目的 通过结合胃镜粘膜象的微观特点,探讨慢性萎缩性胃炎的证型分布规律以及CAG中医辨证分型与组织病理改变的关系,为临床治疗提供依据.方法 选择诊断符合慢性萎缩性胃炎患者86例,对比观察5种证型患者萎缩部位、萎缩程度,有无Hp感染,有无糜烂、出血点、胆汁反流,病理组织学检查是否有肠上皮化生改变.通过胃镜粘膜象与病理特点的表现,探讨两者之间的关系.结果 各证型的萎缩程度分布有统计学意义(P＜0.05).各证型的萎缩部位分布无统计学意义(P＞0.05).各证型的伴随病变分布有统计学意义(P＜0.05).两两比较得知,肝胃不和伴胆汁反流比例较其他证型有显著性差异(P＜0.01),脾胃湿热伴糜烂比例较其他证型有显著性差异(P＜0.01).各证型的肠上皮化生率无统计学意义(P＞0.05).各证型的异型增生组间差异有统计学意义(P＜0.05).5种中医证型的Hp感染都有检出率,且无统计学意义.结论 该病的演变过程可能是肝胃不和、脾胃湿热、脾胃虚弱、胃阴不足、胃络瘀血,且病情逐渐恶化.肝胃不和证胆汁反流的检出率为41.94％,明显高于其余4种证型.脾胃湿热证伴糜烂者检出率为60％,较其它4种证型明显升高.

慢性胃炎是一种临床常见的消化系统疾病,中医认为湿邪易犯脾胃,是其重要的致病因素之一.本文介绍了笔者团队治疗慢性胃炎湿邪致病的临证思路及用方用药特色,并附以验案,具体治湿方法包括健脾化湿法、清热化湿法、温化寒湿法、升阳化湿法.

Objective To explore the clinical efficacy of doing ankle pump exercises with deep breath for preventing the deep vein thrombosis after gynecological cancer surgery .Methods Totally 120 patients undergoing gynecological cancer surgery from January 2014 to April 2014 were randomly divid‐ed into control group and treatment group .Routine nursing care were given for the patients in the con‐trol group .Besides that ,patients in the treatment group were doing ankle pump exercise with deep breath .The incidence of deep vein thrombosis and the blood flow of both lower extremities at the third and seventh postoperative day were measured and compared .Results Vascular color ultrasound showed that DVT at the third postoperative day was found 1 case in the control group(1 7.% ) and 7 cases in the treatment group(11 7.% ) ,and another one case in the control group was found at the seventh postopera‐tive day .There were significant difference in the incidence of DVT between the control group and the treatment group( P <0 0.5) .The patients'average and peak blood flow velocity in the treatment group were faster than that in the control group( P < 0 .05) .Conclution Doing ankle pump exercises with deep breath can accelerate the blood flow of lower extremities ,and prevent the deep vein thrombosis af‐ter gynecological cancer surgery .

①目的了解妇科患者感染解脲支原体（ Uu）的风险因素及对抗菌药物的敏感性。②方法通过培养法进行解脲支原体培养及药敏率的分析，回顾性研究解脲支原体感染风险。③结果解脲支原体感染与患者来源、绝经情况、宫颈糜烂、放置节育器、感染衣原体有关，解脲支原体对强力霉素和美满霉素敏感率＞90％。④结论妇科门诊患者感染解脲支原体与患者来源、绝经情况、宫颈糜烂、放置节育器、感染衣原体有关联，对强力霉素，美满霉素等抗菌药物敏感。

Objective:To observe the difference of bowels open degree among Tissue-selecting Therapy stapler(TST),procedure for prolapsed and hemorrhoids(PPH)and Milligan Morgan in the treatment of hemorrhoids.Methods:45 patients with Prolapsed hemorrhoids during Ⅲ and Ⅳ periods were randomly divided into the experimental group(TST group),the control group A(PPH group) and control group B(Milligan Morgan group).Compare the difference of bowels open degree after operation.Results:TST has little influence on the patients owning to the advantage between controllability of early defecation and smooth degree of late defecation compared with PPH and Milligan Morgan.Conclusion:TST is a more ideal surgical treatment method for hemorrhoids with non annular prolapsed as the main symptoms,especially for Ⅲ and Ⅳ degrees.

张骠教授系南京市中医院主任医师,南京中医药大学教授、博士生导师,从事中医及中西医结合儿科医、教、研工作20余载,中医功底深厚,临证经验丰富.其对小儿咳嗽变异型哮喘(cough variant asthma,CVA)的中医治疗颇有心得,疗效显著.

近年来,许多女性的痤疮从青春期开始,一直延续到成年不愈,或者在青春期后甚至成年后才发病,称为青春期后痤疮。该病以成年女性多见,以长期慢性精神紧张为主要诱因,遗传因素、妇科疾病等都同痤疮的发生、发展和持续状态有一定关系,雄性激素升高是其迟发和持久不愈的主要病因。由于发病人数不断增加,逐渐成为近年来研究的热点之一。

<正>中医与西医特色比较,中医前途和发展等问题一直是医学界的热点话题之一,下面通过中西医学在医学美容方面的比较,谈一下中医学的发展。1中西医美容比较1.1中医美容的特点:中医美容源远流长、根基深厚,具有悠久的历史,