分析单磷酸阿糖腺苷联合甘露聚糖肽治疗带状疱疹的效果及对患者免疫球蛋白水平的影响.以本院2014年1月至2017年1月期间诊治的200例带状疱疹患者为研究对象.将患者按照不同的治疗方法分为两组:对照组(n=100)患者给予单磷酸阿糖腺苷、维生素B1/B12和尼美舒利治疗;观察组(n=100)患者在对照组治疗的基础上给予甘露聚糖肽静脉注射.分析两组患者的治疗效果及治疗前后免疫球蛋白水平变化.结果显示:与对照组患者比较,观察组患者的止疱时间、止痛时间、完全结痂时间和皮损痊愈时间明显缩短(P<0.05),有效率明显升高(P<0.05),免疫球蛋白A(IgA)、免疫球蛋白G(IgG)和免疫球蛋白M(IgM)水平也均明显升高(P<0.05).因此,单磷酸阿糖腺苷联合甘露聚糖肽对带状疱疹的效果明显,且治疗后患者免疫球蛋白水平明显升高.

我院是一所三级甲等综合性部队医院。日均门诊量达3000余人，门诊患者大多来自地方农村，有些患者不识字并且普通话交流困难，医患沟通障碍或不流畅，导致患者长时间滞留分诊台、咨询台造成拥堵，为解决这一问题，我门诊部采用，在门诊量较大的科室粘贴彩色纸条于病历册左上方，患者挂完号后对医院环境陌生，可最大限度缩短患者来回寻找相应就诊科室，挂号本体现（红、蓝、黄）。经过门诊多年的实践，彩色纸条粘贴于病历册的方法社会效益肯定，收到患者好评，值得引用。

This paper takes the 180~(th) Hospital of PLA as an example to demonstrate that the hospital independently develops a stnicturized outpatient EMR(Electronic Medical Records) system on the basis of EMR.Through extraction of patients' basic information from HIS(Hospital Information System) and adoption of relevant formats from clinical departments,the system standardizes format of medical records and realizes the structurization of EMR.

<正>病人,男,50岁。自诉儿时皮肤接触葡萄糖液2 min许即感接触处瘙痒,起红斑、丘疹,口服葡萄糖液无不适感觉、未在意。近期因病使用5%葡萄糖注射液静滴,1 min许即感全身皮肤瘙痒,起红斑、丘疹。考虑葡萄糖过敏,予停用,抗过敏治疗,症状消退,改用0.9%氯化钠注射液静滴,无不适感觉;病愈后,予口服葡萄糖液无不适感觉;葡萄糖斑贴试验:(++++)。对葡萄糖过敏罕见,本例患者对葡萄糖皮肤过敏属无疑,但其发生机制有待深入研究。

目的 比较泼尼松片、白癜风胶囊及两种药物联合治疗白癜风的疗效.方法 将258例门诊患者按抽签法随机分成三组,分别采用泼尼松片、白癜风胶囊及两种药物联合治疗.结果 泼尼松组痊愈率为48.75％；白癜风胶囊组痊愈率为44.71％；联合组痊愈率为82.28％；差异有显著统计学意义(P＜0.01).结论 三种疗法均有效,联合组的疗效明显高于其他两组.

目的 探讨老年原发性高血压患者血清B型利钠肽(BNP)、高敏C反应蛋白(hs-CRP)水平与心房颤动之间的关系.方法 对我院2008年10月-2011年10月连续诊治的老年原发性高血压患者209例,根据超声心动图(UCG)测量左室舒张末内径(LVEDD)、室间隔厚度(IVSD)、左室后壁厚度(LVPWD)、左室射血分数(LVEF)、左房内径(LA),计算左室质量指数(LVMI).根据ECG将患者分为房颤组(AF组,105例)及无房颤组(NAF组,104例),测定两组患者的血清BNP、hs-CRP水平.结果 AF组中阵发性房颤48例,持续性房颤24例,永久性房颤33例.AF组患者的BNP[( 198.66±118.85) ng/L与(86.37±66.96)ng/L]与LVMI[( 127.19±28.04) g/m2与(83.70±17.23) g/m2]明显高于NAF组(P＜0.01).永久性房颤患者BNP明显高于阵发性房颤患者[(242.45±134.36) ng/L与(178.95±102.73) ng/L,P＜0.05],而阵发性房颤、持续性房颤患者BNP无统计学差异(P＞0.05);三组间hs-CRP均无统计学差异(P＞0.05).老年原发性高血压房颤患者BNP与患者LVMI、LA、房颤持续时间成正相关,与LVEF成负相关.Logistic回归分析表明,老年原发性高血压患者血清BNP水平升高,房颤的可能性增大.hs-CRP与房颤之间无相关性(P＞0.05).结论 BNP与老年原发性高血压房颤之间关系密切.BNP可作为老年原发性高血压左心室心肌肥厚的标志物.

Objective To compare the efficacy of Terbinafine tablet,compound Ketoconazole cream and Terbinafine tablet combined with compound Ketoconazole cream for the treatment of tinea cruris. Methods All the 278 outpatients were randomly divided into three groups and were treated with Terbinafine tablet,compound Ketoconazole cream and Terbinafine tablets combined with compound Ketoconazole cream respectively. Results The recovery rate of the Terbinafine tablet treatment group were 57.78%,the compound Ketoconazole cream treatment group were 61.80%,the combined treatment group were 96.63%,respectively.The differences between the three groups have statistical significance(P<0.01). Conclusion The results suggest that three treatment groups all have some efficacy,and the efficacy of the combined treatment group were more effective than the two others.

<正>从2006年开始,我们在诊疗中注重患者的心理治疗,患者的依从性、治愈率明显提高,现就门诊性病患者的心理问题、产生原因及我们采取的对应处置决策报告如下。1门诊性病患者可能存在的心理问题1.1焦虑、自卑、悲观绝望心理害怕家人、同事等知道,害怕受到社会、医务人员的歧视,有些患者病情迁延不愈,给患者造成了沉重的心理压力及经济负担,产生悲观绝望心理,自暴自

Objective To compare the efficacy of you-di embrocation,high frequency electrofulguration,and you-di embrocation combined with high frequency electrofulguration for the treatment of condyloma acuminatum.Methods 345 outpatients were randomly divided into three groups and were treated with you-di embrocation or high frequency electrofulguration or you-di embrocation combined with high frequency electrofulguration respectively.Results The recovery rate of you-di embrocation group,high frequency electrofulguration group and combination group were 48.18%,50.89% and 94.64%,respectively.The difference between three groups had significant statistical significance(P<0.01).Conclusion The results suggest that three treatment groups all have some efficacy,and the efficacy of the combination group were more effective than the two others.

Objective To compare the efficacy of levocetirizine,pi-min-xiao and their combination for the treatment of chronic urticaria.Methods A randomized clinical trial was conducted in 248 subjects.They were divided into three groups and were treated respectively with levocetirizine capsules (levocetirizine treatment group) ,pi-min-xiao capsules (pi-min-xiao treatment group) ,and levocetirizine united with pi-min-xiao capsules (united treatment group) .Results The full recovery rate and the improved rate were 22.50% and 48.75% in the levocetirizine treatment group,23.46% and 51.85% in the pi-min-xiao treatment group,and 46.91% and 81.48% in the united treatment group,respectively.Conclusion It is suggested that all the three groups have some efficacy,and the efficacy of the united treatment group is most effective.

Objective To compare the efficacy among fluconazole,compound bifonazole,and fluconazole united with compound bifonazole for the treatment of tinea manum and pedis.Methods A randomized clinical trial was conducted in 285 subjects of tinea manum and pedis.The subjects were divided into three groups and were treated respectively with fluconazole tablets(fluconazole group),compound bifonazole solution(compound bifonazole group) and fluconazole tablets united with compound bifonazole solution(united treatment group).Results The recovery rate and the improved rate were 48.91% and 67.39% in the fluconazole group,51.09% and 73.91% in the compound bifonazole group,and 91.11% and 95.56% in the united treatment group,respectively.Conclusion It is suggested that the three treatment approaches all have some efficacy,and the united treatment with fluconazole plus compound bifonazole is more effective than any of the two others.

百白破疫苗是用于预防百日咳、白喉、破伤风三种疾病的有效联合制剂,但该疫苗不良反应发生率高[1].为了减少百白破接种后不良反应,对适龄儿童采用不同温度的吸附百白破疫苗进行接种,并对接种后的不良反应进行对比观察,结果报告如下.

目的:比较健脑安神片、米诺第尔溶液及两种药物联合治疗斑秃的疗效。方法:三组208例患者分别用健脑安神片、米诺第尔溶液及两种药物联合治疗。结果:联合组比健脑组、米诺组疗效好,差异有统计学意义(P<0.01)。结论:三种疗法均有效,联合组疗效明显高于其他两组。

Objective To compare the efficacy of doxycycline,Jie-du Tong-lin Pill,and doxycycline plus Jie-du Tong-lin pills for the treatment of non-gonococcal urethritis and cervicitis.Methods A randomized clinical trial was conducted in 240 subjects with non-gonococcal urethritis and cervicitis.The subjects were divided into three groups and were treated respectively with doxycycline tablets(doxycycline group),Jie-du Tong-lin pills(Jie-du Tong-lin group) and doxycycline tablets plus Jie-du Tong-lin pills(united group).Results The healing rate and the improved rate were 57.89% and 68.42% in the doxycycline group,52% and 68% in the Jie-du Tong-lin grou,and 83.12% and 92.21% in the united group were,respectively.Conclusion The outcomes suggest that all the three groups achieve some efficacy,but the efficacy of the united group treated with doxycycline tablets plus Jie-du Tong-lin pills is more stronger than that of any of the two others.

我们2006-01/2007-06采用多西环素片(开封制药有限公司)、解毒通淋丸(广西强寿药业集团有限公司)单用及联合治疗非淋菌性尿道(宫颈)炎(NGu)240例,发现联合用药比单用疗效显著,现报告如下.