应用16号针头治疗拇指屈指肌腱狭窄性腱鞘炎

目的:探讨应用16号针头治疗拇指屈指肌腱狭窄性腱鞘炎的临床效果。方法:应用一次性16号注射器针头治疗拇指屈指肌腱狭窄性腱鞘炎患者90例,评价其治疗效果及并发症。结果:患者治疗后平均随访时间6个月,90例病例中治愈84例(93.3%),好转4例(4.4%),无效2例(2.2%),无1例出现并发症。结论 :应用一次性16号注射针头治疗拇指屈指肌腱狭窄性腱鞘炎临床效果满意,操作简单,取材方便,微创治疗损伤小,适合在基层医院推广应用。     

小针刀治疗屈指肌腱狭窄性腱鞘炎的疗效观察

目的:观察小针刀治疗屈指肌腱狭窄性腱鞘炎的临床疗效。方法:将180例屈指肌腱狭窄性腱鞘炎的患者随机分为2组:治疗组94例采用小针刀治疗,对照组86例采用局部注射药物治疗,治疗1月后比较疗效并随访。结果:治疗组总有效率97.87%,明显高于对照组总有效率66.77%,2组疗效比较有显著性差异(P<0.05)。结论:小针刀治疗屈指肌腱狭窄性腱鞘炎的疗效更佳,一次性治愈率和显效率更高,方法简单安全,值得大力推广。     

超声引导下药物注射联合针刀松解治疗拇指屈指肌腱狭窄性腱鞘炎

目的 探讨超声引导下复方倍他米松联合针刀疗法治疗拇指屈指肌腱狭窄性腱鞘炎的临床疗效.方法 选择2020年7月至2021年4月在临沂市人民医院康复中心针灸理疗门诊就诊的62例拇指屈指肌腱狭窄性腱鞘炎患者,随机分为观察组和对照组,每组31例.对照组在超声引导下进行药物注射治疗,观察组在对照组的基础上配合针刀治疗.对两组患者...     

屈指肌腱狭窄性腱鞘炎针刀松解术疗效观察

目的：评价针刀松解术治疗屈指肌腱狭窄性腱鞘炎的疗效。方法：屈指肌腱狭窄性腱鞘炎患者114例，随机分成针刀松解术组和注射组各57例对照观察。结果：针刀松解术组总有效率（100％）显著高于注射对照组（81％，P〈0．01）。结论：针刀松解术治疗屈指肌腱狭窄性腱鞘炎效果明显。     

屈指肌健狭窄性腱鞘炎90例治疗体会

屈指肌腱狭窄性腱鞘炎是手外科的常见病多发病 ,又称“扳机指” ,主要由于屈指肌腱在纤维鞘起始部滑动障碍所致 ,女性多于男性 ,以中老年多见 ,拇、中、环指发病率高。我科自2 0 0 0年以来治疗屈指肌腱狭窄性腱鞘炎 70例 ,治疗其并发症2 0例 ,效果良好 ,现报告如下。1　资料与方法1 1　一般资料 :本组共 90例 ,男 2 5例 ,女 65例 ,年龄 2 8～ 70岁 ,平均 5 0岁。指别 :拇指 40指 ,示指 10指 ,中指 18指 ,环指 16指 ,小指 6指 ;病程 :2周～ 2年 ,平均 2 8周。其中治疗其并发症 2 0例 ,复发病例 15例 ,指神经损伤 2例 ,屈指肌腱自发性断裂 3例…     

局部阻滞加小针刀术治疗屈指肌腱狭窄性腱鞘炎

屈指肌腱狭窄性腱鞘炎用一般的保守疗法效果不佳,复发率较高。本文采用局部阻滞加小针刀治疗这一病症,并设单纯阻滞为对照组,以观察小针刀疗法对屈指肌腱性腱鞘炎的治疗效果。1 资料与方法屈指肌腱狭窄性腱鞘炎患者68例,男8例,女60例;年龄24～65岁,平均46岁;病程17d～28个月;其中单纯拇指患病56例,其他手指或拇指合并其他手指患者12例;上述患者随机分为观察组(35例)和对照组(133例)。方法：(1)对照组：用注射器抽取2％利多卡因1.5ml,康宁克通－A注射液0.5ml(含康宁克通－A 20mg),加生理盐水至总量4ml。患侧手掌心向上,平放于治疗…     

中西医结合治疗屈肌腱狭窄性腱鞘炎75例

屈指肌腱狭窄性腱鞘炎致掌指关节酸痛、活动不灵在临床上较多见，本院近年收治屈指肌腱狭窄性腱鞘炎75例，诊治效果较满意。现总结报道如下：     

屈指肌腱狭窄性腱鞘炎90例治疗体会

屈指肌腱狭窄性腱鞘炎是手外科的常见病多发病,又称"扳机指",主要由于屈指肌腱在纤维鞘起始部滑动障碍所致,女性多于男性,以中老年多见,拇、中、环指发病率高.我科自2000年以来治疗屈指肌腱狭窄性腱鞘炎70例,治疗其并发症20例,效果良好,现报告如下.     

体外冲击波治疗顽固性屈指肌腱狭窄性腱鞘炎临床疗效观察

目的对比分析体外冲击波治疗顽固性屈指肌腱狭窄性腱鞘炎的临床疗效。方法回顾性分析2016年1月至2019年7月收治的60例顽固性屈指肌腱狭窄性腱鞘炎患者的临床资料,随机数表法分为对照组和观察组各30例,观察组应用体外冲击波治疗;对照组应用外用消炎止痛膏剂治疗。采用疼痛视觉模拟评分(VAS)比较两组治疗前后的疼痛情况,并评价两组临床疗效。结果观察组、对照组总有效率分别为93.33%、53.33%,差异具有统计学意义(P 0.05);观察组治疗后VAS评分(3.03±1.05)分,对照组治疗后VAS评分(4.48±1.28)分,差异具有统计学意义(P0.05)。结论采用体外冲击波治疗顽固性屈指肌腱狭窄性腱鞘炎的临床效果显著。     

小针刀配合中药薰洗治疗拇指屈指肌腱狭窄性腱鞘炎38例分析

2004-2005年，我们采用小针刀治疗拇指屈指肌腱狭窄性腱鞘炎38例，疗效满意，现分析如下。     

H.E.L.P.系统治疗缺血性心脑血管疾病的临床研究

目的 回顾分析 H.E.L.P.系统(Heparin-induced extracorporeal LDL-Lp(a)-Fibrino-gen precipitation)在治疗缺血性心脑血管疾病中的疗效。方法 39例急性脑梗塞患者(治疗组 26例、对照组13例)、89例慢性脑梗塞患者、22例不稳定性心绞痛患者(治疗组12例、对照组10例)。分别检测上述患者H.E.L.P.治疗前、后的血脂、血粘度、纤维蛋白原水平,分别随访脑梗塞、不稳定性心绞痛患者治疗后3个月神经功能缺失(CSS)和日常生活活动量表(ADL)评分、心绞痛发作次数。结果 所有患者H.E.L.P.治疗后总胆固醇(TC)、甘油三脂(TG)、低密度脂蛋白(LDL)、纤维蛋白原(FIB)均下降了30～50％,血粘度指标下降了10～20％。急性脑梗塞患者治疗后3月CSS评分与对照组及治疗前均有显著差异(P<0.05),慢性脑梗塞患者治疗后2周较治疗前的CSS、ADL评分有明显改善(P<0.05)。不稳定性心绞痛患者H.E.L.P.治疗后3月的心绞痛发作次数较治疗前和对照组均明显减少(15.2±8.3次/月 vs 36.8± 12.5次/月,28.2± 10.9次/月 vs 20.2±11.6次/月,P<0.05)。结论H.E.L.P.系统选择性清除TC、TG、LDL、FIB、对高密度脂蛋白(HDL)影响不大。H.E.L.P.系统能有效、迅速、安全的改善血液流变学指标,对急性脑梗塞、不稳定性心绞痛有确切的疗效。     

Reduction of hepatitis C virus load by H.E.L.P.-LDL apheresis

The association of HCV with apolipoprotein B containing lipoproteins has been observed and this led to the assumption that the LDL receptor may also serve as a candidate receptor for HCV. H.E.L.P.-LDL apheresis is suggested to be an effective and rapid tool to safely eliminate apolipoprotein B containing lipoproteins. In this pilot study, we have investigated whether H.E.L.P. treatment would reduce HCV load in five patients, all infected for more than 4 years with HCV and resistant against established anti-HCV therapy (interferon, ribaverin). HCV-RNA was determined by RT-PCR in plasma immediately before the start of apheresis (SA) and after treatment of 2500 mL plasma (AA). H.E.L.P. apheresis led to a mean decrease of 77.3% (16th percentile 36.5%, 84th percentile 89.6%) of HCV-RNA when AA values were compared to SA values. This decline was reproducible during nine treatment procedures, but was not correlated to the decrease in LDL cholesterol. This investigation shows for the first time that HCV load can be reduced by H.E.L.P. apheresis, which is an established and approved therapy for hypercholesterolemia. Even though the efficiency of viral load reduction varied between single procedures and did not correlate to LDL removal, this extracorporeal therapy opens the possibility to treat patients with established immune modulatory and antiviral therapy in the interval between two apheresis procedures.     

Defective erythrocyte pyruvate kinase.

A defective pyruvate kinase (EC 2.7.1.40) is described. The abnormal PK is characterized by a shift in the R in equilibrium T equilibrium to the T-state. The Ko.5 for the substrate phosphoenol pyruvate is about 6 times higher than for the normal enzyme, while the KM value for the positive effector Fru-1, 6-P2 is increased. In agreement with a shift to the T-state is the increased affinity of the abnormal enzyme for the negative effectors ATP and alanine. The results are discussed in relation to other abnormal pyruvate kinases.     

Celiac axis compression syndrome. A critical review : L.J. Brandt and S.J. Boley,Amer. J. digest. Dis., 23 (1978) 633–640

The present report describes the application of self-regulation techniques (progressive muscle relaxation, meditative breathing, and guided imagery) to the management of bleeding and arthritic pain and analgesic dependence in a 9-year-old hemophilic child with factor VIII inhibitor. Self-regulation training was effective in decreasing pain intensity and analgesic dependence, with a 1-year follow-up demonstrating substantial improvements across both medical and psychosocial parameters.     

Opiate pharmacology and individual differences. I. Psychophysical pain measurements

A new electric stimulation pain assessment technique using the Tursky electrode and a non-parametric analysis of subjects ratings was found sensitive to aspirin, morphine and opiate antagonists in a series of double-blind cross-over trials in normal adults. Stable individual differences in pain sensitivity (off medication) were maintained on two testing sessions 7 months apart. Older individuals were less pain sensitive than younger individuals. Men were more insensitive than women under age 30. Together, these results suggest the empiric usefulness of this pain measurement technique.     

Simultaneous estimation of urinary steroids by semi-automated gas chromatography. Investigation of neo-natal infants and children with abnormal steroid synthesis.

Development of a method for multicomponent analysis of urinary steroids on open-tubular columns is described. The urinary steroid conjugates were hydrolysed enzymatically, extracted on Amberlite XAD-2 columns, purified on columns of Sephadex LH-20, then analysed as methyloxime trimethylsilyl ethers on a gas chromatograph on which up to 24 samples may be automatically injected. All major urinary steroids from 17-oxosteroids to cortisol metabolites were analysed and these were quantified relative to internal standards, 5alpha-androstane-3alpha, 17alpha-diol and cholesteryl butyrate added to the samples prior to derivatisation. The precision of the full technique and reproducibility of repetitive automatic solid injection was found to be acceptable for the purpose of profile analysis. Examples of urinary steroid profiles in normal infants and infants with disorders of adrenal steroid production and excretion are given.     

护理特需患者真实体验的质性研究

目的深入了解和探索上海市8所医院护士在照顾特需患者过程中的真实感受及经验,为临床护士提高多元文化护理水平提供培训课程及管理借鉴。方法通过访谈形式,访问了11位护理特需患者的护士,将获得的资料进行分析、整理、提出主题。结果得到护士在护理特需患者照顾中及照顾后的各种不同感受、照顾患者的新理念及护理后的新需求。结论加强护理特需患者前的多元文化护理培训及护理中的指导,需要对护士做出广泛而持续的培训及支持,使她们更了解并熟悉如何应用多元文化护理理念于工作之中,以应对她们不确定和难以预料的护理旅程。     

免疫荧光法在检测分泌物淋病奈瑟氏球菌、沙眼衣原体中的应用价值

目的:探讨免疫荧光法在检测分泌物淋病奈瑟氏球菌、沙眼衣原体中的价值。方法:选取2019年3月?2019年8月在本院妇产科,男科,皮肤性病科就诊的疑似泌尿生殖道感染的患者600名为本次研究对象。样本取尿道分泌物或宫颈口分泌物送检。分别采用常规PCR法、免疫荧光法、培养法进行淋病奈瑟氏球菌、沙眼衣原体的检测。以培养法作为金标准,统计并比较免疫荧光法、常规PCR法对淋病奈瑟氏球菌、沙眼衣原体检测结果的诊断效能。结果:免疫荧光法对淋病奈瑟氏球菌、沙眼衣原体检测的准确度、敏感度、特异性、阳性预测值、阴性预测值均明显高于常规PCR法,差异有统计学意义(P<0.05)。免疫荧光法对淋病奈瑟氏球菌、沙眼衣原体检测的曲线下面积均明显高于常规PCR法,经比较差异有统计学意义(P<0.05)。结论:免疫荧光法检测淋病奈瑟氏球菌、沙眼衣原体快速、准确、灵敏,临床应用价值优于常规PCR法。     

改进耳鼻喉科门诊护理教学方法的效果

目的探讨一种新的更有效的护理教学方法。方法将64例实习护士随机分为2组,采用对照研究的方法。甲组在护理教学中采用耳鼻咽喉专科门诊各种规章制度、工作流程、基本语言沟通技巧及“10项专科技术操作”标准讲解、发放法,课后熟记程序并运用于实际工作中。乙组在护理教学中采用上述内容讲解法,缺少课后熟记与思考的过程,比较2组教学方法的效果。结果护理教学中采用各种规章制度及工作流程基本语言沟通技巧及“10项专科技术操作”标准讲解法和发放法使实习护士进入工作状态加快,提前了解掌握了各班工作,经过统计学处理有显著性意义（P〈0.01）。结论护理教学中应采用耳鼻咽喉专科门诊各种规章制度、工作流程基本语言沟通技巧及“10项专科技术操作”标准讲解、发放法。     

Enzyme-linked immunoassay of thyrotropin.

A method was developed for immunoassay of thyrotropin after its conjugation with alkaline phosphatase using the double antibody technique. The dilution of serum resulted in curves parallel to those obtained for standard thyrotropin. The mean recovery of thyrotropin (TSH) added to serum was 97%, and values for serum TSH determined by this method correlated well with those determined by radioimmunoassay. The coefficients of variation were 2 to 7% (within assay) and 10 to 15% (between assay). The method requires minimal equipment, and is less expensive than radioimmunoassay, so it should be useful as a screening test for primary hypothyroidism in cases with above the maximum normal serum TSH level (10 muH/ml).