推拿手法治疗增生性膝关节炎80例

BACKGROUND: Hyperplastic gonitis belongs to rheumatism involving the bone. According to traditional Chinese Medicine, knee is the government of tendons, where three Yang Channels and three Yin Channels of Foot converged. Liver is capable of storing blood, kidney is capable of nurturing bone, bone is capable of flexing and stretching, storing energy, and spleen controlls muscle and is the origin of blood generation. Deficiency of liver-yin and kidney-yin, deficiency of energy and blood, fatigue of tendon and bone will result in reduced working ability and hence hyperplastic gonitis. Manipulation of massage will remove obstruotion, relieve pain and nurture qi and blood by managing tendon and repairing, activating and removing stasis and dredging qi within channels of liver, stomach, spleen, and kidney.     

氡泉浸浴对血清"免疫五项"的影响

Background: Under magnetic field,magnetic therapy can enhance resistance of biological individual,regulate qi and blood,improve local blood circulation and tissue permeability,promote absorption and removal of exudates,strengthen non specific immunity,activate phagocytosis ability of white cells and hence resist inflammation.TDP affect blood dynamics and thereby improving local blood circulation and metabolism and tissue regeneration,tissue nutrition,enhance immune function,promote tissue and cell metabolism and repair through its thermal effect.     

音乐疗法合并行为矫正治疗精神分裂症77例

BACKGROUND: Music plays strong influence on humanpsyche and physiology. It can ameliorate people' s emotion and cog-nition level and change people' s volitional behavior. Behavioralcorrection changes cognitive process and ideas and corrects badmotion and behavior through positive reinforcement, negative rein-forcement, positive punishment and negative punishment.     

磁疗及特定电磁波促进小儿肺功能恢复78例

Background: Under magnetic field,magnetic therapy can enhance resistance of biological individual,regulate qi and blood,improve local blood circulation and tissue permeability,promote absorption and removal of exudates,strengthen non specific immunity,activate phagocytosis ability of white cells and hence resist inflammation.TDP affect blood dynamics and thereby improving local blood circulation and metabolism and tissue regeneration,tissue nutrition,enhance immune function,promote tissue and cell metabolism and repair through its thermal effect.     

神蜂精刮痧治疗周围性面瘫42例

Background: Peripheral facial paralysis is a common disease with facial nerve paralysis, facial mimetic muscle dyscinesia, and deviation of the eye and mouth. It is commonly considered that peripheral facial paralysis might be correlated with virus infection, rheumatism, ischemia, immunity. Pathological changes included edema, denaturation, atrophy, and ischemia of facial nerve. In traditional Chinese medicine, peripheral facial paralysis is caused by stagnation of qi and blood, malnutrition of channels and vessels, and cizhongbusou. Curing rheumatism, warming yang and supplementing qi, relaxing stagnation, regulating qi and blood should be emphasized in treatment. Guasha belongs to massage and is characterized by easy operation, and reliable therapeutic effect. Guasha can stimulate nerve strongly, improve metabolism, and enhance immunity and promoting blood circulation. " Head is the center of all yangs" . According to principle of acupoint selection along channels, guasha of channels distributed in neck, shoulder, hand, and region with yang channels of hand and foot, in combination with external wasp cream with antiinflammation and removing stagnation, self local massage,and functional exercise of facial muscles are effective in improving blood circulation of head and face,remove edema of facial nerve,promote recovery of facial muscles.     

Treatment of facial peripheral paralysis with wasp cream guasha in 42 cases

Peripheral facial paralysis is a common disease with facial nerve paralysis,facial mimetic muscle dyscinesia,and deviation of the eye and mouth.It is commonly considered that peripheral facial paralysis might be correlated with virus infection,rheumatism,ischemia,immunity.Pathological changes included edema,denaturation,atrophy,and ischemia of facial nerve.In traditional Chinese medicine,Peripheral facial paralysis is caused by stagnation of qi and blood,malnutrition of channels and vessels,and cizhongbusou.Curing rheumatism,warming yang and supplementing qi,relaxing stagnation,regulating qi and blood should be emphasized in treatment.Guasha belongs to massage and is characterized by easy operation,and reliable therapeutic effect.Guasha can stimulate nerve strongly,improve metabolism,and enhance immunity and promoting blood circulation.“Head is the center of all yangs”.According to principle of acupoint selection along channels,guasha of channels distributed in neck,shoulder,hand,and region with yang channels of hand and foot,in combination with external wasp cream with antiinflammation and removing stagnation,self local massage,and functional exercise of facial muscles are effective in improving blood circulation of head and face,remove edema of facial nerve,promote recovery of facial muscles.     

Expression of neuron—specific enolase and gial fibrilous acidic protein in cerebral tissue of experimental cerebral concussion

Objective To study the changes and significance of neuron-specific enolase(NSE)and glial fibrilous acidic protein(GFAP)in rat cerbral concussion,Methods 80 Wistwar male rate were used for animal model of cerebral concussion,which were sacrificed on the 1st,3rd,7th,14th and 30th days after injury and the brain tissue were taken off.The expression of NSE and GFAP were studied in the course of cerebral concussion by means of immunohistochemistry,Results Rats in 100 g-group seen the clinical manifestation for typical concussion.The pathologic changes were the cerebral vascular constriction and dilation,congestion and edema of cerebral tissue and neuronal deganeration and necrosis.NSE was increased on the 1st day,and the positive area was seen in the plasma of the neurons in the cerebral cortex and the cerebellum, and also seen in blood vessels,cerebrospinal fluid in aqueduct and interstital matrix.NSE was obtained at peak on the 7th day,decreased on the 14th day and stil l raised on the 30th day.GFAP was increased on the 1st day,which the positive area was seen in the plasma of astocytes,and obtained at peak on the 3rd day,which fiber-like GFAP was in short,thick and astrocytes increased.GFAP decreased on the 7th day and obtained normal level in 30 days.Conclusion the main pathologic changes of cerebral concussion were blood circulatory disorder nd nervous cells degeneration,apoptosis and necrosis,NSE and GFAP participated in the course of cerebral concussion,may play an important role in the damage of blood-brain barrier,nervous cells degeneration and necrosis.     

Effects of apoptosis on liver aging

As an irreversible and perennial process,aging is accompanied by functional and morphological declines in organs. Generally,aging liver exhibits a decline in volume and hepatic blood flow. Even with a preeminent regenerative capacity to restore its functions after liver cell loss,its biosynthesis and metabolism abilities decline,and these are difficult to restore to previous standards. Apoptosis is a programmed death process via intrinsic and extrinsic pathways,in which Bcl-2 family proteins and apoptosis-related genes,such as p21 and p53,are involved.Apoptosis inflicts both favorable and adverse influences on liver aging.Apoptosis eliminates transformed abnormal cells but promotes age-related liver diseases,such as nonalcoholic fatty liver disease,liver fibrosis,cirrhosis,and liver cancer. We summarize the roles of apoptosis in liver aging and age-related liver diseases.     

有氧运动并自制复方降糖散对糖尿病患者 康复效果观察

Background:The diabetes belongs to thirsty in the Chinese medicine, generations of doctors tough the reasons were “ the lung and the stomach were dry and hot, the spirit and the vigor were damaged" and the treatment follow the principle that“ where the malign heat domains, sweetness and bitterness should be applied” , to reinforce the vigor and increase the fluid and to culture the cool and to eliminate the heat were the main methods. Aerobic exercised may increase the sensibilities of the tissues to the insulin, amend the fat metabolism, increase health and the living quality.     

小脑出血 32例致残性特点分析

Background: The clinical manifestation of the cerebral hemorrhage is complex and the disabilities are different. According to the hemorrhage amount and the sites, the treating and rehabilitation methods are different also. So, to ensure amount and position and to master its disabling characters is important for the treatment and rehabilitation of patients with cerebral hemorrhage Objective:According to its amount and position, to analyse its disabling characters for the treatment and rehabilitation of patients with cerebral hemorrhage .     

超声评价放疗对颈动脉溃疡斑块形成的影响

目的 探讨超声在评价放疗对颈动脉溃疡斑块形成的影响的价值。方法 回顾性收集经病理学证实为头颈部肿瘤、放疗前后的颈动脉超声资料以及其他基线资料完整的患者93例,比较放疗前后放疗侧颈动脉和非放疗侧颈动脉粥样硬化斑块和溃疡斑块的总数量、平均内膜-中膜厚度、最大斑块面积、最大溃疡斑块的面积、最大溃疡口的面积。结果 放疗前后颈动脉超声检查的平均间隔时间为（6.1±1.9）年;放疗前放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积与非放疗侧比较差异均无统计学意义（P均>0.05）;放疗后放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积均较非放疗侧加重,差异有统计学意义（P均<0.05）。结论 放疗可导致头颈部肿瘤患者颈动脉粥样硬化斑块的形成和进展,且斑块具有易损性特点。     

Determination of loss of quality of life

Physiatrists are a valuable resource in legal settings, where assessment of functional capacity to perform work and of future medical needs must be determined. Physiatrists help determine what future medical care is needed to restore and maintain an individual at the maximum level of life function. This article focuses on the use of a quality of life (QOL) rehabilitation model, rather than a medical model, for enhancing functional performance, modifying environments, and facilitating patient coping. We discuss use of the QOL model to describe and influence a patient's physical, psychological, cognitive, vocational/economic, and social/leisure domains.     

韶关市农村留守儿童孤独感状况调查

目的了解广东省韶关市农村地区留守儿童孤独感现状及其影响因素。方法对韶关市某地区两所农村小学3～6年级学生中的489名留守儿童采用儿童孤独量表和自编调查表进行问卷调查。结果17．6％留守儿童存在孤独感，不同性别孤独感发生率无差异性，不同年龄及不同年级间孤独感发生率差异均有极显著性（P〈0.01）；随年级增加，孤独感发生率呈下降趋势（X^2趋势=5．970，P〈0.05）。留守儿童孤独感与健康状况、学习成绩、学习困难程度、父母教育方式、父母间关系和老师教育方式等因素显著相关（P〈0.01～0．05）。结论农村地区留守儿童中存在一定程度的孤独感问题，老师和家长应以正确的态度和方法对待留守儿童，以减少其孤独感的发生。     

Evaluation of the aesthetics of physical methods of euthanasia of anesthetized rats

Dissection of living brain tissue for in vitro experiments requires the use of a rapid euthanasia method. However, the method must not subject animals to unnecessary pain and must be aesthetically acceptable to experimenters. The purposes of the current study were to assess the aesthetics of 6 euthanasia methods, measure the procedure duration, and evaluate brain for pathology after each procedure. We digitally recorded euthanasia of isoflurane-anesthetized rats by 6 physical methods: anesthetic overdose, cardiac exsanguination, decapitation, closed intrathoracic transection of the great vessels and heart, thoracic percussion, and thoracotomy with rupture of great vessels. Volunteer researchers and animal caretakers watched the video and completed an associated questionnaire. Anesthetic overdose and cardiac exsanguinations were rated most aesthetically pleasing, although these procedures took the longest to complete. In contrast, decapitation and thoracic percussion were the least aesthetically pleasing, but these methods were the quickest. No demographic factor was identified that could predict whether a given euthanasia procedure would be favored for aesthetic reasons, and participants provided a wide variety of rationales for the aesthetic ratings they assigned. Although all of these euthanasia methods meet the criteria of approved methods of euthanasia of anesthetized rats as defined by the AVMA, aesthetic features and the scientific need for rapid euthanasia are both considerations in selecting a method.     

乳腺叶状肿瘤的影像分析

目的 分析乳腺叶状肿瘤的X线钼靶摄片和超声表现.方法 收集经手术病理证实的19例乳腺叶状肿瘤,术前均行超声检查,其中15例行X线钼靶摄片,回顾分析其临床特点和影像学表现.结果 19例乳腺叶状肿瘤中,良性8例,交界性6例,恶性5例.15例患者X线钼靶摄片中病灶均为高密度孤立肿块影,呈圆形(8例)或浅分叶状(7例),边界清晰(10例)或部分不清(5例),部分肿块周边见"晕"征(4例).超声检查6例发现囊性变,6例表现为后方回声增强.病灶为圆形(8例)、浅分叶状(8例)或有角状突起(3例).所有病例均未发现腋下转移淋巴结及周围组织浸润等恶性征象.结论 认识乳腺叶状肿瘤的病理类型和临床特点,结合影像表现综合分析,可提高术前诊断率.     

乳腺癌病人生命质量的影响因素调查

[目的]分析影响乳腺癌病人生命质量的因素,为改进乳腺癌病人的心理护理措施提供依据.[方法]对201例原发性乳腺癌术后化疗病人采用自设人口统计学和临床特征调查表、乳腺癌病人生命质量测定量表、医学应对问卷、中文版艾森克人格问卷简版进行调查.[结果]将病人生命质量总分作为应变量,社会人口学、临床特征、人格变量的4个维度和应对变量的3个维度作为自变量进行多元线性回归分析,结果表明,只有神经质维度和屈服应对维度进入方程,决定系数为0.542,即2个变量能联合预测生命质量54.2%的变异量.[结论]护理人员应关注乳腺癌病人的人格特征和应对方式特点,采取积极有效的心理护理措施,提高病人的生命质量.     

血液透析患者家庭护理提供者的生活质量调查

目的:了解江汉油田血液透析(血液透析)患者家庭护理提供者(护理者)的生活质量。方法:对60例血液透析患者的家庭护理提供者进行一般情况和生活质量综合评定问卷(QOLI-74)调查,并进行相关性和多因素回归分析。结果:家庭护理提供者各维度的主观生活满意度与其客观指标相关,但也与其需求、年龄、文化程度、与患者的关系有关。结论:客观状态是影响主观生活满意度的重要因素,同时应考虑护理者的需求、年龄、文化程度、与患者的关系对护理者主观生活满意度的影响。     

Analysis of the Concept of Quality of Life

ABSTRACT. Nurses provide the constant human care that can make the difference between a life that is valuable to the last and a life that ends in humiliation, deprivation and suffering. Nurses, therefore, more than other health professionals, need a deep and reflective view of patients' value and quality of life. In this paper the concept of quality of life is analysed from a philosophical and scientific perspective. Quality of life in connection with treatment of a disease has its roots in the philosophical conception of the value of human life in general. Characteristics such as happiness, physical activity and interpersonal relations are what give life value and meaning. From the scientific viewpoint, it seems difficult to define the concept, given its multidimensional characteristics. However, the analysis indicates a growing interest among health-professionals to develop scientific intersubjectivity of the concept in terms of measurable parameters.     

61例老年不可切除胰头癌临床治疗分析

目的探讨不可切除老年胰头癌患者低毒有效的临床治疗模式。方法61例老年不可切除胰头癌患者均接受胆肠吻合术。术后随机分为3组：A组22例术后给予吉西他滨（GEM）单药化疗2～4周期；B组20例给予GEM加5-氟脲嘧啶（5-FU）联合化疗2～4周期；C组19例给予GEM加顺氯氨铂（DDP）联合化疗2～4周期。观察3组患者临床受益反应及不良反应发生情况，随访统计半年、1年生存率。结果61例患者术后黄疸有不同程度减退。A、B、C组临床受益率分别为68．2％、50．0％、57．9％。A、B、C组的半年生存率分别为63．6％、60．0％、63．2％；A、B、C组的1年生存率分别为36．4％、35．0％、42．1％。结论老年不可切除胰头癌患者行胆肠吻合术后GEM单药化疗有确切疗效，且毒性小，患者可很好耐受。以GEM为主的联合化疗未能较单药提高生存率，原因有待于进一步探讨。     

31例误诊哮喘原因分析

目的通过对中央气道不全性梗阻和支气管结核、术后痰栓形成误诊为支气管哮喘的分析,探讨误诊原因及正确诊断的方法。方法对误诊为支气管哮喘的3l例患者的临床资料进行分析。结果临床特征以刺激性咳嗽为主,其次为活动后胸闷、气促,肺部闻及哮鸣音,胸部影像学多无特征性改变或极易漏诊,支气管舒张试验阳性率低,诊断前缺乏气管镜及病理检查,均误诊为支气管哮喘。结论中央气道不全梗阻性病变或炎性病变包括支气管结核、术后痰栓形成时原发疾病症状不典型,肺部影像学检查无异常表现或极易漏诊,故该类以表现为咳嗽、喘息、活动后胸闷,进而出现严重呼吸困难的患者常被误诊为支气管哮喘,延误诊治。支气管镜及病理检查再结合肺CT是鉴别诊断的重要方法。