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中国实用医刊杂志   部级期刊

主管单位:中华人民共和国卫生部

主办单位:中华医学会河南分会

影响因子:0.8

ISSN:1674-4756CN:11-5689/R

    基本信息:

  • 下单时间:1个月内
  • 发行周期:半月刊
  • 曾用名:中原医刊
  • 发行地:河南
  • 创刊:1972
  • 类别:医学类
  • 出版社:中国实用医刊
  • 语言:中文
  • 价格:¥408.00
  • 起订时间:2020年01月
  • 邮编:450003
  • 库存:199
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中国实用医刊 2010年第16期杂志 文档列表

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超敏C-反应蛋白与白细胞介素-6在2型糖尿病合并冠心病患者中的表达和关系

作者:吴敏 管晓峰 黄淑玉 Xiao-feng Shu-yu
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替米沙坦联合福辛普利治疗糖尿病肾病的疗效

作者:史振军 张振山 Zhen-jun Zhen-shan
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Tomey超声测厚仪、Orbscan Ⅱ和Pentacam三种仪器测量中央角膜厚度的比较

作者:华明 刘明芳 余志忠 Ming-fang Zhi-zhong
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单核细胞趋化蛋白-1在肾小球肾炎中的表达及临床意义

作者:陆海峰 Hai-feng
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非小细胞肺癌组织中Survivin与Fas/FasL的表达及其临床意义

作者:王珍珍 周云 Zhen-zhen 单位:河南省肿瘤医院 郑州 450003 河南省人民医院
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高强度聚焦超声治疗子宫肌瘤疗效分析

作者:胡军 张素敏 Su-min
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四种抗体联合检测在SLE患者中的诊断价值

作者:张锐 张铭明 徐建华 Ming-ming Jian-hua
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颈入路电视纵隔镜在胸部疾病中的临床应用

作者:贾向波 钱如林 江南 Xiang-bo Ru-lin

摘要:目的 总结颈入路电视纵隔镜检查术在胸部疾病诊断中的应用体会.方法 17例均在全身麻醉下行颈入路完成,其中单纯纵隔结节或肿物需要明确诊断者13例,确诊为肺癌伴有纵隔淋巴结肿大需明确临床病理分期者4例.结果 17例经过纵隔镜手术的病例均成功取得需要检测的组织,活检成功率100%.最终病理结果包括结节病6例,肺癌纵隔淋巴结转移5例,结核3例,淋巴瘤2例,慢性淋巴结炎1例.结论 电视纵隔镜在纵隔不明原因肿物的诊断和肺癌术前准确分期的临床应用中是一种安全、有效的重要手段. Abstract: Objective To summarize the application of cervical mediastinoscopy in the diagnosis of thoracopathy. Methods Seventeen patients were treated with video-assisted mediastinoscopy through neck-way surgery, including 13 cases with sole mediastinal nodule or mass,of which the pathologic diagnosis was warranted;4 cases diagnosed as lung cancer with enlarged mediastinal lymph nodes,of which the clinical stage needed to be clarified. Results Tissue for detailed examination was obtained for all of the 17 cases underwent mediastinoscopy.The successful rate for biopsy was 100%.The final pathologic diagnosis were 6 cases of sarcoidosis, 5 cases of lymph node metastasis from lung cancer, 3 cases of tuberculosis, 2 cases of lymphoma, 1 cases of the chronic lymph node inflammation. Conclusions Video-assisted mediastinoscopy is safe and useful in diagnosing of sole mediastinal mass and clarifying the pathologic stage of patients with lung cancer.

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全麻和高位硬膜外联合臂丛麻醉在乳腺癌手术中的比较

作者:任保入 刘兆荣 展瑞静 Bao-ru Zhao-rong Rui-jing
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参芪扶正注射液联合FOLFOX4方案化疗治疗晚期胃癌疗效观察

作者:方献英 Xian-ying
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股骨远端骨折的手术治疗

作者:赵海波 蔡翔宇 张峰 Hai-bo Xiang-yu

摘要:目的 观察各种内固定方法治疗股骨远端骨折的临床疗效.方法 对285例股骨远端骨折患者采用股骨髁钢板、逆行髓内钉、动力髁螺钉和单独拉力螺钉内固定治疗.结果 术后随访时间8~14个月,按Hohl评分标准判定膝关节功能活动情况.术后膝关节活动度基本恢复,无明显内外翻畸形,行走基本不受限,活动时无明显疼痛.结论 手术治疗股骨远端骨折可使骨折得到解剖复位、加强内固定,有利于关节早期活动,从而使膝关节功能得以改善,且各种内固定方法各有利弊,要根据骨折具体类型选择合适的内固定方法. Abstract: Objective To explore the value of internal fixations in the clinical treatment of distal femoral fractures.Methods Two hundred and eighty-five cases of distal femoral fractures were treated with of femoral condylar plate, retrograde intramedullary nail, dynamic condylar screw and single lag screw fixation.Results The patients were followed up for 8 to 14 months. Using Hohl scoring criteria to determine knee function activities, we found all cases regained knee activity, and there was no significant internal or external varus deformity and walking was not basically limited and there was no significant pain. Conclusions Surgical treatment can make the fractures of distal femur fractures anatomic reset and rigid fixated, so it is conducive for early ambulant of the joint and to improve the function of the knee. Each internal fixation method has its advantages and disadvantages, so we must select suitable fixation according to the type of fracture.

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低浓度5-氟尿嘧啶与糖皮质激素联合激光治疗瘢痕疙瘩的疗效

作者:王旭东 武晓莉 Xu-dong Xiao-li 单位:山东省枣庄市立医院烧伤整形科 277102 上海第二医科大学附属第九人民医院整复外科

摘要:目的 观察低浓度5-氟尿嘧啶(5-Fu)与糖皮质激素局部注射联合激光治疗瘢痕疙瘩的疗效及安全性.方法 瘢痕疙瘩70例,102处病灶,平均病史8.6年,平均治疗时间为10.29个月.70例瘢痕疙瘩患者108处病灶进行单纯瘢痕内注射,0.6 ml 5-Fu与5 ml曲安奈德、1 ml 2%利多卡因混合后局部注射于瘢痕全层注射,每2~4周1次,瘢痕完全萎缩后逐渐降低药物浓度并延长注射间歇期.另一组70例瘢痕疙瘩患者102处病灶将三联药物局部注射半个月后Nd:YAG激光照射,每2~4周1次.结果 在治疗6个月以上的患者中,5-氟尿嘧啶与糖皮质激素联合激光治疗瘢痕疙瘩的总有效率为97.06%,其中完全缓解者占45.10%,极大缓解者占49.02%,部分缓解者占2.94%,未缓解者为2.94%.结论 低浓度5-氟尿嘧啶与糖皮质激素局部注射联合激光治疗瘢痕疙瘩的疗效显著. Abstract: Objective To monitor the therapeutic action and security of 5-Fu and steroid injected associate with laser to keloid. Methods One hundred and two keloid focuses of 70 patients have the average 8.6 years history and the average therapy period of 10.29 months. Among them,70 patients with total 108 keloid were treated merely with intralesional injection of a mixture of 0.6 ml 5-Fu,5 ml corticosteroid and 1 ml 2% lidocaine once per 2-4 weeks. The other 70 patients with total 102 keloid around sternal area were treated with the mixture once per 2-4 weeks. And they were irradiated with apulsed Nd:YAG laser(wavelength 1064 nm)at 35-140 energy density levels after 15 days. After keloid became flattened,drug concentration was decreased with prolonged intermission of drug injection. Results The total therapy efficacy of 5-Fu associate with steroid to keloid was 97.06%. Of them, the complete remission percentage was 45.10%,the large remission percentage was 49.02%,part remission percentage was 2.94%,and the inefficacy percentage was 2.94%. Conclusions It is more effective that the combination therapy to keloid of l

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剖宫产同时行子宫肌瘤剔除术63例

作者:王爱华 Ai-hua
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不同剂量喷他佐辛用于乳腺癌术后自控镇痛的效果比较

作者:李秀娜 刘峰 刘青 刘有才 Xiu-na You-cai
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稽留流产与解脲支原体感染的关系

作者:樊揪顺 王云 Jiu-shun

摘要:目的 探讨解脲支原体(UU)感染与稽留流产的关系,以降低稽留流产的发生率.方法 应用培养法检测80例稽留流产患者(实验组)及80例正常人工流产(或引产)患者(对照组)宫颈分泌物的UU感染率.结果 实验组UU感染率为41.25%(33/80),对照组为6.25%(5/80),两组比较差异有统计学意义(P<0.01).结论 定植在女性下生殖道的UU可引起逆行感染,损伤早孕蜕膜组织,损害胎儿的生长,引起胚胎发育停止而死亡. Abstract: Objective To investigate the relationship between urea plasma urealyticum(UU) infection and missed abortion, and to reduce the incidence rate of missed abortion.Methods One hundred and sixty women with abortion were selected for this study and divided into two groups: group missed abortion (n=80) and group spontaneous or induced abortion (n=80). Endocervical swabs were taken from these women. The swabs were used for UU cultivation respectively and the infection rates were compared. Results The infection rate of group missed abortion was 41.25%(33/80) and the infection rate of group spontaneous or induced abortion was 6.25%(5/80).There was significantly difference between the two groups (P<0.01).Conclusions The infection of UU may be one of the causes of missed abortion.