股骨、胫骨多段骨折的治序(附25例分析)

随着交通及建筑业的发展,车祸伤及坠落伤所致的股骨、胫骨骨折,多呈严重粉碎性、多段性,并合并有广泛软组织损伤。我院于1986-1995年间,收治以股骨、胫骨多段骨折为主的创伤病人25例,治序情况报告如     

莫让袭人寒气化作体内暗流

当每一个人学会了正确使用自己身体的方法之后，所需的医疗费用将会变得极为低廉。希望有一天慢性病医疗服务不再是一种商业行为，而是社会最基本的公共服务，这个世界上的每一个人都有能力和权利享用。     

下腹皮瓣移位修复会阴部损伤与器官再造的应用

我科自1985年9月以来设计了4种不同类型的皮瓣用于会阴;生殖器官疤痕挛缩畸形;会阴部肿瘤切除后创面;阴茎阴囊皮肤完全撕脱伤的修复;外伤性阴茎缺失和小阴茎畸形的阴茎再造;肛门疤痕挛缩狭窄畸形的成形共19例。全部皮瓣成活,效果满意。本文就其手术指针,皮瓣肥厚脂肪的处理,手术优点和注意事项进行讨论。     

小儿热性惊厥血清钠浓度临床分析

目的：通过对热性惊厥患儿血清钠浓度的监测,探讨热性惊厥患儿惊厥再发生率与血清钠浓度的关系,从而预测和防治热性惊厥的再次发生。方法：选取84例热性惊厥患儿作为观察组（惊厥1次组59例,惊厥2次组25例）及同期年龄相当、发热、无惊厥的患儿50例作为对照组。两组均于静脉输液前取静脉血测血清钠浓度（观察组于惊厥后3～5h内、对照组于发热后3～5h内）。结果：对照组平均血清钠浓度（135．60±0．24）mmol／L,观察组平均血清钠浓度（126．70±0．33）mmol／L（P〈0．01）,25例惊厥≥2次组,平均血清钠浓度（123．80±0．35）mmol／L,低于1次组（128．50±0．35）mmol／L（P〈0．05）。结论：热性惊厥患儿血清钠浓度有所降低,血清钠浓度越低,惊厥的再发率越高,惊厥的再发率与血清钠浓度降低的幅度有关。     

儿童脑梗死38例临床特点分析

目的：探讨儿童脑梗死的病因及临床特点。方法：对38例儿童脑梗死临床资料进行分析,包括病因、临床表现、头颅CT、疗效及预后。结果：轻微脑外伤16例（42.1%）,感染7例（18.4%）,系统性红斑狼疮2例（5.3%）,脑血管畸形及先心病术后各1例（2.6%）,原因不明11例（28.9%）;临床表现复杂多样;头颅CT示：皮层型21例（51.3%）;皮层下腔隙性梗死17例（44.7%）;38例中27例基本治愈（71.1%）,8例显著进步（21.1%）,进步3例（7.89%）。结论：儿童脑梗死以外伤、感染为病因者最居多,其次为全身系统性疾病及脑血管畸形者占一定比例;梗死部位以皮层型多见;预后较好。     

痛泻要方加减联合针灸治疗腹泻型肠易激综合征的临床观察

目的：观察痛泻要方加减联合针灸治疗肝郁脾虚型腹泻型肠易激综合征的临床效果。方法：将40例肝郁脾虚型肠易激综合征患者按照随机数字表法随机分为观察组和对照组,各20例。观察组予痛泻要方加减配合针灸治疗,1日2次,对照组予口服匹维溴铵片治疗,1日1次,疗程为4周,4周后比较两组的临床症状评分和疗效。结果：观察组临床疗效、症状评分均显著优于对照组（P<0.05）。结论：痛泻要方加减联合针灸治疗肠易激综合征具有显著的临床疗效,可改善肝郁脾虚型腹泻型肠易激综合征患者的临床症状,值得临床推广应用。     

不同针灸疗法治疗中风后痉挛性偏瘫的网状Meta分析

Objective:To perform a network meta-analysis on four commonly used acupuncture therapies(electroacupuncture,fire acupuncture,warm acupuncture,and filiform needling) and rehabilitation therapy in the treatment of post-stroke spastic hemiplegia so as to compare the differences in clinical therapeutic effect between acupuncture therapy and rehabilitation therapy as well as among different therapeutic methods of acupuncture.Methods:A computer-based retrieval was conducted in Chinese and English databases,i.e.CNKI,WanFang,VIP,SinoMed,PubMed,Embase,Web of Science and Cochrane library.The search period limit was from the database establishment to April 17,2020.Data analysis was performed through Revman 5.3,Gemtc 0.14.3 and Stata 14.2.Results:A total of 27 trials were finally eligible,including 1880 patients,943 patients of which were in observation group and 937 patients in control group.In terms of the improvement of effective rate,electroacupuncture,fire needling,warm acupuncture and filiform needling methods were all better than rehabilitation therapy,and among which,warm acupuncture was the highest in probability to be the optimal measure.Regarding the improvement in Fugl-Meyer Assessment(FMA) motor function score,fire needling,warm acupuncture and filiform needling methods were all better than rehabilitation therapy,and among which,fire needling method was the highest in probability to be the optimal measure.In view of the improvement of BI score,fire needling method was better than electroacupuncture and filiform needling method,while,warm acupuncture was better than electroacupuncture,thus,fire needling method may be the optimal measure.For the modified Ashworth muscular tension assessment,there was no significant differences in pairwise comparison among different interventions and warm acupuncture was probably the optimal measure.Conclusion:The overall therapeutic effect of 4 acupuncture therapies is better than rehabilitation therapy on post-stroke spastic hemiplegia,respectively,among which,the therapeutic effect of warm acupuncture and fire needling method is the best.However,because of a limitation of the varieties of acupuncturemoxibustion therapy and the number of included trials,it needs to conduct more rigorous and scientific randomized controlled trials so that this conclusion can be further confirmed.     

小儿热性惊厥血清钠浓度临床分析

目的:通过对热性惊厥患儿血清钠浓度的监测,探讨热性惊厥患儿惊厥再发生率与血清钠浓度的关系,从而预测和防治热性惊厥的再次发生。方法:选取84例热性惊厥患儿作为观察组(惊厥1次组59例,惊厥2次组25例)及同期年龄相当、发热、无惊厥的患儿50例作为对照组。两组均于静脉输液前取静脉血测血清钠浓度(观察组于惊厥后3～5h内、对照组于发热后3～5h内)。结果:对照组平均血清钠浓度(135.60±0.24)mmol/L,观察组平均血清钠浓度(126.70±0.33)mmol/L(P<0.01),25例惊厥≥2次组,平均血清钠浓度(123.80±0.35)mmol/L,低于1次组(128.50±0.35)mmol/L(P<0.05)。结论:热性惊厥患儿血清钠浓度有所降低,血清钠浓度越低,惊厥的再发率越高,惊厥的再发率与血清钠浓度降低的幅度有关。     

儿童脑梗死38例临床特点分析

目的:探讨儿童脑梗死的病因及临床特点.方法:对38 例儿童脑梗死临床资料进行分析,包括病因、临床表现、头颅CT、疗效及预后.结果:轻微脑外伤16 例(42.1%),感染7 例(18.4%),系统性红斑狼疮2 例(5.3%),脑血管畸形及先心病术后各1 例(2.6%),原因不明11 例(28.9%);临床表现复杂多样;头颅CT示:皮层型21 例(51.3%);皮层下腔隙性梗死17 例(44.7%);38 例中27 例基本治愈(71.1%),8 例显著进步(21.1%),进步3 例(7.89%).结论:儿童脑梗死以外伤、感染为病因者最居多,其次为全身系统性疾病及脑血管畸形者占一定比例;梗死部位以皮层型多见;预后较好.     

通向“天下无病”的道路——自主健康的“一式三招”

正确的观念,比昂贵的药物和危险的手术更能帮助患者消除疾病。很多人身体力行“一式三招”及健康观念,健康真的就这么得到了。从中医的观点所看到的人体,是一个充满智慧的机体,长期以来,我们一直低估了人体的智慧,高估了我们自己的知识。经常在没有弄清楚人体在做什么,就判定了它的无能,随即我们用并不完备的知识贸然的进行干预,今日的许多疾病根本就是这些不当的干预行为所造成的后果。人体自身的诊断维修系统,并不仅仅是狭义的免疫能力,而是包含自我诊断、人体资源管理、自我修复及再生的完整医疗体系,这些系统工作的最基本条件就是必需具…