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排序方式: 共有683条查询结果,搜索用时 15 毫秒
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目的:研究张力平衡针法联合电针对脑卒中足下垂患者下肢功能及日常生活能力的影响。方法:选取我院2016年1月—2019年5月收治的脑卒中足下垂患者78例,根据随机数字表法分为两组,各39例。对照组给予电针疗法,治疗组在对照组基础上给予张力平衡针法,对比两组患者治疗前后的肌张力和CSI评分、足内翻角度和足下垂角度、Barthel指数评分和FMA评分、SF-36量表评分。结果:经治疗后,两组患者肌张力评分显著升高,CSI评分显著降低(P<0.05),且治疗组改善程度较大(P<0.05);两组患者足内翻角度和足下垂角度显著低于治疗前(P<0.05),且治疗组降低程度较大(P<0.05);两组患者FMA评分和Barthel指数评分显著升高(P<0.05),且治疗组升高程度较大(P<0.05);两组患者情感功能、生理功能和社会功能评分均显著高于治疗前(P<0.05),且治疗组升高程度较大(P<0.05)。结论:采用张力平衡针法联合电针治疗脑卒中足下垂能够改善日常生活能力及下肢功能,值得在临床上推广应用。 相似文献
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目的:探讨湿感头痛散联合针灸康复治疗发作期紧张性头痛的临床疗效。方法选取我院120例急紧张性头痛患者,通过随机数字表法分为联合组和针灸组各60例,联合组采用湿感头痛散联合针灸治疗,针灸组单用针灸治疗,观察比较两组患者临床疗效。结果两组患者治疗后,联合组的临床疗效总有效率高于针灸组,差异有统计学意义(P<0.05);联合组的HAMD、HAMA评分优于针灸组(P均<0.05);联合组的头痛发作频率、持续时间(h)少于针灸组(P均<0.05);联合组的VAS(分)低于针灸组(P<0.05)。结论采用湿感头痛散联合针灸治疗紧张性头痛有助于缓解患者的抑郁,减少发作次数,减少持续时间以及疼痛感,疗效显著,值得临床推广。 相似文献
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《Injury》2019,50(11):2084-2088
PurposeTension band wiring is considered the standard treatment for patella fractures. However, it is limited for fractures with marginal involvement, comminution, and osteoporotic bone. Our experience indicates that these limitations can be overcome with the hook plate. We evaluated the radiographic and clinical outcomes in patients with patella fracture treated with hook plating.MethodsWe enrolled 30 patients who underwent hook plating for patella fracture at two institutions between 2013 and 2017. Fracture classification and surgical options were reviewed. Postoperative fracture gap and time to union as radiographic measurements, and complications, range of motion, and functional outcome with the Lysholm score as clinical outcomes, were evaluated retrospectively.ResultsNine fractures were AO/OTA 34A1, three B1, one B2, two C1, nine C2, and six C3. All were closed fractures. There were 3 cases of revision, 4 with lateral or medial marginal fracture, 9 with isolated inferior pole fracture, and 14 with comminuted fracture. The average postoperative fracture gap was 0.4 (range, 0–2.0) mm, and bone union was achieved without additional intervention. The average time to union was 11.6 (range, 7–24) weeks. There were no complications, and no extension lag except in one case (10°). The average flexion was 138.5° (range, 110–145°). For functional outcomes, the average Lysholm score was 89.5 (range, 74–95), with 13 excellent, 14 good, 3 fair, and no poor cases.ConclusionThis study suggests that hook plating can result in good bone union and restored knee function in marginal or comminuted fractures of the patella. 相似文献
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目的:分析比较鹰嘴解剖形接骨板与张力带治疗尺骨鹰嘴骨折的疗效。方法:随机选取2012年8月-2013年8月在本院就诊的尺骨鹰嘴骨折患者60例作为研究对象,在2013年8月-2014年8月对术后患者进行完全随访。将60例研究对象随机分为试验组和对照组各30例,对照组采用克氏针张力带钢丝固定法,试验组采用鹰嘴解剖形接骨板固定法。术后通过完全随访,追踪患者的康复情况,包括肘关节功能评定、骨折愈合状况和并发症发生率等,对两组患者尺骨鹰嘴骨折治疗效果进行比较。结果:本次研究60例患者均得到随访,骨折均获得骨性愈合。试验组优25例,良3例,可2例,优良率93.3%;对照组优23例,良4例,可2例,差1例,优良率90.0%。两组比较差异无统计学意义(P0.05)。结论:鹰嘴解剖形接骨板与张力带内固定这两种治疗尺骨鹰嘴骨折的方法在疗效上无明显差别,都是较为有效的治疗方法,临床上对于尺骨鹰嘴骨折的治疗需要针对不同骨折类型和人群需要而选择不同的手术方法。 相似文献
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Paula Román-Pena Jose María Santín-Amo Ramón Serramito-García Miguel Gelabert-González 《Neurocirugía (Asturias, Spain)》2021,32(2):84-88
Tension pneumocephalus is an extremely rare complication of positive-pressure ventilation in neonates, the diagnosis of which requires a high degree of clinical suspicion. We present the case of a preterm newborn, who received high-flow nasal cannula oxygen therapy because of hyaline membrane disease, due to his prematurity, and developed clinical signs of intracranial hypertension. Transfontanellar ultrasound and cranial CT scan revealed significant tension pneumocephalus, which was evacuated with direct needle puncture through the anterior fontanelle. 相似文献
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U. Ordioni M. Hadj Saïd G. Thiery F. Campana J.-H. Catherine R. Lan 《International journal of oral and maxillofacial surgery》2019,48(1):28-39
The aim of this study was to perform a critical review of published data on the epidemiological, aetiological, clinical, histological, biological, and therapeutic characteristics of patients with angina bullosa haemorrhagica (ABH). A literature search was conducted in the PubMed, Science Direct, Web of Science, and Cochrane Library databases. All publications fulfilling the selection criteria were included in the eligibility assessment according to the PRISMA statement. The full texts of 54 retrieved articles were screened. Forty articles published between 1985 and 2016 describing 225 cases of ABH were finally selected. The mean age of the patients was 55.4 years; the male to female ratio was 0.7. The predominant localization was the palate (66%). A third of patients had no medical history. When specified, a triggering event or promoting factor was frequently found (82%). Biological tests were normal. A biopsy was performed on 35% of the patients. Treatment was symptomatic with a favourable outcome. Recurrences were frequent (62%). In conclusion, ABH is poorly documented and only by studies of low-level evidence. This review did not allow any aetiopathogenic association to be made with a general pathology or treatment. On the basis of this systematic review of the literature, diagnostic criteria aiming to improve the care of patients presenting with ABH are proposed. 相似文献
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