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While all enrolled patients met the indications for surgery, 55% of patients assigned to nonoperative treatment avoided surgery in the SPORT RCT as did 61% of the patients assigned to nonoperative treatment in the study by Peul et al.9 This suggests that many patients who can tolerate living with their symptoms for a period may be able to improve to an acceptable level of function without surgery if they choose.

对于纳入的所有具有手术指征的患者,SPORT RCT中55%的患者分配到非手术治疗组,没有进行手术治疗;而在Peul等[9]的研究中61%的患者分配进行了非手术治疗。这提示很多患者对于他们存在的症状,在其日常生活中是可以容忍一段时间的,如果他们选择非手术治疗的话,通过这段时间,他们的功能也可改善到可以接受的程度。

MATERIALS AND METHODS: One hundred patients with lower urinary tract symptoms were instructed to keep a 3-day voiding diary. Patients were instructed to record the time and volume of their water intake, voided urine volume, and number and time of sensation of urgency and episodes of urge incontinence. Patients were diagnosed according to their clinical findings as having a normal bladder, hypersensitive bladder, overactive bladder, polydipsia polyuria, or nocturnal polyuria. Thirty-six patients underwent a urodynamic study to further assess their lower urinary tract dysfunction, for which urodynamic results were classified as a normal bladder, detrusor overactivity, or bladder hypersensitivity.

材料与方法:一百位具有下尿路症状的病人经由指示记录三日排尿日志,每一位病人均记录其喝水及排尿的时问和容量,以及感觉急尿或发生尿急失禁的次数,根据其临床发现诊断为正常膀胱、超敏感性膀胱、膀胱过动症、多喝水性多尿症,或是夜间多尿症,其中三十六位病人接受了尿动力学检查以进一步评估其下尿路功能异常,依其尿动力学检查分类为正常膀胱,逼尿肌活性过强,或是膀胱超敏感性。

RESULTS: Among these patients, 75 (75%) had a variability of ± less than 2 times per day in voiding frequency within the 3 days. Twenty-four patients (24%) had nocturnal polyuria, increased bladder sensation was noted in 36 patients, and overactive bladder was noted in 56 patients.

结果:所有的病人中有75位(75%)在三日排尿日志中排尿次数的变异性为±2次以下, 24 位病人具夜间多尿症,36位具膀胱超敏感性,56位则诊断具有膀胱过动症。

Abstract] objective in order to strengthen and improve the action to prevent the medical dispute,we must understand the correlation factor between medical personnel and patients to reduce the medical dispute.methods with the questionnaire survey the principal factors,hope solution way and preservation way between medical personnel and the patients were analyzed.results there were 75 medical persons and 62 patients who considered that the two sides should take the responsibility about the medical service dispute.110 medical persons and 80 patients hoped that the medical dispute be solved by the consultative way.conclusion we should strengthen the management system of the hospital,the construction of the medical ethics,the construction of the environment,and the popularization of the medical knowledge,we also should take some measures about the suitable regulation on media propaganda and the establishment of perfect medical service dispute consulation and so on.

目的 了解医务人员及患者对引发医疗纠纷的相关因素的认识情况,加强和提高医疗纠纷的预防措施。方法采用问卷调查法抽查临床医务人员和患者及其家属关于医疗纠纷发生的主因及患者和医方的各方面原因、希望的解决方式和预防方式等内容进行调查分析。结果 75名医务人员和62名患者认为引发医疗纠纷的主因是双方,110名医务人员和80名患者希望通过协商的方式解决所发的医疗纠纷。结论需要加强医院的制度管理、医德医风建设和环境建设,加强医疗知识的普及,适当调控媒体宣传和设立健全的医疗纠纷咨询机构等。

Among them , the symptom of 66 patients with strabismus , 30 patients with ptyalism , 72 patients with slurred speech , 78 patients with finger incoordination of grasp function and other concomitant disturbances have been improved to varying degrees , there were no operative complications .

原有斜视66例,流涎30例,语言不清72例,手抓握功能不协调78例及其它伴随障碍,术后均有不同程度改善,无并发症。

The T; LH and FSH level of serum of male schizophrenia were lower than that of normal control, but the PRL level of serum of male were significant higher than that of normal control, f There wsa a significant relationship between psychiatric symptoms and sex hormones level. There was a positive correlation between extreme and pugnacity factor of PANSS and T level of serum in male schizophrenic patients, There was a negative correlation between psychopathological scores and 〓level of serum in female schizophrenic patients, g There was a significant correlation between neuropsychological tests scores and sex hormones level of serum. There was a significant positive correlation between cognitive function and T level of serum in male schizophrenic patients. There was a significant positive correlation between cognitive function and 〓 in female schizophrenic patients.

治疗后病人的PRL较治疗前有显著提高;6)精神分裂症病人的精神症状与其性激素水平的相关有统计学意义,其中男性病人的T与PANSS中的偏激/好斗呈正相关,女性病人的〓与PANSS中的一般精神病理量表分呈负相关;7)精神分裂症病人的认知功能与其性激素水平的相关有统计学意义,男性病人的神经心理测验成绩与T呈正相关,女性病人的神经心理测验成绩与〓呈正相关。

Loss of appeptite occurred in 45 patients (3.94%), pyrexia in 42 patients (3.68%), tetter in 17 patients (1.49%), and shock in I patients (0.08%) Conclusion: Loss of appeptite can be prevented through reducing the dose of PYM.

食欲不振与用PYM相对剂量较大有关,预防的方法是适当减少PYM的剂量。

Methods 56 patients in esophageal and gastric variceal bleeding were allocated randomly into the control group and the treatment group. All patients were given basic treatment, the CG patients received pituitrin (0.2U/min) though micro infusion pump,octreotide 0.1mg were injected in the TG patients and infused continuously at a rate of 25 礸/h. The efficient hemostasis, rebleeding, the average bleeding time and blood volume were recorded. Adverse reactions such as the queasiness, abdominal distension, abdominal pain, diarrhoea, palpitaition and hypertension were observed.

将经胃镜证实的食管胃底静脉曲张破裂出血患者56例随机分成对照组(n=28)和治疗组(n=28),两组在给予基础治疗的同时,对照组使用垂体后叶素0.2U/min微泵持续静脉滴注;治疗组使用奥曲肽,首次0.1mg静注,再以25μg/h微泵持续静脉滴注止血治疗,比较两组在止血有效率、再出血率、平均止血时间、平均输血量等止血效果及恶心、腹胀、腹痛、腹泻、心悸、胸闷、血压升高等不良反应上的差异,并进行统计学分析。

Results Among these 5 patients, pulmonary consolidation was found in 4 patients, ground grass opacity in 3 patients, nodules in 2 patients, and reticulation in one patient. Various radiological features were also observed at the same time.

结果 5例患者中,4例可见肺实变,3例可见磨玻璃样变,2例可见肺结节变,1例可见网格样改变,常多种表现混合存在。

The patients were divided into four groups. Group A included 48 women with previous unilateral salpingectomy. Group B included 41 patients with previous bilateral salpingectomy. Group C included 50 patients with obstruction of fallopian tube while group D included 40 patients with hydrosalpinx (without surgical procedure before). The ovarian responses to superovulation and the outcomes of IVF-ET were evaluated.

选择2006年2月至2007年6月在本中心行常规IVF-ET治疗的179例不孕患者为研究对象,共分为A、B、C、D四组,A组为48例单侧输卵管切除患者,B组为41例双侧输卵管切除患者,对照C组为50例双侧输卵管阻塞患者,对照D组为40例单侧或双侧输卵管积水患者,比较4组患者在IVF-ET周期中卵巢对控制性超排卵的反应及其结局的差异。

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The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应,而且减少跟风的可能性。

The new PS20 solar power tower collected sunlight through mirrors known as "heliostats" to produce steam that is converted into electricity by a turbine in Sanlucar la Mayor, Spain, Wednesday.

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