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This study compared the outcome of 23 patients treated nonsurgically with an equinus ankle cast and boot with that of 24 patients who previously underwent surgical repair.

这项研究比较23名以equinus脚踝固定敷料和矫正靴进行非手术治疗的患者,并且与24名进行手术的患者一起比较治疗结果,二组患者的肌肉增强和全身重量步行的之承受度均一致,研究人员继续追踪18个非手术治疗的患者23个月,以及15名手术治疗患者49个月。

Conclusion1 Critically ill patients with indwelling catheters were of the high positive rate of microorganisms,and microorganism spectrum was of special properties;BF formed mainly inside the catheter,the occurrence rate of BF inside the catheter was high and the formation time was short;Changes on catheters and the result of microorganisms was positively correlated with the BF formation.2 Indwelling catheter time was the independent risk factors for the BF formatiom, while age、APACHEⅡscore、sex、urine sugar and the types of antibiotic usage were the potential risk factors for the BF formation;Nurses should perfect the catheter measures for critical ill patients,emphasis on the assessment of risk factors of BF formation,and implement special care in high-risk patients.3 In the early stage of BF formation,irrigation could play the role of eradicative BF effectively;While later,it couldn't,but it can delay the speed of BF formation and maturation;In the choice of washing methods,injection type washing method is superior to infusion.

结论1重危患者留置尿管微生物培养阳性率高,且微生物菌谱具有特殊性;重危患者尿管表面BF主要在尿管内壁形成;内壁BF的发生率高,形成时间短;肉眼观察尿管表面改变情况以及微生物鉴定结果与BF形成呈正相关。2尿管留置时间是重危患者留置尿管表面BF形成的独立危险因素;年龄、APAcHEⅡ评分、性别、尿糖定性以及抗生素使用种类是其可能的危险因素;护理过程中应完善重危患者尿管护理措施,注重对BF危险因素的评估,并对高危患者实施重点护理。3 BF形成早期,冲洗能发挥较好的清除作用;BF形成后期,冲洗无法彻底清除尿管表面BF,但冲洗能延缓BF形成与成熟的速度;在冲洗方式的选择上,注洗式冲洗法对尿管BF的清除效果优于输注式冲洗法。

Results The average levels of PRL in patients with SLE was significantly higher than that in the controls(P<0.01),and the levels of estradiot (E2)in cases in active stage was higher than that in the controls(P<0.05).The level of testosteronein 31 cases decreased and compared with the controls,E2/T increased markedly(P<0.01).The positive correlation was found between the levels of PRL and E2 in cases of active stage.

结果 SLE患者平均PRL水平较对照组明显升高(P<0.01),以活动期患者升高更为显著(P<0.01),同时活动期患者E2水平较对照组升高(P<0.05),31例患者T水平均明显下降,与对照组比较有非常显著性差异(P<0.01),E2/T显著升高,血清PRL水平与活动期患者E2水平呈正相关。

Following studies had been performed:(1)repetitive WLT and real-time ultrasonography had been performed to 18 HS and 40 FD toassess the reproducibility and influencing factors.(2) correlations of WLT with symptomscore and electrogastrography had been analysed.(3) differences ofWLT between HS and FD had been compared.(4) methophenolane andimmunohistochemistry stain of gastric fundus mucosa biopsy from 40 FD patients hadbeen performed to analyse the correlations of symptom score and WLT with count andactivity of mast cells, 5-HT level, and H.Pylori infectious status.(5) the effect of oralsumatriptan to proximal stomach function in 10 HS and 10 FD had been assessed, so as toestablish the possible regulating mechanism of fundic relaxation, explore the therapeuticpotential and feasibility of sumatriptan on FD.Results:I. Evaluation of WLT and its application in FD management.

我们主要进行以下几个方面的研究:(1)对18名健康人及40名FD患者重复进行水负荷试验并结合B超声对近端胃的实时监测,评价水负荷试验结果的可靠性并分析其影响因素;(2)观察水负荷试验结果与症状积分及体表胃电结果的相关性;(3)比较FD患者和健康成人水负荷试验结果的差别;(4)对40名FD患者胃底粘膜活检组织进行免疫组化染色和甲苯胺蓝染色,观察FD患者的症状及水负荷试验结果与胃底粘膜肥大细胞、5-HT表达情况及H.pylori感染情况的相关性:(5)观察口服舒马曲坦对10名健康人及10名FD患者近端胃功能的影响,并由此推测胃底舒张运动调节的生理机制,探讨口服舒马曲坦治疗FD的可行性。

We choose 20 cases of fungal rhinosinusitis who were treated in our department between the year 2007.4 and 2008.4 as our study group and 5 cases of purely nasal septum deviation as control group. The 20 cases contain 19 cases of fungus ball and 1 case of chronic invasive fungal rhinosinusitis. Their age fluctuate from 19 to 80, and the average age is 51 . All of the 25 cases blood samples were taken to detect the 1-3-β-D glucosan with the kit produced by Beijing jinshanchuan technology company and under the MB—80 quickly microorganismal detection system.

采用北京金山川科技公司生产的试剂盒及MB—80微生物快速检测系统分别检测中国医科大学附属盛京医院耳鼻喉科于2007年4月至2008年2月经鼻窦内窥镜手术治疗,并经术后病理证实为真菌性鼻窦炎患者(19例为真菌球型,1例为慢性侵袭性真菌性鼻窦炎)的血液样品20例,患者年龄19岁—80岁,平均年龄51岁,采取中国医科大学附属盛京医院耳鼻喉科于2008年1月住院单纯鼻中隔偏曲患者的血液样品5例作为对照组,患者年龄16—56岁,平均年龄32岁(以上血样标本的采集患者均已签署知情同意书)。

Result 1-3-β-D glucosan was found exceeding the diagnostic criteria (10pg/ml) of the kit in 18 cases of fungal rhinosinusitis; and it was found no more than 10pg/ml in all 5 cases of purely nasal septum deviation patients. One of the 18 cases of fungal rhinosinusitis patients is chronic invasive fungal rhinosinusitis, and its level of 1-3-β-D glucosan reaches to 21.82 pg/ml. We compared the result of the study group to the control groups, and found that there is significant deviation beteen the two groups.

结果 经过实验检测20例真菌性鼻窦炎(19例为真菌球型,1例为慢性侵袭性真菌性鼻窦炎)及5例对照组患者血浆中1-3-β-D葡聚糖的含量,可以发现其中18例真菌性鼻窦炎患者血浆中1-3-β-D葡聚糖的含量大于试剂盒的诊断标准10pg/ml,其中一例慢性侵袭性真菌性鼻窦炎患者血浆中1-3-β-D葡聚糖的含量达到21.82pg/ml,2例真菌性鼻窦炎患者血浆中1-3-β-D葡聚糖的含量小于10pg/ml,而对照组患者血浆中1-3-β-D葡聚糖的含量均小于10pg/ml,病例组与对照组间采用卡方检验测得卡方值为16.071,(P<0.05)两组间有差异,有统计学意义。

The syndrome of the most dementia patients from this study are inter-mediate level .The result of this study shows that the longer period patients got dementia and the more time caregivers have spent for caring patients, and the worse ADL, deviant behaviors and emotions of patients, the havier burden the caregivers would get.

样本群主要以中重度失智患者为主,本研究分析结论显示:当患者罹患失智症越久、照顾者照顾时间越长、照顾者每天花费於照顾患者的时间越多、患者之日常生活功能越差、患者之行为情绪问题越严重时,则照顾者之照顾负荷将越重。

Lithium delayed time to intervention for manic/hypomanic/mixed but not for depressive events. At 18 months of treatment, interventions for depression were needed in 43% of patients on lamotrigine, 49% of patients on lithium, and 60% of those on placebo.

锂可以延长狂躁症、轻度狂躁症、混合型狂躁症患者治疗干预的时间间隔,但对抑郁症患者没有效果,经过为期18个月的治疗,有43%的接受lamotrigine治疗的患者、49%接受锂治疗的患者,和60%的服用安慰剂的患者还需要接受抑郁症的干预治疗。

Of 150 cycles could be applied without dose modifications or delay. Leucocytopenia grade 3/4 was observed in 15%, anemia in 7%, and thrombocytopenia in 49% of the patients. Grade 3/4 nonhematologic toxicities (diarrhoea, nausea and neurotoxicity) occurred in one patient each (2%).

在150个疗程中,51%的疗程不需要调整剂量或延迟化疗时间。15%患者出现3/4级白细胞降低,7%患者出现贫血和49%的患者有血小板降低。2%患者(各有1例患者)出现3/4级非血液学毒性。

There are differences in upper lip and mentolabial sulcus. For class III malocclusion there are significant differences in lower lip and mentolabial sulcus. There are differences in subnasale . Campared with the facial soft tissue thickness of class II malocclusion , for class III malocclusion there are significant differences in lower lip. There are differences in subnasale and upper lip.

与安氏Ⅰ类错合患者相比,安氏Ⅱ类错合患者的颅面部软组织覆盖厚度在鼻底部有显著性差异,在上唇和颏唇沟有差异;安氏III类错合患者的颅面部软组织覆盖厚度在下唇和颏唇沟有显著性差异,在鼻底部有差异;安氏Ⅱ类错合患者的颅面部软组织覆盖厚度与安氏III类错合患者相比,在下唇有显著性差异,在鼻底部和上唇有差异。

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