内外合参综合疗法治疗慢性溃疡性结肠炎临床观察

目的观察中医药内外合参综合疗法治疗慢性溃疡性结肠炎临床疗效。方法将80例患者随机分为治疗组和对照组各40例,内外合参综合疗法治疗组通过中医辨证分型,制定个体化综合治疗方法,对每个治疗对象对症选取中药内服、保留灌肠、外敷、针灸按摩、红外线照射、穴位埋线、药膳、营养素补充剂及传统健身等个体化综合疗法治疗,症状严重时配合西药控制病程。对照组按照现代医学常规方法治疗。治疗6个月后统计疗效。结果内外合参综合疗法治疗组总有效率92. 5%(37/40),对照组总有效率87. 5%(35/40);内外合参综合疗法治疗组一年后完全缓解病例复发率17. 4%(4/23),对照组一年后完全缓解病例复发率33. 3%(6/18)。结论运用中医药内外合参综合疗法治疗慢性溃疡性结肠炎,体现了中医学中整体与局部、内治与外治相结合的思想,取得了很好的临床疗效,且未发现毒副作用,值得推广应用。     

MAPLE SYRUP URINE DISEASE IN CHINESE

We report the first two known cases of maple syrup urine disease (MSUD) in Chinese. Diagnosis was based on elevation of leucine, isoleucine, valine and their corresponding a-ketoacids in the plasma and urine. One patient had neurological symptoms and metabolic acidosis in the neonatal period while the other one was diagnosed on routine metabolic screening for mental retardation in early infancy. Neither responded to megavitamin therapy with thiamine. The occurrence of MSUD in Chinese calls for alertness to its diagnosis, conducting a pilot neonatal screening, nationwide provision of earliest antenatal diagnostic service within two days of birth and proper diet.     

开天门在情绪焦虑患者中的应用

目的 分析开天门在提升焦虑情绪患者生活质量及改善抑郁状况的作用.方法 将云浮市中医院134例焦虑患者分为观察组（n=60）与对照组（n=74）,对照组患者只进行常规手术、护理及健康宣教,观察组患者进行开天门推拿,共9项,早晚一次,观察两组患者的干预前及干预第3个月是的SAS及WHOQOL-BREF评分状况.结果 观察组与对照组干预第第3个月的SAS评分分别为（40.6±5.7）分vs（48.5±6.1）分,WHOQOL-BREF评分分别为（102.8±13.4）分vs（89.6±12.4）分,比较差异有统计学意义（P＜0.05）.结论 开天门可有效的改善患者焦虑状况,提升生活状况,临床应用具有经济、操作简单、易学易会等特点.