电针结合中药熏蒸治疗脊髓型减压病排尿障碍疗效观察

目的 观察电针结合中药熏蒸法治疗脊髓型减压病排尿障碍的疗效.方法 采用电针结合中药熏蒸法治疗脊髓型减压病引起排尿障碍患者30例为治疗组采用膀胱训练法治疗脊髓减压病排尿障碍30例为对照组.结果 治疗组总有效率为96.7%,对照组总有效率为73.3%,2组差异有统计学意义(P<0.01).结论 采用电针结合中药熏蒸法治疗脊...     

电针结合中药熏蒸治疗早期髌股关节炎的临床观察

目的:观察电针结合中药熏蒸治疗早期髌股关节炎的临床疗效。方法:将56例早期髌股关节炎患者随机分为治疗组与对照组各28例。治疗组采用电针结合中药熏蒸治疗;对照组单纯采用电针治疗。比较2组治疗前后骨性关节炎指数(WOMAC)评分并评定疗效。结果:2组患者治疗后WOMAC各项评分(疼痛评分、僵硬评分、日常活动功能评分及总评分)均明显降低,与同组治疗前比较,差异均具有统计学意义(P0.01),且治疗组WOMAC各项评分改善优于对照组,差异具有统计学意义(P0.05)。治疗组总有效率为96.43%,对照组为85.71%,2组比较差异具有统计学意义(P0.05)。结论:电针结合中药熏蒸治疗和单纯电针治疗早期髌股关节炎疗效确切,且电针结合中药熏蒸治疗优于单纯电针治疗。     

骨折挫伤散在软组织挫伤中的应用进展讨探

由于关节部位的特殊性和多动性,挫伤易反复,给患者带来极大的痛苦,运用骨折挫伤散合接骨散来治疗各种关节部位的扭挫伤效果良好.对关节扭挫伤后活血化瘀,舒筋通络和止痛效果良好.骨折挫伤散治疗软组织损伤可减短患者病程和痛苦,疗效显著.     

外敷麒麟消肿止痛散治疗软组织扭挫伤148例疗效观察

目的 观察活血祛瘀消肿、清热凉血止痛类中药配伍治疗急性软组织扭挫伤的疗效.方法 :采用自拟麒麟消肿止痛散外敷治疗急性软组织扭挫伤148例.结果 :总有效率97.9%.提示:软组织扭挫伤是人们日常生活的常见病、多发病,易致局部红肿疼痛瘀血,严重者造成局部功能活动障碍.本方法对本病有活血化瘀,行气通经,消肿止痛,清热凉血,舒筋活络的疗效.     

中药熏蒸治疗与护理对类风湿性关节炎的影响

目的:探讨中药熏蒸对类风湿性关节炎的影响。方法:将80例患者随机分为熏蒸组和对照组,对照组40例给予常规治疗,熏蒸组40例在对照组治疗基础上结合中药熏蒸治疗,20d为1个疗程,2个疗程后观察两组治疗前、后关节症状体征的改善情况。结果:与对照组比较,熏蒸组能显著改善关节肿痛、功能障碍等症状体征(P<0.01)。结论:结合中药熏蒸治疗类风湿关节炎具有较好的临床疗效。     

中药熏蒸配合电针治疗颈椎病的疗效观察

目的观察中药熏蒸配合电针治疗颈椎病的临床疗效。方法选择2010年1月至2016年12月在我院治疗的78例颈椎病患者作为研究对象,采用随机数字表法将其分为观察组44例和对照组34例,2组均采用西药改善循环及电针治疗,观察组同时结合中药熏蒸疗法,疗程2周。结果观察组有效率为91%,对照组为88%,2组比较差异有统计学意义(P0.05),观察组疗效优于对照组。结论采用中药熏蒸配合电针治疗颈椎病,能明显改善颈椎病患者的临床症状。     

中药熏蒸治疗下肢骨折后膝关节僵硬临床观察

目的:中药熏蒸治疗下肢骨折后膝关节功能障碍住院患者的疗效观察。方法:自拟中药熏蒸方,药水与水混合后加入熏蒸仪药缸中,对准膝关节部位喷中药蒸汽30min,熏蒸结束后立即在患者对于疼痛的忍受范围之24例,中17例,差5例,其中优良率达55%,优良中比例达89%。结论:中药熏蒸治疗下肢骨折后关节僵硬疗效满意。     

中药熏蒸配合电针治疗卒中后肩手综合征45例疗效观察

目的 观察中药熏蒸配合电针治疗卒中后肩手综合征的临床疗效.方法 将90例卒中后肩手综合征患者随机分为对照组与治疗组各45例,对照组在康复治疗的基础上予电针治疗,治疗组在对照组治疗基础上予中药熏蒸治疗,观察2组疗效.结果 治疗组总有效率为95.6％,对照组为88.9％,2组比较差异有统计意义(P＜0.05),提示治疗组疗效显著优于对照组.结论 中药熏蒸配合电针治疗卒中后肩手综合征疗效肯定,值得临床推广应用.     

为90例腰椎间盘突出症患者进行电针+中药熏蒸治疗的疗效观察

目的 :分析采用电针+中药熏蒸法治疗腰椎间盘突出症的临床效果。方法 :为我院康复科收治的120例腰椎间盘突出症患者使用电针疗法+中药熏蒸疗法进行治疗,并观察其临床疗效。结果 :在本组90例患者中,有76例患者痊愈,占84.4%;有10例患者治疗有效,占11.1%;有4例患者病情好转,占4.5%,其治疗的总有效率为100%。结论 :使用电针疗法+中药熏蒸疗法治疗腰椎间盘突出症的疗效确切,此法值得在临床上推广应用。     

踝关节损伤的早期诊断及治疗

踝关节损伤是常见的损伤之一,而关节骨折及扭伤、挫伤仍是最主要的损伤,但在临床上常碰到互为误诊,也就是将关节内骨折误诊为扭挫伤,时而又将扭挫伤误诊为骨折,更为严重的是踝关节损伤,不被临床所重视,往往不予固定或不予治疗,任其发展,使简单的骨折或扭挫伤得不到及时诊断治疗,延误时机而发展成为创伤性关节炎或习惯性踝关节扭伤.现就早期治疗问题,总结如下.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.