Objective:To investigate the necessity and method of ureteral stent implantation in bladder tumor or cystitis glandularis.Methods:From April 2016 to October 2016,2 cases of cystitis glandularis and 2 cases of bladder tumor were treated by transurethral resection of ureter and ureteral stentsimplantation in our hospital.Re-sults:Four patients were followed up for 3 months with color doppler ultrasound,and no hydronephrosis was found.The ureteral stent was removed after 6 months,and no tumor recurrence and no ureteral orifice was found. Conclusions:Ureteral stent implantation can prevent the accessory injuryof the ureter caused by excision,and can ensure the maximum resection of the tumor to ensure the quality of the operation.

Objective:To explore the method and clinical value of transurethral plasmakinetic enucleation of prostate combined with partitioned resection using Nesbit technique in treating benigh prostatic hyperplasia (BPH) with huge volume.Methods:From May 2015 to February 2017,a total of 36 cases of BPH with huge volume grea-ter than 100mL were treated with transurethral plasmakinetic enucleation of prostate combined with partitioned re-section using Nesbit technique at our institution and the clinical data were collected and analyzed.Results:All op-erations were successfully carried out.Operative time was (105.6±23.2)min.Estimated blood loss was (120.3± 42.9)mL.There were no cases with transfusion,transurethral resection syndrome (TURS)or ureteral injury. Mean catheterization time was (3.5±1.2)days and hospital stay was (9.5±2.3)days.Patients had significant im-proved IPSS score,QOL score and Qmax one month after surgey (P <0.05).Four patients,suffering from mild incontinence after catheter removal,were all recovered three months later.Conclusions:Transurethral plasmaki-netic enucleation of prostate combined with partitioned resection using Nesbit technique was a safe and efficient&nbsp;surgical method in treating BPH with huge volume.

目的:观察“滑悦-A方”外用膏剂治疗早泄的临床疗效.方法:早泄患者随机分为两组,治疗组51例采用“滑悦-A方”外用膏剂治疗,对照组45例采用利多卡因胶浆外用治疗,均治疗4周.观察两组治疗前后早泄评分、中医疗效判定,比较两组疗效.结果:治疗4周后,治疗组总有效率78.43％,对照组总有效率57.78％.治疗组早泄评分、中医疗效的改善优于对照组(P＜0.05),结论:“滑悦-A方”外用膏剂治疗早泄的临床疗效明显优于利多卡因胶浆.

目的:研究目前阳痿的中医诊断及治疗近况.方法:调查近年研究阳痿的中医病因病机及诊断与治疗的文献,通过文献检索采集证据,进行分析、综合、比较、归纳.结果:现代阳痿的病因病机与古代文献记载发生了变化,肾虚证的比例减少,肝郁证增多,虽然临床中中医辨证、治疗欠规范.结论:当代阳痿的病理变化以肝郁肾虚血瘀为主,肝郁、肾虚都是重要的病机,而血瘀则是诸多病因继发的病理因素.

Traditional Chinese medicine dosage not only affects the efficacy of traditional Chinese medicine,and the number of doses is particularly important,but also is the key of the ancient physicians of inheritance academic thought.Since ancient times,Chinese medicine did not pass on the secret in the quantity of medicine.Study on the dose of Chinese medicine is the focus of study of Chinese academic circles.

Objective To research the correlation of tongue and laboratory parameters in type 2diabetes.Methods Totally5 930cases of type 2diabetes were collected.The tongue color,form of the tongue,sublingual network vessels,fur color and nature of the fur were described according to the tongue records.The ratio of each tongue and its correlation with fasting plasma glucose(FPG),2hour postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c),triglycerides(TG),total cholesterol(TC),the patient's age(AGE)and body mass index(BMI)were analyzed.Results The common tongues of type 2diabetes were 42.12%red tongue and 30.90% dark red tongue,34.58%enlarged tongue and 31.40%tooth marks on the margins of the tongue,42.43% white tongue fur and 37.32% yellow tongue fur,30.09%thick tongue fur and 21.68%slimy tongue fur and 63.25% static sublingual network vessels,15.34% stagnant to static sublingual network vessels and15.06%stagnant sublingual network vessels.The thickness of tongue was positively correlated with FPG(P=0.001)and the correlation coefficient was 0.071.The scores of tongue thickness were positively correlated with 2hPG(P=0.046)and the correlation coefficient was 0.053.The scores of tongue color were positively correlated with TG(P =0.000)and the correlation coefficient was 0.155.The scores of tongue fur color were positively correlated with AGE(P=0.000)and the correlation coefficient was 0.087.The scores of tongue fur color were positively correlated with BMI(P=0.036)and the correlation coefficient was 0.084.The scores of tongue fur color were positively correlated with TG(P=0.035)and the correlation coefficient was 0.083.The scores of sublingual network vessels were positively correlated with AGE(P=0.000)and the correlation coefficient was 0.191.The scores of sublingual network vessels were negatively correlated with 2hPG(P=0.026)and the correlation coefficient was-0.075.Conclusion The common tongues of type 2diabetes are thick and slimy tongue fur,yellow tongue fur,enlarged tongue and static sublingual network vessels and have a certain positive correlation with laboratory parameters.

仝小林教授提出"症-证-病-结合"的临床辨治模式,倡导在经方运用中,应当把三者有机结合,即以证为基;以症为靶;以病为参[1].生姜泻心汤就是其中的典型之一,根据寒热错杂为证;大便次数增多、便稀、肠鸣为主症;腹泻为病,并且"抓主症"执简驭繁、组方用药[2],治疗腹泻脾虚胃热、水热互结、寒热错杂证,方中以生姜为君药,意在温胃而宣散水气;黄连为臣,本性寒凉,是清热燥湿止泻要药,与生姜配伍可减缓其苦寒性质,一寒一热共奏止泻之功.仝教授经方新用,常用生姜泻心汤治疗各种疾病引起的腹泻,收效颇佳.

Tongue diagnosis plays a proverbially important part in the inspection of traditional Chinese medicine,which may reflect the change of the qi-blood-body fluid of the body comprehensively.It has been held that the occurrence and development of diabetes mellitus can be observed in the tongue diagnosis.Moreover,different characteristics may be shown in the different stage of diabetes mellitus.Therefore,tongue diagnosis is of great significance in the prescription properly and clinically.