针刺治疗痤疮44例

针刺治疗痤疮４４例徐佳（广东省深圳市红十字会医院康复科，５１８０２６）１临床资料本组４４例均为门诊患者，其中男５例，女３９例，年龄最小１４岁，最大３８岁；病程最短４个月，最长８年。其中丘疹型１６例，脓疱型９例，结节型４例，囊肿型２例，混合型１３例。辨...     

电子镇痛泵输注盐酸瑞芬太尼、丙泊酚在全麻手术中的应用

我科使用电子镇痛奥美泵输注盐酸瑞芬太尼、丙泊酚在全麻手术中应用获得满意的效果,现将2005年7月至2006年2月收治的完整的100例患者资料报道如下。一、资料与方法1.一般资料:选择ASAⅠ~Ⅱ级择期全麻手术患者100例,其中男55例,女45例,年龄20~80岁,平均年龄(47±9)岁,平均体重(63±20)kg,术前无神经系统疾病、内分泌疾病、未经控制的高血压、长期服用阿司匹林或安定类药物史,无药物过敏史。手术种类为颅脑手术18例、颈部手术12例、胸部手术32例、腹部手术38例。2.麻醉方法:患者术前30min肌肉注射哌替啶1mg/kg、异丙嗪0.5mg/kg、东莨菪碱0.3…     

Bryan颈人工椎间盘置换术失败原因分析

Objective To analyze the failed Bryan cervical disc arthroplasty and to improve its re-sults. Methods From October 2004 to October 2007, 48 patients underwent Bryan cervical disc arthro-plasty. All patients were followed up 2 to 38 months(mean 18 months). Among them, 4 failed cases were an-alyzed, which include 1 male and 3 females, with the age of 42, 51, 40, 49 years. Results Case 1 reported the brachial plexus injury as the result of the patient's shoulders being overstretched while fixing his position during operation, the muscular power of both upper extremities declining to degree Ⅱ and Ⅲ upon operation completion, which was restored to degree 4 when discharged from hospital (45 days after operation). Case 2 reported the compression on the spinal cord as the result of failure to remove the ossification of posterior lon-gitudinal ligament (OPLL) which had been identified by the preoperative CT; the patient complained of no release of symptoms after the operation and postoperative CT showed that compression still existed. Case 3 reported incomplete spinal cord injury caused by massive bleeding during decompression, a function of ex-tremely small vertebral canal anteroposterior diameter (5 mm shown in preoperative MRI); the muscular pow-er of left extremity dropped to degree 0 upon operation completion; the patient could walk with crutch 10 days after operation. Case 4 reported'heterotopic ossification (OP) which occurred 1 year after operation and became deteriorated 2 years later, but did not affect the motion of prosthesis. Conclusion Bryan disc arthroplasty is being extensively used as an effective procedure for decompression and reconstruction of the cervical disc. Excellent clinical results are related to strict selection of indications, perioperative manage-ment, and the experience and surgical technique of the surgeon are also important to the final outcome.     

中心静脉压测定的影响因素及护理对策

为减少中心静脉压（CVP）测定时的影响因素，提高CVP值的准确性和可靠性，现分析影响CVP因素并探讨护理对策。     

应用精密药液过滤器预防甘露醇静脉滴注所致静脉炎的效果观察

目的 探讨应用精密药液过滤器预防甘露醇静脉滴注所致静脉炎的有效性.方法 将112例需静脉输注甘露醇的患者随机分为观察组和对照组各56例,对照组使用普通的输液器输液.观察组加用伏尔特精密药液过滤器输液.依据美国静脉输液护理学会所规定的静脉炎判断标准,观察两组静脉炎的发生率及严重程度.结果 观察组静脉炎发生率为9.11%,对照组静脉炎发生率为64.29%.说明观察组静脉炎发生率明显低于对照组(X2=37.66,P<0.005),观察组与对照组比较静脉炎发生率差异有统计学意义.结论 应用精密药液过滤器能有效降低静脉滴注甘露醇致静脉炎的发生率,减轻静脉炎的严重程度.     

心得安诱发心肌梗塞1例

心得安诱发心肌梗塞１例湖南省马王堆医院（４１０００１）徐佳徐承三患者，男，７０岁，因血压高２０年，间发心前不适６年入院。诊断为高血压病（Ⅱ期），冠心病，陈旧性下壁、前间壁心肌梗塞、室性早搏（偶发）、前壁室壁瘤？心功能不全二级，慢性肾功能不全（氮质血症...     

初产妇产后盆底功能障碍实施早期康复干预的效果观察

目的探讨早期康复干预对治疗初产妇产后盆底功能障碍的效果。方法选择2017-2018年金华市中心医院收治的盆底功能障碍初产妇134例作为研究对象,随机分为对照组和干预组各67例。对照组患者采用常规护理、健康教育、排尿反射等治疗,干预组患者在对照组的基础上给予盆底康复训练,观察两组患者的各项肌肉功能指标和生活满意度。结果干预组患者治疗有效率95.5%显著高于对照组患者的73.1%,两组差异有统计学意义(P<0.05)。干预组患者盆底肌力、肌纤维疲劳度、动态压力及夜尿次数评分、尿失禁评分、生活满意度评分改善幅度均优于对照组患者,两组差异有统计学意义(P<0.05)。结论对初产妇实施早期康复干预能有效改善其盆底肌肉功能状态以及生活满意度,值得临床推广。     

烧伤后耳廓瘢痕畸形分级标准的设定

目的 探讨烧伤后耳廓瘢痕畸形的严重程度的分级方法及对应的手术方式选择.方法 对北京积水潭医院烧伤整形科2008年1月至2017年12月期间165例烧伤后耳廓瘢痕畸形住院病例,进行回顾性统计分析.并按照病人耳廓瘢痕范围,耳廓位置与颅耳角有无异常,耳轮、耳垂、耳甲腔、耳屏等耳廓结构的缺损情况,耳廓结构的辨识度等几个方面,进行四级评级分类.并分析手术方式与烧伤后耳廓瘢痕畸形分级的相关性.结果 一级轻度耳廓瘢痕畸形74例,二级中度耳廓瘢痕畸形51例,三级中重度耳廓瘢痕畸形27例,四级重度耳廓瘢痕畸形13例.一级轻度耳廓瘢痕畸形最常采用瘢痕切除术,二级中度耳廓瘢痕畸形最常采用瘢痕切除+植皮术,三级中重度耳廓瘢痕畸形最常采用瘢痕切除+局部皮瓣转移+植皮术,四级重度耳廓瘢痕畸形最常采用瘢痕切除+皮瓣转移+植皮+耳廓成形术.结论 本研究首次建立烧伤后耳廓瘢痕畸形的分级标准,有利于畸形严重程度判断,并能指导手术方式的选择.此分级标准简单易行,适合在临床工作中推广应用.