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1.
超短波干扰电治疗腰椎间盘突出症观察   总被引:2,自引:0,他引:2  
对两组各50例腰椎间盘突出症患者分别进行超短波加干扰电治疗或超短波治疗。选用疼痛自测评分法和腰椎活动度评分法对疼痛和腰椎活动度进行评估.结果表明,超短波加干扰电组治愈显效率高于超短波组(X2=5.79,P<0.05),治疗20次内治愈显效率亦高于超短波组(X2=6.45,P<0.05),差异均有显著性.超短波干扰电综合应用有协同作用,疗效好,疗程短.  相似文献   

2.
詹文吉 《中国康复》2000,15(1):10-11
为观察腰部斜扳法在治疗单侧型腰椎间盘突出症的取向问题及疗效,对临床及CT确诊的门诊患者130例进行分组治疗,用腰椎间盘突出症评分法进行疗效标准评定。结果:治疗组的优率及优良率均明显优于对照组(P〈0.01,0.05)。提示:单侧型腰椎间盘突出症在推拿治疗中采用患侧卧位腰部斜扳法,可大大提高疗效。  相似文献   

3.
目的:观察腰椎间盘突出症经短波并电脑中频治疗后的临床疗效。方法:采用短波并用电脑中频的复合疗法,结果:经2个疗程治疗后,治疗组总有效率95.5%,对照组总有效率68%,治疗组明显优于对照组。结论:此种复合疗法治疗腰椎间盘突出症有较好的临床疗效,对损伤的椎间盘复位均有一定作用。  相似文献   

4.
目的 观察温热磁场联合中频电对老年腰椎间盘突出症的治疗效果.方法 通过回顾性分析,将120例曾在本科采取不同物理方法治疗的老年腰椎间盘突出症患者分为治疗组(采用温热磁场联合中频电治疗)与对照组(采用超短波联合中频电治疗),对比两组患者的疗效.结果 两组患者的痊愈显效率差异无统计学意义(P>0.05).结论 温热磁场联合中频电治疗老年腰椎间盘突出症具有与超短波联合中频电治疗同样良好的疗效.  相似文献   

5.
腰椎间盘突出症的综合治疗及影像学分析   总被引:2,自引:1,他引:1  
目的:观察单纯理疗和综合治疗腰椎间盘突出症的疗效及治疗前后影像学所见。方法:151例椎间盘突出症患者分为2组:A组(单纯理疗组)68例,采用超短波 电脑中频电疗或热磁 电脑中频治疗;B组(综合治疗组)83例,除采用上述理疗外,还采用骨盆牵引 推拿治疗。治疗后2—8个月内对其中的67例进行了CT随访。结果:A组痊愈显效率为63.24%;B组痊愈显效率为77.11%。两组治疗结果经Ridit分析,组间差异有显著性(P<0.05)。67例CT随访无一例突出物消失,其中39例未见明显变化,25例略缩小,3例增大。结论:两种疗法在腰椎间盘突出症康复中均有一定实用价值,其中以综合治疗疗效较佳。  相似文献   

6.
物理因子促进腰椎间盘突出症术后神经功能恢复   总被引:6,自引:0,他引:6  
目的 观察超短波联合低中频电治疗腰椎间盘突出症术后神经功能恢复的临床疗效。方法 将确诊为腰椎间盘突出症并行手术治疗的患75例,随机分为超短波并低中频电疗组(治疗组)45例和对照组30例。两组患手术方式及术后康复训练方案一致。结果 两组患坐骨神经痛症状均有所减轻,治疗组完全缓解39例,部分缓解5例,对照组分别为16例和10例,两组对比差异有显性意义,P<0.05;两组胫前肌、拇长伸肌、拇长屈肌肌力均较术前有所恢复,胫前肌、拇长屈肌肌力恢复治疗组优于对照组,差异有显性意义P<0.05;而拇长伸肌两组间差异无显性,P>0.05。结论 早期应用超短波联合低中频电疗能促进腰椎间盘突出症术后患的神经功能恢复。  相似文献   

7.
多方位腰椎快速牵引的临床研究   总被引:11,自引:2,他引:9  
本介绍了多方位腰椎牵引的特点、临床疗效、适应症、禁忌症以及治疗机理,观察了186例腰椎间盘突出症的治疗效果,牵引一次的成功率72%,总有效率92.5%,优良率80.6%,还观察了32例腰椎间盘突出症快速牵引后3个月~4年突出物在CT片上的变化;采用突出物面积/椎管面积比值法。侧后型突出20例,治疗前为0.1830±0.0663,随访时0.1303±0.0618(P〈0.05)。中央型12例,治疗  相似文献   

8.
王燕  陈琪 《检验医学与临床》2009,6(20):1747-1748
目的观察综合治疗腰椎间盘突出症的疗效。方法将140例腰椎间盘突出症患者随机分成两组,治疗组采用牵引、中频电、超短波治疗、卧硬板床、佩戴腰围。对照组采用牵引、电磁波治疗(TDP)、照射法。结果治疗组有效率为95.7%,对照组有效率为78.6%,两组比较差异有统计学意义(P〈0.05)。结论腰椎间盘突出症综合治疗有较好疗效。  相似文献   

9.
手术与非手术治疗腰椎间盘突出症疗效评价   总被引:3,自引:0,他引:3  
孙天全  邹方亮 《现代康复》2000,4(8):1162-1163
目的比较多方位牵引、手法复位和手术治疗腰椎间盘突出症的疗效。方法将492例患分为多方位牵引组、手法复位组和手术治疗组,分别给予相应治疗,并在治疗前后用腰椎间盘突出症临床评定百分法进行评分。结果各组治疗前3组评分无明显区别,但治疗后各组评分均明显大于治疗前(P均<0.05),同时治疗后手术治疗组评分明显高于多方位牵引组和手法复位组(P均<0.05)。结论虽然手术疗法疗效优于非手术疗法,但后仍是许  相似文献   

10.
粱英  贾继娥 《现代康复》2000,4(11):1706-1706
目的 观察电脑中频、电脑索引、手法综合治疗腰椎间盘突出症的疗效。方法 采用电脑中频、电脑索引、手法综合疗法对66例腰椎间盘突出症患进行治疗,并与单纯电脑中频治疗时82例、电脑索引治疗的61例患进行比较。结果 综合治疗组的疗效显优于单纯电脑中频组与电脑索引组(P〈0.005)。结论 综合治疗腰椎间盘突出症可显提高疗效。  相似文献   

11.
Objective: To identify patterns of nonfatal and fatal penetrating trauma among children and adults in New Mexico using ED and medical examiner data.
Methods: The authors retrospectively sampled in 5-year intervals all victims of penetrating trauma who presented to either the state Level-1 trauma center or the state medical examiner from a 16-year period (1978–1993). Rates of nonfatal and fatal firearm and stabbing injury were compared for children and adults.
Results: Rates of nonfatal injury were similar (firearm, 34.3 per 100,000 person-years; stabbing, 35.1). However, rates of fatal injury were significantly different (firearm, 21.9; stabbing, 2.7; relative risk: 8.2; 95% confidence interval: 5.4, 12.5). From 1978 to 1993, nonfatal injury rates increased for children (p = 0.0043) and adults (p < 0.0001), while fatal penetrating injury remained constant. The increase in nonfatal injury in children resulted from increased firearm injury rates. In adults, both stabbing and firearm nonfatal injury rates increased.
Conclusions: Nonfatal injury data suggest that nonfatal violence has increased; fatal injury data suggest that violent death rates have remained constant. Injury patterns vary by age, mechanism of trauma, and data source. These results suggest that ED and medical examiner data differ and that both are needed to guide injury prevention programs.  相似文献   

12.
Three supplementary perspectives are presented arguing that interprofessional collaboration is both necessary and desirable. Nonetheless, there are often too many serious intra-professional barriers and obstacles to interprofessional collaboration to make it successful. Some of these barriers, it is argued and illustrated, are found in the multiple ways in which professional identity is tacitly acquired and embodied in the practitioners' habitual, everyday practice. The paper then explores ways in which reflection, especially Second order reflection, can help to elucidate and overcome these obstacles, as well as increasing professional adaptability and competence.  相似文献   

13.
This is a new method for the determination of creatine kinase isoenzyme MB activity in serum. The method uses direct activity measurement of creatine kinase B subunit activity after blocking of CK-M subunit activity by inhibiting antibodies. The test takes no longer than 15 min. The method yields an intra-serial C.V. of 2.0-12.9%, and a C.V. from day to day of 5.5%. The detection limit is 3.4 U/l creatine kinase MB. In the 95 cases with proven myocardial infarction several types of creatine kinase MB activity kinetics could be determined. The percentage of creatine kinase MB of peak CK-total is 6-25%, with a mean of 11.1%. The amount of creatine kinase MB with respect to total CK activity after reinfarction is higher than the amount after initial infarction.  相似文献   

14.
目的 探讨手转胎头术失败的原因与分娩结局.方法 选择2008年1月至2010年12月于我院住院分娩的持续性枕横位、枕后位产妇198例,根据行手转胎头术后结果分为成功组126例、失败组72例.比较两组分娩结局,对比分析失败原因.结果 失败组胎儿体质量≥3500 g的发生率[76.4%(55/72)]明显高于成功组[31.7%(40/126)],差异有统计学意义(x2=30.177,P=0.001)、失败组宫缩乏力发生率[58.3%(42/72)]高于成功组[38.1% (48/126)],差异有统计学意义(x2=7.569,P=0.006)、失败组骨盆临界或轻度狭窄发生率[38.9% (28/72)]高于成功组[23.8%(30/126)],差异有统计学意义(x2 =5.030,P=0.002)、失败组手转胎头时机不当(宫口开大<6 cm、胎头位于坐骨棘上及宫口开大8~10 cm、胎头位于坐骨棘下≥2 cm)发生率[61.1%(44/72)]高于成功组[38.9%(49/126)],差异有统计学意义(x2=9.084,P=0.003).失败组母儿并发症(产后出血、产褥病率、胎儿窘迫、新生儿窒息)发生率高于成功组(x2 =9.586,P=0.002、x2=9.334,P=0.002、x2=5.910,P=0.015、x2=5.240,P=0.022)、失败组剖宫产发生率[72.2%(52/72)]明显高于成功组[34.1 %(43/126),x2=26.641,P=0.001)].结论 手转胎头术能使难产变顺产,降低剖宫产率,减少母儿并发症,但须积极预防、处理导致手转胎头术失败的原因,对矫正失败后继续矫正及试产应慎重.  相似文献   

15.
ABSTRACT

The Cochrane Library of Systematic Reviews is published quarterly as a DVD and monthly online. The January 2011 issue (first quarterly DVD for 2011) contains 4515 complete reviews, 1985 protocols for reviews in production, and 13,521 one-page summaries of systematic reviews published in the general medical literature. In addition, there are citations of 641,000 randomized controlled trials, and 14,018 cited papers in the Cochrane methodology register. The health technology assessment database contains over 9300 citations. One hundred and seven new reviews have been published in the last 3 months, of which five have potential relevance for practitioners in pain and palliative medicine.  相似文献   

16.
The Department of Veterans Affairs (VA) in the USA operates a network of 172 medical centres which all utilize a hospital information system (HIS) which has been developed and is currently maintained by the VA. During the past several years, an image management and communication module has been developed, installed and clinically utilized at the Washington DC and Maryland VA Medical Centres. This image management and communication system, referred to as the decentralized hospital computer program (DHCP) imaging system, is fully integrated with a commercial picture archiving and communication system (PACS). The system is utilized to capture, archive, and display all images generated within the hospital including radiology, nuclear medicine, pathology, endoscopy, bronchoscopy, and dermatology, intraoperative photographs, ECG data, and a limited number of paper documents. The ultimate goal of the project is to have all patient text and image data available at any clinical workstation to any authorized user anywhere within the network of medical centres. Clinical requirements for an imaging workstation include ease of use, rapid and reliable access to the complete set of patient information, and images which are of acceptable quality to meet the requirements of the user and the subspecialty. Patient confidentiality and data security must be safeguarded at all times. Integration of the images with the remainder of the patient's database was found to be critical to the success of the project. The experience at the Washington and Maryland facilities suggests that an imaging system that is successfully integrated with a hospital information system can provide substantial clinical and economic benefits both within and among medical centres. Clinical acceptance and utilization of the system has been excellent, particularly in diagnostic radiology where DHCP Imaging has been interfaced to a commercial PAC system. Based upon this initial experience, the VA has begun to deploy the system throughout its large network of medical centres.  相似文献   

17.
18.
目的 探讨俯卧位通气对高海拔地区肺复张术(RM)治疗无效急性呼吸窘迫综合征(ARDS)患者的治疗作用.方法 从海拔2260m的地区医院筛选RM治疗无效的41例ARDS患者[平均氧合指数( PaO2/FiO2)较RM前升高<20%视为RM无效],依不同病因分为肺内源性ARDS组(ARDSp组)和肺外源性ARDS组(ARDSexp组),每组再按信封法随机分为俯卧位组和仰卧位组,即ARDSp俯卧位组(11例)、ARDSp仰卧位组(9例)、ARDSexp俯卧位组(10例)、ARDSexp仰卧位组(11例).在通气前及通气1、2、3、4h监测动脉血氧分压( PaO2)、PaO2/FiO2、静态顺应性(Cst)、气道阻力(Raw)的变化.结果 通气lh时,ARDSexp俯卧位组PaO2/FiO2( mm Hg,l mm Hg=0.133 kPa)即较通气前显著升高(157.4±40.6比129.3±48.7,P<0.05),并随通气时间延长呈持续增高趋势,4h达峰值(219.1 ±41.1);且ARDSexp俯卧位组通气3h内PaO2/FiO2较其他3组显著增高,另3组间则差异无统计学意义.ARDSp俯卧位组、ARDSexp俯卧位组通气4h时PaO2/FiO2均较相应仰卧位组显著增高(208.8±39.7比127.4±47.1,219.1±41.1比124.9±50.8,均P<0.05).4组通气前后Cst无显著改变,各组间差异也无统计学意义.ARDSp俯卧位组通气4h时Raw(cmH2O·L-1·s-1)较通气前显著降低(6.8±1.7比10.7±1.8,P<0.05),且明显低于其他3组;其他3组各时间点Raw组内及组间比较差异均无统计学意义.结论 俯卧位通气作为ARDS机械通气重要策略之一,可以改善RM无效高原ARDS患者的氧合,为抢救患者赢得宝贵的时间.  相似文献   

19.
Ranganath C  Heller AS  Wilding EL 《NeuroImage》2007,35(4):1663-1673
Although substantial evidence suggests that the prefrontal cortex (PFC) implements processes that are critical for accurate episodic memory judgments, the specific roles of different PFC subregions remain unclear. Here, we used event-related functional magnetic resonance imaging to distinguish between prefrontal activity related to operations that (1) influence processing of retrieval cues based on current task demands, or (2) are involved in monitoring the outputs of retrieval. Fourteen participants studied auditory words spoken by a male or female speaker and completed memory tests in which the stimuli were unstudied foil words and studied words spoken by either the same speaker at study, or the alternate speaker. On "general" test trials, participants were to determine whether each word was studied, regardless of the voice of the speaker, whereas on "specific" test trials, participants were to additionally distinguish between studied words that were spoken in the same voice or a different voice at study. Thus, on specific test trials, participants were explicitly required to attend to voice information in order to evaluate each test item. Anterior (right BA 10), dorsolateral prefrontal (right BA 46), and inferior frontal (bilateral BA 47/12) regions were more active during specific than during general trials. Activation in anterior and dorsolateral PFC was enhanced during specific test trials even in response to unstudied items, suggesting that activation in these regions was related to the differential processing of retrieval cues in the two tasks. In contrast, differences between specific and general test trials in inferior frontal regions (bilateral BA 47/12) were seen only for studied items, suggesting a role for these regions in post-retrieval monitoring processes. Results from this study are consistent with the idea that different PFC subregions implement distinct, but complementary processes that collectively support accurate episodic memory judgments.  相似文献   

20.
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