Objective To estimate health economic effect of community fore-warning and health management system construction among high-risk diabetes persons in Tianjin.Methods We collected information of general cost of the program investment,the intervention cost and the actual effect of the blood glucose outcome for each participant,and estimated health cost effect.Three hundred and seven individuals with high risk of diabetes were enrolled to manage health.Cost-effect ratio,general cost and the intervention cost of each indicidual were calculated.We used above result and references data to estimate the health economic effect and cost-effect ratio for developing health management of the community diabetes high-risk population in the whole Tianjin.Paired t test and matched x2 test were used to analyze continuous variables and classified variables,respectively.Results The intervention cost for every participant was RMB 628 yuan.The intervention reduced the incidence of diabetes by 52.5％.The cost-effect ratio was 1: 4.66.Conclusion The economic effect of preventing or delaying type 2 diabetes by lifestyle intervention is very remarkable.

Objective To explore the clinical effect of Chinese medicine comprehensive therapy on the prevention and treatment of deep venous thrombosis of the lower limbs after senile hip fracture operation.Methods The intravenous drop of dan hong injection,compression of Chinese herbal bag,Chinese herbal ion penetration and early-stage function exercise were applied to 69 cases after senile hip fracture operation in orthopedics department of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine and the incidence of deep venous thrombosis of the lower limbs was observed for the cases collected from April 2008 to March 2010.Results Of 69 cases,only 4 cases had deep venous thrombosis of the lower limbs and the incidence rate was 5.8%.Conclusion The rational application of comprehensive therapy of Chinese medicine before and after the operation of senile hip fracture can reduce the incidence of deep venous thrombosis of the lower limbs remarkably,and it is a kind safe and effective therapeutic method.

患者,女,55岁,8年前出现双手背暗红色皮疹,经当地诊治但无好转;7年前出现面部红斑,日晒后加重,经当地抗过敏治疗无好转,后出现关节痛伴发热.为进一步治疗于2002年10月31日入我院皮肤科.高血压病史15年.体检:面部可见暗红色斑疹及典型蝶形红斑,双手背暗红色斑疹.实验室检查:ANA(+),ds-DNA(+),Sm(+).诊断:系统性红斑狼疮;高血压病2级,中危组.予泼尼松治疗3周好转出院,渐减量至5 mg qd维持,病情平稳.2006年11月3日出现乏力、关节痛,查ANA(+),ds-DNA(+),尿蛋白2+,于11月17日再次入院.

At present,Sub-health state was a serious problem that influence mankind health.According to Neijing theory,TCM had three advantages for regulating sub-health state including preventing disease,health cultivation and recuperative medical care.

The Huoxue Huayu method was one of important therapeutics in traditional Chinese medicine. The following the prognosis of a disease should pay attention to influence that syndrome of blood stasis and sub-health state. The Huoxue Huayu method had an important role on following the prognosis of a disease.

The important effect of Yangshen(nourishing the heart) in TCM on life activity is discussed. It is emphasized that sub-health belonged to mind-physique correlated disease. The correlated analysis,emphasizing the effect of Yangshen in regulating sub-health state is carried out.

根据WHO统计,全世界癌症患者近50％伴有不同程度的疼痛,由于疼痛对癌症患者的生活质量及治疗影响很大,因此癌症疼痛的治疗是WHO对癌症综合规划的四个重点之一,随着对癌症认识的逐渐深入,中医中药现代化进程不断加快,中医中药在治疗各种癌症疼痛上有了很大的进展,取得了较好的疗效,现综述如下.

由颈椎或其周围软组织的病理改变而产生的临床表现称颈椎病,下面对两种方法治疗给予简述.

本症又名冻结肩、五十肩、肩凝症、肱二头肌长头肌腱炎、露肩风,从这些病名中,大体可以看出此病的好发年龄,发病部位及其一般临床症状.此病为老年人常见的上肢软组织疾病,其发病快、痛苦大,如不及时有效治疗就会引起肩关节疼痛难忍,夜间尤甚,影响睡眠,严重者可造成肩关节完全粘连,关节活动极为困难,以致丧失料理个人生活的能力.

血管神经性头痛是由于血管收缩、舒张功能失调引起的阵发性以反复发作为特征的一侧或双侧头痛.在中医学中属于头痛范畴.笔者对60例本病患者采用活血化瘀法治疗,效果较为满意,现总结如下.

中医学"胸痹心痛"相当于现代医学冠心病心绞痛,临床发病率高,预后欠佳,中医对本症的研究已久,临床上多采用活血化瘀法进行治疗,笔者在临床中使逍遥散加减采用心肝同治法治疗"胸痹心痛"症的体会总结如下.

1 临床资料 治疗组32例住院患者,均经脑CT检查确诊为脑梗塞、脑出血,其中男15例,女17例;脑梗塞20例,脑出血12例.对照组32例,住院患者均经脑CT检查确诊为脑梗塞,脑出血,其中男14例,女18例,脑梗塞21例,脑出血11例.年龄、病程等情况大致相同,无显著性差异,具有可比性.

应用川芎嗪骨内注射的方法治疗股骨头缺血性坏死30例43髋,结果:治疗2个疗程后评分,优17髋(占39.6%),良14髋(占32.6%),中9髋(占20.9%),差3髋(占6.9%),表明该治法能使坏死部位血管组织再生,局部血流量增加,促进坏死骨的吸收和新骨再生,使坏死的股骨头恢复功能.

我院从1988年1月至1995年12月采用透视下手法复位和经皮穿针(或小切口插钉)内固定术治疗股骨颈骨折共63例,收到了较好效果,但也存在一些问题.为提高该法疗效,减少失误和并发症,根据我们的认识,将63例病历资料术中常见问题进行分析探讨.