Clinical study on epilepsy following cerebrovascular disease in 178 middle-aged cases

１Subjectandmethod１．１Clinicaldata１７８middle－agedpatientssufferedfromepilepsyfollowingcerebrovasculardiseaseswererecriuitedincluding１０４males，７４femalesagedfrom２０～５９years（meanage：４８yearsold）．Amongthem，２４casesagedfrom２０～２９years，４０agedfrom３０～３９years，５４agedfrom４０～４９years，６０agedfrom５０～５９years．CTandMRIfindingsshowedischemicdamagein９６cases，hemorrhagedamagein８２cases．Lesionswerelocatedinfrontallobein４２cases，１４lesionswerelocatedintempora…     

Obsessive compulsive disorder 18 cases

Background：Obsessivecompulsivedisorder（OCD）isakindofneurosis．Itismostlythatpsychologyflawsandinadaptabilityofenvironmentbringondisturbanceofpsychology．Objective：Toevaluateeffectofpsychotherapy，medicationandbehaviortherapyonOCDin１８cases．Subject：１８patientswithOCDwereincludedinourstudyfrom１９９９，５male，１３female．８casesaged１５～２０years，６casesaged２１～３０years，４casesagedover３０years．２recallcompulsion，１associationcompulsion，１obsessivequalm，１gettingtothebotto…     

心理、行为疗法治疗慢性前列腺炎的效果分析

１Subjectandmethod１．１SubjectFromMay１９９９toJune２００１，４８６consecutivepatientssufferedfromchronicprostatitis（CP）andcomplicatedmooddisorderincluding２１９withnon－bacterialprostatitis，６３withsimpleprostatitispain，and２１９withchronicbacterialprostati－tis．Thesepatientsarerandomlydividedintostudygroupandcon－trolgroupeuqually．Theyare１９～４１yearsofage（meanage：３４years）．Diseasecourselastedfor０．５～４years，meanly２．５years．Mooddisorderischaracterizedbylackadaisicalne…     

儿童骨盆骨折康复护理特点及随访

Howtoimproverehabilitationofpelvisfracturechildrenfromphysiologyandmentalishighlightedbypediatricsurgeon，clinicalnurse，mentalistandsocialworkerforitscomplicatedcomplications，wediscussedthepointonlyfromclinicalnursinglookingforwardtocorporationofprofessionalandminimizingitssequelae．１Subjectsandmethods１．１SubjectsIn２２casesofpelvisfracture，１２boysand１０girls，aged３～１２years（meanage：７years）．Traffictraumacaused１９problems，３casesinjuriedbyhighfalling．Fracturesinvolvedsinglea…     

Electrophysiological manifestation of 8cases of poems syndrome

INTRODUCTIONPoemsdyndromisakindofrarelyseenclinicalsymptomeswithmultiplesystemimpairment，includingpolyneuropathy，swellingoforgans，endocrinedisorder，Mproteinandskinlesions．Othersymp－tomsincludinganasarca，profusesweating，hippocraticnailsandlowfebrile．GENERALDATA８casesofPoemssyndromepatienswerereceivedfromFebruary１９９３toDecember２００１with５malesand３females，agerangingfrom２０to４７yearswithaverage３８years．Firstexaminationtimewasrangingfrom８monthto１０years．Clinicalm…     

青壮年股骨头缺血坏死的显微手术及康复治疗

Avascularnecrosisofthefemoralheadalwayspresentphysicianinadilemma．Thepatientsalwaysdeveloptoosteoarthritisandneedtotalhipreplacementifthetreatmentisnotintime．Buttotalhipre－placementisnotsuitablefortheyoungadults．Thuswedevelopedthistechniqueandgotgoodresults．１SubjectandMethods１．１SubjectFrom１９９０to２０００，２５caseswith２８hipsweretreatedwiththistechnique．１４malesand１１females，aged１８～４２years（average３６years）．Theetiologyofthenecrosisofthefemoralheadinthisgroupweretraum…     

Language rehabilitation exercise for motor aphasia patients after stroke

INTRODUCTIONLanguagedysfunctioninducedbystrokeisfrequentlyseen．Amongthis，motoraphasiais７０％to７５％andpatientssufferedfromit．Itdamagelifeabilityandburdenfamilyandsociety．MATERIALSANDMETHODSMaterials３２casesofmotoraphasiapatientswerereceivedfromourdepartmentwith２０casesmalesand１２females，agerangingfrom５０to６０years（average５６．８years）．Therewere２９casesofstrokeontherighthemisphereandtheywereallright－handed．Education：２casesofcollegedegree，１６casesofmiddleschoo…     

肩关节周围炎的综合康复治疗

Weevaluatedandanalyzedthecombinedtherapyofscapulo－humeralperiarthritiswiththefunctionalassessmentmeasuringscaleofshoulderjoint．Hereisthereport．１Subjectandmethods１．１Subject８６patientsincluded３９malesand３７females，aged３８～７０years，withillnesscourseof３monthsto２years，３８intheleftside，４８intheright．１７werewithnoobviouspredisposingcause．３１hadchronicstrain．２０hadcervicalspondylopathy．１８hadtraumahis－tory．Clinicalmanifestationsincludedshoulderpainexacerbatingatactivemot…     

Psychoanalysis and nursing countermeasure for hysteria patients

Background：Hysteriaischaracterizedbysensoryormovementdisorder，changedconsciousnessandbelongstosimple，inorganicneurosis．Simplepsychotreatmentordrugisin－effective．Objective：FromJanuary１９９６toMay２００１，２６４hysteriapa－tientsreceivedpsychoanalysis．Weestablisheddetailednursingmeasuresandgainedgoodeffect．Unit：GeneralHospitalofArmedForceofShaanxiSubjects：２４６malepatientsaged１５～２１years（meanage：１８years）wereincludedinourstudy．１６８patientsshowedsignsofhysteriaduringf…     

Treatment of of rheumatic disease by Chinese druge fumigation and steaming

AIM:To observe therapeutic effect of fumigation and steaming with Chinese drugs in the rheumatic diseases.METHODS:Drugs removing rheumatic disease,warming channels and dispersing cold,activating blood circulation were used for fumigation and steaming treatment in 84 cases with rheumatic diseases,once a day,20min each time,10times as a treatment course.Among them,4 cases received treatment for 2 and 3 course of treatment respectively.RESULTS:18 cases were corrected completely,64 were improved,2 showed no improvement,and total effective rate was 98%CONCLUSION:Through hot and therapeutic effect of drugs,lesions can be managed directly in fumigation and steaming trestment.     

寒湿痹颗粒治疗寒湿痹阻型风湿病的效果分析

背景:寒湿痹颗粒主治寒湿痹阻证风湿病。目的:观察寒湿痹颗粒对寒湿痹阻症风湿病患者的干预效果及安全性,并以正清风痛宁为对照药物,进行对比观察。设计:病例随机对比观察。单位:河南省洛阳正骨医院。对象:选择2000-05/2002-02在河南省洛阳正骨医院就诊的寒湿痹阻型风湿病患者400例,均自愿参加观察。寒湿痹颗粒由附子、制川乌、黄芪、威灵仙等10多种中药组成,每袋10g;正清风痛宁片规格为每片20mg。方法:采用随机化原则,根据就诊顺序将病例按观察组:对照组=3∶1的比例分配。观察组给予寒湿痹颗粒,1袋/次,3次/d,冲服。对照组给予正清风痛宁片,口服2片/次,3次/d,1周后无不良反应加至3片/次,3次/d。类风湿关节炎和强直性脊柱炎患者服药2个月为1个疗程;膝关节骨关节炎患者服药1个月为1个疗程。检测并记录血沉、C-反应蛋白、类风湿因子、血尿酸等的变化情况。评估标准:①证候疗效评定:显效:治疗后症状明显好转,症状积分0～1分或下降≥2/3;有效:治疗后症状改善,症状积分下降≥1/3。②症状疗效评定:显效为关节疼痛、肿胀、压痛、晨僵和功能障碍等各项症状经治疗症状计分减至0分或减少2分者;有效为经治疗症状计分减少1分者。③疾病总疗效评定:显效:症状、体征基本消失,实验室主要检查指标明显改善,下降度≥50%;有效:症状、体征减轻,实验室主要检查指标有改善。主要观察指标:①两组患者的总临床疗效、不同症状疗效及不同病种疗效。②寒湿痹颗粒的安全检测结果。结果:纳入病例400例,观察组300例,对照组100例。观察组脱落19例,统计病例281例;对照组脱落6例,统计病例94例。①两组患者的总临床疗效比较:观察组总有效率显著高于对照组(94.31%,84.04%,P<0.01)。②两组患者不同症状疗效比较:两组患者在关节疼痛、肿胀、压痛、功能障碍及晨僵等方面的疗效比较,差异均无显著性意义(P>0.05)。③两组患者不同病种疗效比较:两组患者在类风湿关节炎、强直性脊柱炎、膝骨关节炎等不同病种方面进行疗效比较,差异均无显著性意义(P>0.05)。④寒湿痹颗粒的安全检测结果:治疗前有部分患者尿常规异常,经治疗均得改善;部分患者治疗前心电图呈ST-T波改变,服药后无明显加重。结论:寒湿痹颗粒和对照药物正清风痛宁片均可以显著改善寒湿痹阻型风湿病关节疼痛、肿胀、压痛、功能障碍及晨僵等症状,但寒湿痹颗粒的干预效果优于对照药物,且无明显的不良作用,可作为治疗寒湿痹阻型风湿病的一种安全有效的药物。     

Recurrence of gastropathies caused by intake of nonsteroidal anti-inflammatory drugs

AIM: To estimate frequency of ulcers and erosions associated with administration of nonsteroid anti-inflammatory drugs (NSAID) in patients with rheumatic diseases. MATERIAL AND METHODS: The analysis of the clinic endoscopic data base allowed division of the patients into three groups: group 1--207 patients examined with esophagogastroduodenoscopy (EGDS) which detected ulcers or multiple erosions of the stomach and/or duodenum in the course of treatment with NSAID; group 2--157 patients with a few erosions of the stomach or duodenum; group 3--404 controls who had neither erosions nor ulcers in the course of NSAID treatment. RESULTS: Frequency of detection of ulcers and multiple erosions for groups 1, 2 and 3 was 40.1, 12.1 and 7.4%, respectively. Recurrences did not correlate with age, sex, dose of glucoorticosteroids, NSAID dose, cytostatics, preventive use of antiulcer drugs. Few gastric erosions were detected more frequently in patients of group 2 than group 3 (22.9 and 9.2%, respectively, p < 0.05). CONCLUSION: NSAID-induced ulcers in patients with rheumatic diseases are recurrent. Preventive intake of H2-blockers did not lower the risk of ulcer recurrence. Erosions tend to recurrence but their presence do not raise the risk of ulcer development.     

电针、远红外线、中药熏蒸联合治疗风寒湿痹型成人大骨节病的效果

目的观察电针、远红外线照射、中药熏蒸治疗风寒湿痹型成人大骨节病的临床效果。方法选择2018年6月至2018年12月收治的50例风寒湿痹型成人大骨节病患者为研究对象。给予患者电针、远红外线、中药熏蒸联合治疗,并分析治疗效果。结果治疗后,显效43例,有效6例,总有效率为98.00%。治疗后,患者关节休息痛、关节运动痛、晨僵、最大步行距离、四肢活动能力评分均显著降低(P<0.05)。所有患者治疗过程中未见任何不良反应。结论电针、远红线照射、中药熏蒸联合疗法是一种综合治疗风寒湿痹型成人大骨节病的有效方法。     

Immunoadsorption for collagen and rheumatic diseases

The field of therapeutics has seen remarkable progress in the recent years, which has made mainstream drug treatment possible for collagen and rheumatic diseases. However, treatment of intractable cases where drug effectiveness is poor is a challenge. Furthermore, organ damage, concurrent illnesses or allergic reactions make adequate drug therapy impossible. For such cases, therapeutic apheresis is very significant, and it is important how this should be valued related to drug therapies. Therapeutic apheresis for collagen and rheumatic diseases involves the removal of factors that cause and exacerbate the disease; the aim of immunoadsorption, in particular, is to improve the clinical condition of patients with autoimmune disease by selectively removing pathogenic immune complexes and autoantibodies from their plasma.Immunoadsorption, in particular, unlike plasma exchange and DFPP, utilizes a high-affinity column that selectively removes autoantibodies and immune complexes, leaving other plasma components intact. There is no need to replenish fresh frozen plasma or blood products such as albumin and gamma globulin preparations. Immunoadsorption is thus superior in terms of safety, as the risk of infection or allergic reaction relating to these preparations can be avoided. We anticipate future investigations of application of synchronized therapy using drugs and therapeutic apheresis, most notably immunoadsorption, in combination to treat intractable clinical conditions such as collagen and rheumatic diseases.In this paper, our discussion includes the indications for immunoadsorption such as collagen and rheumatic diseases, the relevant conditions and types, as well as the latest understanding related to methods and clinical efficacy.     

Serielle Ganzk?rperk?ltetherapie im Criostream bei entzündlich-rheumatischen Erkrankungen

BACKGROUND AND PURPOSE: Local as well as whole-body cryotherapy is used to relieve pain and inflammation in rheumatic diseases. In comparison with a chamber-based whole-body cryotherapy, the novel criostream whole-body therapy (single-person cabin with cold air cooled by liquid nitrogen) as an innovative technique offers not only a rapid therapeutic effect but also a considerable reduction in costs. The aim of this study was to compare the effect of whole-body cryotherapy in the criostream on pain reduction, disease activity and pro-inflammatory cytokines (tumor necrosis factor-[TNF-]alpha and interleukin-[IL-]1), and improvement in functional scores. PATIENTS AND METHODS: Ten patients with different active inflammatory rheumatic diseases (four patients with rheumatoid arthritis, three patients with ankylosing spondylitis, and three patients with psoriatic arthritis/spondylitis) underwent nine sessions of whole-body cryotherapy in 5 days for a short time period (at first 90 s, with step-up in each application to 2.5 min total time). RESULTS: Pain and disease activity scores decreased significantly, and, subsequently, also the functional scores showed a significant amelioration. Furthermore, there was a significant reduction in TNF-alpha (p < 0.01) and IL-1 (p < 0.05). Side effects were reported only after the first application in two cases (headache and sensation of cold). CONCLUSION: The criostream offers an elegant and, from the patient's point of view, attractive therapeutic agent in the multimodal treatment concept for inflammatory rheumatic diseases.     

躯体疾病合并抑郁症的发病情况及其治疗

目的 :观察躯体疾病合并抑郁症的发病情况以及不同治疗措施的疗效。方法 :6 8例患有躯体疾病患者填写Zung量表 (抑郁症自评表 ) ,按Zung量表评分标准 ,>4 0分且符合中国精神障碍分类与诊断标准的患者诊断为抑郁症。结果 :内科疾病组 5 5例中 2 5例 (45 .6 % )患有抑郁症 ,显著高于体检组 13例中 2例 (15 .4 % )患有抑郁症(P <0 .0 5 ) ;对内科疾病组 2 5例抑郁症患者中的 10例 ,在躯体疾病和心理治疗的基础上 ,加用抗抑郁药物治疗 ,其有效率 80 .0 % ,显著高于未加用抗抑郁药物治疗的患者 (40 % ,P <0 .0 5 )。结论 ;躯体疾病患者常合并有抑郁症 ;对这些患者同时给予适当的抗抑郁症药物治疗可以提高躯体疾病的治疗效果。     

The blood coagulation status and the immunochemical and clinical indices in patients with active rheumatism during treatment with nerobol]

Blood coagulation, immunobiochemical, and clinical characteristics were studied in patients with rheumatic fever running a protracted course treated by combined therapy including nerobol. To assess the therapeutic efficacy of nerobol, the patients were divided into 2 groups: Group 1 (30 patients) were administered combined antirheumatic therapy, Group 2 (30 patients) were administered the same + nerobol in a daily dose of 15 mg for 3-4 weeks. The findings evidence a positive effect of the drug on the status of patients in whom rheumatic fever runs a protracted course: blood procoagulative activity is reduced and anticoagulative activity elevated, blood immunobiochemical and clinical characteristics normalized.     

舒筋活血洗剂治疗膝部伤筋的疗效观察

目的 :研究舒筋活血洗剂熏洗治疗膝部伤筋的疗效。方法 :对 5 0例膝部伤筋病人给予舒筋活血洗剂熏洗膝部 ,并设对照组5 0例不予熏洗 ,仅给予活络油外擦。结果 :治疗组总有效率 ( 98% )明显高于对照组 ( 5 2 % ) ,两组比较 ,有统计学意义 (P <0 .0 5 )。结论 :舒筋活血洗剂熏洗治疗膝部伤筋 ,既发挥了药物作用 ,又发挥熏洗疗法的功效 ,其疗效满意     

探索乳管系统非肿瘤性病变诊断和治疗的新途径

目的:探讨药物灌注治疗非肿瘤性乳管系统疾病的可行性,寻找其治疗新途径。材料与方法:经改进乳腺导管造影方法获取清晰准确的导管造影检查结果,再经溢液病理涂片、泌乳术测定排除肿瘤性病变并无禁忌症的导管扩张症78例,单纯导管炎症29例,囊性增生5例。经临床保守治疗疗效不显著后,即选择对溢液乳孔注入药物治疗,隔日1次,4次为一疗程。结果:经一疗程治疗后46(41.1%)例溢液停止,疼痛消失;36(32.1%)例溢液明显减少,溢液色泽变清,疼痛缓解;经2～4疗程治疗后,20例(19.6%)溢液逐渐变少直至消失,疼痛明显减轻或消失;10例(7.2%)因溢液时间长,病情迁延反复,经4个疗程治疗后仍有溢液。结论:经选择性乳腺导管造影,能够清晰观察到导管内细微病灶,明确诊断的非肿瘤性乳头溢液,经溢液乳孔注入药物治疗,效果显著(总有效率达92.8%),具有临床推广应用价值。