青鹏膏剂治疗肩关节周围炎临床疗效研究

Objective To investigate the clinical efficacy of Qingpeng ointment treating periarthritis.Methods Three hundred patients with periarthritis were randomly divided into two groups. Observed groups( 150 cases ) were given Qingpeng ointment, control group( 150 cases ) were given Guzhining liniment. Shoulder pain scores and shoulder joint function score of both group were compared. Results The total efficiency of observation group ( 85.3% ) was better than that of control group(72.7% ) ( P ＜ 0.05 ). After treatment, both groups activity in patients with shoulder pain score and functional activity score of comparison, the observation group were better than the control group ( P ＜ 0.01 ). Conclusion Clinical treatment of frozen shoulder by Qingpeng paste is better, is worthy of clinical.     

无创正压通气在老年慢性阻塞性肺疾病急性加重期患者中的应用效果分析

Objective To study the clinical effect of non-invasive positive pressure ventilation (NPPV) in elderly patients with acute exacerbation of chronic obstructive pulmonary diseases (AECOPD). Methods One hundred and Fourteen elderly patients with AECOPD were divided into two groups. The observed group of 58 patients was given oxygen, anti-inflammatory and other conventional treatment, at the same time NPPV treatment was given, But the control group of 56 cases was only given the conventional treatment. The difference of blood oxygen pressure ( PaO2 ), carbon dioxide partial pressure ( PaCO2 ), pH value, respiratory rate (RR) and heart rate (HR)between two groups were compared after 12 h. To compare two groups endotracheal intubation rate and mortality differences. Results The pH and PaO2 of the observation group were significantly higher than that before treatment , HR, RR and PaCO2 decreased significantly compared with before treatment, and the various indicators were better than the same period in the control group. The observation group endotracheal intubation rate and mortality were less than the control group ( all P ＜ 0. 05). Conclusions NPPV can effectively alleviate breathing difficulties of the elderly patients with AECOPD and correct hypoxia. NPPV can reduce the rate of endotracheal intubation and mortality.     

无创正压通气在老年慢性阻塞性肺疾病急性加重期患者中的应用效果分析

Objective To study the clinical effect of non-invasive positive pressure ventilation (NPPV) in elderly patients with acute exacerbation of chronic obstructive pulmonary diseases (AECOPD). Methods One hundred and Fourteen elderly patients with AECOPD were divided into two groups. The observed group of 58 patients was given oxygen, anti-inflammatory and other conventional treatment, at the same time NPPV treatment was given, But the control group of 56 cases was only given the conventional treatment. The difference of blood oxygen pressure ( PaO2 ), carbon dioxide partial pressure ( PaCO2 ), pH value, respiratory rate (RR) and heart rate (HR)between two groups were compared after 12 h. To compare two groups endotracheal intubation rate and mortality differences. Results The pH and PaO2 of the observation group were significantly higher than that before treatment , HR, RR and PaCO2 decreased significantly compared with before treatment, and the various indicators were better than the same period in the control group. The observation group endotracheal intubation rate and mortality were less than the control group ( all P ＜ 0. 05). Conclusions NPPV can effectively alleviate breathing difficulties of the elderly patients with AECOPD and correct hypoxia. NPPV can reduce the rate of endotracheal intubation and mortality.     

盐酸氟哌噻吨美西辛辅助治疗肠易激综合征66例疗效分析

Objective To investigate the effect of deanxit in adjuvant treatment of the patients with irritable bowel syndrome and the psychologicalon of the patients. Methods Clinical data of 66 patients with irritable bowel syndrome were retrospectively analyzed. The control group was treated by conventional therapy, and the observation group was given deanxit based on the treatment of the control group. Then the curative effect were observed. Results In 132 patients,98 cases were troubed with anxiety,9 cases with athymia, the incidence rate was 81%. After treatment the SAS and SDS score of the observation group reduced,compared with before treatment,and the difference was significant( P ＜0. 05 ); Before and after treatment the SAS and SDS score of the control group had no significant difference(P ＞0. 05). Compared with the control group,the excellence and total effective rate increased significantly in the observation group(P ＞ 0. 05). Conclusion Adjunctive therapy with deanxit could improve the anxiety and athymia,and elevate clinical curative effect.     

奈达铂联合氟尿嘧啶治疗晚期食管癌的疗效观察

Objective To compare the efficacy of nedaplatin(NDP) and cisplatin( DDP) combined with 5-fluorouracil(S-Fu) in treatment of advanced esophageal cancer.Methods 61 patients with advanced esophageal cancer were divided into two groups randomly,the observation group(NDP group) were 30 cases and the control group (DDP group) were 31 cases.NDP group were given NDP(80 ～ 100mg/m2, intravenous drip, 1 day) and 5-Fu (0.5g/m2,intravenous drip,l～5 day) ,DDP group were given DDP(80 ～100mg/m2 ,devided into 3 days) and5-Fu ( 0.5 g/m2 , intravenous drip ,1～5 day).The cycles were repeated every 4 weeks, and the effects were assessed after 2 cycles.Results The remisson rate of the observation group was 56.1% ,significantly higher than that of the control group (29.0% ) ( P <0.05).The toxicity of the observation group was milder for gastrointestinal tract but more serious for bone marrow than that of the control group (all P < 0.05).Conclusion NDP was an effective platinum drug for esophageal carcinoma.The efficacy of nedaplatin combined with 5-Fu regimen was better than that of DDP combined with 5-Fu regimen,and it had a good clinical tolerance and could be recommended as the first-line drugs.     

腹腔镜下手术治疗老年胆石症临床分析

Objective To explore the clinical effect of laparoscopy in treatment of elderly patients with cholelithiasis. Method The clinical data of 120 elderly patients with cholelithiasis were retrospectively analyzed,which were divided into observation group and control group. Result The operation time, hemorrhage amount of operations,length of stay and recurrence rate after operation of the observation group were lower than that of the control group, and the stone clearance rate in the observation group had significantly higher than that of the control group ,the difference was statistical significance( all P ＜ 0. 05). Conclusion The clinical curative effect of laparoscopy in treatment of elderly patients with cholelithiasis was good.     

临床护理路径模式对重症病毒性脑炎患儿康复的效果评估

Objective To study the effectiveness of clinical nursing pathway using methodsand overall intervention to rehabilitation of the children with severe viral encephalitis.Methods With parental consent,80 children patients admitted with severe encephalitis from June 2008 to Julv 2010 were randomly divided into two groups,one control group using conventional methods of care;another experimental group using holistic nursing intervention based on the usual care.30 d after the nursing care the rehabilitation conditions of children patients were assessed by Fugl-Meyer score(including the sensory tunction,range of motion and pain function,motor function)and the incidence of children with disabilities Was also compared between these two groups one year after recovery.Rtaults The Fugl-Meyer score before nursing care was 65 points without significant difference between two groups(P＞0.05);after care the experimental group Was 145 points,while the control group 90 points,with statistically significant difference compared with each other(P＜0.05).The incidence of children with disability one year later was signifieantlylower than the that of control group(P＜0.05).conclusion The clinical nursing care path mode can efiectively restore the corresponding function of children with severe encephalitis,reduce their disabilitv rates,and improve their quality of life.     

临床护理路径模式对重症病毒性脑炎患儿康复的效果评估

Objective To study the effectiveness of clinical nursing pathway using methodsand overall intervention to rehabilitation of the children with severe viral encephalitis.Methods With parental consent,80 children patients admitted with severe encephalitis from June 2008 to Julv 2010 were randomly divided into two groups,one control group using conventional methods of care;another experimental group using holistic nursing intervention based on the usual care.30 d after the nursing care the rehabilitation conditions of children patients were assessed by Fugl-Meyer score(including the sensory tunction,range of motion and pain function,motor function)and the incidence of children with disabilities Was also compared between these two groups one year after recovery.Rtaults The Fugl-Meyer score before nursing care was 65 points without significant difference between two groups(P＞0.05);after care the experimental group Was 145 points,while the control group 90 points,with statistically significant difference compared with each other(P＜0.05).The incidence of children with disability one year later was signifieantlylower than the that of control group(P＜0.05).conclusion The clinical nursing care path mode can efiectively restore the corresponding function of children with severe encephalitis,reduce their disabilitv rates,and improve their quality of life.     

临床护理路径模式对重症病毒性脑炎患儿康复的效果评估

Objective To study the effectiveness of clinical nursing pathway using methodsand overall intervention to rehabilitation of the children with severe viral encephalitis.Methods With parental consent,80 children patients admitted with severe encephalitis from June 2008 to Julv 2010 were randomly divided into two groups,one control group using conventional methods of care;another experimental group using holistic nursing intervention based on the usual care.30 d after the nursing care the rehabilitation conditions of children patients were assessed by Fugl-Meyer score(including the sensory tunction,range of motion and pain function,motor function)and the incidence of children with disabilities Was also compared between these two groups one year after recovery.Rtaults The Fugl-Meyer score before nursing care was 65 points without significant difference between two groups(P＞0.05);after care the experimental group Was 145 points,while the control group 90 points,with statistically significant difference compared with each other(P＜0.05).The incidence of children with disability one year later was signifieantlylower than the that of control group(P＜0.05).conclusion The clinical nursing care path mode can efiectively restore the corresponding function of children with severe encephalitis,reduce their disabilitv rates,and improve their quality of life.     

痛风消汤治疗急性痛风性关节炎36例临床观察

Objective To observe the effect of self mading Tongfengxiao decoction in treatment of acute gouty arthritis. Methods 69 patients were randomly divided into two groups. In the control group,33 patients were given diclofenac sodium sustained-release capsules and allopurinol treatment;In treatment group ,36 patients were given to the self mading Tongfengxiao decoction in addition to the western medicine received by the control group. The two groups were all treated for 14 days. Results The total effective rate was 94.4% for treatment group and 87.8% for control group respectively. Therefore, the difference of treatment effect between twp groups was significant ( P ＜0. 05 ) ;Also, the treatment group performed better than control group in term of reducing serum uric acid( P ＜ 0. 05).Conclusion The treatment of Tongfengxiao decoction combined western medicine for acute gouty arthritis had a good synergistic effect, and could reduce serum uric acid and improve clinical symptoms.