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目的比较介入和溶栓在治疗急性心肌梗死的临床疗效。方法研究组36例患者均采用PCI治疗,对照组36例患者均采用溶栓治疗方法。结果研究组患者血管开通率97.22%明显高于对照组72.22%,再梗死率5.56%明显低于对照组11.11%,数据经统计学比较具有显著差异(P<0.05);研究组患者住院时间(9.0±5.8)d明显低于对照组(18.2±10.3)d,不良心脏事件发生率11.11%和病死率2.78%明显低于对照组(25%,5.56%),数据经统计学比较具有显著差异(P<0.05)。结论 PCI治疗较传统溶栓术具有较好的血管开通效果,减少住院时间和再梗死发生率,从而提高临床疗效。 相似文献
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目的:观察推拿手法对高血压患者的血压及血压变异性的影响。方法:选取高血压患者40例,将其随机分为观察组和药物组,每组20例。观察组在常规药物治疗基础上予以"益肾活血通脉"推拿手法治疗,药物组仅采用与观察组相同的常规药物治疗。分别于治疗前及治疗3个月后行24-hour动态血压监测,比较两组患者血压及血压变异性的变化。结果:治疗前两组患者的血压及血压变异系数组间差异无统计学意义(P>0.05);治疗3个月后,两组患者血压及血压变异系数均较本组治疗前显著改善(P<0.05);观察组改善情况优于对照组,两组间差异有统计学意义(P<0.05)。结论:"益肾活血通脉"推拿手法结合常规药物对高血压患者的血压及血压变异性改善情况优于单纯常规药物治疗,且操作方便,无毒副作用,适宜临床推广应用。 相似文献
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目的 探讨老年感染性心内膜炎患者的临床特点,分析影响死亡的相关因素,以制定干预对策,提高治愈率.方法 回顾性分析104例老年感染性心内膜炎住院患者的临床资料,对可能与死亡的相关因素通过统计软件进行单因素及多因素分析.结果 104例住院患者中死亡25例,病死率24.0%;单因素分析显示,性别、发热、肝脏肿大、脾脏肿大、血尿素氮、谷丙转氨酶、营养、心功能为影响患者死亡的危险因素;多因素分析显示,脾肿大在诸多指标中影响最大(OR=18.7),其余依次为肝肿大(OR=14.5)、心功能分级(OR=5.0)、营养不良(OR=4.1)、发热(OR=2.9)、血尿素氮高(0R=2.2)、性别(OR=2.0)、谷丙转氨酶(OR=1.8).结论 老年感染性心内膜炎患者其早期死亡率高,且与多种因素关系密切,临床应注意针对性制定干预措施. 相似文献
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Objective
To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy.Methods
A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale (MAS).Results
The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment (P>0.05); after the treatment of six months, the above items were obviously improved in the two groups (P<0.01), better in the treatment group than in the control group, with the statistical significance in the differences between the groups (P<0.01).Conclusion
Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.6.
Objective
To investigate the effect of Yi Jin Jing (Sinew-transforming Qigong Exercises) plus tuina on scapulohumeral periarthritis (SP).Methods
A total of 30 cases with SP were randomized into an observation group and a control group. Those in the observation group practiced Yi Jin Jing (Sinew-transforming Qigong Exercises) plus tuina therapy; whereas those in the control group received only tuina therapy. Tuina therapy was conducted every other day, 20 min every time for 1 month and Yi Jin Jing (Sinew-transforming Qigong Exercises) was conducted once a day for 1 month. The therapeutic effects were assessed by visual analogue scale (VAS) and Constant-Murley scale.Results
After treatment, the VAS score and Constant-Murley scale were substantially improved, showing statistical significances (P<0.01); the Constant-Murley scale in the observation group was better than that in the control group, showing a statistical significance (P<0.01); the effective rate in the observation group was higher than that in the control group, between-group comparison showed a statistical significance (P<0.01).Conclusion
Yi Jin Jing (Sinew-transforming Qigong Exercises) plus tuina and tuina alone have a verified effect in treating SP, and the former can achieve a better effect than the later.7.
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第三腰椎横突综合征是因各种原因导致第三腰椎横突及周围软组织的急、慢性损伤,而出现局部出血、渗出,产生无菌性炎症,在腰3横突尖端周围出现纤维化,形成瘢痕粘连、筋膜增厚和肌腱膜挛缩,引起神经、血管束卡压,出现下腰痛或腰臀部疼痛.本病好发于青壮年及体力劳动者,男性多于女性,在临床上颇为常见.2009年7月至2011年12月,笔者运用推拿联合激光疗法治疗第三腰椎横突综合征38例,疗效显著.现报告如下. 相似文献