<正>人口老龄化是人类社会进步的标志,是世界人口发展的必然趋势。但是,随着年龄的增长,老年人免疫功能失调,容易导致各种慢性疾病乃至残疾。中国是在经济水平较低的情况下面临沉重的人口压力的。目前,上个世纪五六十年代出生的庞大人群尚滞留在成年人口中,现实人口仍是金字塔形,虽然目前青少年的人口比重持续下降,但不敌老年人口比重迅速上升。能否解决好人口老化面临的各种问题,将取决于中国未来社会经济状况、医疗发展水平以及能否对老年人问题尽早做出规划和决策。研究老年人的生存质量必将有助于这些规划与决策的制定与实施,具有非常重要的意义。

Objective To observe the influence of Anluo Huaxian wan on hepatic fibrosis of chronic hepatitis B patients.Methods We studied 78 patients who had been randomly divided into treatment group 40 and control group 38.The treatment group were treated with Anluo Huaxian wan,the control group were treated with conventional therapy.The levels of serum HA、PC-III、LN were compared before and after being treated.The internal diameter of portal vein,A/P in the period of contraction of arteria hepatica and thickness of spleen were detected by color Doppler.Results The levels of serum HA,PC-III,LN,the internal diameter of portal vein and thickness of spleen in the treatment group after being treated is lower obviously than that of control(P<0.01).A/P in the period of contraction of arteria hepatica improved obviously(P<0.05).Conclusion Anluo Huaxian wan can prevent and deteriorate the hepatic fibrosis of chronic hepatitis.

本研究收集心肌梗死合并糖尿病患者52例,给予螺内酯联合卡托普利治疗6个月,比较患者用药前后心室重构的逆转以及血浆内分泌激素水平和心脏功能变化.结果患者左室收缩末期内径、左心室收缩末期容积、左心室射血分数、肾素、血管紧张素Ⅱ与治疗前比较差异有显著性意义(P＜0.05).结论拮抗神经内分泌激素治疗对于心肌梗死合并糖尿病患者在逆转心室重构、改善心肌功能及降低血浆内分泌激素水平方面有肯定的临床效果.

应用胰岛素是治疗糖尿病的重要方法之一.通常临床使用胰岛素的剂量较小,如不注意某些细节势必会影响药物疗效和对疾病的控制.本文就日常使用过程中需注意的几个方面综述如下.