中药活血化淤法改善脑出积压患者运动功能疗效观察

Background:Disability rate following brain hemorrhage is high.Rcovery and improvement of movement function is closely related to management of brain hemorrhage during acute phage,absorption of hematoma.According to traditional medicine principle,Chinese drugs promote absorption and functional recovery through promoting blood circulation by removing blood stasis.The Chinese drugs are safe in clinic     

神蜂精刮痧治疗周围性面瘫42例

Background: Peripheral facial paralysis is a common disease with facial nerve paralysis, facial mimetic muscle dyscinesia, and deviation of the eye and mouth. It is commonly considered that peripheral facial paralysis might be correlated with virus infection, rheumatism, ischemia, immunity. Pathological changes included edema, denaturation, atrophy, and ischemia of facial nerve. In traditional Chinese medicine, peripheral facial paralysis is caused by stagnation of qi and blood, malnutrition of channels and vessels, and cizhongbusou. Curing rheumatism, warming yang and supplementing qi, relaxing stagnation, regulating qi and blood should be emphasized in treatment. Guasha belongs to massage and is characterized by easy operation, and reliable therapeutic effect. Guasha can stimulate nerve strongly, improve metabolism, and enhance immunity and promoting blood circulation. " Head is the center of all yangs" . According to principle of acupoint selection along channels, guasha of channels distributed in neck, shoulder, hand, and region with yang channels of hand and foot, in combination with external wasp cream with antiinflammation and removing stagnation, self local massage,and functional exercise of facial muscles are effective in improving blood circulation of head and face,remove edema of facial nerve,promote recovery of facial muscles.     

Treatment of facial peripheral paralysis with wasp cream guasha in 42 cases

Peripheral facial paralysis is a common disease with facial nerve paralysis,facial mimetic muscle dyscinesia,and deviation of the eye and mouth.It is commonly considered that peripheral facial paralysis might be correlated with virus infection,rheumatism,ischemia,immunity.Pathological changes included edema,denaturation,atrophy,and ischemia of facial nerve.In traditional Chinese medicine,Peripheral facial paralysis is caused by stagnation of qi and blood,malnutrition of channels and vessels,and cizhongbusou.Curing rheumatism,warming yang and supplementing qi,relaxing stagnation,regulating qi and blood should be emphasized in treatment.Guasha belongs to massage and is characterized by easy operation,and reliable therapeutic effect.Guasha can stimulate nerve strongly,improve metabolism,and enhance immunity and promoting blood circulation.“Head is the center of all yangs”.According to principle of acupoint selection along channels,guasha of channels distributed in neck,shoulder,hand,and region with yang channels of hand and foot,in combination with external wasp cream with antiinflammation and removing stagnation,self local massage,and functional exercise of facial muscles are effective in improving blood circulation of head and face,remove edema of facial nerve,promote recovery of facial muscles.     

高压氧辅助治疗青年人心肌缺血398例

Background: Main causes of youth myocardial ischemia are smoking and hypercholesterolemia, which leads to disorder of collateral circulation, increase of cardiac accidence and coronary atherosclerosis. Hypoxia is easy to happen because thick of sclerotic vessels wall nearly reaches the maximal diffuse distance in this tissue. CO in cigarettes can lead to hypoxia and myocardial ischemia. After use of hyperbaric oxygen, blood fat decrease, incidence of coronary atherosclerosis decreases apparently. And it promotes myocardial hypoxia and metabolism, increases myocardial contraction and promotes heart function, thereby decrease incidence of angina, myocardial infarction and sudden death.     

血液流变学异常与高血压和脑梗死发生、转归的相关性

Background:Increased blood pressure in hypertension is related to vessels resistance,cardiac output,as well as blood viscosity.Stroke is common following hypertension.A number of studies reported that abnormal blood rheology was frequent in stroke suggesting correlation of blood rheology with onset,development,recovery of hypertension.Hypertension is the most one of independent risk factors of stroke.In the current paper,we investigated pathogenesis and development of hypertension and cerebral infarction to provide principle foundation for early prevention and treatment of cerebral infarciton.     

前列地尔对突发性耳聋听力恢复的效果分析

BACKGROUND: Sudden deafness means sudden unknownneural deafness, which exact cause has not been found. And theroutine treatment adopts low molecular dextran and power mixtureand usually has a long course of treatment. Alprostadil useslipo-microball as carrier and does not easily lose activity and has theproper of distributing to injured blood vessehs, so brings into fullplay in dilating blood vessels and inhibiting gathering of bloodplatelet, which is used for curing sudden deafness.     

脱细胞异体真皮加自体薄皮复合移植减少瘢痕形成

BACKGROUND:Autogenous skin graft is a common method in treatment of deep burn,late survive effect of grafted skin flap is directly related to its thickness.In clinic,therapeutic effect of full thickness graft is the best.However,due to large skin providing area that can't be sutured directly and survive rate of graft at infected wound surface is very low,its clinical application is limited,especially in deep burn with large area.This study is to search a best material repairing wound surface of deep burn,reduce proliferation of scar and protect limbs function.     

Compound graft with acellular exoge-nous dennis and autogenous thin skin reducing formation of scar

BACKGROUND: Autogenous skin graft is a common method in treatment of deep bum, late survive effect of grafted skin flap is directly related to its thickness. In clinic, therapeutic effect of full thickness graft is the best. However, due to large skin-providing area that can't be sutured directly and survive rate of graft at infected wound surface is very low, its clinical application is limited, especially in deep burn with large area. This study is to search a best material repairing wound surface of deep burn, reduce proliferation of scar and protect limbs function.     

腰椎间盘突出症术后康复治疗

Background:Now,transcutaneous lumbar removal of vertebral disc,a kind of effective treatments for prolapse of lumbar intervertebral disc is widely used in clinic .Postoperative rehabilitation training has been recepted in clinic. Objective:In order to strengthen stability of spine,oppression and stimulation for nerve root were removed. Unit:General Hospital of Shenyang Military Region.     

脑超声扫描仪及生物电反馈对颅脑损伤后持续性植物状态的康复作用

BACKGROUND: Persistent vegetable state(PVS) means a special vegetable state. Brain ultrasonic wave scaning apparatus can improve the activity of enzyme, strenthen the permeability of cellular membrane and stimulate peripheral nerve to expand cerebral blood vessels. It also can add brain emtabolism, increase cerebral blood quantity and benefit the building of collateral circulation.     

四肢血管损伤的急诊诊断与治疗(附73例报告)

目的：提高对四肢血管损伤的诊断水平。方法：对14年间收治的四肢主要动脉损伤73例进行分析。结果：切割、刺伤55例,闭合性损伤18例。急诊明确诊断59例。47例行对端吻合或自体静脉移植,43例成功。漏诊3例,截肢6例。结论：对四肢血管伤应高度警惕．及时诊断。应用多参数监护仪进行伤肢脉搏波血氧测定有助于早期诊断动脉损伤,能动态监护肢体血供,使用方便,诊断准确。主张及时作探查及血管修复手术治疗。     

Microvenous Reflux in the Skin of Limbs with Superficial Venous Incompetence

This study investigated whether microvenous reflux can be detected in limbs with chronic venous disease using superb microvascular imaging (SMI) and colour Doppler imaging. Participants with venous disease (limbs, n?=?26) and without venous disease (limbs, n?=?10) were studied. The skin in the medial gaiter region was imaged using both SMI and colour Doppler to identify reflux in the small vessels in response to distal augmentation. The diameters and depths of responsive vessels were measured. In limbs with venous disease, reflux in response to provocation was visualised with SMI in a greater number of vessels (12/26 versus 4/26) and smaller vessels than with colour Doppler. Reflux in the superficial skin veins was demonstrated in one control participant (1/10) using SMI and in none using colour Doppler (0/10). Our study indicates that microvenous reflux is demonstrable in limbs with venous disease and that SMI is more sensitive than colour Doppler.     

不同运动方式对老年糖尿病下肢血管病变血流的影响

目的　研究运动对 2型糖尿病下肢血管病变 (LEADDP)下肢血流的影响。方法　入选研究对象 3 0例老年LEADDP患者分别进行 10min伯格 -艾伦运动体操及 10min体操加 2 5m/min低强度步行 10min运动治疗 ,对 2种急性负荷运动治疗后下肢血管血液循环改善情况进行自身对照分析。结果　体操结合步行与单纯体操比较运动后即刻及 15、3 0、60min足背动脉收缩压与肱动脉收缩压之比 (API)统计学差异明显。体操结合步行运动后即刻与单纯体操后即刻及 15min足背动脉平均血流速度 (MN)比较统计学差异明显。结论　低强度且保证一定运动量的下肢功能锻炼能短期内增进肢体血液循环 ,体操结合步行的方式效果好于单纯体操 ,长期效果有待进一步观察。     

气血循环机配合中药足浴治疗糖尿病足43例效果观察

目的:探讨气血循环机配合中药足浴治疗糖尿病足的疗效.方法:将80例糖尿病足患者随机分为治疗组43例与对照组37例,治疗组给予气血循环机配合中药足浴,对照组只用热水浸泡,疗程15～30d.结果:治疗组总有效率为86.05%,对照组总有效率为29.73%,两组比较有显著性差异(P＜0.05);治疗组神经电生理检查、下肢血管B超均明显优于对照组(P＜0.01).结论:气血循环机足部按摩配合中药足浴治疗糖尿病足疗效确切,值得推广.     

四肢血管损伤48例分析

本文报道我院近20年来收治的48例四肢主要血管损伤处理体会,42例按不同的损伤程度分别采用端—端吻合,大隐静脉及人造血管移植等方法重建血循,成功率97.6%,6例截肢,1例死亡.作者强调早期诊断和及时处理,就诊断和治疗中的经验和教训作了总结.     

异体骨复合带血管腓骨重建骨肿瘤切除后大段骨缺损的护理

目的 观察评价带血管腓骨复合异体骨重建长骨恶性肿瘤切除后骨缺损的临床护理方法的效果.方法 对本科19例四肢长骨恶性骨肿瘤患者行保肢手术,肿瘤切除后骨缺损采用带血管自体腓骨复合大段异体骨进行重建,给予正确的围手术期护理和科学的患肢功能锻炼,总结围手术期护理经验.结果 19例患者术后恢复情况均良好,移植腓骨均成活,异体骨与宿主骨愈合良好,未发生感染及骨不连,随访11～46个月,术后MSTS功能评价上肢平均95.2％,下肢平均91.8％.结论 带血管自体腓骨复合异体骨可用于四肢长骨恶性肿瘤切除后骨缺损的重建,正确的围手术期护理和科学的患肢功能锻炼,对于提高手术疗效以及最大限度地改善患肢功能具有重大意义.     

指背逆行皮瓣修复手指远端软组织缺损的应用研究

目的研究手指远端软组织缺损使用指背逆行皮瓣修复的应用价值。方法尸体手4只，死婴手6只，经乳胶血管灌注，观察手指的动脉、静脉分布。在尸体手指背侧设计10个逆行皮瓣，蒂部在手指远端的一侧，皮瓣范围3cm×1．5cm，将泛影葡胺加墨汁加压注入桡动脉，肉眼观察皮瓣的颜色变化，X线造像观察皮瓣内血管显影情况。在手指解剖学研究的基础上，对22例手指烧伤、外伤患者，应用了27个指背逆行皮瓣修复手指远端皮肤缺损伴有肌腱、指骨、指关节外露创面，皮瓣范围（1—5．5）cm×（1—3）cm，长宽比例（1—2．5）：1。结果解剖学研究见手指动脉间有多方位、层次交错的吻合，静脉间相互吻合成网，保证了手指的血液供应和静脉回流。指背逆行皮瓣的蒂部可见有指掌侧固有动脉的分支，灌注后可见皮瓣内静脉即刻充盈黑染，说明实验皮瓣已完成“血液”从动脉-毛细血管-静脉的循环过程，皮瓣X线造像显示整体透光度减低，皮瓣内有血管显影。本组临床移植的27个皮瓣全部成活，随诊6—12个月，远期效果满意。结论指背逆行皮瓣的血液供应来源于指掌侧固有动脉的分支，皮瓣内有丰富的静脉并与指腹僻静脉形成网状交通，保证了皮瓣的血液回流。指背逆行皮瓣可以较好地满足手指远端皮肤软组织缺损修复的需要，特别是对手指远端、小指末节尺侧、拇指末节桡侧等使用局部皮瓣修复困难的部位。     

手外伤术后末梢血液循环障碍高压氧治疗的护理

目的探讨高压氧治疗手外伤术后末梢血液循环障碍的效果和护理经验。方法对58例手外伤术后患肢（指）末梢存在或可能出现血液循环障碍患者，在高压氧治疗期间，做好心理护理，患肢末梢血液循环的观察，高压氧副作用的观察，患肢局部护理等。结果58例手外伤术后末梢血液循环障碍患者，经高压氧治疗和护理后，54例末梢血液循环恢复正常。4例末梢血液循环有改善，但局部出现皮肤或手指中、末坏死。治疗有效率为93．1％。结论手外伤术后给予高压氧治疗对改善患肢（指）末梢血液循环障碍，提高手术成功率，促进患者术后康复具有积极的意义。     

彩色多普勒超声显像对下肢皮瓣移植选择的应用

目的应用彩色多普勒血流成像技术（CDFI）对下肢皮瓣移植术前供区血管进行检测,掌握血管的来源走行、分布规律、体表的定位及血流动力学特点,为皮瓣设计提供依据。方法 2005年1月-2009年7月,采用CDFI技术对38例下肢皮瓣内深部动脉干及其肌皮穿支动脉血管的数目、内径、走行方向及分布范围等形态学表现进行检测和血流动力学定量分析。结果检出供区皮瓣内深部动脉干38条,肌皮穿支动脉72条。手术所见与此一致。38例皮瓣全部成活。结论 CDFI显像客观,简便易行,判断血管走行及功能可靠,能够准确测定下肢血管穿出部位和血管内径,对临床皮瓣设计,具有重要参考价值。     

B-Flow技术在尿毒症患者人工造瘘血管监测的应用价值

目的 探讨二维血流显示（B-Flow)技术在肾衰血透患者动静脉瘘中的应用价值。方法 本文对31例尿毒症患者人工动静脉瘘进行超声检查,分别采用CDFI、PDI和B-Flow三种模式显示瘘口和动静脉侧血管情况,郑重观察吻口和动静脉侧血管形态、管壁情况以及管腔内血流显示情况。并进行血流动力学检测。结果 本组病例共３例检查对象,端端吻合２例,人造血管吻合３例,吻合口平均内径５mim。吻合口狭窄６例、血栓形成４例。Ｂ－Ｆlow技术能同时清晰显示血流和邻近背景组织。与ＣＤＦＩ、ＰＤＩ结合使用可提高异常图像显示率。Ｂ－Ｆlow与ＣＤＦＩ、ＰＤＩ比较,具有更高帧频、高分辨力和全景显示功能。结论 B-Flow技术是监测血透患者治疗过程中造瘘血管善的有效的辅助检测手段之一。动静脉瘘主要并发症是吻合口狭窄、静脉段瘤样扩张和血栓形成。