时及近期血压下降效果良好,可显著改善高血压中医症候积分。

Direct differentiation of ears and tassels from cultured shoot apices of maize

In vitro morphogenesis of inflorescences from the cultured corn seedling shoot tips was obtained on modified Murashige and Skoog (MS) medium in complete darkness. Some shoot tip meristems excised from seedlings of inbred line 515, inbred line 8112 and their filial generations would directly give rise to florets on modified MS medium supplemented with 2.0 mg/L N6-bezyladenine (6-BA) in five or six weeks. On the medium with 1.0 mg/L 6-BA and 0. 2 mg/L 2, 4-dichlorophenoxy acetic acid (2, 4-D), the explants swelled first, and produced multiple shoot clumps, then the culture of the shoot tips from all of the six inbred lines in experiment would ultimately initiate to develop ears and tassels accompanied by multiple shoot clumps developing on the medium with 1.0 mg/L 6-BA and 0. 2 mg/Lin-dole-3-butyric acid (IBA). The developmental patterns of the corn inflorescences were similar to the controls of normal plants in the field, but the number of the ears was much more than that of the tassels in vitro. It seemed that proper kinds and concentrations of exogenous hormones were necessary for the initiation and development of the inflorescences. The genotype of explants was responsible for the response to culture conditions. It could be inferred that there were different control mechanisms existing in the vegetative and reproductive developmental processes of maize, because the cultured shoot tips could directly produce the reproductive organs.

耳尖放血疗法结合降压药物对高血压(肝阳上亢证)患者的临床效果

目的:分析耳尖放血疗法结合降压药物在肝阳上亢证高血压患者中的临床效果。方法:样本时间:2021年3月至2022年11月;样本来源:本院就诊患者;样本数量:肝阳上亢证高血压患者90例;分组方法:数字盲选法。对照组(n=45)、观察组(n=45)分别给予硝苯地平缓释片单一治疗及硝苯地平缓释片联合耳尖放血疗法治疗,对比疗效及安全性、血压及血压变异性水平、中医证候评分。结果:治疗后观察组血压及血压变异性水平优于对照组,观察组治疗前后差值均高于对照组(P<0.05)。观察组总有效率97.78%高于对照组的82.22%(P<0.05)。治疗后观察组中医症候评分明显低于对照组,观察组治疗前后差值高于对照组(P<0.05)。治疗期间观察组产生不良反应为2例,占比4.44%,低于对照组11例,占比24.44%(P<0.05)。结论:对肝阳上亢证高血压患者在常规治疗上结合耳尖放血疗法,可有效改善患者血压水平及临床症状,降低药物毒副作用,疗效显著。

8个糯玉米品系穗部性状及籽粒营养成分比较分析

为筛选玉米穗部外观品质优良、营养成分丰富的鲜食糯玉米品系,采用随机区组设计比较分析了8个糯玉米品系穗部性状及籽粒营养成分。结果表明:8个糯玉米品系穗籽粒重、鲜百粒重、穗轴重、穗长、穗粗、秃尖长、穗行数、行粒数、轴粗、维生素C含量、维生素E含量和维生素B6含量均存在显著差异性,其中穗部性状秃尖长的变异系数最大,达73.2%;营养成分维生素E含量的变异系数最大,达99.03%。相关性分析表明:维生素E含量与维生素B6含量呈极显著正相关;可溶性糖含量与鲜百粒重呈显著正相关;穗长、穗行数均与穗轴重呈显著正相关;穗粗与行粒数、穗籽粒重均呈现极显著正相关;秃尖长与鲜百粒重呈显著负相关;穗籽粒重与行粒数极显著正相关。聚类分析得出综合营养品质高的品系有晶彩糯2号、诚糯8号、凤糯1号、京糯832,为生产上选出营养成分丰富的糯玉米品系提供了理论支撑。

耳尖放血疗法联合情志护理措施对高血压即时降压效果的影响探讨

目的 观察高血压患者应用耳尖放血疗法联合情志护理对即时降压效果的影响。方法 选取2022年1月-2023年1月本院收治的60例高血压患者为研究对象,并以随机分组法分为对照组与观察组,每组30例。对照组给予常规治疗及一般心理干预,观察组给予耳尖放血疗法联合情志护理,观察干预效果。结果 干预后,即时降压效果方面,观察组比对照组更优,而SAS、SDS评分方面,观察组较对照组更低,差异有统计学意义(P<0.05)。结论 高血压患者应用耳尖放血疗法与情志护理联合干预后,可在治疗后即刻迅速降低血压,并能明显改善其不良情绪,效果较好。

耳穴压豆联合耳尖放血治疗高血压急症临床观察

目的观察耳穴压豆联合耳尖放血治疗高血压急症的临床效果。方法采用随机数字表法将90例高血压急症患者分为两组,各45例;对照组采用西医常规治疗,观察组在对照组基础上采用耳穴压豆联合耳尖放血治疗,两组均治疗48 h。观察并比较两组临床疗效及治疗前后症状评分、血压情况。结果治疗后,两组患者头痛、眩晕、急躁的症状评分均低于治疗前,且观察组各症状评分均低于对照组(P<0.05);两组患者治疗后0.5 h、1 h、6 h、24 h、48 h收缩压及舒张压均低于治疗前,且观察组各时间点收缩压及舒张压均低于对照组(P<0.05)。观察组临床总有效率为97.78%(44/45),高于对照组的93.33%(42/45)(P<0.05)。结论耳穴压豆联合耳尖放血治疗高血压急症患者能够快速改善其临床症状,平稳、有效降低血压,提高临床效果。

高浓度左氧氟沙星滴眼液联合耳尖放血治疗儿童麦粒肿的临床效果

目的 探讨高浓度左氧氟沙星滴眼液、耳尖放血联合方法治疗儿童麦粒肿临床效果。方法选取2021年3月—2023年5月平邑县妇幼保健院收治的70例麦粒肿患儿为研究对象,根据不同的治疗方法分为对照组(35例,采用高浓度左氧氟沙星滴眼液治疗)和研究组(35例,采用高浓度左氧氟沙星滴眼液、耳尖放血联合治疗)。对比两组治疗总有效率、不良反应总发生率、肿块大小以及视觉模拟法(Visual Analogue Scale,VAS)评分。结果 研究组治疗总有效率为97.14%(34/35),高于对照组的77.14%(27/35),差异有统计学意义(χ^(2)=6.247,P<0.05)。研究组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组肿块大小以及VAS评分比较,差异无统计学意义(P均>0.05);治疗后,研究组肿块大小以及VAS评分均低于对照组,差异有统计学意义(P均<0.05)。结论高浓度左氧氟沙星滴眼液联合耳尖放血治疗儿童麦粒肿,在提升疗效方面作用明显,可减少系列不良反应及肿块大小,缓解疼痛。

基于焦点式心理护理模式下综合耳穴疗法预防与治疗经行头痛的效果观察

[目的]观察基于焦点式心理护理模式下综合耳穴疗法预防与治疗经行头痛的临床效果.[方法]选择符合纳入标准的60例经行头痛患者采用随机数字表法分为口服盐酸氟桂利嗪治疗的对照组和给予综合耳穴治疗的观察组,每组各为30例.两组均给予焦点式心理护理且于经期前后头痛发作时或根据疼痛规律选择头痛的前2 d开始干预,治疗5 d/月经周期,连续干预3个月(月经周期).比较两组治疗前后疼痛六点行为评分法(BRS-6)、头痛影响测试问卷(HIT-6)、头痛证候积分、合伙人健康量表评分(PIH)变化.[结果]与治疗前比较,两组患者治疗后BRS-6评分、HIT-6评分、头痛证候积分、PIH评分均明显降低(P<0.05);治疗后,与对照组比较,观察组BRS-6评分、HIT-6评分、头痛证候积分、PIH评分均显著下降(P<0.05).[结论]基于焦点式心理护理模式下综合耳穴疗法预防与治疗经行头痛临床疗效满意,可以有效改善患者头痛症状与生活质量,值得临床应用.