目的:研究中老年人睡眠障碍与甲状腺功能关系.方法:对30例中老年人睡眠障碍患者进行甲状腺功能检查.结果:睡眠障碍者的FT3、FT4高于对照组(p<0.01),但TSH却稍低于对照组(p<0.05).结论:提示抑郁情绪与甲状腺功能之间存在相关性.

血脂异常是指由于脂肪代谢或转运异常,使血浆中1种或几种相关指标高于正常值,并认为血清高密度脂蛋白(HDL-C)降低也属于血脂代谢异常,而体重超重与血脂异常关系密切.2009年3月-2012年12月,我们采用针刺治疗体重超重及血脂异常80例,疗效满意.现分析报告如下.

目的 观察针刺治疗对血脂异常和高血糖症的临床疗效.方法 纳入同时符合血脂异常和高血糖症诊断标准的患者共48例,随机分为针刺血脂论治组和针刺血糖论治组,各24例.针刺血脂论治组以化痰去瘀、健脾补肾为法,选取中脘、关元、天枢、血海、足三里、丰隆、三阴交穴位;血糖论治组以益气养阴、健脾补肾为法,选取胰俞、肾俞、脾俞、足三里、三阴交穴位.针刺治疗12周,观察治疗前后体重指数、血脂、空腹血糖水平和脂肪肝轻重程度的变化.结果 血脂论治组和血糖论治组临床总有效率分别为91.7%和86.4%;针刺治疗后,两组患者空腹血糖水平较治疗前均显著降低(P＜0.01),两组之间差异无显著性(P＞0.05);针刺治疗后,两组患者总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇水平较治疗前均有显著性改善(P＜0.01),两组之间差异无显著性(P＞0.05).针刺治疗后,两组患者体重指数、脂肪肝轻重程度较治疗前不同程度改善且两组之间差异无显著性(P＞0.05).结论 基于血脂异常和高血糖症进行辨证取穴的针刺治疗方法,对血脂异常和高血糖症在糖脂代谢方面均有一定改善作用,为血脂异常和高血糖症的共同治疗提供了一种简便的治疗方法.

Objective: To study the long-term effects of lasting and high-dose electromagnetic radiation on number and percent of peripheral immune cells in mice and explore the influence of the lasting and high-dose electromagnetic radiation in murine immune system. Methods: Thirty BALB/c mice were randomly divided into control group, CTX group and irradiation group. The mice in irradiation group were exposed to electromagnetic radiation at the power density of 10 mW · cm-2, 30 min a day, for 5 consecutive days every week, lasting for 4 weeks. The mice in CTX group were fed with CTX with the concentration of 30 mg · kg-1, for seven times. The number and percents of CD4+T cells, CD8+T cells, CD4 +/CD8+, CD49+ NK cells in peripheral blood cells were detected 30, 45, 60, 75, 90, 105 and 120 d after electromagnetic radiation. Results: After high-dose electromagnetic radiation, the number of WBC was increased obviously (P<0.05). The number of CD4+ T cells was increased on the 75th day (P<0.05) and began to decrease on the 90th day, while the number was much more than that in control group (0 mW · cm -2). Until the 120th day, the number of T cells was as the same as the control. After the long-term effect of lasting and high-dose electromagnetic radiation, the number of CD8+T cells was decreased, and from the 90th day to the 120th day the number of T cells became normal (P<0.05). The ratio of CD4+ /CD8+ and the number of CD49+ NK cells were lower than those in control group after irradiation (P < 0.05). Conclusion: Chronic, persistent large doses of electromagnetic radiation can lead to immune system disorders, through detecting the changes in the number of peripheral blood CD4+ T cells, CD8+ T cells, CD49 + NK cells and the proportion of CD4+/CD8+, the immune status of mice after irradiation can be found.

Objective:To investigate the alcoholic fatty liver and non-alcoholic fatty liver in patients with biochemical indicators of the characteristics,enhance the rate of clinical diagnosis. Methods:120 cases of research subjects were divided into alcoholic fatty liver group and non-alcoholic fatty liver group,60 cases of each group,testing the two groups of pa tients with serum triglyceride (TG),cholesterol (CHOL),high density lipoprotein cholesterol (HDL-C),low-density lipopro tein cholesterol (LDL-C),apolipoprotein A Ⅰ(ApoAⅠ),apolipoprotein B (ApoB),uric acid (UA),fasting plasma glucose (FPG),aspartate Histidine aminotransferase (AST),alanine aminotransferase (ALT),AST/ALT,albumin (ALB),globulin (GLB),glutamyltransferase (GGT),total bilirubin (TB) and direct bilirubin (DB) and other biochemical indicators,and com parative analysis. Results:The alcoholic fatty liver group serum triglyceride (TG),cholesterol (CHOL),low-density lipoprotein cholesterol (LDL-C),apolipoprotein B (ApoB) and fasting plasma glucose (FPG) of the abnormal rate of low in non-al coholic fatty liver group,and high-density lipoprotein cholesterol (HDL-C),aspartate aminotransferase (AST),AST / ALT (≥ 2) and direct bilirubin (DB) Abnormal rate higher than that of the group. Conclusion:AST,AST/ALT(≥2),GGT,UA and other indicators are to identify alcoholic fatty liver and non-alcoholic fatty liver effective diagnostic indicators.

甲状腺功能亢进症(甲亢)是临床中常见病,在具有高代谢症候群、甲状腺肿、突眼等典型症状时往往诊断不难,但若临床表现不典型,或以某一系统症状为突出表现时,如医生警觉性不高,极易误诊误治,乃至发生甲状腺危象.1998～2001年我院共收治35例甲亢患者中因临床表现特殊而漏误诊10例(28.6%),其原因分析如下.

1998～2001年,我们收治甲状腺功能亢进症(甲亢)35例,其中误诊10例,占28.6%,现就误诊原因分析如下.