目的 观察对急性脑梗死(ACI)患者施行高压氧治疗的效果.方法 随机将2019年6月至2020年12月我院100例ACI对照组(50例,常规药物治疗)、观察组(50例,常规药物+高压氧治疗).对比两组总有效率、神经缺损功能评分、氧化应激反应指标(丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH?Px)、超氧化物歧化酶(SOD))、脑血流灌注情况[脑血流量(CBF)、脑血容量(CBV)及对比剂达峰时间(TTP)].结果 观察组总有效率(95.83％)高于对照组79.17％(P<0.05);观察组治疗后神经缺损功能评分较对照组更低(P<0.05);观察组治疗后MDA较对照组更低,GSH?Px、SOD较对照组更高(P<0.05);观察组治疗后CBF、CBV较对照组更高,且TTP较对照组更短(P<0.05).结论 对ACI患者施行高压氧治疗有助于加速神经功能恢复,改善脑血流灌注及减轻氧化应激反应.

崩漏的病因多端，病机复杂。多数妇科医师认为其常见病因为肾虚、脾虚、血热、血癖，病机则主要为冲任损伤，不能制约经血，致子宫藏泻失常。在治疗上灵活运用“塞流、澄源、复旧”三法但不拘泥初、中、末之“次第”，相互为用。出血期以活血化癖法为主塞流，同时探究不同致癖原因而治之；血止之后注重求因治本，复旧善后，再结合女性月经周期不同阶段的生理特点，在经后期滋肾养血，以使血海充盈；经前期理气活血，以使气血通调，从而使患者恢复正常的月经周期，在临床上收到良好的疗效。

Premature ovarian failure ( POF) is a premature failure of ovarian function caused by many etiological factors, of which the pathogenesis has not been clarified so far. POF patients suffer from perimenopause earlier than healthy women and develop symptoms like ovarian atrophy, persistent amenor-rhea and genital atrophy, and reproductive tract atrophy causing sexual disorders, anovulatory infertility, etc. , which affect the stability of family and society. Although the pathogenesis and treatment of POF are complicated and difficult, a great progress has been made by scholars on the study of the etiology of premature&nbsp;ovarian failure and the treatment with integrative Chinese medicine and western Medicine in recent years.

Objective:To observe the effects of Wenjing decoction on endometriosis rats, pregnancy rate of embryo size, the number of embryos,this paper discusses the influence of Wenjing decoction for treating endometriosis.Methods:50 SD rats were divided into a blank group, an endometriosis group ( a model group ) , a Wenjing decoction high -dose group,a Wenjing decoction low-dose group and a danazol group.Results:Compared with the high-dose group, the gestational sac size of the low-dose group was significantly reduced, with a significant difference (P<0.01);the ges-tational sac size of the danazol group was significantly reduced, with a significant difference (P<0.05);the gestational sac size of the blank group was significantly reduced, with a significant difference (P<0.01).Compared with Wenjing decoction low-dose group, the pregnancy number of the danazol group was significantly reduced, with a significant difference ( P<0.05);the pregnancy number of the blank group was significantly reduced, with a significant difference (P<0.05);the pregnancy number of the model group was significantly reduced, with a significant difference ( P<0.05) .Compared with the blank group,the pregnancy rate of Wenjing decoction high-dose group was significantly re-duced, with a significant difference (P<0.05).Conclusion:Wenjing decoction has a very good improving effect on the pregnancy function of endometriosis rat models.

Objective:To study the effect of Hupo Powder on IL-2 and IL-10 of rats with Qi stagnantion and blood stasis syndrome of endometriosis and discuss the mechanism.Methods:40 SD rats were divided into the blank group,Qi stagnantion and blood stasis syndrome of endometriosis group(model group),Hupo Powder group,danazol group.Results:Compared with blank group,Hupo Powder treatment group can increase the ratio of IL-2/IL-10,with significant difference(P<0.01).Compared with model group,Hupo Powder group can significantly increase the ratio of IL-2/IL-10,with significant difference(P<0.01).Conclusion:Hupo Powder can reach the treatment function through changing the Th1/Th2 immune imbalances of Qi stagnantion and blood stasis syndrome of endometriosis in rats.

Objective:To study the mechanism of HuPoSan in the treatment of endometriosis rat with Qi stagnancy and blood stasis from immune imbalances.Methods: 40 only SD rats were divided into blank group,Qi stagnancy and blood stasis endometriosis group(model group),HuPoSan group,danazol group.Results: 1.Compared with model group,HuPoSan group could reduce IL-4 level,and had a significant difference(P<0.01);It could improve IFN-γ level,but the difference was not significant.IFN-γ/IL-and there were no significant differences.2.Compared with blank group,model group IL-4 a significantly higher level,had a significant difference(P<0.01)3.Compared with the blank group,IL-4 level of HuPoSan group did not change significantly.Conclusion: 1.The model group exists Th2 offset state.2.HuPoSan may reach the treatment function change the Th2 offset state of endometriosis rats with Qi stagnancy and blood stasis.

目的探讨米非司酮配伍米索前列醇行药物流产的护理方法。方法用药前常规进行体检和妇科检查,详细说明药物的特点、效果、不良反应和禁忌证,用药对象是自愿选择药物流产的健康妇女;详细交待用药时的注意事项;在使用米索过程中,必须留院观察6h。介绍口服米索前列醇可能出现的不良反应,耐心听取留观者的主诉,给予针对性的详细解释并及时处理,胎囊排出后,认真检查排出物是否完整,测量大小并记录。阴道出血多(≥两倍月经量)及时做好清宫准备。离院前未见胎囊排出,嘱次日晨复查B超,并继续观察阴道出血量和排出物;根据异常出血的可能原因实施不同的护理措施;药物流产后可能发生严重的不良反应,要求护士必须有高度的责任感,精湛的护理技术,防止一切可能发生的意外,提高药物流产的安全性;做好健康指导。结果 2156例停经≤49d的健康妇女,行药物流产后一般不良反应发生率65%,无1例出现严重不良反应。

由于在中医院门诊患者中,多数存在从众、焦虑、怀疑以及高期望等心理特点,导致患者就医存在盲目性和不稳定性,最终造成医疗效率下降和资源的浪费。针对患者的这些心理特点进行有目的的引导和护理,则可以更快的缓解患者病痛,提高临床疗效。