本文应用福建省莆田、仙游、福清和崇武四站1960-2012年地面气象观测资料,统计了福建中部沿海雷暴初终日的气候变化特征,结果表明福建中部沿海初雷有明显的旬月际、年际和年代际分布,初雷最多出现在3月中旬。近50年莆田、仙游和崇武初雷经历了上个世纪60至70年代末的偏晚期和80年代至本世纪初的偏早期,近6年来出现了向偏晚期转换的趋势。终雷日期有明显的候分布,主要集中在9月1候、9月5候和10月1候,终雷的3个集中时期与西太平洋副高的第一次回跳、秋分及副高第二次回跳时间相对应。

The climate variation characteristics of first thunder date and last thunder date at mid-seaside of Fujian province were analyzed in this paper with the 1960-2011 data from four meteorological stations by using mathematical statistics methods. The results showed that: In the past 50 years,the first thunderstorm mostly appeared at mid-March. The appearing date of first thunderstorm experienced a tendency of delay during 1960s and 1970s and advance from 1980s to the early years of 21st century and now it turns back to be in period of delay. The last thunderstorm did not have a tendency of advance or delay,but most occurred at the first pentad and the fifth pentad of September and the first pentad of October. The three concentration periods corresponded to the first southward jumps of western Pacific subtropical high(WPSH), the autumnal equinox and the second southward jumps of WPSH.

目的：了解徐州地区三级医院肺炎克雷伯菌产KPC酶流行状况。方法收集徐州地区三级医院临床分离非重复肺炎克雷伯菌130株，予VITEK-32型全自动微生物分析系统鉴定，筛选出对亚胺培南耐药或中介菌株，对初筛阳性菌予改良Hodge试验进行表型确认，PCR方法检测KPC基因。结果初筛41株肺炎克雷伯菌可疑产碳青霉烯酶，经改良Hodge试验测定35株KPC酶阳性，检出率为26.9%（35/130），PCR方法检测有33株KPC酶阳性，检出率为25.4%（33/130）。结论徐州地区三级医院产KPC酶肺炎克雷伯菌发生率相对较高，需引起临床关注。

Objective To understand the prevalence of KPC carbapenemase in Klebsiella pneumoniae in Xuzhou region. Methods A total of 130 nonrepeated isolates of Klebsiella pneumoniae from tertiary hospitals in Xuzhou region were collected, imipenem-resistant were screened by VITEK-32,then use Hodge testing and PCR methods to detect KPC carbapenemase . Rwsults Among 130 isolates strains 41 isolates were deteced to imipenem-resistant,35 strains were detected to produce KPC carbapenemase by Hodge testing (26.9%),33strains were detected to produce KPC carbapenemase by PCR methods (25.4%). Conclusion The incidence of producing KPC carbapenemase of K. pneumoniae strains in Xuzhou area is relatively high and the control should be strengthened.

本文利用扎鲁特地区2个站点1971~2007年37年逐日雷暴统计资料,建立雷暴日数及雷暴次数的时间序列.通过趋势分析等统计方法对扎鲁特地区的雷暴特征进行分析,得出了扎鲁特地区雷暴分布的地理特征、年代际及年际变化特征、月际变化特征、日变化特征、初雷和终雷日及持续期变化特征等结果.

Based on the daily thunderstorm data of 2 stations in Jarud Banner area from 1971 to 2007, time series of thunderstorm day and frequency were constructed. Analyses of characteristics of thunderstorm activity in Jarud Banner region by climate trend revealed the geographic features, the interdecadal, interannual, inter-monthly and diurnal vari-ation, the variation of the first thunderstorm day, the last thunderstorm day and the duration, etc.

目的：探讨复发型吉兰-巴雷综合征（RGBS）的临床特点。方法回顾我院收治的23例复发型GBS患者，分析初发和复发时的诱发因素、临床表现、脑脊液检查、电生理检查、治疗资料。结果84%的患者发作有前驱感染史，重症患者比例比初发高(初发组60.%，复发组81.5%)，脑脊液蛋白-细胞分离、电生理异常率增加。结论 RGBS与经典GBS临床症状相似，感染是重要诱因，反复发作症状逐渐加重。

Objective To evaluate clinical features in patients with recurrent Guillain-Barré syndrome (RGBS). Methods we evaluate causative factor,clinical manifestation,examination of cerebrospinal fluid (CSF),neurophysiology study and treatment of 23 patients with RGBS. Results There was infections before the onset(84%),the proportion of critical patients of RGBS group was higher than that of the initial group (81.5% vs 60.9%),albuminocytologic dissociation in CSF,electrophysiological abnormality in RGBS. Conclusion The clinical features of RGBS is similar to classical GBS,infectious factors play an important role,Recurrent symptoms aggravate gradually.

目的观察祛菌通幽汤替代抗生素治疗幽门螺杆菌(HP)相关性胃病的疗效,并探讨其作用机制。方法 236例患者中,初治患者140例,随机分成治疗组80例和对照组60例;复治患者96例,随机分成治疗组56例和对照组40例。对照组予西药四联疗法:初治患者使用雷贝拉唑钠肠溶胶囊+胶体果胶铋+阿莫西林胶囊+克拉霉素分散片;复治患者予雷贝拉唑钠肠溶胶囊+胶体果胶铋+甲硝唑片+左氧氟沙星片。治疗组均使用雷贝拉唑钠肠溶胶囊+胶体果胶铋+祛菌通幽汤。疗程为2周。治疗后1、3、6个月时复查碳14-尿素呼气试验,观察HP转阴、临床症状改善情况及不良反应。结果 2组HP转阴率、总有效率及HP复发率比较,差异有统计学意义(P0.05);2组症状控制率比较,差异有统计学意义(P0.01);治疗组未见明显不良反应。结论雷贝拉唑钠肠溶胶囊、胶体果胶铋联合祛菌通幽汤能有效抑杀HP,促进HP转阴,减少HP复发,促进胃黏膜炎症修复和溃疡愈合,改善症状,不良反应少,治疗HP相关性胃病有一定疗效。

Objective To observe the curative effect of Qujun Tongyou Decoction instead of antibiotics in treatment of Helicobacter pylori (HP) associated gastric disease, and explore the mechanism of action. Methods In 236 patients, 140 cases of newly diagnosed patients were randomly divided into treatment group of 80 cases and control group of 60 cases, 96 cases of retreatment patients were randomly divided into treatment group of 56 cases and control group of 40 cases. The control group was given western quadruple therapy:newly diagnosed patients with rabeprazole sodium enteric-coated capsules+colloidal bismuth pectin+Amoxicillin Capsules+clarithromycin dispersible tablets;retreatment patients with rabeprazole sodium enteric-coated capsules+colloidal bismuth pectin+metronidazole tablets+levofloxacin tablets. The treatment group was given rabeprazole sodium enteric coated capsules and colloidal bismuth pectin plus Qujun Tongyou Decoction. All patients were treated for 2 weeks. 1, 3, 6 months aft