RÉSUMÉ
Objective To observe the clinical effect of xerophthalmia of meibomian glands dysfunction treated with meibomian glands massage and tobramycin dexamethasone in the northeast area.Methods The clinical data of 403 patients (767 eyes) with xerophthalmia of meibomian glands dysfunction in the northeast area in January to November 2013 were analyzed retrospectively.The patients were divided into 3 groups.Patients of treatment goup 1 were combined modality therapy by meibomian glands massage and tobramycin dexamethasone and artificial tears (carbomer eye ophthalmic gel).Patients of treatment goup 2 were treated with tobramycin dexamethasone and artificial tears.Patients of control group were only used by artificial tears.Tear film break-uptime (BUT),tear secretion test (Schirmer Ⅱ),corneal staining score and symptom score were measured before treatment and after treatment for 1,3 months.Results There was no significant difference in the subjective symptoms,BUT,Schirmer Ⅱ,corneal staining score before treatment among three groups (P ＞ 0.05).Compared with that before treatment,the subjective symptoms,BUT,Schirmer Ⅱ,corneal staining score after treatment for 1 month was improved in treatment group 1 and treatment group 2 (P ＜ 0.01),but there was no significant difference in control group (P ＞ 0.05).After treatment for 3 months,the effective power in treatment group 1 [87.1％(122/140)] and treatment group 2 [60.8％(79/130)] was higher than that in control group [48.9％(65/133)],and there was significant difference (P ＜ 0.05).And there was significant difference between treatment group 1 and treatment group 2 (P ＜ 0.05).Conclusions Xerophthalmia of meibomian glands dysfunction in the northeast area due to speciality in the geographical environment and food habits.Combined modality therapy (applied heating,meibomian glands massage and tobradex) can provide a new direction of xerophthalmia of meibomian glands dysfunction,retrieve in the lipids component of the tear film and eliminate the inflammation.But,dependence of the out-patients are very important in the therapeutic process.
RÉSUMÉ
Objective To explore the clinical application of Narcotrene Ineex( NI)on guieing the usage of propofol combinee with eifferent analgesic erugs at colonoscopy examination,in oreer to evaluate the application ane clinical safety of the eifferent analgesic erugs. Basee on NI guieance,propofol effect-site concentration was aejustee euring colonoscopy. Methods Two huneree ane forty patients with colonoscopy were selectee as our subjects. They were eivieee into 4 groups accoreing to propofol combinee with eifferent analgesic erugs(A group:eezocine + propofol;B Group:fentanyl ane propofol;C Group:Shu fentanyl ane propofol;D groups:saline + propofol)ane each group has 60 cases. At eifferent stages of surgery,NI was control within 56- 65 or 66 - 75 in terms of anesthesia eegree. The life ineices( mean arterial pressure( MAP),heart rate, respiratory rate(RR)ane oxygen saturation( SpO2 )),ineuction time,insert the mirror ane surgical time ane recovery time ane cases with boey movement,the cases of respiratory eepression were recoreee. The analysis of each group of patients with VAS scores ane the total amount of propofol the patients were recoreee at 5 time points(before anesthesia(T1)ane eyelash reflex time(T2),insertee through the anus mirror(T3),when insertee mirror up to the ileocecal(T4)ane the back mirror finish(T5)). Results MAP,heart rate,respiratory rate of patients in four groups at T2,T3 ane T4 time point were eecreasee than that in T1. Comparee with D group, MAP,heart rate,respiratory rate of patients in A,B ane C groups eecreasee at eifferent eegrees(MAP:F within group = 26. 793,P < 0. 05;F interaction = 6. 532,P < 0. 05;F between group = 7. 574,P < 0. 05;Heart rate:F within group = 21. 428,P < 0. 05;F interaction = 6. 316,P < 0. 05;F between group = 5. 431,P < 0. 05;Respiratory rate:F within group = 14. 226,P < 0. 05;F interaction = 5. 531,P < 0. 05;F between group= 7. 986,P < 0. 05). The case of boey movement ane breathing inhibition in A group were 2 ane 2 case,less than that in D group(14,14 cases respectively;P < 0. 01). VAS score ane the total amount of propofol in A,B, C groups were(1. 20 ± 0. 72)points ane(148. 40 ± 10. 53)mg;(1. 88 ± 0. 88)points ane(178. 85 ± 18. 59) mg;(1. 65 ± 0. 74)points ane(166. 68 ± 16. 22)mg,less than that in D group((2. 35 ± 1. 10)points ane (227. 33 ± 28. 66)mg),ane the eifferences was statistically significant( F = 18. 038,177. 399;P < 0. 05).Conclusion During colonoscopy,Narcotrene real-time monitoring of propofol combinee with eifferent analgesics can significantly reeuce the amount of narcotic erugs,shortee recovery time,reeuce the incieence of complications in patients,ane thus enhancing patient comfort .
RÉSUMÉ
To investigate the change in GMP 140 and its significance in patients with diabetes accompanied with cerebral infarction. Plasma GMP 140 levels were assayed by radilimmunoassay in diabetes accompanied with cerebral infarction, controlled diabetes, cerebral infarction patients and normal controls, respectively. The results showed the GMP 140 levels were significantly higher in patients with diabetes accompanied with cerebral infarction than in patients with diabetes and normal control ( P 0 05). The results suggested that the level of GMP 140 in plasma might be used as a sensitive and reliable indicator reflecting the degree of platelet activation.