间隔灸督脉法改善老年性失眠症效果观察

对6例改良式绕肝提拉法行右半肝切除手术患者,术前访视熟悉和评估患者情况,做好心理护理,复习肝脏解剖及手术方式;术中准确配合、密切观察。结果 6例手术均获得成功,无术中大出血及其他并发症发生。提出改良式绕肝提拉法前入路右半肝切除术损伤小、术式安全,护理人员熟悉患者情况和手术流程,能缩短手术时间、保证手术顺利进行,减少患者术后并发症发生。     

从“命门火衰，督脉阳虚”探讨老年性骨质疏松症

老年性骨质疏松症（SOP）作为一种与年龄相关的慢性虚损性疾病,病程迁延难愈,易反复发作。历代医家均认为：本病病位在肾,病性多为阳虚。而命门内藏元气,为一身阳气之根本,督脉总督诸阳,调节一身阳经脉气,且二者功能的正常与否均与人体肾精的虚实密切相关。故本文试结合现代临床及实验研究,探讨命门火衰、督脉阳虚与SOP发病之间的关系,为临床中医药防治本病提供一定的参考。     

杵棒点穴联合督脉灸在寒湿痹阻型腰椎间盘突出症患者中的应用

目的探讨杵棒点穴联合督脉灸,治疗寒湿痹阻型腰椎间盘突出症的疗效。方法将86例寒湿痹阻型腰椎间盘突出症的患者,随机分为对照组与观察组各43例。对照组遵医嘱予温经散痹方口服及传统督脉灸治疗,观察组在对照组基础上,予温经散痹方口服,并在进行传统督脉灸治疗前,先用杵棒依次按摩刺激督脉上的穴位(大椎至腰阳关等腧穴)及肾俞、气海俞,每日1次,每次30～40 min,7 d为1个疗程,连续2个疗程。比较两组寒湿痹阻型腰椎间盘突出症改善效果。结果通过2个疗程的治疗,观察组治疗有效率显著优于对照组,疼痛(VAS)评分显著低于对照组(均P0.01)。结论杵棒点穴联合督脉灸治疗寒湿痹阻型腰椎间盘突出症效果较好,能有效缓解疼痛。     

异丙酚诱导睡眠平衡术治疗慢性失眠症的效果观察

目的 探讨异丙酚诱导睡眠平衡术治疗慢性失眠症的护理方法.方法 对48例慢性失眠症患者采用异丙酚诱导睡眠平衡术治疗,采用多导睡眠监测系统及里兹睡眠评估问卷(LSEQ)对患者治疗前后睡眠情况进行评估.结果 治疗后LSEQ得分增加100分以上患者44例(91.67%),且LSEQ各因子评分及总分显著提高,睡眠质量显著改善(P<0.05,P<0.01).结论 异丙酚诱导睡眠平衡术是短时间内纠正慢性失眠患者睡眠债务行之有效的方法.配合规范化的护理是确保其治疗成功的重要措施.     

异丙酚诱导睡眠平衡术治疗慢性失眠症的效果观察

目的探讨异丙酚诱导睡眠平衡术治疗慢性失眠症的护理方法。方法对48例慢性失眠症患者采用异丙酚诱导睡眠平衡术治疗，采用多导睡眠监测系统及里兹睡眠评估问卷（LSEQ）对患者治疗前后睡眠情况进行评估。结果治疗后LSEQ得分增加100分以上患者44例（91．67％），且LSEQ各因子评分及总分显著提高，睡眠质量显著改善（P〈0．05，P〈0．01）。结论异丙酚诱导睡眠平衡术是短时间内纠正慢性失眠患者睡眠债务行之有效的方法，配合规范化的护理是确保其治疗成功的重要措施。     

氯球油治疗老年性阴道炎效果观察

老年性阴道炎治疗较为棘手，我科于2006年1月至2007年1月对60例老年性阴道炎予氯球油治疗，效果满意，报告如下。 1资料与方法 1．1一般资料老年性阴道炎120例，年龄60～78岁。随机分为对照组与观察组，各60例。两组年龄、体重、绝经年龄、病程等比较，差异无显著性意义（均P〉0．05），具有可比性。[第一段]     

塞来昔布联合督脉灸、揿针治疗活动期强直性脊柱炎25例临床观察

目的:观察塞来昔布联合督脉灸、揿针治疗活动期强直性脊柱炎患者的临床疗效.方法:将50例强直性脊柱炎患者随机分为治疗组和对照组,每组25例.对照组给予塞来昔布口服联合督脉灸(每次30 min,每日1次)治疗;治疗组在对照组治疗基础上联合揿针(每次6 h,每日1次)治疗.2组均以2周为1个疗程.观察2组临床疗效,以及治疗前...     

氯球油治疗老年性阴道炎效果观察

老年性阴道炎治疗较为棘手,我科于2006年1月至2007年1月对60例老年性阴道炎予氯球油治疗,效果满意,报告如下.     

中西药治疗老年性骨质疏松症的效果观察

目的总结分析强阳坚阴胶囊对老年性骨质疏松症的疗效。方法选取有临床症状并且通过双能X线骨密度检测仪检查确诊为骨质疏松症的老年患者100例,随机分为西药组和中药组各50例;其中中药组患者服用强阳坚阴胶囊治疗每日3次,每次5粒,西药组患者给予阿伦磷酸钠片每日一次,每天10 mg,每天早餐前30 min空腹口服,两组均半年为一个疗程。患者治疗半年后通过检测腰椎及股骨颈骨密度的变化比较两组疗效。结果治疗半年后,两组指标都有改善(P0.05),中药组在临床症状改善及骨密度增加总有效率为100.0%,西药组为82.0%,两组相比差异有统计学意义(P0.05)。结论强阳坚阴胶囊可有效地治疗老年性骨质疏松症,提高患者骨密度,值得临床推广使用。     

随身灸改善ICU护士职业性腰背痛的效果研究

目的评价随身灸改善ICU护士职业性腰背痛的效果。方法将61名职业性腰背痛ICU护士随机分为观察组(31名)和对照组(30名)。对照组遵医嘱口服塞来昔布胶囊治疗,观察组采用艾灸盒随身灸治疗。比较两组干预后疼痛程度及临床疗效。结果干预6周后观察组疼痛评分显著低于对照组,临床疗效显著优于对照组(均P0.01)。结论随身灸可有效改善ICU护士职业性腰背痛症状,且操作简单,经济适用。     

隔姜灸神阙穴治疗老年骨折患者便秘

目的探讨隔姜灸神阙穴治疗老年骨折患者便秘的临床效果。方法选择因骨折发生便秘的老年患者118例,按住院单、双日分为两组,观察组61例予隔姜灸神阙穴治疗,对照组遵医嘱按常规剂量给予导泻药物如果导片、番泻叶泡茶口服、开塞露纳肛等治疗。结果两组临床疗效比较,差异无统计学意义(P0.05),但停药后便秘复发率观察组显著低于对照组(P0.01)。结论隔姜灸神阙穴治疗老年骨折患者便秘的临床效果满意,可避免应用药物治疗所致的不良反应及停药后复发。     

腰五针联合扶正强督灸对老年股骨粗隆间骨折术后患者的疗效观察

目的：探讨腰五针加扶正强督灸联合全髋关节置换术（THA）治疗老年股骨粗隆间骨折（IFF）患者的疗效以及对骨代谢、关节功能的改善作用。方法：纳入2020年1月—2022年1月在我院就诊的老年IFF患者98例,按照随机数字表法分入治疗组与对照组,每组均49例。两组均经同一组医生采取THA治疗;对照组术后采取抗凝、抗感染等常规措施;治疗组于对照组治疗的基础上在术后1 d予腰五针加扶正强督灸治疗。两组连续治疗12周。比较两组IFF患者的下床行走时间、术后负重时间、骨代谢指标、髋关节功能评分、髋关节功能疗效。结果：治疗组患者的下床行走时间、术后负重时间均低于对照组（P <0.01）;术前,两组患者的血清骨钙素和腰椎正位（L2-4）骨密度水平差异无统计学意义（P>0.05）;术后12周,治疗组的血清骨钙素和腰椎正位（L2-4）骨密度水平明显高于对照组（P <0.01）;术前,两组患者的Harris评分差异无统计学意义（P>0.05）;术后4、8、12周,治疗组患者的Harris评分明显高于对照组（P <0.01）;术后12周,治疗组的髋关节功能改善优良率为83.67%...     

时辰穴位按摩辅治老年卒中后轻度失眠患者的效果

目的探讨时辰穴位按摩对住院老年卒中恢复期心肾不交型轻度失眠患者的疗效,寻求改善此类患者睡眠质量的最佳护理措施实施时间。方法将70例住院老年卒中后轻度失眠患者随机分为观察组(34例)和对照组(36例)。观察组在午时(11:00~13:00)和酉时(17:00~19:00)进穴位按摩,对照组在常规时间,即辰时(7:00~9:00)和未时(13:00~15:00)进行穴位按摩。两组穴位均为少冲穴、复溜穴。用中医睡眠量表(改良型SPIEGEL量表)比较两组患者干预第7、14天的睡眠评分改善情况。结果干预第7天及第14天,观察组患者失眠护理干预治疗效果显著优于对照组(均P0.01)。结论时辰补法穴位按摩有效改善住院老年卒中恢复期心肾不交型轻度失眠患者的睡眠质量。     

Effect of interposed periosteum in an animal physeal fracture model

To study the effect of interposed periosteum on physeal fracture healing, 52 skeletally immature female Harlan Sprague-Dawley rats, 4 to 5 weeks of age, were randomized to one of three cohort groups. All animals underwent surgical dissection of the left proximal medial tibia; dissection consisted of superficial exposure and incision of a standard periosteal flap. Animals in Group I (fracture alone) underwent physeal fracture; those in Group II (fracture and periosteum) underwent physeal fracture with interposition of periosteum in the fracture site, and those in Group III (positive control) underwent physeal fracture, excision of 1/2 of the growth plate, and interposition of periosteum in the defect. After histologic examination of serial sections, fracture alone resulted in physeal injury frequently associated with small bar formation without a reduction in leg length. With the addition of interposition of periosteum into the fracture site, a small, but statistically significant, increase in leg length discrepancy frequently associated with small histologic bar formation occurred when compared with fracture alone.     

天灸对实验性骨质疏松的影响

目的：旨在探讨天灸防治骨质疏松症的作用机制。方法：采用卵巢切除所致的骨质疏松大鼠为模型,通过对大鼠骨密度及血清E2,骨钙素（BGP）,Ca,P碱性磷酸酶（AKP）等指标检测,结果：天灸外治可刺激成骨细胞的活性,增加骨形成,同时通过对体内激素的调整,在一定程度上抑制骨吸收,从而有效地防止骨量丢失,增强骨骼抵抗外力的能力,结论：天灸与钙的联合应用并正确掌握治疗时机是防治骨质疏松症的关键所在。     

艾灸盒温灸预防缺血性脑卒中患者压疮效果探讨

目的探讨艾灸盒温灸预防急性缺血性脑卒中患者压疮发生的效果。方法将79例急性缺血性脑卒中患者按入院日期的单双号分为观察组39例和对照组40例。在常规护理的基础上,对照组采用紫草油凃搽骨隆突部位,观察组采用艾灸盒温灸足三里、关元穴。结果观察组压疮发生率显著低于对照组(P0.05);与治疗前相比,两组治疗后低切全血粘度、中切全血粘度、红细胞压积和血沉值显著降低(均P0.05),观察组各数值的改善显著优于对照组(P0.05,P0.01)。结论艾灸盒温灸足三里、关元穴可有效降低急性缺血性脑卒中患者的压疮发生率,降低全血粘度,有利于促进其康复。     

MNNG-carcinogenesis in the interposed ileum into the colon of rats

To clarify the organo-specificity of small intestinal cancer, Wistar strain male rats were operated on as follows: Interposition of ileal loop in distal colon for group I and simple laparotomy for group II. MNNG was given via the rectum at the dose of 2.5 mg/day for 2 weeks from the second postoperative week. After intravenous injection of BrdU 50 mg/kg 40 weeks thereafter, these rats were sacrificed. Tumor incidence was almost the same (77% and 78% for group I and II, respectively), but with an obvious difference in site of occurrence, and the number of tumors per unit area was 0.153 in large intestine and 0.015 in interposed ileum for group I and 0.119 in large intestine for group II. Labeling indices of BrdU in the interposed ileal mucosa and control ileal mucosa were 8.2 and 9.7%, respectively without a great difference there between, but were significantly higher compared with 5.1% in colonic mucosa. The above results suggested possible resistance of the interposed ileal mucosa to the provocation of tumor by MNNG compared with the colonic mucosa because of quick cell turnover of the epithelium in the small intestinal mucosa.     

Extra-intracranial shunts by venous grafts interposed on the carotid system

Patients with occlusive arterial diseases, tumors invading the vascular structures of the skull base or giant aneurysms may benefit from an EICB. Most of the time this can be achieved using a scalp artery. But in cases of a thrombotic ECA, excessively short or thin scalp branches or destruction of those by prior cranial surgery, an interposed venous graft is needed. In the author's series, which consists of 16 patients, the bypass was performed for ICA occlusive diseases in 5, before complete removal of cavernous sinus tumours in 4 and prior to cervical internal carotid ligation for giant aneurysms in 7. The grafts were always harvested from the internal saphenous vein. The proximal site of implantation was CCA (2 cases), ECA (6 cases), ICA (1 case), superior thyroid A (2 cases)--i.e. 11 long grafts--and the trunk of the occipital A--i.e. short grafts in 5 cases. In this series, there was no mortality and no morbidity related to revascularization. The early patency rate, checked with arteriography, was 62.5% (10 cases) and the late one 56.2% (9 cases). Causes of failure, partially related to technical difficulties in 2 cases, were almost always due to an insufficient extra-intracranial pressure gradient (4 cases). Excepted in one case, there was no correlation between patency and the use or not of anti-aggregant and/or heparin. Literature data are summarized and discussed. They all confirm the importance--besides the absence of technical errors--of a sufficient extra-intracranial gradient for obtaining a good patency rate.     

Long ischaemic stricture of the interposed colon.

A case is reported of a long segment stricture in a colonic oesophageal replacement with radiographic evidence to support the diagnosis of ischaemia. Ischaemia of the substitute organ following oesophageal resection is a well recognised, serious complication that usually results in anastomotic leakage. If the anastomosis heals primarily, late manifestations of ischaemia are rare.