自制消定橡皮膏临床疗效观察

为观察自制消定橡皮膏的疗效，经538例患者临床治疗，结果治愈342例，有效181例，无效15例，总有效率97．21％。提示消定橡皮膏确有化瘀、消肿、止痛之功效。     

一次性橡胶手套在呼吸功能锻炼中的应用

吹气球运动可以锻炼患者呼吸肌肉和增加肺活量,2010年开始,我科应用一次性手术橡胶手套代替气球对患者进行呼吸功能锻炼,取得较好效果,现将经验介绍如下. 1 材料与方法 取用一次性手术橡胶手套一支,指导患者取坐位或立位,做吹大手套运动,先深吸一口气,然后尽力将肺内气体吹入手套内,手套吹大后,放气休息一会儿,再开始吹,每日2次,每次10～20 min.     

橡皮障在口腔正畸临床中的应用

目的 探讨橡皮障在口腔正畸科粘结托槽中的作用.方法 患者20例作为研究对象,粘结托槽400个.橡皮障组作为试验组;另一组棉球隔湿后作为对照组,对托槽脱落率进行统计学分析.结果 实验组托槽脱落率低于对照组,差异有统计学意义(P＜0.05).结论 橡皮障隔湿作用高于棉球隔湿法,有助于减少托槽脱落率.     

Multisensory integration across exteroceptive and interoceptive domains modulates self-experience in the rubber-hand illusion

Identifying with a body is central to being a conscious self. The now classic “rubber hand illusion” demonstrates that the experience of body-ownership can be modulated by manipulating the timing of exteroceptive (visual and tactile) body-related feedback. Moreover, the strength of this modulation is related to individual differences in sensitivity to internal bodily signals (interoception). However the interaction of exteroceptive and interoceptive signals in determining the experience of body-ownership within an individual remains poorly understood. Here, we demonstrate that this depends on the online integration of exteroceptive and interoceptive signals by implementing an innovative “cardiac rubber hand illusion” that combined computer-generated augmented-reality with feedback of interoceptive (cardiac) information. We show that both subjective and objective measures of virtual-hand ownership are enhanced by cardio-visual feedback in-time with the actual heartbeat, as compared to asynchronous feedback. We further show that these measures correlate with individual differences in interoceptive sensitivity, and are also modulated by the integration of proprioceptive signals instantiated using real-time visual remapping of finger movements to the virtual hand. Our results demonstrate that interoceptive signals directly influence the experience of body ownership via multisensory integration, and they lend support to models of conscious selfhood based on interoceptive predictive coding.     

橡胶外科手套固定呼吸回路的应用

目的 探讨橡胶外科手套固定呼吸回路的应用效果.方法 选取本院收治的80例需上呼吸机患者作为研究对象,随机分为对照组和观察组,各40例.观察组采用橡胶外科手套配合固定,对照组采用呼吸机本身支架调节,比较两组的应用效果.结果 观察组的并发症发生率为0.O％,显著低于对照组的15.0％,差异有统计学意义（P＜0.05）.观察组的舒适度显著高于对照组,差异有统计学意义（P＜0.05）.结论 采用橡胶外科手套固定呼吸回路,操作简单,成本较低,值得临床推广使用.     

Rubber band ligation of hemorrhoids: relapse as a function of time

Rubber band ligation is a well established treatment of internal second-degree hemorrhoids. Up to now, the long-term results (>5 years) of this method have not been assessed. The aim of this study was to determine the long-term success rate of rubber band ligation in patients with a first episode of second-degree hemorrhoids not responding to medical treatment (local cream with laxative). A total of 92 patients who were treated between 1979 and 1997 for second-degree hemorrhoids responded to a questionnaire. The need for complementary conservative (sclerotherapy, cryotherapy or rubber band ligation) or surgical treatment was considered indicative of relapse. The collected data were analyzed according to the Kaplan-Meier method. The average follow-up time was 5.6 years. There were 21 patients who suffered a relapse. The probability of successful treatment was 0.77 (range: 0.67–0.88) after 5 years and 0.68 (range: 0.5–0.86) after 10.6 years. We conclude that rubber band ligation represent an efficient long-term treatment for second-degree hemorrhoids. Approximately two thirds of the patients are cured after 5 years and more than a half after 10 years. Accepted: 5 June 1998     

新型胶圈套扎器治疗混合痔100例临床疗效分析

为探讨新型胶圈套扎器治疗混合痔的临床疗效,将200例混合痔患者随机分为两组,各100例,治疗组采用新型胶圈套扎术治疗,对照组采用传统外剥内扎术治疗。观察两组手术时间,创口愈合时间,术后疼痛、出血、水肿等情况。结果显示,两组患者治愈率均达90％以上,无显著性差异,但在手术时间、术后疼痛、水肿、创口愈合时间等方面,治疗组优于对照组。结果表明,新型胶圈套扎术与外剥内扎术相比,操作简单,手术时间短,术后疼痛、水肿轻微,恢复较快,并发症少。     

Body schema and body image—Pros and cons

There seems to be no dimension of bodily awareness that cannot be disrupted. To account for such variety, there is a growing consensus that there are at least two distinct types of body representation that can be impaired, the body schema and the body image. However, the definition of these notions is often unclear. The notion of body image has attracted most controversy because of its lack of unifying positive definition. The notion of body schema, onto which there seems to be a more widespread agreement, also covers a variety of sensorimotor representations. Here, I provide a conceptual analysis of the body schema contrasting it with the body image(s) as well as assess whether (i) the body schema can be specifically impaired, while other types of body representation are preserved; and (ii) the body schema obeys principles that are different from those that apply to other types of body representation.     

不离断颈前肌群的小切口甲状腺次全切除术36例体会

目的:探讨不离断颈前肌群对甲状腺次全切除手术操作的影响,不放置引流物对甲状腺次全切除术后的影响。方法:回顾性分析本院近2年来选择对36例甲状腺腺瘤等患者采用不离断颈前肌群,次全切除腺体后创面应用生物蛋白胶并不放置引流物的治疗效果。结果:36例患者均获痊愈,手术时间均未超过1小时45分钟,仅1例因术中牵拉过度,术后出现暂时性声嘶,3个月余后恢复,术后平均住院时间为6.5d。结论:大部分甲状腺次全切除手术可以不离断颈前肌群,医用生物蛋白胶在甲状腺次全切除术中应用具有明显止血、止渗出的作用,可不放置引流物,能减少因引流物引起的并发症。