加味补肾活血汤联合艾灸大椎穴治疗肾精亏虚型血管性痴呆的研究

目的 探讨加味补肾活血汤联合艾灸大椎穴治疗肾精亏虚型血管性痴呆(VD)的疗效.方法 选取2020年2月-2020年11月就诊的88例肾精亏虚型VD患者,采用随机数字表法分为两组,各44例.对照组在常规治疗的基础上用加味补肾活血汤治疗,观察组在对照组的基础上加用艾灸大椎穴治疗,两组均连续治疗7周.比较治疗前、治疗7周两组的中医证候积分及简易精神状态检查表(MMSE)评分.结果 治疗7周,两组中医证候积分较治疗前低,观察组低于对照组,差异有统计学意义(P＜0.05);治疗7周,两组MMSE评分高于治疗前,观察组较对照组高,差异有统计学意义(P＜0.05).结论 肾精亏虚型VD患者采取加味补肾活血汤、艾灸大椎穴联合治疗可减轻临床症状,恢复认知能力.     

益气活血化痰通络汤治疗急性脑梗死64例疗效分析

目的:探讨益气活血化痰通络汤治疗急性脑梗死的临床效果.方法:将我院收治的64例急性脑梗死患者,随机分为对照组和观察组.对照组采用常规治疗,观察组采用益气活血化痰通络汤治疗.分析治疗效果,神经功能缺损程度评分改善情况.结果:经治疗后,对照组总有效率71.9%,观察组总有效率93.8%.观察组总有效率显著高于对照组,差异有统计学意义(P＜0.05).观察组与对照组治疗前神经功能缺损程度评分经统计学分析,差异无统计学意义(P＞0.05).观察组治疗后神经功能缺损程度评分显著优于对照组,差异有统计学意义(P＜0.05).结论:采用益气活血化痰通络汤治疗急性脑梗死,疗效优于常规治疗.治疗后患者神经功能缺损程度评分显著优于常规治疗,使用方便,值得临床推广应用.     

全真一气汤合并失笑散联合常规西药治疗冠心病心绞痛的应用价值分析

目的 探讨全真一气汤合并失笑散联合常规西药在冠心病心绞痛患者治疗中的应用价值.方法 选取2014年2月-2015年3月于张家口市建国医院和阳原县中医院住院治疗的冠心病心绞痛患者128例,并以随机分组的形式分为对照组和试验组,每组64例.对照组进行口服常规西药阿托伐他汀钙胶囊、硫酸氢氯吡格雷及消心痛治疗;试验组在对照组基础上使用全真一气汤合并失笑散治疗,2组治疗时间均为25 d.观察对比2组治疗前后疗效、中医症候疗效、心绞痛次数、血液检测指标以及心电图改善情况.结果 与对照组相比,试验组患者治疗总有效率明显较高,差异具有统计学意义(P＜0.01);试验组患者治疗后中医症候明显高于对照组,差异有统计学意义(P＜0.05);2组患者治疗后心绞痛发作次数均存在不同程度减少、血液各项指标均有所改善,且试验组患者较对照组患者更为明显,差异有统计学意义(P＜0.05);试验组心电图改善明显优于对照组,差异有统计学意义(P＜0.05).结论 全真一气汤合并失笑散联合常规西药治疗冠心病心绞痛效果显著,值得在临床中进一步推广使用.     

白内障患者手术前后干眼的临床研究

目的 观察白内障患者手术前后干眼的发展情况.方法 分析2016年1月-2016年8月进行白内障手术的78例患者临床资料,观察对比手术前后干眼症状改善情况.结果 白内障手术后第1d、7d、20 d患者干眼症状(干涩感、异物感、眼红、畏光、视疲劳)评分明显高于术前,差异有统计学意义(P＜0.05);术后术后第1d、7d、20 d患者泪膜破裂时间(BUT)、泪液分泌试验(Schirmer试验)、角膜荧光染色评分明显高于术前,差异有统计学意义(P＜0.05);术后60d患者BUT、Schirmer试验、角膜荧光染色评分与术前对比,差异无统计学意义(P＞0.05).结论 白内障患者手术会诱发或加重干眼症,会使患者泪膜功能在短期受到影响,术后应给予有效的治疗和预防,以促进患者的康复.     

艾司西酞普兰联合认知行为治疗抑郁症患者的临床效果与安全性探讨

目的：探讨艾司西酞普兰联合认知行为治疗抑郁症患者的临床疗效及安全性。方法选取收治的抑郁症患者作为研究对象共44例,将患者随机分为对照组和观察组,两组各纳入患者22例,对照组患者给予艾司西酞普兰进行治疗,观察组在艾司西酞普兰的基础上加以认知行为治疗,比较两组患者治疗前后HAMD、GQOLI、TESS量表评分情况。结果①两组患者治疗后HAMD及GQOLI评分均有显著改善,差异有统计学意义（ P＜0.05）,观察组患者治疗后的HAMD及GQOLI评分显著优于对照组患者,差异有统计学意义（P＜0.05）;②观察组的TESS评分显著低于对照组,两组间差异有统计学意义（ P＜0.05）。结论艾司西酞普兰联合认知行为治疗对抑郁症患者临床效果较好,提高患者生活质量,不良反应轻微。     

噻托溴铵联合布地奈德福莫特罗粉吸入剂治疗慢性阻塞性肺疾病急性加重期的临床疗效观察

目的:观察噻托溴铵联合布地奈德福莫特罗粉吸入剂治疗慢性阻塞性肺疾病急性加重期的临床治疗效果.方法:选择我院2014年2月～2017年2月收治的68例慢性阻塞性肺疾病急性加重期患者作为研究对象,根据随机数字法将68例患者分成两组,其中34例患者仅应用噻托溴铵治疗设作对照组,另外34例患者在对照组治疗基础上增加布地奈德福莫特罗治疗,比较两组治疗效果.结果:对比两组1秒用力呼气容积(FEV1),最大呼气流速(PEF)与FEV1预计百分比,观察组疗效优于对照组,两组对比差异有统计学意义(P＜0.05);对比两组生活质量评分,观察组优于对照组,两组对比差异有统计学意义(P＜0.05);两组用药后均未见明显的不良反应.结论:噻托溴铵联合布地奈德福莫特罗粉吸入剂治疗慢性阻塞性肺疾病急性加重期疗效理想,可以明显改善患者的肺功能和生活质量,值得推广应用.     

少腹逐瘀颗粒治疗放疗相关盆腔纤维化的临床疗效观察

目的 分析少腹逐淤汤颗粒治疗放疗相关盆腔纤维化的临床疗效.方法 选取2018年3月-2021年1月收治的放疗相关盆腔纤维化患者80例,按照组间基本特征具有可比性的原则分为对照组(40例)与实验组(40例),对照组选择布洛芬口服治疗,实验组则选择少腹逐淤颗粒治疗,观察比较临床疗效.结果 相比于对照组,实验组的临床总有效率明显提高(P＜0.05).治疗前两组的QLQ-C30总评分比较差异无统计学意义(P＞0.05);相比于治疗前,两组治疗后的QLQ-C30总评分均明显降低(P＜0.05),而且实验组护理后的QLQ-C30总评分明显低于对照组(P＜0.05).在不良反应发生率方面,对照组、实验组比较差异无统计学意义(P＞0.05).结论 选择少腹逐瘀颗粒对放疗相关盆腔纤维化进行治疗能取得显著的临床疗效,不但能让患者生存质量显著提高,而且具有较高的安全性.     

化湿解郁汤联合奥美拉唑与标准三联法治疗HP菌相关性胃炎的临床疗效观察

目的 探究比较化湿解郁汤联合奥美拉唑与标准三联法治疗幽门螺杆菌相关性胃炎的临床疗效.方法 研究对象选取收治的80例幽门螺杆菌相关性胃炎患者,将所有的惠者随机分为实验组和对照组,平均每组40人.采用标准三联法治疗的为对照组,采用化湿解郁汤联合奥美拉唑治疗的为观察组.观察患者治疗后的恢复情况,及治疗后不良反应的产生情况.综合各指标判断苦参碱联合化疗的临床疗效.结果 观察组和对照组患者经过不同的治疗后,在治愈人数和有效人数方面比较,对照组(13例,16例)低于观察组(22例,15例);在总有效率上比较,对照组(72.5％)低于观察组(97.5％),均有明显差异,具有统计学意义(P＜0.05).在两组患者经过治疗,出现后不良反应方面比较,观察组(1例)少于对照组(11例),有明显差异,具有统计学意义(P＜0.05).结论 相比标准三联法治疗幽门螺杆菌相关性胃炎,化湿解郁汤联合奥美拉唑具有更佳的效果,可以在临床实践上推广.     

黑光治疗银屑病的临床分析

目的：探讨黑光治疗银屑病的临床治疗效果。方法对收治的200例银屑病患者临床资料,依据治疗措施不同进行分组,对照组100例和观察组100例。观察两组银屑病患者治疗前后PASI评分情况和两组银屑病患者临床治疗效果。结果两组银屑病患者治疗前PASI评分无明显差异,P＞0.05,观察组银屑病患者治疗后PASI评分明显优于对照组,观察组银屑病患者临床治疗总有效率明显高于对照组,P＜0.05,差异均有统计学意义。结论黑光治疗银屑病患者临床症状改善明显,效果良好,值得临床推广应用。     

中药汤剂联合湿润烧伤膏治疗臁疮疗效观察

目的对比观察中药汤剂联合湿润烧伤膏治疗臁疮的临床疗效。方法将2013年8月至2017年12月黑龙江中医药大学附属第二医院收治的60例臁疮患者随机分为治疗组(30例)与对照组(30例),其中治疗组患者采用中药汤剂联合湿润烧伤膏治疗,对照组患者单纯采用湿润烧伤膏治疗,对比观察两组患者的临床疗效及证候评分变化情况。结果治疗14 d时,治疗组患者的治疗总有效率为93.3%,明显高于对照组患者的治疗总有效率56.7%,P0.05,差异具有统计学意义;治疗28 d时,治疗组患者的治疗总有效率为100%,明显高于对照组患者的治疗总有效率76.7%,P0.05,差异具有统计学意义;治疗14 d时,治疗组患者的证候评分为(16.73±3.92)分,明显低于对照组患者的证候评分(19.20±2.77)分,P0.05,差异具有统计学意义;治疗28 d时,治疗组患者的证候评分为(9.30±5.33)分,明显低于对照组患者的证候评分(12.30±4.17)分,P0.05,差异具有统计学意义。结论中药汤剂联合湿润烧伤膏治疗臁疮,可有效促进创面愈合,疗效显著,值得临床推广应用。     

Eye Injuries and Eye Protection in Sports

Numerous physiologic derangements can result when body-builders attempt to augment their muscle definition by using diuretics, potassium supplements, and dietary restrictions. A case report describes a 27- year-old male professional bodybuilder who employed these strategies and presented with profound muscle weakness and muscle cramps. He was found to have life-threatening hyperkalemia, ECG changes, mild rhabdomyolysis, and prerenal azotemia. Vigorous volume expansion and potassium-lowering maneuvers reversed the skeletal muscle and cardiac complications. The patient's symptoms resembled those of another professional bodybuilder who died after employing similar drug and diet strategies.     

Eye Injuries

In brief Sports and recreational activities brief cause many eye injuries each year, but most of these injuries could be prevented through the use of adequate eye wear. Protective equipment has virtually eliminated eye injuries in organized hockey, but baseball, basketball, and racket sport injuries continue to exact a high toll. When eye trauma does occur, a thorough, five-step first aid examination and appropriate treatment or referral can prevent long-term damage.     

Sports-Related Eye Trauma

In brief Encounters with balls, fingers, elbows are common mechanisms of eye injury in patients who participate in sports. A careful history and a systematic approach to the eye examination are important steps when diagnosing and treating eye injuries on the playing field or in the office. Seemingly minor injuries require close scrutiny because severe underlying injury may not be obvious. Patients should be encouraged to protect their eyes during high-risk activities, as this can reduce the number and severity of eye injuries.     

Eye Protection for Athletes

Eye injuries are common in the racket sports, ice hockey, and children's baseball. These experts agree that most eye injuries can be prevented if players use the appropriate protective devices.     

Eye injuries in sports

In a retrospective study from 1988 to 1998, eye injuries were found in 553 patients. Seventy-six (13.7%) of these injuries were associated with sport. The mechanism of trauma was for the most part a ball (71.1%) or a club (13.2%). Most eye injuries occurred in soccer (35.5%), which is, by far, the most widespread sport in this region of Norway. A disproportionately high number of the injuries occurred in floorball (17.1%), bandy (13.2%), and squash (10.5%). The rules in these sports may, in theory, be strict enough to prevent eye injuries in most cases. However, these rules are often neglected in informal activities. Strategies for educating the general public about the potentially serious effect of eye injuries in sports exposed to such risk are of great importance.     

Eye injury in sport

Eye injury sustained during sport is increasing in incidence worldwide, reflecting the rise in popularity of sport as recreation. It can account for up to 25% of severe eye injuries. This paper considers the historical context and demography of sports injuries, and the physical mechanisms and results of various types of ocular trauma in relation to sport. It reviews the specific problems associated with the sports considered to be most important in the epidemiology of eye injuries today. Certain sports, such as boxing, have an intrinsic risk of injury so high that some consider the sport should be banned. The risk of injury in many sports can be mitigated by changes in rules, such as the prevention of high sticking in ice hockey. Other sports with high risk of trauma could be made far safer with the widespread introduction of eye protection, and this applies especially to squash and badminton. The various types of eye protection are discussed. There is an urgent need to increase awareness of the risk of eye injury, to teach safe techniques, and to encourage the use of appropriate ocular protective wear in those at high risk of injury, especially the one-eyed.     

Eye casualties during Operation Telic

AIM: To audit all eye casualties presenting to a British Army Field Hospital during the conflict period of Operation Telic between the dates 27th March and 1st May 2003. METHOD: A retrospective analysis of entries into the attendance register and clinical notes from the Emergency Department of 34 Field Hospital. RESULTS: Forty five eye casualties were seen in the Emergency Department of 34 Field Hospital and they accounted for 2.0% of all attendances (n=2292). Of these, eye injuries were the commonest (58.7%), whilst the diagnosis of conjunctivitis was the most frequent non-traumatic presentation. A total of 6 casualties required transfer rearwards to a specialist UK facility. Of all eye casualties seen, 6 were of non-coalition status. CONCLUSIONS: Eye patients account for a significant proportion of the total number of casualties seen during the warfighting stage; only 25% of eye injuries can return to active duty, compared with 85% of all surviving wounded. Importantly, even minor eye injuries or infections can rapidly incapacitate personnel and if untreated cause permanent severe visual loss. The prompt diagnosis of ocular pathology, coupled with appropriate treatment in the field or evacuation for advanced care, can limit potential sight-threatening sequelae.