目的 探讨支气管哮喘合并胃食管返流患者实施埃索美拉唑治疗的临床效果.方法 选取我院2016年5月~2017年5月收治的支气管哮喘合并胃食管返流患者88例实施研究,按患者用药类型分为奥美拉唑组和埃索美拉唑组各44例,对所有奥美拉唑组患者实施奥美拉唑治疗,对所有埃索美拉唑组患者实施埃索美拉唑治疗,分析总结两种方案的治疗效果及用药安全性.结果 埃索美拉唑组患者治疗后哮喘积分、胃食管返流积分与奥美拉唑组相比明显较低,差异有统计学意义(P<0.05),埃索美拉唑组患者治疗总有效率与奥美拉唑组相比明显较高,差异有统计学意义(P<0.05).埃索美拉唑组患者用药后不良反应发生率与奥美拉唑组相比无明显差异,差异无统计学意义(P>0.05).结论 支气管哮喘合并胃食管返流患者实施埃索美拉唑治疗的临床效果优良.

目的 分析胃食管返流症的病理及临床诊断.方法 选择2015年1月~2016年12月在我院接受治疗的胃食管返流症患者52例,经消化内镜结合临床表现确诊胃食管返流症,分析其病理检查结果与临床诊断相符情况.结果?52例临床诊断为胃食管返流症经病理活检明确诊断者50例(96.15%).结论 胃食管返流症可能与食管粘膜组织变化有关,因此需掌握胃食管反流症病理诊断标准,有助于胃食管反流症患者尽早接受治疗,改善临床表现.

目的 分析单用阿奇霉素与款用头孢类药物治疗支原体肺炎的临床效果.方法 在我院2015年12月～2016年12月实施治疗的支原体肺炎患者中随机选取100例作为研究对象,并将其分成两组,其中对照组和观察组两组患者分别实施单用阿奇霉素治疗及其联合头孢类药物治疗,对比分析两组患者的临床效果及不良反应发生率.结果 对照组和观察组两组患者临床对比,观察组患者的临床治疗效果明显偏高,不良反应发生率明显偏低,差异对比显著(P<0.05);观察组患儿临床各项症状消失时间明显使用较短,差异具有显著性(P<0.05).结论 在支原体肺炎患者治疗中,对患者实施阿奇霉素结合头孢类药物治疗,临床效果显著优于单纯应用阿奇霉素治疗效果,值得推广应用.

Objective To investigate the research progress of clinical treatment of hypothyroidism.Methods 83 primary hypothyroidism patients during 2009 August to 2012 August in our hospital were selected.The patients were divided into group A and group B,according to age,severity of disease and individual differences,group A was given euthyrox treated and group B was given hormone treated.40 patients contained 14 patients of A group and 26 patients of B group were selected to receive traditional Chinese medicine.The overall curative effects of different therapy methods were assess by observed the changes of serum T3,T4 and TSH.Results The total efficiency of group combined with traditional Chinese medicine was markedly higher than the group uncombined of traditional Chinese medicine group(P< 0.05);The FT3 and FT4 of group A and group B were significantly increased,TSH decreased significantly after treatment(P <0.01).Conclusion The combination of Chinese medicine can improve patient′ s clinical symptoms and the life quality;Two groups of different hormone replacement therapy can mediate the FT3,FT4 and TSH to suitable range,which improve the patient′s condition.

目的 探讨枸橼酸莫沙必利联合复方阿嗪米特治疗功能性消化不良的临床效果.方法 选择2009年7月～2012年7月本院消化科收治的功能性消化不良患者84例,随机分为观察组和对照组,观察组采用枸橼酸莫沙必利联合复方阿嗪米特治疗,对照仅单独采用枸橼酸莫沙必利治疗,通过观察两组患者的主要临床症状改善情况和胃排空情况来评估治疗效果.结果 两组患者治疗后主要临床症状评分均降低,观察组较对照组明显,差异有统计学意义(P＜0.05);观察组患者的胃半排空时间、胃排空时间均较对照组短,差异有统计学意义(P＜0.05).结论 枸橼酸莫沙必利联合复方阿嗪米特治疗功能性消化不良可改善患者的主要临床症状,有效缩短其胃排空的时间.

This paper describes characteristics of 5 kinds of commonly used antihypertensive drugs (diuretics,calcium antagonists,β adrenergic receptor blockers,angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers),and introduces interaction and clinical curative effect of the 5 antihypertensive drugs when they were applied combined with each other.

Objective To compare the clinical efficacy of clinical common drugs in the treatment of type 2 diabetes,and to analyze the treatment effects of single and combined application of hypoglycemic drugs in type 2 diabetes.Methods One hundred and twenty-eight cases of patients with type 2 diabetes admitted to endocrinology department of our hospital were chosen and randomly divided into four groups:group A was given ureide derivative only,group B was given biguanides alone,group C was given α-glucosidase inhibitors alone,group D was given combined application of two or three kinds of hypoglycemic drugs.Results The treatment of all the four methods in type 2 diabetes was effective.There were no statistically significant differences of the single application of group A,B and C (P > 0.05),the curative effect of which was 76.5%,74.2%,75.0% respectively;but there was significant difference among the three groups and the combined application of group D (P < 0.05),the total effect of the combined application of group D reached to 85.7%.The combined medication in the treatment of type 2 diabetes had remarkable curative effect.Conclusion Several hypoglycemic drugs for the treatment of type 2 diabetes are effective,but the effects of combined medication are more effective than used alone according to the specific circumstance of patients.

高能量损伤所致小腿中段软组织大面积缺损可引起肌腱、骨骼、内固定装置外露及骨髓炎,常规手术方法处理较困难,局部可利用的组织瓣有限,采用交腿皮瓣治疗需损伤肢体的主要血管,给患者造成的痛苦较大.