髓内钉与钢板治疗肱骨干骨折的疗效分析

目的 比较交锁髓内钉与加压钢板治疗肱骨干骨折的疗效,以提供肱骨干骨折治疗选择,提高治疗效果.方法 手术治疗50例肱骨干骨折,其中加压钢板内固定34例,交锁髓内钉固定16例,骨折均为闭合性.比较两种方法在手术时间,骨折愈合时间的差异及骨不连、内固定物断裂、桡神经损伤、肩关节活动障碍等并发症发生情况.结果 两者比较,髓内钉内固定手术操作时间短(P<0.01),骨折愈合时间提前(P<0.01),髓内钉内固定未发生骨不连,钢板4例出现骨不连.钢板固定2例出现暂时性桡神经麻痺,髓内钉未出现.肩关节功能障碍钢板出现2例,髓内钉出现2例,所有病例未出现骨髓炎.结论 两种方法比较,髓内钉内固定治疗肱骨干骨折治愈率高,并发症少.     

髓内钉与钢板治疗肱骨干骨折的疗效分析

目的比较交锁髓内钉与加压钢板治疗肱骨干骨折的疗效，以提供肱骨干骨折治疗选择，提高治疗效果。方法手术治疗50例肱骨干骨折，其中加压钢板内固定34例，交锁髓内钉固定16例，骨折均为闭合性。比较两种方法在手术时间，骨折愈合时间的差异及骨不连、内固定物断裂、桡神经损伤、肩关节活动障碍等并发症发生情况。结果两者比较，髓内钉内固定手术操作时间短（P〈0．01），骨折愈合时间提前（P〈0．01），髓内钉内固定未发生骨不连，钢板4例出现骨不连。钢板固定2例出现暂时性桡神经麻痒，髓内钉未出现。肩关节功能障碍钢板出现2例，髓内钉出现2例，所有病例未出现骨髓炎。结论两种方法比较，髓内钉内固定治疗肱骨干骨折治愈率高，并发症少。     

交锁髓内钉治疗肱骨干骨折疗效观察

目的 探讨交锁髓内钉在肱骨干骨折中的治疗效果.方法 选择肱骨干骨折患者,根据治疗方式的不同分为交锁髓内钉组(28例)及锁定加压钢板组(28例),术后对比两组患者手术时间、出血量、骨折愈合时间、Neer功能评分及术后并发症发生情况.结果 交锁髓内钉组患者出血量、手术时间、治疗优良率显著优于锁定加压钢板组,两组对比差异有统计学意义,P<0.05.结论 交锁髓内钉治疗肱骨干骨折具有创伤小、手术时间短、内固定稳定等优点,相对其他手术治疗方式具有明显的优越性.     

交锁髓内钉内固定与加压钢板内固定治疗肱骨干骨折的疗效分析

目的:分析交锁髓内钉内固定与限制接触动力加压钢板内固定治疗肱骨干骨折的临床效果。方法:采用随机数字表法将89例肱骨干骨折患者分为交锁髓内钉内固定组(交锁髓内钉组,N=45)和限制接触动力加压钢板内固定治疗组(加压钢板组,N=44),比较2组患者术后疗效、肩关节和肘关节功能。结果:交锁髓内钉组手术时间和切口长度短,明显优于加压钢板组,P<0.05;在骨折愈合率、肩关节功能评分和肘关节功能评分方面,加压钢板组优于交锁髓内钉组,P<0.05。结论:肱骨粉碎性骨折和多段骨折适合交锁髓内钉内固定治疗,简单骨折和合并桡神经损伤的骨折适合限制接触动力加压钢板内固定,临床医生应根据病情需要选择手术方式,以期早期促进骨折愈合。     

成人肱骨干骨折髓内钉与钢板内固定两种方法的比较

目的 对比带锁髓内钉与钢板两种内固定方法治疗肱骨干骨折的临床效果.方法 成人肱骨干骨折患者88例,分为带锁髓内钉组39例,钢板组49例.临床评价和影像学骨折愈合时间、术后桡神经损伤、感染、术后患肢肿胀情况及术后肩关节功能(Neer 评分).结果 术后随访4～44个月,平均13个月.平均临床愈合时间髓内钉组12.3周,钢板组13.4周;平均放射学骨折线消失时间髓内钉组9.9周,钢板组11.2周;术后感染率两组均为0;术后肩关节功能评分,髓内钉组优秀34例,良好5例,钢板组优秀49例.以上结果两组之间均无显著性差异.髓内钉组术后患肢肿胀时间(11周)超过钢板组(4周),初次术后及取内固定术中钢板组均有发生桡神经麻痹者(5例),髓内钉组则无.结论 髓内钉及钢板内固定对于治疗肱骨干骨折均能提供稳定的内固定并愈合,但髓内钉内固定对于减少手术并发症更具优势.     

带锁髓内钉与钢板内固定治疗成人肱骨干骨折疗效的对比分析

目的:对比分析带锁髓内钉与钢板内固定治疗成人肱骨干骨折的临床疗效,评价两种手术治疗方案的优劣。方法:选取2002年6月至2007年5月我院收治的成年人肱骨干骨折患者69例,其中应用带锁髓内钉治疗31例,钢板内固定治疗38例。临床及影像学评价骨折愈合时间、术后桡神经损伤、感染、术后患肢肿胀情况及术后肩关节功能(Neer评分)。结果:所有患者均获得随访,随访时间6~38个月,平均18个月。平均临床愈合时间髓内钉组11.8周,钢板组12.9周;平均放射学骨折线消失时间髓内钉组9.4周,钢板组10.8周;术后两组均未发生骨感染;术后肩关节功能评分,髓内钉组优29例,良2例,钢板组优38例。以上结果两组之间均无显著性差异。髓内钉组术后患肢肿胀时间(11周)超过钢板组(4周),初次术后及取内固定术中钢板组均有发生桡神经麻痹者(5例),髓内钉组则无;髓内钉组未发生骨不连,钢板内固定组有1例出现骨不连接。结论:髓内钉及钢板内固定对于治疗肱骨干骨折均能提供稳定的内固定并愈合,但髓内钉内固定对于减少手术并发症更具优势。     

不同植入物固定治疗四肢创伤骨折后骨不连的临床比较

目的:比较不同植入物固定术治疗四肢创伤骨折后骨不连的临床效果差异。方法:将166例四肢创伤骨折后骨不连患者分为钢板固定组(76例)和髓内钉组(90例),钢板固定组患者采取加压钢板内固定治疗,髓内钉组患者予以带锁髓内钉固定治疗,并比较两组患者临床治疗优良率、手术时间、骨折愈合时间、住院时间以及术后并发症发生率。结果:髓内钉组患者临床治疗优良率和术后并发症发生率与钢板固定组比较差异具有统计学意义(P<0.05);髓内钉组患者手术时间、住院时间、骨折愈合时间也明显优于钢板固定组,比较差异具有统计学意义(P<0.05)。结论:与加压钢板内固定术比较,带锁髓内钉固定术有助于提高四肢创伤骨折后骨不连患者临床治疗效果,且能有效缩短骨折愈合和住院时间。     

钢板螺钉与髓内钉内固定治疗肱骨干骨折比较

目的:通过对比,探讨钢板螺钉与髓内钉内固定治疗肱骨干骨折的效果.方法:选取本院2006年1月～2010年12月收治的109例肱骨干骨折的患者,分为钢板组52例,髓内钉组57例,比较两组治疗效果.结果:髓内钉组愈合时间、肩关节功能改善、愈合率、并发症等方面优于钢板螺钉组,两组比较差异有统计学意义(P<0.05).结论:钢板螺钉与髓内钉内固定治疗肱骨干骨折均能促使骨折愈合,但髓内钉愈合率更高,并发症更少,更适合临床应用.     

动力加压钢板与带锁髓内钉内固定治疗四肢骨折后骨不连患者的疗效对比研究

目的:对比研究动力加压钢板与带锁髓内钉内固定治疗四肢创伤骨折后骨不连患者的临床疗效。方法:选取收治的四肢创伤性骨折后骨不连患者60例,随机分为加压钢板组和带锁髓内钉组,每组各30例。两组患者分别行动力加压钢板、带锁髓内钉内固定治疗,观察疗效。结果:两组患者的手术时间比较差异无统计学意义(P>0.05),带锁髓内钉组患者术中出血量、术后引流量、影像学骨折愈合时间少于(短于)加压钢板组(P<0.05);带锁髓内钉组患者治疗优良率高于加压钢板组(P<0.05)。结论:带锁髓内钉内固定治疗四肢创伤骨折后骨不连患者的疗效较加压钢板内固定疗效更优。     

带锁髓内钉治疗股骨干骨折的临床疗效评价48例

目的对带锁髓内钉治疗股骨干骨折的疗效进行评价。方法我院于2006年9月~2009年2月共收治股骨干骨折96例,随机分为两组各48例。其中治疗组采用带锁髓内钉治疗,对照组采用自动加压钢板内固定。比较分析两种内固定方法的优良率情况以及骨折愈合时间的比较。结果髓内钉组的优良率为93.75%,钢板组为79.17%,带锁髓内钉组的优良率明显优于钢板组（P〈0.05）。且随访〉13周,髓内钉组的愈合时间明显比加压钢板固定组短（P〈0.05）。结论带锁髓内钉治疗股骨干骨折具有优良率高,固定牢固,能早期负重,骨折愈合率高及愈合时间短等优点,是治疗股骨干骨折的较理想的方法 ,值得临床推广和应用。     

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.     

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.