Therapeutic effect of lateral ventricle drainage improving obstructive hydrocephalus after acute stroke and ADL

１Subjectandmethod１．１Subject４７patients（２５men，２２women，aged３６～８２years，meanage：５９years）enteredourstudy．AllcasesunderwentheadCTorMRIexamination．DiagnosiswascarriedoutaccordingtoDiagnostickeysforvariouscerebrovasculardiseasesestablishedin２ndnationalcerebrovasculardiseasesmeeting．Hydrocephaluswasdeterminedac－cordingtodiagnosticcriteriaofhydrocephalusbyCTproposedbyVanetal犤１犦．３８casessufferedfromhemorrhagestroke（８０．８５％），８fromprimaryintraventricularhemorrha…     

博宁联合化疗治疗恶性肿瘤骨转称疼痛

１Subjectsandmethod１．１Subjects８６inpatientswereadoptedinourstudyincluding４６malesand４０females（agerangingfrom３８～４７years，meanage：６１years）．Thesepatientsconsistedof２６patientswithmammarycarcinoma，２６pulmonarycarcinoma，１７carcinomaoflargeintestine，６prostaticcarcinomaand７oophoroma．Allpatienthadpathologi－callyorECTprovedbonemetastases．Allpatientscomplainedbonepain．Strengthscorewaslargerthan５０inallpatients．Survivaltimewilllongerthan３monthsaccordingtoevaluation．１…     

Abnormal mental status evaluation o f breast cancer patients by electroen ci-phalogram

MATERIALSANDMETHODSMaterials１８casesfemalesinourgrouphadmentalsymptomstovariousdegreebeforeandafteroperation，withagerangingfrom３８to５１years．Therewere１６casesofpsychologicaldependencebeforeoperationand４casesafteroperation．Therewere１caseofParanoiabeforeoperationand８casesafteroperation．Therewere４casesofdeliriumafteroparationand１caseofothertypebeforeoperationand２casesafteroperation．Allthepatientswereexcludedspaceoccupyingle－sionbyheadCT．MethodsEEGexamination：NDC－２…     

心理、行为疗法治疗慢性前列腺炎的效果分析

１Subjectandmethod１．１SubjectFromMay１９９９toJune２００１，４８６consecutivepatientssufferedfromchronicprostatitis（CP）andcomplicatedmooddisorderincluding２１９withnon－bacterialprostatitis，６３withsimpleprostatitispain，and２１９withchronicbacterialprostati－tis．Thesepatientsarerandomlydividedintostudygroupandcon－trolgroupeuqually．Theyare１９～４１yearsofage（meanage：３４years）．Diseasecourselastedfor０．５～４years，meanly２．５years．Mooddisorderischaracterizedbylackadaisicalne…     

椎-基动脉缺血发作与睡眠呼吸障碍

Therelationshipbetweencerebro－vasculardiseases（CVD）andSRBDhasattractedpeople’sattentionmoreandmoreinthepastyears．WepresentinthispapertherelationshipofVBIandSRBDwhichhasnoteverbeenreportedbefore．１Subjectandmethod１．１SubjectFortyfivepatients，male３２，female１３，withanageof２７～７４yearsandanaveragedurationofillnessof２．１years（５daysto１０years）．１．２Criteriaofdiagnosis犤１犦（１）Transientvertigoattacksaccom－paniedbyotherVBIsymptomssuchasdiplopia，scintillation，visua…     

臀肌挛缩症所致骨盆倾斜

Twenty－ninecasesofpelvictiltofgluteuscontracture（PGTC）wereoperatedduring１９９０～１９９８．Twenty－twowereretrospec－tivelyreviewedin２～８years，andagoodresultwasobtained．１Subjectandmethod１．１SubjectFourhundredfifty－onechildrenwithgluteuscon－tractureweretreatedbetween１９９０and１９９８attheRuijinhospi－tal．Allcaseswereinvolvedbilaterally．Twenty－nineofthemwerePTGC：１９inboysand１０ingirls，withanaverageof１２yearsold（rang，８to１６years）．Thereasonofcomingtoourhospitalist…     

Electrophysiological manifestation of 8cases of poems syndrome

INTRODUCTIONPoemsdyndromisakindofrarelyseenclinicalsymptomeswithmultiplesystemimpairment，includingpolyneuropathy，swellingoforgans，endocrinedisorder，Mproteinandskinlesions．Othersymp－tomsincludinganasarca，profusesweating，hippocraticnailsandlowfebrile．GENERALDATA８casesofPoemssyndromepatienswerereceivedfromFebruary１９９３toDecember２００１with５malesand３females，agerangingfrom２０to４７yearswithaverage３８years．Firstexaminationtimewasrangingfrom８monthto１０years．Clinicalm…     

卡托普利改善老年充血性心力衰竭伴低血压患者平板运动试验

CHFistheendstageofallcardiovasculardiseaseswithhighmorbidityandmortality．Thepurposeofthepresentarticleistoob－servetheeffectofcaptoprilonimprovingexercisefunctioninoldpatientswithcongestiveheartfailureassociatedwithhypotension．１Subjectsandmethods１．１SubjectsThesubjectsofthepresentstudyincluded４０pa－tientsofCHFassociatedhypotensionadmittedfrom１９９６to２００１，with３４malesand６females，agingfrom６０to７６years，meanly（６５±３）years．６casesofnonischemicheartdiseaseandhyper－troph…     

陈旧性十字韧带和侧副韧带断裂康复治疗探讨

Satisfyingtherapeuticeffectwasachievedtoreducethetibi－a－femoralandpatellar－femoraljointsanatomicallywithCharleyar－ticulatedsplintandrecoverthebiologicaldynamiclineoftheknee．Nowreportedasfollows．１Subjectandmethod１．１Subject２４casesincluding２０malesand４femaleswiththeageof１８～４９years（mean：２７years）．１３woundedinrightkneesand１１inleftknees．Durationbetweeninjuryandoperationvariedfrom６to５７months（mean：２０months）．Amongthem，thereis５casesofante－directlability，３caseso…     

Treatment of post-stroke dysphagia by Chinese traditional medicine therapy

INTRODUCTIONDysphagiaiscommonafterstroke１，whichcorrelatescloselywithdisabilityandmortality．FromMay２００１toNovember２００２，３８pa－tientswithdsyphagiafollowingstrokeweretreatedwithChinesetraditionaltherapyincludingaucpuncture，icetherapy，andChinesedrugsinductionbyions，andfavorabletherapeuticeffectwasob－MATERIALSANDMETHODSMaterials３８subjectssufferedfromdysphagiaafterstrokeandadmittedfromMay２００１toNovember２００２participatedinourstudy．Thesepa－tientsincluded２９men…     

The effects of comprehensive rehabilitation therapy on scapulohumeral periarthritis

Obuective To discuss the effects of comprehensive rehabilitation therapy on scapulohumeral periarthritis,Method Alll the patients were randomly divided into two groups.Patients in group A were treated by ujtrashort-ware,medium frequency electric therapy and medical gymnast-tics,Patients in group Bwere theated by joint mobililzation combined with treatments in group A.Meanwhile,the functional rating scale was used to measured scale of shoulder joint during pre and post treatment,Results In group A ,6 were cured,11 were significant effect and 18 were improved,The effective rate was 81.40%.In group B,14 were cured,18 were significant effect and 8 were improved ,The effective rate was 93.02%.The score of group B after treatment was increased significantly compared with group A(P&;lt;0.01).Conclusions The effects of the joint mobilization and combined with physiotherapy and medical gymnastics were significant on scapulohumeral periarthritis.     

关节松动、肌肉牵拉和物理因子综合治疗肩关节周围炎

目的：比较关节松动、肌肉牵拉和物理因子综合治疗与单纯物理因子治疗肩关节周围炎的临床效果。方法：112例肩关节周围炎患者,随机分为手法关节松动、肌肉牵拉和物理因子综合治疗组38例：对照组74例只采用物理因子治疗。两组治疗后均辅以肩周炎医疗体操及肌力训练,巩固治疗。结果：治疗组临床治愈14例,显效18例,好转5例,无效1例;对照组临床治愈3例,显效29例,好转33例,无效9例。两组临床治愈显效率比较,差异具有非常显著性的意义（uc=4.96,P＜0．01）。结论：采用关节松动、肌肉牵拉和物理因子综合治疗肩关节周围炎,比单纯采用物理因子治疗效果更加明确。     

玻璃酸钠联合关节松动术治疗肩关节周围炎临床研究

目的 :研究玻璃酸钠联用关节松动术治疗肩周炎的临床效果。方法 :70例患者随机分为联合治疗组和玻璃酸钠 (SH)组 ,治疗组 35例采取关节松动术联合应用关节腔SH注射治疗 ;对照组35例单独应用关节腔SH注射治疗。定期观察治疗后两组患者的临床症状、体征及肩关节活动度的改善。结果 :两组治疗效果、治疗次数比较 ,联合治疗组明显优于SH组 ,经统计学处理 ,呈显著性差异 (P <0 .0 5 )。结论 :关节松动术联用SH关节腔内注射治疗肩周炎是一种有效的临床治疗措施。     

关节松动术对肩关节周围炎的疗效观察

运用关节松动术治疗肩关节周围炎38例,治愈14例,显效18例,好转5例,治愈显效率为84.21%,与对照组比较有显著性差异(P<0.05),而且肩关节ROM有明显增加(P<0.001).结果提示;松动术治疗肩周炎有4个优点:①疗程短,见效快;②止痛效果佳,患者容易接受;③ROM改善明显;④手法简便易学.     

关节松动术治疗肩周炎的综合评定

为探讨关节松动术对肩周炎的疗效,采用肩关节松动术治疗肩周炎３２例,同时用肩关节功能评价量表在治疗前后对肩关节疼痛、ＲＯＭ、ＡＤＬ、肌力及局部形态进行综合评定。结果：治愈８例,显效１３例,好转９例,无效２例,有效率９３．７５％;治疗后肩关节功能评定得分显著增加（Ｐ〈０．００１）;以治疗后肩关节功能分值、治疗前后得分增加值为标准评定疗效并与临床疗效评定结果比较,差异无显著性（Ｐ〉０．９）。提示：关节松     

全麻下单纯肩关节松解与复合术后帕瑞昔布钠治疗肩周炎疗效对比

目的:对比全麻下单纯肩关节松解与复合术后帕瑞昔布钠(特耐)治疗肩周炎的疗效。方法:肩周炎病例53例随机分为A组(n=24)和B组(n=29),A组采取丙泊酚静脉麻醉下肩关节松解术,B组采取丙泊酚静脉麻醉下肩关节松解复合术后特耐静滴。对患者术前,术后1、2、3天疼痛进行VAS评分,观察术前、术后肩关节活动情况,随访1个月。结果:术中肌松效果满意53例(100%),B组患者术后疼痛较A组明显下降,B组患者活动度较A组显著改善,B组近期疗效为痊愈者26例(90%),有效者3例(10%),A组近期疗效痊愈者17例(71%),有效4例(17%),无效3例(12%)。无明显不良反应。结论:全麻下肩关节松解复合术后特耐治疗肩周炎较单纯肩关节松解术镇痛效果好,早期肩关节活动度改善显著。     

冲击波治疗肩周炎的单盲研究

目的：用单盲的研究方法评定冲击波治疗（ESWT）肩周炎的临床效果。方法：选取47例肩周炎患者,将其随机分为两组,其中冲击波治疗组给予冲击波治疗（n=26）,对照组给予关节松动术加短波治疗（n=21）。简化McGill疼痛问卷（short form McGill pain questionaire, SF-MPQ）用来评估患者治疗前,疗程结束时,疗程结束后第1周,第4周,第8周疼痛症状的改变,肩关节功能使用关节活动度（ROM）改变来评估治疗前与疗程结束时的变化。结果：试验结束后,两组患者的疼痛症状较治疗前有     

分期综合康复治疗肩关节周围炎60例

目的探讨肩关节周围炎综合治疗方法。方法分疼痛期、粘连期、恢复期3期采用超短波、关节松动术和运动疗法综合治疗肩关节周围炎90例。结果治愈39例,显效40例,有效11例,总有效率100%。结论分期辨证治疗可减轻病人痛苦,提高治愈率,减少复发机会,是治疗肩周炎较理想的途径。肩关节松动术配合运动疗法对肩周炎具有显著疗效。     

关节松动训练联合体外冲击波靶点治疗肩关节周围炎的疗效分析

目的:观察应用关节松动训练联合体外冲击波靶点治疗肩关节周围炎的疗效及其安全性。方法:选取肩关节周围炎治疗的患者44例,随机分为对照组21例和观察组23例,对照组采用肩关节松动训练治疗,观察组在前者基础上联合体外冲击波靶点治疗。采用视觉模拟评分(VAS)对患者治疗前、治疗7、14、21和28d后的疼痛程度进行评估。采用Constant肩关节功能评分(CMS)和肩关节活动度(ROM)对患者治疗前和治疗结束后的功能情况进行评估。结果:2组患者治疗前与治疗后不同时间点的VAS评分比较,差异有统计学意义(均P0.05);2组间治疗后7d及14d后比较,观察组的VAS评分均低于对照组,但差异无统计学意义;治疗后21和28d后,观察组VAS评分明显低于对照组(均P0.05)。治疗28d后,观察组与对照组CMS评分及ROM均高于治疗前(均P0.05),且观察组更高于对照组(均P0.05)。结论:关节松动训练联合体外冲击波靶点治疗肩关节周围炎临床疗效可,值得临床治疗过程中推广应用。     

关节松动术治疗肩周炎的疗效观察

为观察关节松动术对肩周炎的疗效,采用并节松动术对肩周炎患者进行治疗并与传统疗法（椎拿、理疗）组进行疗效比较。结果：关节松动术组对减轻疼痛和增加关节活动度等方面均优于传统治疗组,经统计学处理分别ｔ＝１３．２,Ｐ〈０．００１;ｔ＝１８．７２,Ｐ〈０．００１。提示：关节松动术治疗肩周炎疗效明显优于传统治疗组。