骨水泥型加长柄人工关节置换术治疗老年股骨粗隆间骨折疗效观察

目的:探讨骨水泥型加长柄人工关节置换术治疗老年股骨粗隆间骨折的手术适应证和临床疗效.方法:回顾性分析76例老年股骨粗隆间骨折行骨水泥型加长柄人工关节置换术患者(全髋7例,半髋69例),分析术后早期下地活动时间及康复训练远期临床疗效.结果:通过6～48个月,平均27.4个月的随访,1例在术后22个月死亡,1例术后26个月死亡.其余X线假体位置良好,骨折复位满意,无假体松动及骨折不愈合,Harris评分91.8分,优良率为93.6％.结论:骨水泥型加长柄人工关节置换术治疗老年股骨粗隆间骨折具有下地早、卧床时间短、并发症少等优点,值得推广应用.     

高龄患者非稳定型股骨粗隆间骨折人工关节置换术8例体会

目的:探讨人工关节置换术治疗高龄股骨粗隆间非稳定型骨折的疗效及可行性。方法:对8例股骨粗隆间骨折(非稳定型或Evans分型第Ⅲ、Ⅳ、Ⅴ型)患者,采用人工关节置换术(骨水泥型)治疗,其中全髋置换1例,双动股骨头置换7例。大小粗隆均以钢丝及骨水泥固定,术后2周在助步器帮助下不负重锻炼。结果:术后随访最长3年5月,最短8个月(平均16个月),患髋无明显疼痛,活动基本恢复术前水平。Brumback髋关节功能评分优2例,良4例,可2例,无失败病例(平均52分)。2例发生泌尿系感染,对症治疗后好转,无褥疮及肺炎发生。2例患者分别于术后11个月、1年2个月因其他原因死亡。结论:骨水泥型人工关节置换术对于高龄股骨粗隆间非稳定型骨折患者是一种良好的选择,可显著降低老年人长期卧床并发症,早期下地锻炼,延长生命及提高生活质量,但要严格掌握手术适应证。     

人工全髋置换术治疗12例股骨转子间骨折伴股骨头坏死

[背景]探讨一次性人工全髋置换术治疗股骨转子间骨折伴股骨头坏死的疗效.[病例报告]采用人工全髋置换术治疗12例股骨转子间骨折伴股骨头坏死,假体均采用Zimmer生物型髋臼假体及骨水泥型股骨柄,骨折固定用Zimmer钢缆进行.术后2~4周所有患者均可扶拐杖下床进行早期功能锻炼,随访6~18个月,根据Harris评分标准做功能评定,优者为7例,良者为4例.[讨论]对股骨转子间骨折伴股骨头坏死患者实施一次性全髋人工关节置换术,可早期进行功能锻炼,减少并发症的发生.     

骨水泥型半髋置换治疗高龄不稳定股骨转子间骨折的短期疗效

目的观察和评价骨水泥型半髋置换治疗高龄不稳定股骨转子间骨折的疗效.方法对我院2010年5月至2012年9月共28例因股骨转子间骨折接受骨水泥型半髋置换手术病例进行临床资料和治疗效果分析.结果随访3~19个月,平均负重行走时间4d;髋关节功能评定优良率85.7%;并发症:肺部感染7例,泌尿系统感染4例、深静脉血栓形成2例,无假体松动、人工关节脱位、髋关节深部感染.结论采用骨水泥型半髋置换治疗,卧床时间短、髋关节功能恢复好、严重并发症少,短期疗效满意;是治疗高龄不稳定股骨转子间骨折有效方法.     

骨水泥型人工股骨头置换术治疗高龄老人股骨转子间骨折

目的探讨骨水泥型人工股骨头置换术治疗高龄老人股骨转子间骨折的临床疗效及并发症的评价。方法 2006年6月到2011年6月,我院应用骨水泥型人工股骨头置换术治疗高龄老人股骨转子间骨折37例,男19例、女28例;年龄80-96岁,平均85.6岁;术后按创伤性髋关节评分系统进行评分。结果 31例患者术后获得6-24个月随访,优24例、良6例、差1例,有一例术后不足一月死于脑血管疾病。结论应用骨水泥型人工股骨头置换术治疗高龄老人股骨转子间骨折疗效好,同时也是解决高龄老人股骨转子间骨折内固定失败的较好方法,明显减少卧床时间,并发症少,减少死亡率。     

人工关节置换术治疗高龄患者股骨转子间粉碎性骨折

目的探讨人工关节置换术治疗高龄患者股骨转子间粉碎性骨折的方法及疗效。方法本组35例老年股骨颈粉碎性骨折病人,骨折类型按AO分型,A2型25例,A3型10例。患者多合并内科疾病,相关内科协同治疗后,对所有患者采用标准人工骨水泥、人工双极股骨头置换术,术后早期进行康复锻炼。结果 35例患者术后均一期愈合,无感染及手术并发症死亡.按Harris评分标准：优16例,良14例,优良率85.6%。结论人工关节置换术治疗高龄股骨转子间骨折患者可早期下地行走、关节功能恢复快、近期效果满意,是高龄股骨转子间骨折患者的一种理想手术方式,但掌握手术适应证及操作要点是关键。     

骨水泥型加长柄人工双极人工股骨头置换术治疗高龄不稳定型股骨转子间骨折33例

目的：探讨骨水泥型加长柄双极人工股骨头置换术治疗高龄不稳定型股骨转子间骨折的临床疗效及手术适应证。方法：自2009~2014年,我院骨科对33例Evans-Jensen分型为ⅡA型、ⅡB型及Ⅲ型的高龄股骨转子间不稳定型骨折采用骨水泥型加长柄双极人工股骨头置换术进行治疗。结果：本组33例均获随访,无术中休克或死亡病例。4例术后出现精神症状,1周后消失。全部病例切口均Ⅰ期愈合,无深静脉血栓及褥疮等常见并发症。术后平均下地时间为8d（6~12d）。术后随访6~24个月,平均14个月,髋关节功能按Harris评分,优19例,良11例,可3例,优良率90.9%。结论：骨水泥型加长柄人工双极人工股骨头置换术治疗高龄不稳定型股骨转子间骨折,只要适应证掌握得当,术后恢复快,疗效满意,是一种有效、可行的方法。     

高龄股骨粗隆骨折加长柄人工半髋关节置换

目的 观察带大小粗隆人工硬骨头置换术治疗高龄股骨粗隆间不稳定型骨折的疗效.方法 11例高龄股骨粗隆骨折患者接Evans分型,Ⅲ型骨折7例,Ⅳ型骨折2例,V型骨折2例,均采用普鲁士加长柄人工半髋关节置换术.结果 所有病例术后随访2个月～3年零4个月,平均18个月.患髋无疼痛,活动基本恢复术前水平.Brumback髋关节功能评分优8例,良2例,可1例,无失败病例(平均得分50分).结论 人工半髋关节置换术对于高龄粗隆间不稳定型骨折患者是一种较好的新的治疗方法选择,可明显降低卧床并发症,比目前保守治疗骨牵引、各种内固定手术,该方法治疗可更早下地饭炼,延长生命及提高生活质量.     

人工股骨头置换治疗高龄股骨转子间骨折的体会

目的:探讨高龄转子间骨折行人工股骨头置换的手术适应证及手术要点。方法:自2006年6月～2010年12月采用人工股骨头置换治疗高龄股骨转子间骨折11例,其中男性6例,女性5例,年龄78～95岁,平均83岁。骨折分类按Evans分型,Ⅲa型6例,Ⅲb型4例,Ⅳ型1例。结果:手术时间平均90 min(70～120 min),出血量平均350 ml(300～600 ml)。术后随访6～30个月(平均18个月),无严重并发症发生,最终Harris评分,最低76分,最高93分,平均82.5分。结论:人工股骨头置换术是治疗高龄复杂股骨转子间骨折的一种较为理想的方法,但技术要求高,应严格掌握手术适应证。     

人工股骨头置换联合转子间重建术治疗高龄股骨粗隆间粉碎骨折分析

目的 探讨采用人工股骨头置换联合股骨转子重建治疗高龄股骨粗隆间粉碎骨折的临床效果.方法 本组22例,其中男9例,女13例;年龄76～95岁,平均83岁.骨折按Evans分型:Ⅲ型8例,Ⅳ型14例.均采用骨水泥型双极人工股骨头置换联合股骨转子重建术.结果 全部患者手术均顺利,术后随访6～24个月,平均14个月.关节无松动、脱位,髋关节功能良好.结论 人工股骨头置换联合股骨转子重建术是高龄股骨粗隆间骨折理想的治疗方法.     

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.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.