热敷散外敷配合手法治疗腰三横突综合征86例临床观察

目的 观察自制热敷散外敷配合手法治疗腰三横突综合征的临床疗效.方法 采用自制热敷散外敷配合手法治疗腰三横突综合征患者86例,治疗10 d后观察疗效.结果 治愈69例,占80.2％;好转12例,占14.0％;未愈5例,占5.8％;总有效率达94.2％.结论 热敷散外敷配合手法治疗腰三横突综合征疗效显著.     

腹针结合推拿手法治疗神经根型颈椎病疗效观察

[目的]观察腹针加推拿手法治疗神经根型颈椎病疗效.[方法]120例患者随机分组,其中治疗组60例,运用腹针加推拿手法治疗;对照组60例,运用普通针刺加手法治疗.[结果]运用腹针加手法治疗总有效率达90％,运用传统针刺经穴加手法治疗总有效率为63％,两组比较有显著性差异(P＜0.05).[结论]腹针加推拿手法治疗神经根型颈椎病有很好的疗效.     

神经根型颈椎病综合推拿手法与颈椎自我康复手法的临床疗效对比观察

目的：对比神经根型颈椎病综合推拿手法与颈椎自我康复手法的临床疗效.方法：将60例神经根型颈椎病患者随机分为两组,治疗组30例采用综合推拿手法;对照组30例采用颈椎自我康复手法.治疗3个疗程后分别观察两种治疗方法的临床疗效.结果：治疗组有效率为83.3％,对照组有效率为66.7％,两组比较,差异有统计学意义（P＜0.05）.结论：神经根型颈椎病的综合推拿手法疗效明显优于颈椎自我康复手法.     

颈椎病的综合治疗

目的观察针刀松解、局部注药、星状神经节阻滞联合电动颈椎牵引与手法整复综合治疗颈椎病的疗效。方法颈椎病患者200例,随机分为两组,A组为综合治疗组,接受针刀、局部注射、星状神经节阻滞联合电动颈椎牵引与手法整复治疗;B组为对照组,单纯电动颈椎牵引与手法整复治疗,随访6个月评定治疗效果。结果治疗组治愈95例,治愈率95％;对照组治愈55例,治愈率55％,两者差异有统计学意义。结论综合治疗颈椎病可以显著提高疗效。     

按摩手法治疗网球肘64例临床观察

目的：探讨按摩手法治疗网球肘的疗效。方法：64例网球肘患者经按摩手法治疗2个疗程,随访3个月,观察疗效。结果：治愈率90．6％,总有效率96．8％。结论：手法治疗网球肘是一种安全方便、疗效显著的治疗方法。     

针刺配合手法治疗乳腺增生病临床观察

[目的]观察针刺配合手法与中药治疗乳腺增生病的疗效差异。[方法]将63例随机分为针刺手法组33例、药物组30例。针刺手法组采用常规针刺加手法推拿;中药组口服三苯氧胺。[结果]经过3个疗程治疗,针刺手法组总有效率为97．0％,药物组总有效率为83．3％．针刺手法组疗效优于药物组（P〈0．05）。针刺手法组乳房疼痛改善．与药物组比较,差异有非常显著性意义（P〈0．01）。[结论]针刺配合手法治疗乳腺增生病的疗效肯定。     

手法治疗肩周炎临床观察

目的：观察不同手法治疗肩周炎的临床疗效。方法：将120例肩周炎患者随机分为3组,每组40例,A组采用有针对性的舒筋手法治疗,B组采用常规的推拿按摩手法治疗,C组采用麻醉下的松解肩部粘连的手法治疗,10天为14个疗程,治疗3个疗程后对疗效进行比较。结果：A组治愈率67,5％,总有效率100％;B组治愈率27．5％,总有效率90％;C组治愈率17．5％,总有效率72．5％;3组治愈率经RAdit分析有显著差异（P〈0．01）,表明A组明显优于其它两组。结论：考虑胸大肌肌腱的炎症和粘连是肩周炎早期的主要病机,可将针对性的舒筋手法作为治疗肩周炎的首选方法。     

手法配合骶管注药治疗腰椎间盘突出症98例

目的：观察采用传统手法配合骶管注药治疗腰椎间盘突出症的疗效。方法：98例病人,诊断明确,先行手法治疗,再行骶管注药,手法治疗隔日1例,骶管注药每周1次,每例病人不超过4次。结果：治愈60例,占61．2％;好转29例,占29．6％;无效9例,占9．2％;总有效率90．8％;结论：手法治疗与骶管注药两各有所长,两配合应用能针对腰椎间盘突出症的病理改变,取得较好的临床疗效。     

针刺手法治疗伸膝装置创伤性粘连的临床探讨

目的观察针刺手法治疗伸膝装置创伤性粘连的临床疗效。方法收集伸膝装置创伤性粘连120例,随机分为两组,治疗组60例采取针刺手法及膝关节拔伸屈膝手法治疗,对照组60例口服双氯芬酸钠缓释片治疗。结果治疗组临床痊愈率59.37％,总有效率94．35％;对照组临床痊愈率50.0％,总有效率82．25％。两组此较差异有统计学意义（P〈0．05）。结论针刺手法治疗伸膝装置创伤性粘连,疗效确切,方法安全,具有很强的可操作性和推广价值。     

推复肩胛骨治疗肩周炎的临床观察

目的 通过推复肩胛骨手法与传统治疗手法治疗肩周炎相比较，探讨推复肩胛骨治疗肩周炎的疗效。方法 将肩周炎患者100例随机分组治疗，各50例为1组，分别采用推复肩胛骨手法和传统手法治疗。结果 随访3个月至1年，推复肩胛骨手法治疗优良率96％，传统手法治疗优良率74％。结论 推复肩胛骨治疗肩周炎能迅速解除疼痛，且能迅速恢复肩关节功能，疗效快、疗程短、值得临床推广。     

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…     

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.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

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.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

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.