Straumann种植系统修复牙列缺损疗效分析

目的：探讨Straumann牙种植系统在口腔修复中的特点及临床效果。方法：2003年1月～2009年6月我院为78例局部缺牙患者完成143枚实心螺纹型非潜入式Straumann种植体上部结构修复,定期随访口腔卫生、X线检查种植体周围骨组织情况、种植体周软组织与修复体情况、患者满意度等指标。结果：1例即刻种植修复后1年,唇侧牙龈退缩2.5 mm,其余种植体周围骨均稳定,无吸收,种植体成功率为99.3%;5例牙冠崩瓷,其中3例在修复后6个月,2例在修复后1年;中央螺丝固位冠松动2例,修复体成功率为95.1%。结论：Straumann种植体上部结构操作方便,修复牙列缺损效果良好。     

Straumann种植体53枚临床应用体会

目的 评价我院应用非潜入式种植体Straumann种植系统完成种植修复病例的临床效果.方法 选取自2009年1月～2011年10月就诊于我院口腔科使用Straumann种植系统修复的患者共计37位,排除全身及局部禁忌症,依据不同情况,分别采用常规术式、即刻种植、不翻瓣种植、骨增量技术等植入共计53枚种植体,均已完成上部结构修复.随访观察3～48个月.结果 种植体成功率为98.1%,修复成功率为100%.结论 Straumann种植体是一种临床操作方便、生物相容性好、疗效满意的非潜入式种植体.正确选择适应证、规范手术程序、精确制作修复体、认真做好口腔卫生维护,能够获得令人满意的修复效果.     

HA涂层种植体即刻种植的临床观察

目的　观察HA涂层种植体即刻种植的治疗效果,探讨HA涂层种植体在即刻种植术中临床应用的前景。方法　对26例因外伤、残根、牙周病等原因需拔除患牙的患者,在拔除患牙的同时即刻植入36枚国产HA涂层种植体,种植体与拔牙创间较大的骨间隙用HA颗粒充填或胶原膜覆盖以引导骨再生,4～6个月后二次手术,连接上部结构并完成修复。修复后对种植体稳固性、牙槽嵴丰满度、骨吸收、骨融合情况等进行临床和X线的连续观察。结果　26例36枚HA涂层种植体连续观察1年～3年4个月,成功23例32枚,失败3例4枚,其中1例植入的2枚种植体中有1枚未形成骨结合,成功率88.9%。结论　即刻种植术具有保持牙槽嵴高度,有效防止骨吸收,缩短患者无牙期,尽快恢复美观和咀嚼功能等优点,有较高的成功率。     

骨内牙种植体在牙缺失修复中的应用

目的 分析骨内牙种植体在牙缺失修复中的临床应用.方法 对65例患者的112个骨内牙种植体进行l～9a的随访观察.通过对种植体动度、种植体周骨吸收情况、种植体周软组织状况进行检查,评价其骨整合成功率和修复成功率.结果 种植后初期骨整合成功率达97.32%.在植入的112个种植体中,随访1～9a,总共失败10个,累计成功率97.76%.结论 骨内牙种植体是临床上修复各种类型牙缺失的理想种植方法,种植成功率高.     

牙周病患牙拔除即刻种植即刻修复10例临床体会

目的:探讨牙周病患牙拔除后即刻种植及前牙区即刻种植即刻临时冠修复的优点和临床操作要点。方法:选取符合种植修复条件,愿意接受即刻种植的患者10例30颗牙齿。牙槽嵴横行切口加唇颊侧梯形延长,无创拔牙,彻底清创拔牙创周围炎性肉芽组织,常规植入种植体,骨缺损区如超过1mm充填自体骨,必要时骨缺损区植入Bio~oss人工骨粉及海澳胶原膜固定,严密缝合创口。结果:30颗种植体行即刻临时冠修复。3~4月后行2期修复,2周后行上部修复。全部稳定无松动,种植体颈部软组织无炎性表现,X线片未见种植体周围有骨质吸收。结论:即刻种植减少了种植修复的周期,缩短疗程。有利于保持牙槽嵴形态,延缓牙槽嵴吸收。同时恢复了患者外观及部分功能。牙周病患者拔牙即刻种植即刻临时冠修复具有临床可行性,可以推广。     

即刻牙种植与引导骨再生技术的临床应用

目的探讨即刻牙种植与引导骨再生技术的临床效果。方法17例即刻植入Anthogyr种植体共22枚,其中15例18枚种植体术区采用引导骨再生技术修复种植体与拔牙窝之问的问隙和种植体周围的骨缺损,全部种植体上部结构采用烤瓷冠修复。修复后随访观察期1～5年。结果除1例1枚种植体于修复后5个月松动外,其余病例在观察期内临床效果良好,5年累积存活率为95．45％。结论在选择合适病例前提下,只要种植体能取得初期稳定性,对种植体与拔牙窝间存在的间隙或种植体周围的骨缺损,采用引导骨再生技术处理,即刻牙种植可以获得良好临床效果。     

即刻修复种植技术的临床应用价值

目的:评价口腔即刻修复种植技术的临床应用价值。方法:对骨量充足的20例牙列缺损患者行拔牙后即刻种植并于种植后当日前牙区在种植体上部完成临时树脂单冠或联冠修复,进行即刻种植修复,并于24h内完成。另选22例患者进行常规种植手术作对照观察。共植入Xive种植体88枚。所有患者均进行定期的临床和放射学检查。结果:接受即刻种植修复的20例患者,涉及49个种植体,经12个月以上负重观察,在最终修复前因过载失败1枚,因植入角度问题作废2枚,成功率93.88%。接受常规种植修复的22例患者,种植体松动4枚,成功率89.74%。观察期最短1年,最长3年。两组成功率比较,经统计学处理,无显著差异(P>0.05)。结论:严格掌握适应证和选用适当种植系统及临床修复标准,两种种植修复方法临床应用效果是一致的。     

种植即刻修复技术对牙列缺失患者的临床效果分析

评估牙列缺失患者种植即刻修复的临床效果. 4 例牙列缺失患者,共植入种植体35颗,部分种植体于植入当天行复合树脂临时固定修复,术后3个月,种植体完成骨结合后均行永久修复. 1 年后随访,所有种植体行使功能良好,存留率为100%. 12个月后种植体周围平均边缘骨吸收值为( 0. 637 ± 0. 42 ) mm. 其中,前 6 个月平均骨吸收值为(0. 625 ± 0. 38)mm,两者差异无统计学意义. 即刻负载种植固定义齿是临床上解决牙列缺失的有效方法.     

即刻修复种植技术的I临床应用价值

目的:评价口腔即刻修复种植技术的临床应用价值.方法:对骨量充足的20例牙列缺损患者行拔牙后即刻种植并于种植后当日前牙区在种植体上部完成临时树脂单冠或联冠修复,进行即刻种植修复,并于24h内完成.另选22例患者进行常规种植手术作对照观察.共植入Xive种植体88枚.所有患者均进行定期的临床和放射学检查.结果:接受即刻种植修复的20例患者,涉及49个种植体,经12个月以上负重观察,在最终修复前因过载失败1枚,因植入角度问题作废2枚,成功率93.88%.接受常规种植修复的22例患者,种植体松动4枚,成功率89.74%.观察期最短1年,最长3年.两组成功率比较,经统计学处理,无显著差异(P>0.05).结论:严格掌握适应证和选用适当种植系统及临床修复标准,两种种植修复方法临床应用效果是一致的.     

骨内牙种植体在牙缺失修复中的应用

目的回顾分析骨内牙种植体在牙缺失修复中的临床应用。方法对58例患者的96个骨内牙种植体进行l～10年的临床观察。通过对种植体周软组织状况、种植体动度、种植体周骨吸收情况的检查,评价其骨整合成功率和修复成功率。结果种植后初期骨整合成功率达98.48%。在植入的96个种植体中,总共失败10个,随访1～9年累计成功率89.58%。结论骨内牙种植体是临床上修复各种类型缺牙的理想手段之一,成功率高。     

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…     

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.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.