红外线照射联合青霉素G钠治疗下肢丹毒28例临床疗效观察

目的:观察红外线照射联合青霉素G钠治疗下肢丹毒的临床疗效。方法:将2009年1月~2011年6月在我院治疗的下肢丹毒患者55例随机分为两组,治疗组28例,对照组27例。对照组采用静脉滴注青霉素G钠及患处外敷硫酸镁,治疗组采用静脉滴注青霉素G钠联合红外线患处照射。结果:临床疗效比较,治疗组优于对照组(P<0.05)。结论:在青霉素G钠治疗基础上辅以红外线患处照射对丹毒临床疗效显著,可缩短疗程,值得临床推广应用。     

中西医结合治疗下肢丹毒28例疗效观察

目的探讨使用中西医结合治疗下肢丹毒的临床疗效。方法选取2010-11—2012-11我院中医科诊治的丹毒患者56例,按随机数字法分为治疗组28例和对照组28例。其中治疗组在西医药物治疗的同时服用中药进行治疗,而对照组仅以西医治疗方法进行治疗。10 d为1个疗程,2个疗程观察疗效。结果治疗组总有效率92.9%,对照组为67.9%,两组比较治疗组显著高于对照组(P0.05),两组患者在治疗期间均未出现任何明显不良反应。结论运用中西医疗法治疗下肢丹毒可有效缓解临床症状,同时能够进行综合调理,显著提高疗效,且根治率较高,值得临床推广应用。     

中药塌渍结合静滴抗生素治疗下肢丹毒临床观察

目的:观察自拟中药方塌渍结合静滴抗生素治疗下肢丹毒的疗效。方法:选取符合标准的下肢丹毒患者60例,随机分为对照组和治疗组各30例,对照组予以基础治疗及静滴抗生素治疗,治疗组在对照治疗基础上予以自拟方中药塌渍,治疗2周后,对比炎症指标(白细胞计数,C反应蛋白)及症候积分变化,评估临床疗效。结果:治疗组痊愈16例、显效8例、有效5例、无效1例,对照组为7、14、7、2例,治疗组显著优于对照组(P0.05)。治疗组改善患者白细胞计数、C反应蛋白较对照组更显著(P0.05,P0.01)。治疗组改善患者中医症候积分优于对照组(P0.01)。结论:中药塌渍结合抗生素治疗下肢丹毒患者疗效更显著,改善患者的临床症状,降低炎性指标的表达。     

肤平散外敷治疗下肢丹毒的临床观察

摘要：目的 探讨使用肤平散外敷治疗下肢丹毒的临床疗效。方法 选取2017年8月～2022年8月于我院住院下肢丹毒患者病例共60例,按随机数字法分为治疗组30例和对照组30例,两组均予抗生素常规治疗,同时治疗组予肤平散外敷,对照组予硫酸镁溶液湿敷,连续治疗7天。通过观察两组患者治疗前后的症状体征积分、炎症指标（WBC、NEUT%、CRP）变化,以及治疗后总有效率和治愈率来评估其临床疗效,同时记录治疗期间不良反应及并发症情况来评估其安全性。结果 治疗后,治疗组总有效率为100%（30/30）大于对照组总有效率93.3%（28/30）（P＜0.05）;治疗组治愈率43.3%（13/30）高于对照组16.7%（5/30）（P＜0.05）;治疗后两组症状体征积分包括肤色、肿胀程度、肤温、疼痛积分均有所下降,且治疗组改善情况明显优于对照组（P＜0.05）;治疗后炎症指标包括WBC、NEUT%、CRP值均下降,治疗组下降幅度大于对照组（P＜0.05）;两组均未见有不良反应事件发生。结论 肤平散外敷治疗下肢丹毒有良好的抗炎镇痛、抑菌消肿的作用,能很好的改善患者临床症状、促进炎症消退,缩短病程,且安全性高,值得我们在临床上进一步推广使用。     

芳香宣透法联合熏灸治疗下肢丹毒急性期的临床观察

目的：观察芳香宣透法联合熏灸治疗下肢丹毒急性发作的临床疗效。方法：将符合纳入标准的72例下肢丹毒患者随机分成治疗组和对照组,每组各36例,对照组使用青霉素静脉滴注治疗,治疗组在对照组基础上加用五香连翘汤联合熏灸,均以14d为观察疗程。结果：治疗组患者治愈率较对照组高（P<0.05）,治疗组改善患者中医症候积分优于对照组（P<0.05）,治疗组改善患者白细胞计数、C反应蛋白较对照组更显著（P<0.05）,且未出现毒性和明显不良反应。结论：芳香宣透法联合熏灸可以提高下肢丹毒的治愈率,在改善临床症状、控制炎症反应、提高治愈率等方面具有优势,值得临床进一步推广应用。     

红外偏振光治疗疼痛性疾病的疗效观察

应用北京柏尔医用设备有限公司研制的BPM-Ⅲ型红外偏振光治疗仪,对各种急、慢性疼痛性疾病128例进行治疗观察,总有效率95.3%。     

如意金黄散外敷治疗下肢丹毒的效果观察

目的:探讨如意金黄散外敷治疗下肢丹毒的效果。方法:将48例下肢丹毒患者随机分为对照组和治疗组各24例。对照组单用阿莫西林舒巴坦钠静脉输入,治疗组在阿莫西林舒巴坦钠静脉输入的同时采用如意金黄散外敷。比较两组患者的疗效。结果:治疗组患者的疗效优于对照组(P<0.05),疼痛缓解时间、肿胀缓解时间短于对照组(P<0.05)。结论:如意金黄散外敷治疗丹毒具有安全、无副作用、起效快、疗效确切、疗程短等特点,值得临床推广应用。     

中西医结合治疗丹毒的临床效果观察

正丹毒是一种由A族B型溶血性链球菌经黏膜或皮肤局部破损处入侵网状淋巴管所引起的急性炎症。一般发生于下肢,机体免疫功能下降时发生。本病起病急、蔓延快,有红、肿、痛、热等特点,伴有程度不同的全身症状[1]。本院采用中西医结合治疗丹毒,疗效显著,现报告如下。1资料与方法1.1一般资料2014年6月—2015年6月我院共收治15例病人,其中男10例,女5例;年龄38岁~87     

金黄散醋调外敷治疗下肢丹毒效果观察

目的:观察醋调金黄散外敷治疗下肢丹毒的疗效,并制定相应护理措施。方法:将入选符合标准的41例丹毒患者,随机分成观察组21例,对照组20例,对照组常规治疗,观察组在常规治疗的基础上加用醋调金黄散外敷,15天后比较2组患者的疗效。结果:观察组的治愈率、治愈时间明显优于对照组,经统计学处理,具有显著性意义(P0.05)。结论:采用醋调金黄散外敷能大大提高下肢丹毒的临床治疗效果。     

中药贴敷联合红光照射治疗下肢丹毒的效果观察及护理

目的 观察中药贴敷联合红光治疗下肢丹毒的疗效。 方法 将住院的116例下肢丹毒患者随机分为治疗组59例和对照组57例。治疗组应用中药贴敷联合红光照射治疗下肢丹毒,对照组仅选择红光照射治疗下肢丹毒。 结果 治疗组治疗有效率达77.97%,明显高于对照组45.61%。 结论 中药贴敷联合红光照射治疗下肢丹毒见效快,不良反应少而轻,无明显副作用,患者易于接受。     

鸡蛋清加红外线照射用于大便失禁所致褥疮的疗效观察

[目的 ]观察鸡蛋清涂擦治疗大便失禁所致褥疮的疗效。[方法 ]选择大便失禁所致Ⅱ度、Ⅲ度褥疮病人 84例 ,随机分组 ,实验组给予鸡蛋清外涂加红外线照射 ,对照组采用双料喉风散加红外线照射 ,观察愈合时间和治疗 5d的有效率。 [结果 ]实验组Ⅱ度、Ⅲ度褥疮愈合时间明显短于对照组 ,5d的有效率实验组为10 0 % ,对照组分别为 48.0 %和3 6.8% ,两组相比 ,具有统计学意义 (P <0 .0 5 )。 [结论 ]鸡蛋清加红外线照射用于大便失禁所致的褥疮 ,效果优于双料喉风散加红外线照射法。     

牵引结合红外偏振光穴位照射治疗椎动脉型颈椎病的疗效观察

目的探讨采用牵引结合红外偏振光穴位照射治疗椎动脉型颈椎病(CSA)的疗效。方法 80例CSA患者随机配对分为治疗组(40例)和对照组(40例),治疗组采用牵引结合红外偏振光穴位照射治疗,对照组单用牵引治疗,2个疗程后分别对两组的治疗疗效作出比较。结果治疗组的治愈显效率(87.5%)明显高于对照组(62.5%),经统计学比较,差异有统计学意义(P<0.05),治疗组疗效优于对照组。结论采用牵引结合红外偏振光穴位照射治疗CSA疗效显著,值得临床推广应用。     

Flucloxacillin alone or combined with benzylpenicillin to treat lower limb cellulitis: a randomised controlled trial

Objective: To determine whether using intravenous benzylpenicillin in addition to intravenous flucloxacillin would result in a more rapid clinical response in patients with lower limb cellulitis.

Methods: This was a randomised controlled trial set in an inner city teaching hospital, comprising 81 patients with lower limb cellulitis requiring intravenous antibiotics. The main outcome measure was the mean number of doses of antibiotic required until clinical response.

Results: The mean number of doses required was 8.47 (95% confidence interval (CI) 7.09 to 9.86) in the benzylpenicillin and flucloxacillin combined group. In the flucloxacillin only group it was 8.71 doses (95% CI 6.90 to 10.5), a mean difference of –0.24 doses (95% CI –2.48 to 2.01, p = 0.83). Other markers of treatment efficacy showed no difference between groups at review the following day; temperature decrease (mean difference –0.07°C, 95% CI –0.76 to 0.62, p = 0.84), or diameter decrease of affected area (mean difference –34 mm, 95% CI –99 to 31, p = 0.30). Patient subjective assessments were also similar between the different drug regimen; improvement on a visual analogue scale of pain/discomfort from admission to first review (mean difference 10 mm, 95% CI –12.6 to 14.2, p = 0.91) and on second review (mean difference 15 mm, 95% CI –18.6 to 21.6, p = 0.88). Patient overall subjective feelings of improvement on first review (p = 0.32) and on second review (p = 0.64) were also similar.

Conclusions: This study provides no evidence to support the addition of intravenous benzylpenicillin to intravenous flucloxacillin in the treatment of lower limb cellulitis.

     

电离子加深部X线照射治疗瘢痕疙瘩的效果观察

瘢痕疙瘩是皮肤组织受外伤后结缔组织超常增生所致的良性肿瘤.如何抑制纤维细胞的增殖,防止瘢痕疙瘩复发,是当今医学界研究的热点之一,常用治疗方法有手术切除、机械磨削、单纯激光烧灼、激素局部封闭、单纯放射、冷冻、中医药等.我院采用电离子加深部X线照射治疗瘢痕疙瘩,取得了显著疗效.现报告如下.……     

电离子加深部X线照射治疗瘢痕疙瘩的效果观察

瘢痕疙瘩是皮肤组织受外伤后结缔组织超常增生所致的良性肿瘤。如何抑制纤维细胞的增殖，防止瘢痕疙瘩复发，是当今医学界研究的热点之一，常用治疗方法有手术切除、机械磨削、单纯激光烧灼、激素局部封闭、单纯放射、冷冻、中医药等。我院采用电离子加深部X线照射治疗瘢痕疙瘩，取得了显著疗效。现报告如下。     

Return to work after lower limb amputation

This study investigated the proportion of patients who returned to work following amputation and the factors that influenced a positive or negative outcome. One hundred patients of working age who had sustained unilateral lower limb amputation at least 1 year previously and who were established prosthesis users participated in the study. A specially designed questionnaire similar to a guided interview was administered by the rehabilitation physician at the patients' routine follow-ups. The questionnaire yielded a unique score dependent on whether return to work (or a different or preferred occupation) had been achieved with good or reduced productivity. All patients were eligible for mobility benefit, including schemes to purchase suitably adapted vehicles if necessary. However, no vocational rehabilitation was available. Sixty-six per cent of patients returned to employment and this was related to mobility, time since amputation and Handicap Scale scores. Age, socket comfort, level and cause of amputation, type of previous work or the presence of other medical problems did not differ between those who did and did not return to work. The Employment Questionnaire showed good correspondence with the London Handicap Scale, indicating some concurrent validity, although future development might include consideration of psychological factors, which could explain more of the reasons for continued unemployment.     

Return to work after lower limb amputation

Purpose. To review the literature on return to work after lower limb amputation.

Method. A comprehensive review of literature on return to work after lower limb amputation was carried out, searching MEDLINE and PubMED.

Results. Most authors found return-to-work rate to be about 66%. Between 22 and 67% of the subjects retained the same occupation, while the remainder had to change occupation. Post-amputation jobs were generally more complex with a requirement for a higher level of general educational development and were physically less demanding. The return to work depends on: general factors, such as age, gender and educational level; factors related to impairments and disabilities due to amputation (amputation level, multiple amputations, comorbidity, reason for amputation, persistent stump problems, the time from the injury to obtaining a permanent prosthesis, wearing comfort of the prosthesis, walking distance and restrictions in mobility); and factors related to work and policies (salary, higher job involvement, good support from the implementing body and the employer and social support network).

Conclusions. Subjects have problems returning to work after lower limb amputation. Many have to change their work and/or work only part-time. Vocational rehabilitation and counselling should become a part of rehabilitation programme for all subjects who are of working age after lower limb amputation. Better cooperation between professionals, such as rehabilitation team members, implementing bodies, company doctors and the employers, is necessary.     

Return to work after lower limb amputation

Purpose. To review the literature on return to work after lower limb amputation.

Method. A comprehensive review of literature on return to work after lower limb amputation was carried out, searching MEDLINE and PubMED.

Results. Most authors found return-to-work rate to be about 66%. Between 22 and 67% of the subjects retained the same occupation, while the remainder had to change occupation. Post-amputation jobs were generally more complex with a requirement for a higher level of general educational development and were physically less demanding. The return to work depends on: general factors, such as age, gender and educational level; factors related to impairments and disabilities due to amputation (amputation level, multiple amputations, comorbidity, reason for amputation, persistent stump problems, the time from the injury to obtaining a permanent prosthesis, wearing comfort of the prosthesis, walking distance and restrictions in mobility); and factors related to work and policies (salary, higher job involvement, good support from the implementing body and the employer and social support network).

Conclusions. Subjects have problems returning to work after lower limb amputation. Many have to change their work and/or work only part-time. Vocational rehabilitation and counselling should become a part of rehabilitation programme for all subjects who are of working age after lower limb amputation. Better cooperation between professionals, such as rehabilitation team members, implementing bodies, company doctors and the employers, is necessary.     

外伤后右下肢上皮样血管肉瘤1例报道及文献复习

病例 3年前被螺壳割伤右足部，伤口流血，行走不利，当时无麻木、足趾活动受限等不适，伤后未作任何处理，逐渐形成一包块后就诊，诊断为“右足异物残留并感染”，给予手术清创治疗，出院后仍有一创面遗留。自行外敷中草药治疗，伤口疼痛、化脓等症状逐渐加重并形成一肿物。查体：右足内侧可见大小约12cm×8cm创面，创缘不整，有大量脓性分泌物，恶臭，无明显渗血，肉芽生长向外突出明显，呈菜花状，压痛，右足各趾活动可，右足背动脉搏动好，右腹股沟可触及多个肿大淋巴结，最大直径约3cm，右胭窝可触及直径约2cm肿大淋巴结。压痛，淋巴结可移动，与皮肤无粘连，皮肤表面无破溃。