促愈熏洗方不同浓度和熏洗时间对痔术后并发症疗效的影响

目的:观察不同浓度促愈熏洗方及不同熏洗时间对混合痔内扎外剥术后并发症疗效的影响。方法:将240例痔术后患者随机分为治疗组与对照组,每组再根据不同浓度与熏洗时间各分为4个亚组。共8组,各30例。A组:给予6%促愈熏洗方,熏洗时间10 min;B组:6%痔疾洗液,熏洗时间10 min;C组:3%促愈熏洗方,熏洗时间20 min;D组:3%痔疾洗液,熏洗时间20 min;E组:6%促愈熏洗方,熏洗时间20 min;F组:6%痔疾洗液,熏洗时间20 min;G组:3%促愈熏洗方,熏洗时间10 min;H组:3%痔疾洗液,熏洗时间10 min。疗程14 d。观察治疗后各组创面疼痛、水肿、出血、渗液、瘙痒及发热等并发症疗效。结果:G组的综合疗效最好(P<0.05),且其术后并发症的缓解优于其他各组(P<0.05)。结论:促愈熏洗方低浓度(3%)短时间(10 min)对痔术后并发症的缓解效果最优。     

耳穴埋豆联合中药湿热敷治疗腰椎间盘突出腰痛的疗效观察

目的探讨耳穴埋豆联合中药湿热敷治疗腰椎间盘突出腰痛的疗效。方法选取我院腰椎间盘突出腰痛患者60例,随机分为治疗组和对照组,每组30例,其中对照组给予消炎痛栓,治疗组在对照组基础上同时耳穴埋豆联合中药湿热敷治疗,比较两组治疗前后麦克杰尔疼痛量表评分、改善率和优良率。结果两组治疗后VAS疼痛数字评分、SP—MPQ评分、PPI评分均较治疗前显著降低,疼痛均缓解,差异均有高度统计学意义（P〈0．01）,且治疗组患者疼痛效果改善较对照组更为明显（P=0．000）;治疗组改善率为（65．35±12．54）％,优良率为86．67％;对照组改善率为（52．23±10．05）％,优良率为63．33％;两组改善率、优良率比较差异均有统计学意义（P〈0．05）。结论耳穴埋豆联合中药湿热敷治疗腰椎间盘突出腰痛疗效显著．临床可以推广使用。     

克氏针内固定加中药熏洗治疗掌指骨骨折术后功能恢复随访分析

目的 探讨克氏针内固定加中药熏洗治疗掌指骨骨折的疗效及对术后功能恢复的影响。方法 收集我院手外科收治的掌指骨骨折患者60例,随机分为观察组和对照组各30例。两组均行切开复位克氏针内固定手术治疗,术后观察组在进行功能锻炼的同时配合中药熏洗治疗,对照组仅进行功能锻炼。术后随访6—12个月,比较两组术后关节功能恢复情况。结果 与对照组比较,观察组骨折愈合时问短（t=5．48）,术后并发症发生率低（X^2=5．48）,住院时问短（t=5．48）,差异具有统计学意义（P〈0．05）。根据Harris髋关节功能评分的标准评价两组术后手指功能恢复情况,观察组术后手指功能恢复优良率显著优于对照组（x。=5．48,P〈0．05）。结论 应用克氏针内固定治疗掌指骨骨折术后功能锻炼配合中药熏洗疗法的效果明显优于单纯术后功能锻炼,可以最大程度地恢复手指关节的功能。     

密集性温针灸结合中药薰洗治疗强直性脊柱炎体会

目的:观察密集性温针灸结合中药薰洗治疗强直性脊柱炎的临床疗效。方法:选择52例强直性脊柱炎患者随机分成治疗组及对照组,治疗组用密集性温针灸结合中药薰洗的方法,对照组用常规单纯针刺疗法,治疗时间相同,比较治疗组和对照组疗效的差异。结果:治疗组的治愈率及有效率明显高于对照组。结论:密集性温针灸结合中药熏洗可更好地治疗强直性脊柱炎。     

唾液潜血与口腔硫化物水平的相关分析

目的 探讨牙周基础治疗后唾液潜血的转归及其与口腔挥发性硫化物(volatile sulphur compounds,VSC)、牙周临床指标的关系,以期评价唾液潜血在牙周疾病及口气诊疗中的作用.方法 对50例菌斑性龈炎或轻、中度慢性牙周炎患者行牙周基础治疗,治疗前、后分别用口气检测仪(Halimeter)检测口腔VSC水平,用潜血试纸检测唾液潜血,并依次记录全口菌斑指数(plaque index,PLI)、探诊深度(probing depth,PD)、出血指数(bleeding index,BI)及Ramfj(o)rd指数牙的附着丧失(attachment loss,AL).结果 治疗前唾液潜血与BI(r=0.294)及PU(r=0.308)呈显著正相关(P<0.01);治疗后唾液潜血与口腔VSC水平(r=0.386)、PLI(r=0.456)、BI(r=0.352)、AL(r=0.325)显著正相关(P<0.05);唾液潜血阳性转阴性率达80%(40/50);治疗后PLI(0.4±0.6)、BI(0.4 ±0.7)、AL[(0.1±0.5)mm]、PD[(2.7±0.9)mm]、口腔VSC水平[(100.0(46.3-165.3)×10-9]均较治疗前[分别为(1.3±1.0)、(1.8±1.2)、(1.0±1.1)mm、(3.7±1.5)mm、211.0(111.0～389.5)×10-9]显著降低(P<0.001).随着唾液潜血由强阳性到阴性的变化,口腔VSC水平和各牙周临床指标逐渐降低,该趋势差异有统计学意义(P<0.001).结论 唾液潜血是判断个体牙龈炎症程度的客观指标,与治疗后的口腔VSC密切相关.     

The association of periodontal disease with oral malodour in a Japanese population

Oral Diseases (2010) 16 , 702–706 Aim: The purpose of this study was to evaluate the association between oral malodour and periodontal disease, and to determine the effect of periodontal therapy on oral malodour. Materials and Methods: Oral malodour parameters, including volatile sulphur compound (VCS) measurement, methyl mercaptan/hydrogen sulphide ratio by gas chromatography, organoleptic testing, tongue coating score, and periodontal parameters were evaluated in 823 patients complaining of oral malodour. Amongst these patients, 89 with oral pathogenic halitosis received tongue cleaning and periodontal therapy. Oral malodour and periodontal parameters were measured at baseline and after treatment. Results: Amongst 823 patients, 102 were diagnosed with gingivitis and 721 with periodontitis. VCS levels and periodontal parameters increased according to the severity of oral malodour. Organoleptic testing significantly correlated with periodontal probing depth and a percentage of periodontal pocket depth ≥4 mm (r = 0.40 and 0.39 respectively). There were significant correlations between methyl mercaptan/hydrogen sulphide ratio and periodontal parameters. Significant decrease in oral malodour and periodontal parameters in 89 patients with oral pathogenic halitosis was also observed after periodontal treatment. Conclusions: Oral malodour is associated with periodontal disease, and periodontal therapy combined with tongue cleaning is beneficial for oral pathogenic halitosis.     

硫酰氟杀灭德国小蠊的熏蒸剂量研究

目的计算硫酰氟杀灭德国小蠊成虫和卯的熏蒸剂量。方法采用熏蒸瓶熏蒸,观察德国小蠊死亡情况,计算杀灭的熏蒸剂量。结果即使在低浓度（2．2～2．6g／m^3）情况下,15．38h内能全部杀灭试虫,且无复苏;在温度为20±2℃的情况下,当熏蒸剂量达到34．99±3．15g／m^3时,能有效杀灭成虫及其虫卵。结论硫酰氟杀灭德国小蠊成虫及其虫卵效果很好,在实际工作中,可依据熏蒸剂量,科学调整投药浓度与熏蒸时间以达到满意的效果.     

针刺联合中药熏蒸对踝关节骨折术后患者踝关节功能及骨代谢指标的影响

目的探讨针刺联合中药熏蒸对踝关节骨折术后患者踝关节功能及骨代谢指标的影响。方法以沈阳市第一人民医院收治的110例接受手术治疗的踝关节骨折患者作为研究对象,随机分为对照组和试验组,各55例。对照组给予常规康复训练,试验组在此基础上应用针刺联合中药熏蒸治疗,治疗3个月。比较两组总体疗效,观察两组踝关节量表(Olerud-Molander、Baird)评分变化情况、踝关节功能包括踝关节肌力和关节主动活动度以及骨代谢指标改善情况。结果试验组优良率高于对照组(70.91%vs.43.63%,P<0.05)。治疗后,两组患者Baird踝关节评分、Olerud-Molander功能评分均明显升高(P<0.05);踝关节肌力和关节主动活动度均提升(P<0.05);骨代谢指标血清骨钙素(BGP)、前胶原氨基端肽(PINP)、前胶原羧基端肽(PICP)、血清总骨Ⅰ型前胶原氨基端延长肽(Total-PINP)和Ⅰ型胶原羧基端肽β特殊序列(β-CTX)水平降低(P<0.05);试验组各指标改善均优于对照组(P<0.05)。结论针刺联合中药熏蒸具有活血止痛、化瘀消肿、补肾壮骨之效,作用于踝关节骨折术后患者,可有效恢复其踝关节功能,缓解关节疼痛、肿胀症状,调节骨代谢指标,对于踝关节骨折术后有较好的治疗效果。     

Two unusual cases of argyria: the application of an improved tissue processing method for X-ray microanalysis of selenium and sulphur in silver-laden granules

Using a simplified tissue processing method for X-ray microanalysis, we have characterized the elemental composition of silver-laden granules deposited in the skin of two patients with argyria. The introduction of ethanol as a fixative and nylon mesh as a supporting grid, and the avoidance of electron staining, have facilitated the minimization of unwanted microanalytical emission peaks generated from conventional chemicals and metals, which often disturb precise clarification of elements of pathological interest in argyria. The two main X-ray microanalytical findings in this study were: (i) the consistent presence of sulphur and the inconsistent occurrence of selenium in the silver-laden granules, and (ii) successful mapping of the distribution of trace amounts of selenium present in argyria. The simplified tissue processing method could be useful in future critical X-ray microanalysis studies.     

过氧乙酸气体餐具消毒柜消毒效果的观察

研制的过氧乙酸气体餐具消毒柜对大肠杆菌和白色葡萄球菌，使用１ｇ／ｍ３过氧乙酸；对枯草杆菌黑色变种芽胞，使用２．５ｇ／ｍ３过氧乙酸，熏蒸６０分钟，杀灭率均达９９．９％以上。对现场的污染餐具，按１ｇ／ｍ３过氧乙酸，熏蒸６０分钟，合格率达８０％以上。