乳房按摩联合中药通乳方治疗产后乳胀43例临床研究

目的观察乳房按摩联合中药通乳方治疗产后乳胀的临床疗效。方法将86例产后乳胀产妇随机分为两组,对照组43例给予乳房按摩治疗,观察组43例在对照组治疗基础上加服通乳方。结果治疗后两组孕妇的乳房疼痛程度均较治疗前显著改善(P<0.01),观察组改善程度更明显(P<0.01)。治疗后两组产妇24h乳汁排出量均较治疗前显著增多(P<0.01),观察组增多更明显(P<0.01)。结论乳房按摩联合中药通乳方可明显改善产后乳房疼痛,促进乳汁排出,值得推广。     

乳房按摩联合包菜外敷治疗产后乳胀的护理疗效观察

目的：寻找解决产妇产后乳胀的有效方法.方法：对110例剖宫产术后发生乳汁淤积的产妇进行研究,实验组采用乳房按摩联合包菜外敷,对照组采用湿热敷联合乳房按摩,观察两组解除乳胀有效率.结果：在治疗2天后,实验组乳房肿块消失率、红肿症状消失率、乳汁畅通排出率均高于对照组.结论：乳房按摩联合包菜外敷治疗乳胀效果优于湿热敷联合乳房按摩治疗,方法简单易行,有效地减少了产妇的痛苦,增强了产妇母乳喂养的信心,提高了母乳喂养率。     

产后乳房胀痛不同护理方法临床分析

目的 采用不同护理方法治疗产后乳房胀痛,观察分析其疗效结果.方法 选择2011年2月～2012年2月我院妇产科产后乳房胀痛的产妇98例,按照自愿原则分为冷敷组53例,热敷组45例,冷敷组的产妇采取冷敷乳房加按摩的护理方式,热敷组的产妇则采用热敷乳房加按摩的护理方式,护理5d观察产妇的乳房胀痛评分.结果 产后1～3 d出现乳房胀痛的产妇采用冷敷(3.1±1.5分)明显优于热敷(3.6±1.7分)且P＜0.05,产后4～5 d出现乳房胀痛的产妇热敷(1.8±1.9分)较好于冷敷(2.0±1.6分)(P＞0.05).结论 根据不同阶段采用不同护理方法来减轻或解除产妇的乳房胀痛,提高母乳喂养率.     

袋鼠式护理联合生大黄芒硝外敷预防产后乳汁淤积疗效观察

目的研究袋鼠式护理联合生大黄芒硝外敷预防产后乳汁淤积的应用价值。方法 267例顺产初产妇，随机分为对照组133例和观察组134例。对照组产后袋鼠式护理，观察组袋鼠式护理联合生大黄芒硝外敷。评估2组产妇护理后产妇首次开奶时间、乳汁分泌通畅度、乳房硬度、舒适度、乳房充血性肿胀发生率、乳汁淤积发生率、急性乳腺炎发生率、新生儿喂养情况和满意度。结果 观察组产后首次开奶时间明显优于对照组，观察组疗法能有效预防乳房充血性肿胀发生率，乳汁淤积发生率，急性乳腺炎发生率，从而减轻因乳汁淤积等原因引起的母乳喂养中断事件的发生（P＜0.05）。同时，观察组新生儿喂养纯母乳喂养率明显高于对照组，产妇满意度测评也明显高于对照组，且差异有统计学意义（P＜0.05）。结论 袋鼠式护理联合生大黄芒硝外敷预防产后乳汁淤积，可明显改善泌乳情况，缓解乳房不适，减少并发症发生，提高母乳喂养率，值得临床推广。     

产后乳房护理对促进母乳喂养及预防产后乳汁淤积的效果分析

目的探讨做好产后乳房护理对于促进母乳喂养以及防止产后乳汁淤积发生的效果。方法选取本院分娩的初产妇共计80例,按照随机原则分成两个组别,其中对照组中包含40例产妇,按照常规方法进行护理,观察组中有40例产妇,在常规护理基础上加强产后乳房护理、心理护理,比较两组产妇的母乳喂养成功率以及产后乳汁淤积发生率。结果对产妇采取不同的产后护理措施之后,产后3d,观察组产妇全部实现母乳喂养,成功率达到了100.0%,对照组产妇成功实现母乳喂养的产妇共有35例,成功率为87.5%,组间差异有统计学意义;在产后乳汁淤积发生情况方面,观察组发生率为7.5%,对照组为15.0%,差异有统计学意义。结论做好产妇产后的乳房护理,如进行乳房按摩等,有助于及早实现母乳喂养,有效避免产后乳汁淤积情况的发生。     

穴位刺激配合乳房按摩改善剖宫产产妇产后缺乳的效果

目的 观察穴位刺激配合乳房按摩改善剖宫产产妇产后缺乳的临床效果。方法 采用便利抽样法,在2019年1月至2020年12月在山东省淄博市第一医院产科接受剖宫产分娩的产妇中,纳入150例产后缺乳产妇进行研究,按照随机数字表法将其分为观察组和对照组,各75例。对照组采用常规产后护理,观察组在对照组基础上采用穴位刺激配合乳房按摩。比较两组干预前后乳汁分泌量评分、中医症候积分及血清催乳素水平。比较两组出院后新生儿母乳喂养率及纽卡斯尔护理满意度量表（NSNS）评分。结果 组内比较：两组各时间点乳汁分泌量评分两两比较,差异有统计学意义（P<0.05）;组间比较：干预后1、2、3 d,观察组产妇乳汁分泌量评分均高于对照组（P<0.05）。干预后,两组乳房充盈程度、乳汁淤积程度及乳汁黏稠程度评分较干预前降低,且观察组低于对照组（P<0.05）。出院后,观察组产妇新生儿母乳喂养率高于对照组（P<0.05）。干预后,观察组NSNS评分高于对照组（P<0.05）。结论 穴位刺激配合乳房按摩能够有效改善剖宫产产后产妇缺乳症状,提高其乳房充盈度及黏稠程度、降低乳汁淤积程度,提高新生儿...     

产后乳房护理对促进母乳喂养及预防产后乳汁淤积的效果分析

目的探讨产后系统乳房护理对促进母乳喂养及预防产后乳汁淤积的影响。方法研究对象为2017年3月至2018年3月在本院进行分娩的100例产妇,均为初产妇,将其随机分为观察组和对照组。对照组给予常规产科护理及健康宣教,观察组在对照组的基础上进行系统的心理护理、穴位配合乳房按摩。结果进行系统的心理护理、穴位配合乳房按摩的产妇母乳喂养的成功率与常规护理及常规产科健康宣教相比增高,产后乳汁淤积的发生率降低,组间比较差异具有统计学意义(P0.05)。结论产后系统乳房护理对促进母乳喂养及预防产后乳汁淤积效果明显。     

产后康复治疗仪联合热敷治疗乳汁淤积的疗效

目的 分析产后康复治疗仪联合热敷在治疗乳汁淤积过程中的疗效.方法 本次实研究中的对象为2018年8月-2019年8月期间在我院分娩并出现乳汁淤积的产妇180例,根据随机数字表法将其分为接受产妇康复治疗仪联合热敷治疗的观察组(n=90)和接受热敷治疗的对照组(n=90),对两组患者治疗效果进行分析比较.结果 观察组患者治疗有效率明显高于对照组患者(P<0.05);在乳汁淤积改善情况的比较上,观察组患者明显优于对照组患者(P<0.05);观察组患者乳房中、重度疼痛概率明显低于对照组患者(P<0.05).结论 运用产后康复治疗仪联合热敷为乳汁淤积患者实施治疗可以提高临床治疗效果,改善患者乳汁淤积的情况,降低了患者的乳房疼痛严重程度,可以将其作为乳汁淤积产妇的理想治疗方法进行广泛的临床推广.     

产后早期乳汁淤积的护理干预

目的 探讨产妇产后乳汁淤积初期的护理干预效果.方法 将在我院门诊及病房2010年1月～2012年1月的60例产后乳汁淤积初期的产妇,将60例产妇随机分为2组进行乳房护理.实验组:早期采取措施,轻按摩,顺乳房向乳头方向呈放射集中样按摩,并配合适当的局部热敷,挤奶与哺乳相交替的方法;对照组:热敷、按摩、哺乳后挤奶;观察和超声监测是否有利于乳腺管提早通畅,减少并发症,减轻临床症状.结果 二种护理方法均对乳房肿胀程度有明显改善,但实验组的乳房硬肿明显少于对照组,乳腺管的通畅早于对照组(P＜0.05).结论 产后早期乳汁淤积,及时干预处理,可使乳腺管早通畅,缓解临床症状,减轻产妇痛苦,减少并发症.     

穴位乳房按摩促进产妇分娩后乳汁分泌的护理观察

目的 观察产后早期进行穴位乳房按摩促进乳汁分泌的影响.方法 将220例产妇随机分为观察组和对照组各110例,对照组按照产科常规母乳喂养护理,观察组在常规母乳喂养护理的基础上,在产后2小时开始实施穴位和乳房按摩,每日3次,每次20分钟,连做3天.结果 观察组产妇泌乳始动时间明显早于对照组,产后48小时、72小时泌乳量明显多于对照组,产后3至4天乳房胀痛明显轻于对照组(两组比较差异有统计学意义P＜0.05).结论 产后早期实施穴位乳房按摩可使产妇泌乳时间提前,乳汁分泌量增加,乳房舒适度增加.提高母乳喂养成功率.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.