硝夫太尔制霉素阴道软胶囊联合康妇消炎栓治疗复发性真菌性阴道炎的疗效观察

目的 探讨复发性真菌性阴道炎的有效治疗方法,观察硝夫太尔制霉素阴道软胶囊联合康妇消炎栓对复发性真菌性阴道炎的疗效.方法 将入选的200例复发性真菌性阴道炎患者随机分为两组.对照组100例,采用硝夫太尔制霉素阴道软胶囊治疗;观察组100例,采用硝夫太尔制霉素阴道软胶囊联合康妇消炎栓治疗,并观察比较两组的疗效.结果观察组总有效率为95.0%,对照组总有效率为83.8%.两组疗效比较,差异有统计学意义（P＜0.05）.结论 硝夫太尔制霉素阴道软胶囊联合康妇消炎栓治疗复发性真菌性阴道炎的疗效显著.     

康妇消炎栓联合保妇康栓治疗宫颈炎疗效分析

目的探讨宫颈糜烂的有效治疗方法。方法选择轻中度宫颈糜烂伴有腰骶痛患者160例,随机分为治疗组和对照组各80例。对照组采用单纯保妇康栓治疗,治疗组采用康妇消炎栓联合保妇康栓治疗,并对两组疗效进行比较。结果对照组总有效率80%,治疗组总有效率95%,治疗组治愈率明显高于对照组。结论康妇消炎栓联合保妇康栓治疗宫颈糜烂疗效显著。     

丽珠肠乐治疗溃疡性结肠炎的临床疗效及病理变化的研究

目的:探讨溃疡性结肠炎的微生态学改变及双歧杆菌对溃疡性结肠炎的预防和治疗作用.方法:随机选取溃疡性结肠炎的患者60人,分成二组.治疗组:口服丽珠肠乐胶囊;对照组:口服氟哌酸胶囊,柳氮磺胺吡啶栓直肠给药.疗程一个月.结果:溃疡性结肠炎的肠道内细菌数量双歧杆菌、乳杆菌显著下降(P＜0.01),肠球菌显著增加(P＜0.01).经丽珠肠乐治疗后,肠道内主要细菌的数量恢复正常,与对照组相比差异有显著性(P＜0.01);肠道黏膜病理及组织学改变基本恢复正常;临床症状改善上治疗组疗效高于对照组(P＜0.01).结论:双歧杆菌活菌制剂治疗溃疡性结肠炎效果显著,值得临床推广使用.     

少腹逐瘀汤直肠给药治疗盆腔炎性疾病的效果及机制研究

目的:研究少腹逐瘀汤直肠给药治疗盆腔炎性疾病的临床作用效果和作用机制。方法:选取SPF级雌性SD大鼠95只,体重220-240 g,按照随机数字表的顺序随机分为正常组(15)和干预组(80),模型组动物建立盆腔炎性疾病大鼠模型,并于造模成功后,再随机分为8组,分别为模型组、康妇消炎栓组、少腹逐瘀汤高剂量组(临床2倍用药量)、少腹逐瘀汤中剂量组(临床等效用药量)、少腹逐瘀汤低剂量组(临床1/2倍用药量),高、中、低剂量少腹逐瘀汤治疗联合p38MAPK激动组,每组10只。所有动物均于造模8天后进行干预,其中正常组和模型组动物给予相应剂量的蒸馏水进行灌肠,每天1次,共21天。并于第22天杀鼠取材,用酶联免疫吸附法(ELISA)检测TNF-α、IL-1β等细胞因子的蛋白水平,western blot检测磷酸化的P38MAPK表达。结果:模型组大鼠子宫组织与盆腔及其它组织均有粘连现象,光镜下可见大量的淋巴细胞及浆细胞出现浸润现象,增生情况可见于子宫内膜上皮;正常组大鼠子宫形态正常,无病理性改变现象,高剂量给药组及康妇消炎栓组大鼠子宫形态与正常鼠相似;中剂量少腹逐瘀汤组大鼠子宫组织与盆腔组织有少量黏连,但宫腔已无增厚、积液、弹性差等现象;低剂量组大鼠子宫形态相较于模型组有所恢复,但效果并不明显,高剂量联合P79350大鼠子宫形态较高剂量组大鼠恢复状态稍差,而中、低剂量联合P79350组大鼠子宫形态则较单纯中、低剂量组大鼠状态恢复稍差。正常组、高剂量组、高剂量联合P79350大鼠血清中的TNF-α、IL-1β及子宫和输卵管中p P38MAPK的表达均低于模型组大鼠,差异具有统计学意义,P0.01.低剂量联合P79350组、中剂量联合P79350组较低剂量给药组和中剂量给药组大鼠血清中TNF-α、IL-1β,子宫和输卵管中pP38MAPK、pERK的表达显著升高,而中低剂量给药组大鼠血清中TNF-α、IL-1β,子宫和输卵管中pP38MAPK、p ERK则较模型组大鼠降低,但尚未达到统计学意义。结论:少腹逐瘀汤直肠给药可以有效改善盆腔炎性疾病,可能通过抑制P38MAPK通路,进而减轻炎症反应。     

妇炎康胶囊联合腹针与刮痧治疗盆腔炎性疾病后遗症的效果

目的探讨妇炎康胶囊联合腹针与刮痧治疗盆腔炎性疾病后遗症的效果。方法选取2013年5月～2015年5月我科收治的盆腔炎性疾病后遗症的患者80例,随机分为对照组和治疗组,每组各40例。对照组给予妇炎康胶囊口服联合TDP照射下腹部,治疗组在对照组治疗基础上给予腹针与刮痧治疗。治疗10d后,比较两组的临床疗效。结果治疗组总有效率为85%(34/40),明显高于对照组的60%(24/40),差异有明显统计学意义(P0.05)。结论妇炎康胶囊联合腹针与刮痧治疗盆腔炎性疾病后遗症,具有无痛、安全、高效的优点。     

玉屏风颗粒联合左西替利嗪胶囊治疗慢性荨麻疹疗效观察

目的探讨玉屏风颗粒联合左西替利嗪胶囊治疗慢性荨麻疹的疗效。方法选择慢性荨麻疹患者70例按就诊顺序分为治疗组和对照组。治疗组41例采用玉屏风颗粒联合左西替利嗪胶囊治疗,对照组39例单用左西替利嗪胶囊口服,疗程结束观察两组的疗效及复发率。结果治疗组有效率为87.8%,明显优于对照组的66.67%,差异有统计学意义（P〈0.05）;两组复发率比较,治疗组低于对照组。结论玉屏风颗粒联合左西替利嗪胶囊治疗慢性荨麻疹的效果满意,复发率低。     

盆腔炎应用妇科千金胶囊联合金刚藤胶囊治疗的疗效观察

目的:探究盆腔炎患者应用妇科千金胶囊联合金刚藤胶囊治疗的疗效。方法:将2012年8月~2013年8月期间到我院就诊的盆腔炎患者86例随机分为2组各43例,参照组给予妇科千金胶囊治疗,治疗组应用妇科千金胶囊联合金刚藤胶囊治疗,对比其临床疗效。结果:治疗组的总有效率(93.02%)显著高于参照组(74.42%),差异性有统计意义(P<0.05);两组治疗期间均无明显的不良反应发生。结论:盆腔炎患者联合应用妇科千金胶囊与金刚藤胶囊治疗的疗效显著,且安全性高,值得推广。     

思密达治疗急性腹泻的疗效观察

目的:比较思密达同氟哌酸胶囊治疗急性腹泻的临床疗效.方法:治疗组口服思密达1袋,每天3次,疗程5 d;对照组口服氟哌酸胶囊2粒,每天3次,疗程5 d.结果:治疗组与对照组临床总有效率分别为91.93%和79.31%,x2=3.92,P＜0.05,差异有显著性.结论:思密达治疗急性腹泻比氟哌酸胶囊更有效.     

参苓白术散与诺氟沙星治疗慢性肠炎的临床疗效比较研究

目的:比较中药参苓白术散与西药诺氟沙星治疗慢性肠炎的临床疗效。方法:收集100例确诊为慢性肠炎的患者,将其随机分为诺氟沙星治疗组(对照组)与参苓白术散治疗组(治疗组)。对照组口服诺氟沙星,治疗组口服参苓白术散加减,治疗两个疗程(10天为一疗程),采用统计学方法观察两组疗效与半年复发率。结果:对照组总有效率为84%,治疗组总有效率为92%,差异显著(P0.05);对照组半年复发率为50%,治疗组半年复发率为10%,差异极显著(P0.01)。结论:采用参苓白术散治疗慢性肠炎的临床疗效要优于诺氟沙星,且不易复发,建议在临床上优先选择参苓白术散治疗慢性肠炎。     

凝结芽孢杆菌活菌片联合甲硝唑栓治疗细菌性阴道病的临床观察

目的观察凝结芽孢杆菌活菌片(商品名:爽舒宝)联合甲硝唑栓治疗细菌性阴道病的临床疗效。方法选取细菌性阴道病患者108例随机分为观察组和对照组,每组54例。两组患者均以甲硝唑栓放入阴道治疗,观察组在此基础上,口服凝结芽孢杆菌活菌片,首次6片,以后3片/次,3次/d,连用14d。观察两组患者用药后的临床疗效及不良反应,并比较治疗后随访半年内的复发率。结果观察组患者临床总有效率(90.7%)明显高于对照组(74.1%)(P0.05),治疗期间均未见明显的药物不良反应。治疗后随访半年,观察组的复发率(14.3%)明显低于对照组(32.5%)(P0.05)。结论凝结芽孢杆菌活菌片联合甲硝唑栓治疗细菌性阴道病疗效显著,能降低复发率,值得临床推广应用。     

Investigation of the mechanism of temperature sensitivity of the electroreceptors of ampullae of lorenzini

In experiments on Black Sea skates (Raja clavata), the potential of the receptor epithelium of the ampullae of Lorenzini and spike activity of single nerve fibers connected to them were investigated during electrical and temperature stimulation. Usually the potential within the canal was between 0 and –2 mV, and the input resistance of the ampulla 250–400 k. Heating of the region of the receptor epithelium was accompanied by a negative wave of potential, an increase in input resistance, and inhibition of spike activity. With worsening of the animal's condition the transepithelial potential became positive (up to +10 mV) but the input resistance of the ampulla during stimulation with a positive current was nonlinear in some cases: a regenerative spike of positive polarity appeared in the channel. During heating, the spike response was sometimes reversed in sign. It is suggested that fluctuations of the transepithelial potential and spike responses to temperature stimulation reflect changes in the potential difference on the basal membrane of the receptor cells, which is described by a relationship of the Nernst's or Goldman's equation type.I. P. Pavlov Institute of Physiology, Academy of Sciences of the USSR, Leningrad. I. M. Sechenov, Institute of Evolutionary Physiology and Biochemistry, Academy of Sciences of the USSR, Leningrad. Pacific Institute of Oceanology, Far Eastern Scientific Center, Academy of Sciences of the USSR, Vladivostok. Translated from Neirofiziologiya, Vol. 12, No. 1, pp. 67–74, January–February, 1980.     

Principles of organization and evolution of systems of regulation of functions

Evolution of living organisms is closely connected with evolution of structure of the system of regulations and its mechanisms. The functional ground of regulations is chemical signalization. As early as in unicellular organisms there is a set of signal mechanisms providing their life activity and orientation in space and time. Subsequent evolution of ways of chemical signalization followed the way of development of delivery pathways of chemical signal and development of mechanisms of its regulation. The mechanism of chemical regulation of the signal interaction is discussed by the example of the specialized system of transduction of signal from neuron to neuron, of effect of hormone on the epithelial cell and modulation of this effect. These mechanisms are considered as the most important ways of the fine and precise adaptation of chemical signalization underlying functioning of physiological systems and organs of the living organism