40例医用臭氧自血疗法治疗慢性阻塞性肺疾病的体会

目的探讨医用臭氧自血疗法在治疗慢性阻塞性肺疾病中的临床价值。方法观察40例医用臭氧自血疗法治疗慢性阻塞性肺疾病急性加重期及稳定期的疗效。结果40例慢性阻塞性肺疾病患者均不同程度上取得了一定的疗效。结论临床实验表明,医用臭氧自血疗法治疗慢性阻塞性肺疾病有一定的临床价值。     

医用臭氧自血疗法治疗慢性阻塞性肺疾病20例的护理体会

目的探讨医用臭氧自血疗法的护理工作在临床治疗中的价值。方法对20例不同年龄的慢性阻塞性肺疾病患者进行医用臭氧自血疗法术前宣教、心理指导及术中无菌操作、术后护理、宣教的结果。结果20例慢性阻塞性肺疾病患者很好的完成了治疗,无一例发生不良反应,而且均不同程度上取得了一定的疗效。结论临床实验表明,做好术前宣教、心理指导、术中做好无菌操作、术后护理工作是保证医用臭氧自血疗法顺利完成的有效措施。     

臭氧与玻璃酸钠在骨性关节炎治疗中的应用

目的研究臭氧与玻璃酸钠在骨性关节炎治疗中的应用及其效果。方法选取近年来60例膝关节患者,结合医用臭氧与玻璃酸钠注射治疗,观察患者前后关节治疗情况。结果通过注射臭氧与玻璃酸钠,患者关节疼痛下降、关节功能明显恢复且肿胀情况逐步减轻。结论医用臭氧与玻璃酸钠对治疗骨性关节炎具有疗效快、效果稳定的特点,具有适用性。     

医用臭氧自血疗法在40例支气管哮喘长期治疗的宣教体会

目的 探讨医用臭氧自血疗法在支气管哮喘长期治疗中的宣教价值.方法 通过对40例支气管哮喘患者的长期治疗计划中进行医用臭氧自血疗法治疗,观察宣教工作对临床疗效的影响.结果 40例支气管哮喘患者均顺利接受医用臭氧自血疗法治疗,并取得了良好的临床疗效.结论 护理宣教对医用臭氧自血疗法在支气管哮喘的长期治疗中有重要的临床意义.     

医用臭氧疼痛触发点注射治疗腰部肌筋膜疼痛综合征的效果与安全性

目的：：探索医用臭氧疼痛触发点注射治疗腰部肌筋膜疼痛综合征( MPS)的临床疗效及安全性。方法：将118例入选临床研究的 MPS 患者采用随机、单盲法分作两组,其中对照组59例使用消炎镇痛液注射治疗而研究组59例应用低浓度医用臭氧注射治疗,评价两组临床疗效及安全性。结果：两组治疗前 VAS 评分及腰背功能活动评分比较差异均无统计学意义( P >0.05)。两组治疗后 VAS评分及腰背功能活动评分均较治疗前明显减少,差异有统计学意义( P <0.05);且观察组与对照组比较明显减少,差异有统计学意义(P<0.05)。观察组治疗有效率(89.83％)高于对照组(71.19％),差异具有统计学意义(P<0.05)。观察组不良反应发生率(1.69％)较对照组降低(23.73％),安全性更好,差异具有统计学意义(P<0.05)。结论：医用臭氧疼痛触发点注射治疗腰部 MPS 疗效更好,安全性更高,适合临床进行广泛推广和应用。     

颈椎间盘突出症微创治疗的临床应用探讨

目的探讨治疗颈椎间盘突出症理想的微创手术方法,临床应用PLDD＋医用臭氧椎间盘注射术的可行性。方法 36例患者在C型臂X线机监控下,将激光光导纤维经穿刺针腔置入到病变椎间盘的预定部位,按照预定激光量行椎间盘减压术,然后注入医用臭氧6-10 ml。结果术后1-6个月定期随访患者,优21例,良11例,可3例;差1例;优良率为88.9%;无一例严重并发症出现。结论 PLDD＋医用臭氧椎间盘注射术具有痛苦小、安全性高、疗效肯定等突出优点,是治疗椎间盘突出症理想的微创手术疗法。     

低浓度医用臭氧与医用纯氧对犬髓核组织形态的影响

目的　评估低浓度医用臭氧、医用纯氧对正常髓核组织的影响。方法　家犬 4只 ,透视下用 2 0G无损伤针穿刺犬实验椎间盘并注入 3ml的低浓度 (6 μg/ml)医用臭氧或医用纯氧 ,退针时在椎旁间隙内注入 7ml低浓度医用臭氧或医用纯氧。每只动物L6-7和L5-6椎间盘注射医用臭氧 ,而L4-5和L3 -4注射医用纯氧 ,共计注射 16个椎间盘。 2只家犬注射医用臭氧或氧气 1次 ,并在术后 1个月和 2个月处死取标本 ;另 2只家犬注射医用臭氧或氧气 2次 ,以同样的方式处死取标本。所取标本包括实验和对照椎间盘的髓核、终板、邻近的神经根、脊髓和腰大肌 ,分别作大体和显微镜下观察。结果　所有动物术后没有明显的行为异常。臭氧注射 1个月和 2个月后髓核组织的体积有轻度缩小 ,但组织学上髓核组织未显示明显的细胞坏死 ,仅见基质内有轻度的纤维增生。注射医用氧气的髓核组织无论在大体或是在组织学上与对照髓核组织比较均未显示有明显差别。对于终板、脊髓、神经根及腰大肌组织 ,低浓度臭氧及医用纯氧均未显示明显的影响。结论　低浓度医用臭氧对正常髓核组织影响轻微 ,提示医用臭氧治疗腰椎间盘突出症时应达到一定的臭氧浓度才能取得较好治疗效果。医用纯氧对正常髓核没有明显影响。     

臭氧在临床疼痛医学中的应用及研究进展

臭氧是氧气的同素异形体，因具极强氧化性而被应用于临床。随着臭氧作用机制研究不断深入，臭氧治疗技术在临床上得到广泛应用，特别在临床疼痛医学治疗领域中发展迅速。本文针对其在疼痛医学中的应用及研究做一综述，进一步探讨医用臭氧治疗疼痛的作用机制，制定系统的医用臭氧治疗规范和疗效评价指标，提高疗效，减少技术风险，为今后临床研究方向提供参考。     

低浓度医用臭氧直肠灌注治疗子宫颈癌晚期放射性直肠损伤的疗效

目的探讨低浓度医用臭氧直肠灌注治疗子宫颈癌晚期放射性直肠损伤的临床疗效及不良反应。方法对49例子宫颈癌放射性直肠损伤患者先将细导气软管插入肛门5~7 cm,再将20μg·mL-1医用臭氧(医用纯氧经过臭氧发生器制备)50 mL·次-1缓慢灌注到直肠,保留10 min不排气。3次·周-1,2周为1疗程,共治疗2个疗程。同时采用消炎、止血、解痉、维生素C、维生素B族及静脉输液等治疗。结果 49例患者治疗后损伤程度为Ⅰ级的治愈率、总有效率与损伤程度为Ⅱ级比较差异均无统计学意义(61.3%、100.0%vs 55.6%、88.9%,均P>0.05)。结论低浓度医用臭氧直肠灌注治疗子宫颈癌晚期放射性直肠损伤有较好的疗效,无明显不良反应。     

医用臭氧联合盐酸利多卡因局部注射治疗肩周炎56例临床观察

目的探讨医用臭氧联合盐酸利多卡因局部注射治疗肩周炎的疗效和安全性。方法应用臭氧联合盐酸利多卡因局部注射治疗肩周炎56例。压痛点分布于三角肌腱附着处、肩峰下、喙突和结节间沟、冈上肌附着点等处,每周1次,3次为1疗程。每次注射完毕嘱患者坚持进行肩关节功能锻炼。结果治愈率达55.36%,有效率达82.15%,全部病例无任何不良反应。结论医用臭氧联合盐酸利多卡因局部注射作为治疗肩周炎的一种微创且安全有效的方法,在临床上操作简单易行,疗效快而确切。痛苦小,花费少,无任何副作用,可在临床中广泛推广使用。     

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…     

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.     

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.