Objective:To investigate the temporal trend of the mortality rate of intracerebral hemorrhage (ICH) among residents with different characteristics during the comprehensive prevention and control of hypertension in Tengzhou, Shandong Province from 2013 to 2021.Methods:Comprehensive prevention and control of hypertension was conducted in Tengzhou, Shandong Province from 2013 to 2021. ICH mortality rate was calculated from January 1, 2013 to December 31, 2021. ICH mortality monitoring data from Tengzhou, Shandong Province was used to analyze the temporal trend of ICH mortality among residents with different characteristics. The registered residence population came from the Public Security Bureau of Tengzhou, Shandong Province. The age and gender standardized mortality rate was calculated based on the data of China's seventh population census in 2020. The temporal and age trends of mortality were analyzed using Cochran Armitage Trend Tests.Results:From 2013 to 2021, the overall crude and standardized mortality rates of ICH in Tengzhou, Shandong Province decreased from 50.51/100 000 and 63.21/100 000 to 17.51/100 000 and 16.74/100 000, respectively ( Z=-11.013 and -15.426, P<0.001), with an average annual mortality rate decrease of 12.41% and 15.30%, respectively. The overall crude and standardized mortality rates in 2017 peaked compared to 2016, mainly due to an increase of 32.94% and 30.92% in male ICH crude and standardized mortality rates, respectively ( χ2=12.328 and 15.854, P<0.05). The mortality rate of ICH increased with age, and the decreasing trend over time became increasingly evident with age. The mortality rate of ICH in the ≥65 year old age group decreased by 77.94% over 9 years ( Z=-14.065, P<0.001). In 2017, the mortality rate of ICH in the male age group ≥65 years old and female 45-54 years old increased by 31.13% and 125.79% compared to 2016 respectively, there were statistically significant differences ( χ2=8.877 and 5.421, P<0.05). In 2021, the mortality rates of urban and rural ICH decreased by 93.22% and 46.40% compared to 2013, respectively ( Z=-13.279 and -5.393, P<0.001), with an average annual decrease of 28.56% and 7.50%, respectively. The ICH mortality rate in rural areas increased by 30.54% in 2017 compared to 2016 ( χ2=16.086, P<0.001); after 2018, the mortality rate of ICH began to be higher than that of urban areas ( χ2=33.400 and 67.305, P<0.001). Conclusions:The ICH mortality rate in Tengzhou, Shandong Province has shown a significant downward trend over time, with male mortality rate higher than female mortality rate and rural mortality rate higher than urban areas. This suggests that the key attention should be paid to both male and rural areas.

目的 探讨参苓白术方对肺脾气虚型慢性阻塞性肺疾病(COPD)稳定期患者运动耐力及肺功能指标的影响.方法 选择2020年1月—2021年11月我院收治的COPD稳定期患者86例,以随机数字表法分组.对照组(n=43)采用西药治疗,观察组(n=43)在此基础上采用参苓白术方治疗.比较两组的症状缓解时间、运动耐力、肺功能指标及安全性.结果 观察组的咳嗽消失时间、喘息缓解时间、哮鸣音改善时间、腹胀消失时间分别为(1.26±0.46)d、(1.07±0.52)d、(1.22±0.53)d、(1.01±0.39)d,均短于对照组,组间差异有统计学意义(P<0.05).观察组的6 min步行距离为(402.53±41.05)m,长于对照组的(356.21±35.07)m,差异有统计学意义(P<0.05).两组治疗后的各项肺功能指标水平均较治疗前升高,且观察组水平高于对照组,组间差异有统计学意义(P<0.05).两组均未出现明显不良反应.结论 肺脾气虚型COPD稳定期患者采用参苓白术方治疗的效果确切,利于减轻症状,提升运动耐力,改善肺功能,且安全性较高,值得临床广泛应用.

Syndrome of intermingled Han and Re is the common syndrome type in TCM, refers to syndrome Han and Re appearing at the same time. Its causes are varied. According to the classics of TCM plus years of clinical experience, sixteen common treatment measures were concluded, recorded as follows.

目的 观察滋肾养血方治疗原发性震颤的临床疗效.方法 选择60例原发性震颤患者随机分为治疗组和对照组,治疗组给予滋肾养血方,对照组给予普萘洛尔,观察对震颤评分的影响.结果 治疗组有效率66.67％,对照组有效率40.00％,二者有显著性差异(P＜0.05).治疗组治疗前后、对照组治疗前后震颤评分均为P＜0.01,治疗组和对照组治疗后比较P＜0.01.结论 滋肾养血方对原发性震颤有良好的疗效,值得临床推广.

Objective To explore the clinical efficacy of Chinese medical treatment in gastroesophageal reflux disease. Methods 92 cases of gastroesophageal relfux disease in our hospital were divided into observation group and control group randomly, the control group was given conventional therapy and the observation group was given Chinese medicine treatment on the basis of the control group. Then we compared the clinical efifcacy of two groups of patients after two treatment. Results The total effective rate of the observation group and the control group was 93.6% and 80.0% after two treatment, and there was a signiifcant difference between the two groups (P<0.05). Conclusion Chinese medical treatment in gastroesophageal relfux disease can improve clinical efifciency signiifcantly, and is worthy of further study and application.

目的 探讨躯干与肢体配套组合训练对脑梗死患者运动功能恢复的影响.方法 将86例脑梗死患者随机分为治疗组(44例)及对照组(42例).2组患者均给予常规内科治疗,治疗组同时给予躯干与肢体配套组合训练,对照组则给予常规肢体运动功能训练,治疗时间均为8周.分别于入选时、治疗结束后及发病后6个月时进行运动功能和日常生活活动能力评分、肘关节向心伸肌肌力和肘关节痉挛程度评级以及6 min步行距离测试等.结果 2组患者经相应治疗后,发现治疗组患者肢体运动功能、日常生活活动能力、肘关节向心伸肌肌力、痉挛程度评级以及6 min步行距离等均明显优于对照组(均P＜0.05).结论 躯干与肢体配套组合训练能显著改善脑梗死患者运动功能,对进一步提高临床疗效具有重要意义.

Objective To study whether two types of rehabilitation used in patients with cerebral infarction complicated with cardiac insufficiency can improve the cardiac function and the effect and feasibility of motor function rehabilitation.Methods A total of 81 patients with cerebral infarction accompanied by cardiac insufficiency were divided randomly into a treatment group(41 cases)and a control group(40 cases).On the basis of routine pharma- cotherapy,cardiac function and motor function rehabilitation was given to the treatment group while only motor func- tion rehabilitation was given to the control group for a total of 8 weeks.The New York Heart Association(NYHA) cardiac function grading system and cardiac function related indice as well as motor function and activity of daily liv- ing(ADL)scoring of the two groups were observed before and after treatment.Results After treatment,NYHA cardiac function grading,left ventricle ejection fraction(LVEF),type B brain natriuretic peptide(BNP)in plasma and 6 min walking range anti motor function and ADL scoring in the treatment group were markedly superior to those in the control group(P0.05).Conclusion Performing the two types of rehabilitation can not only improve car- diac function of patients with cerebral infarction accompanied by cardiac insufficiency,but also improve effect of mo- tor function rehabilitation.

Objective To study the effects of rehabilitation （RT） on cardiac function in cerebral infarct （CIF） patients with cardiac insufficiency （ CIS）. Methods Fifty-nine CIF patients with CIS were randomly divided into a treatment group （ T group, n = 29 ） and a control group （ n = 30） , and all patients were treated with routine pharmacotherapy for 2 months. In addition, RT was administrated in the T group at the same time. The grading of the New York Heart Association （NYHA） and the changes in cardiac function associated index were observed in both groups before and after treatment. Results Compared with the control group, NYHA grades, left ventricle ejection fraction（LVEF） , the levels of brain natriuretic peptide（BNP） in the blood plasma, and the 6min walking range of the T group patients were all significantly improved after treatment （ P 〈 0.05 ）. Conclusion RT can improve cardiac function in CIF patients with CIS. Key words: Cerebral infarction; Cardiac insufficiency; Rehabilitation training

目前研究表明,不稳定心绞痛(UA)患者C反应蛋白(CRP)明显升高,我们通过测定118例UA患者服用通心络胶囊治疗前后CRP水平,探讨通心络胶囊对其水平的影响.

资料证实,不稳定性心绞痛(UA)患者自发性心绞痛发作、恶化或发生心脏意外事件常有一定的规律(如常在午后或凌晨发作).本研究旨在探讨发作前药物干预的预防效果及对患者预后的影响.